Oncology nursing forum最新文献

Financial Toxicity Among Family Caregivers of Pediatric, Adolescent, and Young Adult Patients With Cancer: A Qualitative Meta-Synthesis. 儿童、青少年和年轻成人癌症患者家庭照顾者的经济毒性：一项定性综合研究。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535368

Yanni Lin, Siyue Fan, Wenting Chai, Nengtong Zheng, Yutao Wang, Xia Wang, Lijuan Chen

{"title":"Financial Toxicity Among Family Caregivers of Pediatric, Adolescent, and Young Adult Patients With Cancer: A Qualitative Meta-Synthesis.","authors":"Yanni Lin, Siyue Fan, Wenting Chai, Nengtong Zheng, Yutao Wang, Xia Wang, Lijuan Chen","doi":"10.1188/26.ONF.e26535368","DOIUrl":"10.1188/26.ONF.e26535368","url":null,"abstract":"Problem identification: Family caregivers of pediatric (aged 0-14 years) and adolescent and young adult (aged 15-39 years) patients with cancer face multifaceted financial toxicity involving multisource economic burdens, psychological distress, and unmet support needs, requiring evidence-based nursing and policy interventions.Literature search: Systematic searches were performed across Wanfang Data, Web of Science, SINOMED, PubMed®, CNKI, EBSCO, VIP Chinese Science and Technology Periodicals Full-Text Database, and Cohrane Library from inception to April 15, 2025, to identify relevant qualitative studies.Data evaluation: According to ENTREQ (Enhancing Transparency in Reporting the Synthesis of Qualitative Research) guidelines, two investigators independently screened studies, extracted data, and synthesized findings via JBI meta-aggregation. The ConQual (Confidence in the Output of Qualitative Research Synthesis) approach was used to rate conclusions.Synthesis: The 24 included studies yielded 103 findings (98 unequivocal themes and 5 credible themes), which were aggregated into eight main themes. The two core findings were as follows: (a) Financial toxicity among family caregivers is multifaceted, involving substantial multisource economic burdens and severe perceived financial distress, and (b) despite adopting diverse coping strategies, caregivers consistently reported unmet needs and persistent expectations for additional support.Implications for research: Future research can focus on mechanisms specific to the United States, nurse navigator interventions, and subgroup differences. Clinical and policy interventions should integrate insurance navigation, paid leave, and culturally competent support.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-22"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888312","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}

引用次数: 0

The Effect of Yoga Breathing Exercise on Stress and Sleep Quality in Women With Breast Cancer Undergoing Chemotherapy. 瑜伽呼吸运动对接受化疗的乳腺癌患者压力和睡眠质量的影响。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535376

Gürcan Solmaz, Gülbeyaz Can, Zeyno Bayram

{"title":"The Effect of Yoga Breathing Exercise on Stress and Sleep Quality in Women With Breast Cancer Undergoing Chemotherapy.","authors":"Gürcan Solmaz, Gülbeyaz Can, Zeyno Bayram","doi":"10.1188/26.ONF.e26535376","DOIUrl":"10.1188/26.ONF.e26535376","url":null,"abstract":"Objectives: To evaluate the effect of yoga breathing exercise (YBE) on perceived stress and sleep quality in women with breast cancer undergoing chemotherapy.Sample and setting: This randomized, sham-controlled trial was conducted in the chemotherapy unit of a university hospital in Türkiye from November 2023 to April 2024 and involved 60 women with stage II-III breast cancer undergoing chemotherapy.Methods and variables: Participants were randomized to a YBE group or a sham breathing group. Both groups received standard oncology care, and the YBE group additionally practiced 4-4-4-4 yoga breathing twice daily for five minutes during 21 days. Data were collected at baseline and after the 21-day intervention period. Perceived stress and sleep quality were assessed using the Perceived Stress Scale and the Pittsburgh Sleep Quality Index. Data were analyzed using two-way repeated-measures analysis of variance.Results: After 21 days, the YBE group showed significantly greater reductions in perceived stress (mean difference = -6.23, p < 0.001) and improved sleep quality (mean difference = -2.1, p < 0.001) compared with the sham group. No adverse events were reported.Implications for nursing: YBE can be integrated into supportive oncology nursing care as a low-cost, nonpharmacologic intervention to address stress and sleep disturbances during chemotherapy.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-10"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148886970","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}

引用次数: 0

Longitudinal Analysis of Psychoneurological Symptoms and the Gut Microbiome in Patients With Melanoma Receiving Immune Checkpoint Inhibitors. 接受免疫检查点抑制剂的黑色素瘤患者的精神神经症状和肠道微生物组的纵向分析

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535372

Gee Su Yang, Upendra P Hegde, Zhe Guan, Kendra R Maas, Shreya Patel, Nancy S Redeker, Xiaomei Cong

{"title":"Longitudinal Analysis of Psychoneurological Symptoms and the Gut Microbiome in Patients With Melanoma Receiving Immune Checkpoint Inhibitors.","authors":"Gee Su Yang, Upendra P Hegde, Zhe Guan, Kendra R Maas, Shreya Patel, Nancy S Redeker, Xiaomei Cong","doi":"10.1188/26.ONF.e26535372","DOIUrl":"10.1188/26.ONF.e26535372","url":null,"abstract":"Objectives: To characterize the severity of psychoneurological (PN) symptoms in cancer survivors who initiated immune checkpoint inhibitors (ICIs) at baseline and 12 weeks post-treatment and to examine the associations between PN symptoms and gut microbiome patterns.Sample and setting: 15 patients (n = 9 males and n = 6 females, mean age = 70.9 years) with solid tumors who initiated ICIs were recruited from a cancer center.Methods and variables: PN symptoms were assessed using self-report questionnaires, and stool samples were analyzed using 16S rRNA sequencing. Alpha and beta diversity indices were calculated, and a least absolute shrinkage and selection operator regression model was fitted to assess associations between each symptom and the log-ratio of the genus abundance.Results: Average fatigue levels increased during 12 weeks. The microbiome community varied by age, sex, and their interaction. At 12 weeks post-treatment, Oscillibacter (beta = -0.141), Limosilactobacillus (beta = 0.088), and Erysipelotrichaceae (beta = -0.021) were associated with average levels of fatigue, whereas Tannerellaceae (beta = -0.011), Bacteroides (beta = 0.474), and Acidaminococcus (beta = 0.193) were associated with pain severity (all p < 0.05).Implications for nursing: Given the potential association between the gut microbiome and PN symptoms during ICI treatment, nurses are encouraged to assess dysbiosis risk, screen for treatment-related adverse symptoms, and educate patients about gut health while receiving ICIs.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-8"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553029/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888289","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}

引用次数: 0

An Oncology Nursing Journey. 肿瘤学护理之旅。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535338

Margaret Quinn Rosenzweig

引用次数: 0

The Dynamic Nature of Family Resilience Among Patients With Lung Cancer: A Qualitative Study. 肺癌患者家庭心理弹性的动态性质：一项定性研究。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535367

Yuxin Ding, Shu Zhang, Xiaolin Hu

{"title":"The Dynamic Nature of Family Resilience Among Patients With Lung Cancer: A Qualitative Study.","authors":"Yuxin Ding, Shu Zhang, Xiaolin Hu","doi":"10.1188/26.ONF.e26535367","DOIUrl":"10.1188/26.ONF.e26535367","url":null,"abstract":"Purpose: To explore the dynamic nature of family resilience among patients with lung cancer and the interactions among its core themes during adaptation.Participants and setting: 15 patients with lung cancer were purposively recruited from the Lung Cancer Center at the West China Hospital of Sichuan University from June to October 2023.Methodologic approach: A descriptive phenomenologic approach was used. Face-to-face semistructured interviews were informed by Walsh's family resilience framework. Interviews were audio recorded, transcribed verbatim, and analyzed in Chinese using Colaizzi's seven-step method with NVivo, version 11.0. Data saturation was reached after 15 interviews.Findings: Three interrelated themes of family resilience were identified-family belief system, organizational patterns, and communication and problem-solving-comprising 10 subthemes. Family attachment, family cohesion, and open expression contributed to the dynamic interactions among these domains and supported family adaptation.Implications for nursing: Nurses can assess family strengths and vulnerabilities across these themes and provide tailored family-oriented interventions that promote psychological recovery, mobilize family and social resources, and facilitate open, patient-centered communication.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888326","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}

引用次数: 0

Fathers of Children With Cancer: Qualitative Insights and Nursing Implications. 癌症儿童的父亲：定性的见解和护理意义。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535373

Azime Hacıoğlu Güven, Sebahat Altundağ

{"title":"Fathers of Children With Cancer: Qualitative Insights and Nursing Implications.","authors":"Azime Hacıoğlu Güven, Sebahat Altundağ","doi":"10.1188/26.ONF.e26535373","DOIUrl":"10.1188/26.ONF.e26535373","url":null,"abstract":"Purpose: To describe the experiences of Turkish fathers whose child is undergoing cancer treatment.Participants and setting: Participants were recruited at the pediatric hematology-oncology clinic of a university hospital in western Türkiye. A purposive sampling strategy was used to identify eligible fathers. Fathers whose child was aged 0-18 years and receiving cancer treatment were considered eligible.Methodologic approach: This study was conducted using a descriptive qualitative research design. Semistructured individual interviews with 12 fathers of a child with cancer were used for data collection. Data were analyzed using the content analysis method.Findings: The fathers' (N = 12) mean age was 36.83 years, and the children's mean age was 5.25 years. The following four main themes with interrelated subthemes and categories were identified that reveal the feelings, experiences, and expectations of fathers of children with cancer: diagnosis and treatment process experiences, postdiagnosis life changes, coping, and needs.Implications for nursing: Pediatric oncology nurses can develop more inclusive care practices that support paternal involvement by considering the influence of gender roles on fathers' emotional expressions and help-seeking behaviors. Future research should examine fathers' experiences across diverse cultural and clinical settings to inform the development of father-focused interventions.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-11"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888300","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}

引用次数: 0

Healthcare Access and Utilization in a National Sample of Cancer Survivors With a History of Military Service. 有服兵役史的全国癌症幸存者样本的医疗保健获取和利用。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535374

Pamela K Ginex, Saatvik Sandal, S Scott Jones, Giselle Gerardi

{"title":"Healthcare Access and Utilization in a National Sample of Cancer Survivors With a History of Military Service.","authors":"Pamela K Ginex, Saatvik Sandal, S Scott Jones, Giselle Gerardi","doi":"10.1188/26.ONF.e26535374","DOIUrl":"10.1188/26.ONF.e26535374","url":null,"abstract":"Objectives: To identify healthcare access and utilization (HCAU) needs in a national sample of veterans with cancer.Sample and setting: This study includes participants in the All of Us Research Program who reported a history of military service and a diagnosis of cancer.Methods and variables: This secondary analysis includes demographics, electronic health record-confirmed cancer, and HCAU variables (transportation, duties and responsibilities, healthcare attitudes, general healthcare cost, vision or dental cost, medication cost, and mental healthcare cost).Results: The sample included 18,678 veterans. Women comprised 19% of the sample but reported barriers across domains more frequently than men (transportation: 12% vs. 6%; duties and responsibilities: 16% vs. 6%, and mental healthcare cost: 41% vs. 21%). Veterans aged 18-44 years comprised 12% of the sample but 40% of those struggling to manage health care while maintaining duties and responsibilities (time off work, child care, elder care). Veterans in the lowest income bracket comprised 27% of the sample and reported barriers across domains (51% of those reporting difficulties with transportation, and about one-third of those reporting barriers in all other HCAU domains).Implications for nursing: This study identified gaps in HCAU for veterans with cancer and provides important information on those at highest risk, including veterans who are female, who are younger, and with lower incomes. These results will inform future studies in this vulnerable population.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-12"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888329","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}

引用次数: 0

Lower Extremity Lymphedema Prevention Program for Women Undergoing Gynecologic Cancer Surgery: A Pilot Randomized Controlled Study. 妇科癌症手术妇女下肢淋巴水肿预防计划：一项随机对照试验研究。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535375

Maide Nur Tümkaya, Erkan Şimşek, Memnun Seven

{"title":"Lower Extremity Lymphedema Prevention Program for Women Undergoing Gynecologic Cancer Surgery: A Pilot Randomized Controlled Study.","authors":"Maide Nur Tümkaya, Erkan Şimşek, Memnun Seven","doi":"10.1188/26.ONF.e26535375","DOIUrl":"10.1188/26.ONF.e26535375","url":null,"abstract":"Objectives: To develop and evaluate the feasibility, acceptability, and preliminary effectiveness of a symptom management theory-based lower extremity lymphedema prevention program (LEL-PP) for women undergoing gynecologic cancer surgery.Sample and setting: A pilot randomized controlled trial was conducted with 27 women undergoing gynecologic cancer surgery involving lymph node dissection in the gynecologic oncology unit of a hospital in Istanbul, Türkiye.Methods and variables: Participants were randomly assigned to an intervention group (n = 14) that received structured nurse-led education and follow-up support (LEL-PP), or a control group (n = 13) that received standard care. Quality of life, self-efficacy, lymphedema symptoms, and leg circumferences were assessed at baseline, postoperative day 3, and three-month follow-up using validated instruments.Results: The LEL-PP was feasible, with 93.3% participation and 96.4% completion, and highly acceptable, with a mean satisfaction score of 4.54 of 5. The intervention group reported significantly greater improvements in quality of life, general health, and self-efficacy, and reduced lymphedema symptoms. No significant short-term changes in leg circumference measurements were observed, except for point left 6 in the control group.Implications for nursing: The symptom management theory-based LEL-PP is feasible and well accepted, and it may be beneficial for the prevention and early detection of LEL.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888337","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}

引用次数: 0

September 2026 Letter to the Editor. 2026年9月给编辑的信。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535365

Zhang Yan, Loretta A Williams

引用次数: 0

Measures of Thriving in Breast Cancer: A COSMIN Systematic Review of Psychometric Properties. 乳腺癌患者的健康指标：COSMIN对心理测量特性的系统评价。

IF 1.7 4区医学

Oncology nursing forum Pub Date : 2026-08-25 DOI: 10.1188/26.ONF.e26535369

Ci Li, Ya-Si Zhang, Jing Li, Margaret Quinn Rosenzweig, Jun-E Liu

{"title":"Measures of Thriving in Breast Cancer: A COSMIN Systematic Review of Psychometric Properties.","authors":"Ci Li, Ya-Si Zhang, Jing Li, Margaret Quinn Rosenzweig, Jun-E Liu","doi":"10.1188/26.ONF.e26535369","DOIUrl":"10.1188/26.ONF.e26535369","url":null,"abstract":"Problem identification: Thriving, a construct reflecting personal growth, resilience, and emotional vitality after adversity, is gaining attention in oncology and health-related quality-of-life research. However, consensus is lacking on which patient-reported outcome measures (PROMs) best assess thriving in individuals with breast cancer.Literature search: A systematic search across nine databases identified studies reporting the development or psychometric evaluation of PROMs for thriving in adults.Data evaluation: Two reviewers independently assessed methodologic quality using the COSMIN (Consensus-Based Standards for the Selection of Health Measurement Instruments) Risk of Bias checklist. Measurement properties were evaluated against COSMIN criteria and graded using the COSMIN-modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) approach.Synthesis: Five PROMs were identified: Thriving Scale, Psychological Thriving Scale, Comprehensive Inventory of Thriving, Brief Inventory of Thriving, and Brief Thriving Scale. No instrument was originally developed or validated in individuals with cancer. The Brief Inventory of Thriving scale shows the greatest potential for use in breast cancer care but requires further validation.Implications for research: The lack of validated measures limits nurses' ability to assess thriving in cancer care. The Brief Inventory of Thriving scale appears promising but requires cancer-specific validation. Engaging survivors in tool development may enhance content relevance.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"53 5","pages":"1-15"},"PeriodicalIF":1.7,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13553031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888353","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}

引用次数: 0