A National Survey of Nurses' Knowledge and Nursing Practices Regarding Cancer Therapy–Related Cardiac Dysfunction Among Patients With Breast Cancer in Japan

IF 1.8 4区医学 Q2 NURSING

Japan Journal of Nursing Science Pub Date : 2026-09-20 DOI:10.1111/jjns.70078

Hideaki Aoyagi, Yasumi Matsubara, Akiko Okada, Akiko Hayashi, Makiko Seto, Yuichiro Iida

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引用次数: 0

Abstract

Aim

Developing effective nursing support for cancer therapy–related cardiac dysfunction (CTRCD) in patients with breast cancer requires understanding nurses' knowledge and nursing practices regarding CTRCD. This study elucidated these aspects among Certified Nurse Specialists (CNSs) and Certified Nurses (CNs) in Japan.

Methods

A web-based survey was administered to 1490 nurses, including CNSs in cancer nursing and CNs in cancer chemotherapy, breast cancer, and heart failure. The survey assessed participants' characteristics, knowledge of CTRCD, nursing practices, consultation experiences, and interprofessional collaboration. We calculated descriptive statistics and conducted group comparisons between oncology nurses specializing in cancer nursing and cardiology nurses specializing in heart failure nursing.

Results

We obtained 261 responses, including 214 (82.0%) from oncology nurses and 47 (18.0%) from cardiology nurses. These two groups exhibited significant differences in their knowledge of CTRCD definitions, risk factors, and related agents (p < 0.01). Among oncology nurses, 88 (56.8%) provided patient education on CTRCD risk and 94 (63.9%) monitored CTRCD symptoms; thus, practice implementation remained around half. A higher proportion of cardiology nurses reported having received questions or consultations regarding CTRCD from patients or staff (p < 0.05). Only 27 participants (10.3%) reported access to onco-cardiology educational opportunities at their respective institutions.

Conclusion

Differences in knowledge and practices regarding CTRCD were identified between oncology and cardiology nurses. Improving nursing practices, particularly patient education and symptom observation, is essential for early CTRCD detection and treatment. Furthermore, systematic educational programs and structured collaborative frameworks, including interprofessional collaboration, are needed at both the institutional and national levels.

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日本护士对乳腺癌患者癌症治疗相关心功能障碍的知识和护理实践的全国调查

目的：了解护理人员对癌症治疗相关性心功能障碍（CTRCD）的认识和护理实践，为乳腺癌患者提供有效的护理支持。本研究在日本的注册专科护士（CNSs）和注册护士（CNs）中阐明了这些方面。方法：对1490名护士进行网络调查，包括癌症护理的cnns和癌症化疗、乳腺癌和心力衰竭的cnns。调查评估了参与者的特征、CTRCD知识、护理实践、会诊经验和跨专业合作。我们计算描述性统计，并对专攻癌症护理的肿瘤科护士和专攻心力衰竭护理的心脏病科护士进行组间比较。结果：共获得261份回复，其中214份（82.0%）来自肿瘤科护士，47份（18.0%）来自心脏病科护士。两组护士对CTRCD的定义、危险因素和相关因素的认知存在显著差异(p)。结论：肿瘤科护士和心内科护士对CTRCD的认知和实践存在差异。改善护理实践，特别是患者教育和症状观察，对CTRCD的早期发现和治疗至关重要。此外，在机构和国家层面都需要系统的教育计划和结构化的合作框架，包括跨专业合作。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japan Journal of Nursing Science 医学-护理

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.