Chih Jung Wu, Ya-Fang Ho, Li-Yuan Bai, Ching Feng Wu, Ting Ting Chen, Ya Jung Wang
{"title":"Distinct Trajectories of Chemotherapy-Induced Peripheral Neuropathy in Lymphoma Survivors Treated With R-CHOP.","authors":"Chih Jung Wu, Ya-Fang Ho, Li-Yuan Bai, Ching Feng Wu, Ting Ting Chen, Ya Jung Wang","doi":"10.1188/25.ONF.191-204","DOIUrl":"https://doi.org/10.1188/25.ONF.191-204","url":null,"abstract":"<p><strong>Objectives: </strong>To explore the trajectories of chemotherapy-induced peripheral neuropathy (CIPN) in lymphoma survivors and assess subdomains of CIPN in this population.</p><p><strong>Sample & setting: </strong>80 newly diagnosed lymphoma survivors treated with R-CHOP were enrolled.</p><p><strong>Methods & variables: </strong>CIPN was assessed before chemotherapy (T1), after the first chemotherapy cycle (T2), after the fourth chemotherapy cycle (T3), after the completion of chemotherapy (T4), and 10 weeks post-treatment (T5). CIPN was measured using the Total Neuropathy Score clinical version and the MD Anderson Symptom Inventory.</p><p><strong>Results: </strong>Patients were categorized into high and low CIPN groups based on CIPN changes over time. The high CIPN group was older and experienced significantly more severe sensory peripheral neuropathy from T1 to T5, with the most severe symptoms observed at T4, followed by T3 and T5.</p><p><strong>Implications for nursing: </strong>Healthcare providers should closely monitor older patients, those with pretreatment peripheral neuropathy symptoms, and those exhibiting pronounced sensory neuropathy during treatment to provide timely and effective symptom management, reducing the impact of CIPN.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"191-204"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Moving the Science Forward.","authors":"Anne Katz","doi":"10.1188/25.ONF.166-167","DOIUrl":"https://doi.org/10.1188/25.ONF.166-167","url":null,"abstract":"<p><p>To commemorate ONS's 50th anniversary in 2025, throughout the year, we will be reprinting seminal editorials written by former editors of the Oncology Nursing Forum and the Clinical Journal of Oncology Nursing that have had.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"166-167"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ijeoma Julie Eche-Ugwu, Hayley Dunnack Yackel, Rachel A Pozzar, Marilyn J Hammer, Mary E Cooley
{"title":"A Qualitative Descriptive Study to Assess Experiences and Care Needs of Patients With Cancer During the COVID-19 Pandemic.","authors":"Ijeoma Julie Eche-Ugwu, Hayley Dunnack Yackel, Rachel A Pozzar, Marilyn J Hammer, Mary E Cooley","doi":"10.1188/25.ONF.205-216","DOIUrl":"https://doi.org/10.1188/25.ONF.205-216","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the experiences and unmet clinical needs of patients with cancer during the COVID-19 pandemic.</p><p><strong>Participants & setting: </strong>The authors recruited patients with cancer who received cancer-directed therapy in March 2020 at a National Cancer Institute-designated comprehensive cancer center. Interviews with patients were conducted between June 2021 and January 2023.</p><p><strong>Methodologic approach: </strong>In this deductive-inductive descriptive qualitative investigation, participants completed a one-time 45-minute semistructured telephone interview via Zoom.</p><p><strong>Findings: </strong>The qualitative analysis revealed (a) a myriad of psychological stressors, (b) bolstered human connectedness, (c) disruptions to daily life, (d) clinical support and education from healthcare teams, and (e) looking ahead to postpandemic life. Participants experienced changes in health behaviors and material hardships but highlighted support from family, friends, and healthcare teams.</p><p><strong>Implications for nursing: </strong>The cohort of patients experienced significant distress and disruptions to their lives during the COVID-19 pandemic. Interventions implemented during an unanticipated event such as a pandemic need to be developed and tested to support patients with cancer.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"205-216"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Autumn Ashley, Kristen Marsh, Jiying Ling, Rebecca H Lehto, Horng-Shiuann Wu, Jason S Moser, Andrea K Wittenborn
{"title":"Family Resilience in Adult Oncology: A Systematic Review and Meta-Analysis.","authors":"Autumn Ashley, Kristen Marsh, Jiying Ling, Rebecca H Lehto, Horng-Shiuann Wu, Jason S Moser, Andrea K Wittenborn","doi":"10.1188/25.ONF.228-240","DOIUrl":"https://doi.org/10.1188/25.ONF.228-240","url":null,"abstract":"<p><strong>Problem identification: </strong>This systematic review and meta-analysis assessed the state of the science to determine relationships among adult patient- and family member-perceived family resilience, individual resilience and perceived family resilience, and perceived family resilience and psychosocial outcomes.</p><p><strong>Literature search: </strong>PubMed®, CINAHL®, PsycINFO®, Sociological Abstracts, and Cochrane Library databases were searched. Random effects models were performed to calculate pooled effect sizes, and meta-analyses were conducted.</p><p><strong>Data evaluation: </strong>Two authors assessed risk of bias using the Appraisal tool for Cross-Sectional Studies and the Mixed Methods Appraisal Tool. Study heterogeneity was assessed using Cochran's Q test and the I2 statistic. Publication bias was evaluated.</p><p><strong>Synthesis: </strong>Patient-perceived family resilience and family member-perceived family resilience were positively correlated. Family resilience was positively related to patient and family member individual resilience. Higher family resilience was associated with patients' reduced symptom burden and perceived stress and improved affect and quality of life, and family members' reduced caregiver burden and stress and higher social support and quality of life.</p><p><strong>Implications for nursing: </strong>Investigations employing a longitudinal design are needed to understand any causal relationships between family resilience and psychosocial outcomes for the dyad.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"228-240"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143975168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kaitlin Chung, Amelia Grace Wagenknecht, Amber S Kleckner, Kah Poh Loh, Po-Ju Lin, Alice S Ryan, Shijun Zhu, Paula Rosenblatt, Ian R Kleckner
{"title":"Feasibility of Daily Assessments of Chemotherapy Toxicities to Predict Daily Exercise Behavior During a Home-Based Exercise Intervention.","authors":"Kaitlin Chung, Amelia Grace Wagenknecht, Amber S Kleckner, Kah Poh Loh, Po-Ju Lin, Alice S Ryan, Shijun Zhu, Paula Rosenblatt, Ian R Kleckner","doi":"10.1188/25.ONF.179-190","DOIUrl":"https://doi.org/10.1188/25.ONF.179-190","url":null,"abstract":"<p><strong>Objectives: </strong>To examine the feasibility of high-frequency sampling of symptoms and gather preliminary data on whether daily exercise behavior is related to daily symptom fluctuations.</p><p><strong>Sample & setting: </strong>Seven patients with cancer started a 12-week daily home-based walking and resistance exercise program during chemotherapy.</p><p><strong>Methods & variables: </strong>Each day, patients rated pain, numbness/tingling, anxiety, and depression; resistance band exercise duration and perceived exertion; and steps for 12 weeks, as well as their pain at pre-, mid-, and postintervention.</p><p><strong>Results: </strong>Overall, daily symptom ratings showed an expected large variation. Participants took more steps on and after days with less pain; performed more minutes of resistance exercises on days with less pain, numbness/tingling, and anxiety; and reported greater exertion on days with more pain and anxiety.</p><p><strong>Implications for nursing: </strong>It is feasible to collect daily symptom measures throughout an exercise intervention during chemotherapy. Oncology nurses can help support exercise behavior by offering interventions to reduce interfering symptoms and by promoting helpful beliefs about symptoms.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"179-190"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ali Karimi-Rozveh, Elahe Nasrollahi Bishe, Tayeb Mohammadi, Mohammad Vaezi, Leila Sayadi
{"title":"Preparedness, Uncertainty, and Distress Among Family Caregivers in the Care of Patients Undergoing Hematopoietic Stem Cell Transplantation.","authors":"Ali Karimi-Rozveh, Elahe Nasrollahi Bishe, Tayeb Mohammadi, Mohammad Vaezi, Leila Sayadi","doi":"10.1188/25.ONF.217-227","DOIUrl":"https://doi.org/10.1188/25.ONF.217-227","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the level of preparedness, uncertainty, and distress of family caregivers (FCs) of patients before and after hematopoietic stem cell transplantation.</p><p><strong>Sample & setting: </strong>This study is a longitudinal cohort panel study involving 69 FCs of patients undergoing hematopoietic stem cell transplantation.</p><p><strong>Methods & variables: </strong>Data were collected during the first week of hospitalization (T0) and two weeks after discharge (T1) via FCs' demographic information, a clinical status form for patients, two scales, and a psychological distress instrument. IBM SPSS Statistics, version 16.0, was used for data analysis.</p><p><strong>Results: </strong>The mean preparedness among FCs decreased significantly at T1 compared to T0. In addition, the uncertainty experienced by FCs was significantly higher at T0 than at T1.</p><p><strong>Implications for nursing: </strong>Assessing the readiness of FCs and providing them with psychological and supportive interventions before patients are discharged is crucial for ensuring better care of patients undergoing hematopoietic stem cell transplantation. Nurses must offer comprehensive information to FCs about patients' diagnosis, treatment, and care protocol to minimize uncertainty.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"217-227"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144017682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supporting Oncology Nursing Research Amid Federal Policy Shifts.","authors":"Janine Overcash","doi":"10.1188/25.ONF.164-165","DOIUrl":"https://doi.org/10.1188/25.ONF.164-165","url":null,"abstract":"<p><p>Recent policy changes and potential reductions in federal research funding highlight the need for clarity around the evidence supporting diversity, equity, and inclusion initiatives in health care and the role of organization.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"164-165"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karen E Alsbrook, Teresa Hagan Thomas, Annette DeVito Dabbs, Emilia Diego, Paul W Scott, Eileen Danaher Hacker, Susan W Wesmiller
{"title":"Associations Among Self-Advocacy, Patient-Centered Communication, Pain Intensity, and Opioid Stigma in Older Adult Female Breast Cancer Survivors.","authors":"Karen E Alsbrook, Teresa Hagan Thomas, Annette DeVito Dabbs, Emilia Diego, Paul W Scott, Eileen Danaher Hacker, Susan W Wesmiller","doi":"10.1188/25.ONF.168-178","DOIUrl":"https://doi.org/10.1188/25.ONF.168-178","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the relationships among patient self-advocacy, patient-centered communication, pain intensity, and opioid stigma in female breast cancer survivors aged 65 years or older.</p><p><strong>Sample & setting: </strong>73 women in a longitudinal study of symptoms experienced during the first year and as many as three years after breast cancer surgery.</p><p><strong>Methods & variables: </strong>This prospective, cross-sectional study employed a descriptive, correlational design. Participants completed instrument assessments measuring self-advocacy, patient-centered communication, pain intensity, and opioid stigma.</p><p><strong>Results: </strong>Self-advocacy correlated moderately positively with patient-centered communication. Patient-centered communication correlated moderately positively with informed decision-making.</p><p><strong>Implications for nursing: </strong>Nurses can empower patients with the necessary skills to self-advocate for their needs and facilitate a patient-centered clinical environment to improve outcomes.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"168-178"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144033819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Barriers Preventing Regular Mammography Screening.","authors":"Habibe Ozcelik, Hasan Hüseyin Avci","doi":"10.1188/25.ONF.E65-E76","DOIUrl":"https://doi.org/10.1188/25.ONF.E65-E76","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the effect of women's breast cancer worry, breast cancer fear, cancer information overload, and mammography barrier perception on undergoing mammography.</p><p><strong>Sample & setting: </strong>263 women aged 40-69 years who presented for any reason at the Cancer Early Diagnosis, Screening, and Education Center or the Family Health Center in Turkey were included. Data were collected from January to March 2023.</p><p><strong>Methods & variables: </strong>This cross-sectional study assessed breast cancer worry, breast cancer fear, cancer information overload, and mammography barrier perception.</p><p><strong>Results: </strong>Age, a health professional's referral, knowledge about screening, lack of time, postponement, and mammography-related pain were factors that affected whether patients underwent screening. Those who were having regular screening tests had higher levels of cancer worry, and those who had never been screened had higher mammography barrier perception. The variables considered in the structural equation modeling differed in terms of those who were screened regularly, irregularly, or never.</p><p><strong>Implications for nursing: </strong>This study showed that women's breast cancer worry, breast cancer fear, cancer information overload, and mammography barrier perception affected their screening adherence. Each woman must be assessed individually to identify and address perceived barriers.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"E65-E76"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jerry Armah, Sarah K Alzahid, Qinglin Pei, Jeanne-Marie R Stacciarini, Coy Heldermon, Angela Starkweather
{"title":"Exercise to Manage Fatigue During and After Chemotherapy in Adolescents and Young Adults With Cancer: A Systematic Review and Meta-Analysis.","authors":"Jerry Armah, Sarah K Alzahid, Qinglin Pei, Jeanne-Marie R Stacciarini, Coy Heldermon, Angela Starkweather","doi":"10.1188/25.ONF.E77-E92","DOIUrl":"https://doi.org/10.1188/25.ONF.E77-E92","url":null,"abstract":"<p><strong>Problem identification: </strong>There is a gap in knowledge about the efficacy of exercise in managing cancer-related fatigue (CRF) in adolescents and young adults (AYAs) during and after chemotherapy.</p><p><strong>Literature search: </strong>A systematic search was conducted in Scopus®, PubMed®, and CINAHL®, as well as citation searching, for studies about the impact of exercise on CRF in the AYA population. Abstract and full-text screening of 2,234 studies produced 15 studies for systematic review and 13 for meta-analysis.</p><p><strong>Data evaluation: </strong>Effect size was calculated using standardized mean difference and confidence intervals. Subgroup analysis was conducted to assess the impact of various exercise types on CRF. A meta-regression was performed using exercise frequency, intensity, and duration as predictors to determine relationships with effect size on CRF and adherence to exercise.</p><p><strong>Synthesis: </strong>Exercise had a large effect size on CRF in AYAs. No difference in effect size estimates for exercise type subgroups was observed. A linear association was found between exercise duration and CRF (p = 0.005), and exercise intensity and adherence (p = 0.037).</p><p><strong>Implications for practice: </strong>Exercise is effective in managing CRF among AYAs, and efforts should be aimed toward including it in routine oncologic care.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 3","pages":"E77-E92"},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12056843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}