妇科癌症患者不健康生活方式的患病率高，并且与全因死亡风险增加有关。虽然生活方式改变有可能改善疗效，但生活方式咨询并未常规整合到标准护理中。本综述研究了医疗保健提供者（HCPs）促进健康生活方式和妇科癌症患者改变健康生活方式的障碍和促进因素的研究。运用理论域框架（TDF）对识别的因素进行了演绎式编码，以全面了解障碍和促进因素。通过对五个数据库的搜索，共获得12,687个独特的研究，其中43个纳入了综述。这43个研究中，39个涉及妇科癌症患者，只有6个涉及HCPs。就HCPs而言，研究中主要评估了减重咨询方面的障碍。有限的知识、不愿涉及减重、对益处的怀疑和工作负担等问题被普遍报告为HCPs的障碍。HCPs将受益于教育和培训，包括有效的沟通技巧，如激励式访谈。妇科癌症患者缺乏工具、支持、知识，并面临心理健康问题、环境限制和身体局限。综述强调了解决这些障碍和利用已识别的促进因素的重要性，如社会支持，以促进和支持患者的健康生活方式行为及其HCPs的促进。未来的研究应不仅关注患者，而且支持HCPs并在当前实践中实施必要的变革。版权 © 2023. Elsevier B.V. 发表。

The prevalence of an unhealthy lifestyle among patients with gynecological cancer is high and associated with increased risk of all-cause mortality. Although lifestyle changes have the potential to improve outcomes, lifestyle counseling is not routinely integrated into standard care. This review explores research on the barriers to and facilitators of both the promotion of healthy lifestyles by healthcare providers (HCPs) and healthy lifestyle changes by patients with gynecological cancer. The Theoretical Domains Framework (TDF) was used to deductively code the identified factors for a comprehensive understanding of the barriers and facilitators. A search across five databases yielded a total of 12,687 unique studies, of which 43 were included in the review. Of these 43, 39 included gynecological cancer patients and only 6 included HCPs. Among the barriers identified for HCPs, most studies evaluated barriers regarding weight loss counseling. Limited knowledge, reluctance to address weight loss, skepticism about the benefits, and workload concerns were commonly reported barriers for HCPs. HCPs will benefit from education and training in lifestyle counseling, including effective communication skills like motivational interviewing. Gynecological cancer patients lacked tools, support, knowledge, and faced mental health issues, environmental constraints, and physical limitations. The review emphasizes the importance of addressing these barriers and utilizing identified facilitators, such as social support, to promote and support healthy lifestyle behaviors on the part of patients and their promotion by HCPs. Future research should focus not only on patients but also on supporting HCPs and implementing necessary changes in current practices.Copyright © 2023. Published by Elsevier B.V.