Oncology nursing forum最新文献

{"title":"Environmental Enrichment After Primary Glioma Radiation Therapy.","authors":"Karl Christie F Figuracion, Christine L Mac Donald, David Hunt, Tresa Michelle McGranahan, Frances Marcus Lewis, Jason Rockhill, Myron Goldberg, Lia Halasz, Hilaire J Thompson","doi":"10.1188/25.ONF.51-60","DOIUrl":"https://doi.org/10.1188/25.ONF.51-60","url":null,"abstract":"<p><strong>Objectives: </strong>To explore and describe the health outcomes and levels of environmental enrichment (EE) in participants with brain tumors after radiation therapy (RT).</p><p><strong>Sample & setting: </strong>39 participants with glioma (grades 2-3) treated with RT were recruited within five years of original diagnosis from a neuro-oncology clinic.</p><p><strong>Methods & variables: </strong>A cross-sectional design was employed. EE measures included social connectedness, physical activity, employment, and financial stability. Health outcome measures included the Montreal Cognitive Assessment, Symbol Digit Modalities Test, global cortical atrophy rate scale, Karnofsky Performance Status Scale, and MD Anderson Symptom Inventory-Brain Tumor Module. Descriptive statistics characterized the health outcomes between participants who received photon RT and proton beam RT.</p><p><strong>Results: </strong>Participants who received photon RT with high EE showed higher scores on the Montreal Cognitive Assessment, Symbol Digit Modalities Test, and Karnofsky Performance Status Scale, and lower scores on the global cortical atrophy rate scale and MD Anderson Symptom Inventory-Brain Tumor Module.</p><p><strong>Implications for nursing: </strong>EE may reduce symptom burden, promote healthy brain aging, and improve cognitive and functional status in glioma survivors receiving photon RT.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"51-60"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multimodal Interprofessional Adult Cancer Pain Management: An Integrative Review.","authors":"Kelly Preti, Rita D'Aoust, Anna Song Beeber, Deborah J Baker","doi":"10.1188/25.ONF.41-50","DOIUrl":"https://doi.org/10.1188/25.ONF.41-50","url":null,"abstract":"<p><strong>Problem identification: </strong>Poorly controlled cancer pain leads to increased morbidity and decreased quality of life. This integrative review aims to strengthen cancer pain management practices by identifying the effectiveness of multimodal interprofessional pain management (MIPM) in treating cancer pain, current MIPM practices, and barriers and facilitators to implementation.</p><p><strong>Methods: </strong>The following three databases were searched for literature exploring MIPM in the oncologic setting: PubMed®, CINAHL®, and Embase®.</p><p><strong>Data evaluation: </strong>This integrative review included 16 articles published from 2013 to 2023 that explored the use of MIPM in adult patients with cancer.</p><p><strong>Synthesis: </strong>Adult patients with cancer receiving MIPM reported reduced pain intensity or interference. With MIPM, the number of patients reporting moderate to severe pain or undertreated pain decreased, and the number of patients reporting adequate pain management increased. In addition, patients receiving MIPM reported improvements in physical and psychosocial cancer-related symptoms.</p><p><strong>Implications for nursing: </strong>The components of MIPM are recommended to be used in conjunction with each other for optimal patient outcomes. To optimize the use of MIPM, improving provider knowledge and interprofessional care coordination and communication is warranted.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"41-50"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Persistent Food Insecurity Among Older Adult Cancer Survivors: A National Cohort Study.","authors":"Weijiao Zhou, Junlan Pu, Wen Zeng, Youmin Cho, Shaomei MSc Faan Shang","doi":"10.1188/25.ONF.15-22","DOIUrl":"https://doi.org/10.1188/25.ONF.15-22","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the trajectories of food insecurity and examine their associations with sociodemographic and health-related factors in older adult cancer survivors.</p><p><strong>Sample & setting: </strong>Data from 2015 to 2021 from the National Health and Aging Trends Study, a nationally representative cohort study of community-dwelling older adults aged 65 years or older, were extracted and analyzed.</p><p><strong>Methods & variables: </strong>Food insecurity was annually measured based on five self-reported items. Group-based trajectory modeling was used to identify food insecurity trajectory groups. Data analysis accounted for the complex survey design and analytic weights.</p><p><strong>Results: </strong>The sample consisted of 1,935 older adult cancer survivors. The weighted prevalence of food insecurity ranged from 2.46% to 4.73% from 2015 to 2021. The following two food insecurity trajectory groups were identified: low-stable (n = 1,796, 93%) and medium-stable (n = 139, 7%). Individuals who were younger, female, not non-Hispanic and White, and physically frail, and those with lower household income and higher levels of anxiety and depression, were more likely to experience persistent food insecurity.</p><p><strong>Implications for nursing: </strong>Food security in older adult survivors is persistent and distributed inequitably among those who are female, not non-Hispanic and White, and younger, and those with lower household income.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"15-22"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Climate Change Across the Cancer Control Continuum: Key Considerations for Oncology Nurses.","authors":"AnnMarie L Walton, Stacy R Stanifer, Ryne Wilson, Deborah H Allen","doi":"10.1188/25.ONF.6-14","DOIUrl":"https://doi.org/10.1188/25.ONF.6-14","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Executive summary: &lt;/strong&gt;Nurses in all specialties have been called upon to take action to address global climate change, climate justice, and health. The American Nurses Association (2023) has specifically tasked nursing professional organizations to (a) educate members on climate change-related illnesses and negative impacts on treatment, (b) collaborate with grassroots organizations for environmental justice efforts, (c) support policies that promote climate mitigation and adaptation, (d) maintain familiarity with climate justice frameworks, and (e) collectively amplify the voice of nursing to strengthen its impact on climate policy. The purpose of this white paper is to enlighten members of the Oncology Nursing Society and oncology nurses at large on the increasing impact of climate change across the cancer control continuum and the pivotal role of the oncology nurse in education, research, clinical practice, and advocacy. Climate change refers to long-term shifts in temperature and weather patterns that are occurring because of global warming (United Nations, n.d.). Climate change is an often-overlooked social determinant of (or contributor to) health that exacerbates poor health, increases healthcare costs, disproportionately affects some communities, and has a synergistic effect with other social determinants of health (Ragavan et al., 2020). Climate change affects all aspects of the cancer control continuum and impacts some populations disproportionately. Events such as wildfires and floods, exacerbated by climate change, can heighten individuals' exposure to cancer-causing substances, thereby increasing their susceptibility to the disease; reducing such exposure can reduce risks for cancer and positively impact the environment. Air pollution, extended droughts, heat waves, ultraviolet radiation, extreme weather events, and food supply disruptions also impact cancer etiology. Extreme weather events disrupt preventive care, cancer detection, and screening efforts, and create workforce shortages that can lead to suboptimal care. Disruptions in the supply chain and scheduled healthcare visits impact patient care continuity. Additionally, climate-related extreme weather events have an impact on overall survival and disrupt end-of-life care, underscoring the pervasive impact of climate change on cancer care across the continuum. Oncology nurses are strategically positioned to contribute to multifaceted solutions, including obtaining and offering education to fellow healthcare providers, students, patients, community members, and policymakers. Oncology nurse scientists are equipped to spearhead the generation of pertinent new knowledge, and nurses in clinical care can play a crucial role in assisting their healthcare system to become carbon net neutral. Oncology nurses must answer the call to actively engage in climate and health advocacy efforts within their own healthcare systems and in the communities where they live, work, and","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"6-14"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Golden Milestone: Reflecting on 50 Years of the Oncology Nursing Society and the Impact on Oncology Nursing Scholarship.","authors":"Janine Overcash","doi":"10.1188/25.ONF.4-5","DOIUrl":"https://doi.org/10.1188/25.ONF.4-5","url":null,"abstract":"<p><p>As the new editor of the Forum, I congratulate the Oncology Nursing Society (ONS) on 50 years of educating, inspiring, elevating, and supporting thousands of oncology nurses. ONS was created in 1975; today, ONS represents 100.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"4-5"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lung Cancer and Palliative Care Support: The Role of Social Determinants of Health for Older Adult Patients.","authors":"Kathleen Armstrong, Leslie Hinyard, Cara L Wallace, John M Taylor, Emily Marie Tschopp, Verna Hendricks-Ferguson","doi":"10.1188/25.ONF.61-69","DOIUrl":"https://doi.org/10.1188/25.ONF.61-69","url":null,"abstract":"<p><strong>Objectives: </strong>To retrospectively evaluate the incidence of palliative care (PC) consultations for older adults with lung cancer who died in the past five years, as well as the impact of social determinants of health (SDOHs) on PC consultations.</p><p><strong>Sample & setting: </strong>63 participants aged 65 years or older with a lung cancer diagnosis who died in the past five years. Electronic health records were used to extract data.</p><p><strong>Methods & variables: </strong>A medical record extraction form was used to collect the following data: (a) lung cancer diagnosis, (b) PC consultations, (c) patient demographic information, and (d) SDOHs factors. All data were entered into a secure research electronic data capture management site.</p><p><strong>Results: </strong>Older adults who were married, White, and female and lived in a below-average rural or suburban area were more often benefactors of a PC consultation.</p><p><strong>Implications for nursing: </strong>It is imperative for nurses to support patients from diagnosis to end of life by facilitating PC consultations. This study highlights the importance of collecting SDOHs for all patients admitted to the hospital in the electronic health record. Awareness of SDOHs can help nurses facilitate end-of-life care plans.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"61-69"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unrelieved Stress, Decreased Resilience, and Disengagement Coping Strategies Are Associated With Lower Levels of Hope in Patients With Cancer.","authors":"Laura Allaire, Astrid Block, Steven M Paul, Marilyn J Hammer, Yvette P Conley, Bruce A Cooper, Jon D Levine, Christine Miaskowski","doi":"10.1188/25.ONF.23-40","DOIUrl":"https://doi.org/10.1188/25.ONF.23-40","url":null,"abstract":"<p><strong>Objectives: </strong>To determine clinically meaningful cut points for the Herth Hope Index and evaluate for differences in demographic and clinical characteristics, as well as stress, resilience, and coping, between patients with lower versus higher levels of hope.</p><p><strong>Sample & setting: </strong>Outpatients with cancer receiving chemotherapy (N = 1,295).</p><p><strong>Methods & variables: </strong>Patients completed the Herth Hope Index, Multidimensional Quality of Life Scale-Patient Version, and stress, resilience, and coping measures prior to their second or third cycle of chemotherapy.</p><p><strong>Results: </strong>Optimal cut points for the Herth Hope Index were 40 or less (i.e., lower level of hope) and greater than 40 (i.e., higher level of hope). The Lower Hope group had a higher comorbidity burden and lower functional status.</p><p><strong>Implications for nursing: </strong>Clinicians can use this information to educate patients about interventions that can decrease stress and improve their coping abilities. Patients with cancer may benefit from having conversations with clinicians that authentically convey prognosis and provide a realistic sense of hope.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"23-40"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"End-of-Life Preparedness and Quality of Advance Care Planning Discussions in Patients With Advanced Metastatic Cancer.","authors":"Poonam Goswami","doi":"10.1188/25.ONF.70-80","DOIUrl":"https://doi.org/10.1188/25.ONF.70-80","url":null,"abstract":"<p><strong>Objectives: </strong>To describe end-of-life (EOL) preparedness, the quality of advance care planning (ACP) discussions, and their effect on EOL preparedness in patients with metastatic cancer enrolled in a phase 1/2 clinical trial.</p><p><strong>Sample & setting: </strong>81 English-speaking adults aged 18 years or older with advanced metastatic cancer who were enrolled in a phase 1/2 clinical trial and hospitalized at a comprehensive cancer center in South Texas.</p><p><strong>Methods & variables: </strong>A nonexperimental descriptive study was conducted in two parts in 2022. Data were collected using the Quality of Communication Questionnaire and the preparation for EOL subscale of the Quality of Life at the EOL-Cancer questionnaire.</p><p><strong>Results: </strong>About half of the sample (n = 40) reported being well prepared for EOL and 41 reported being not well prepared for EOL. Patients reported being moderately to completely worried about being a burden to family (n = 36), their family's ability to cope with the future (n = 42), and frightened by thoughts of dying (n = 27). Quality of ACP communication was significantly correlated with EOL preparedness (r = 0.38, p < 0.001).</p><p><strong>Implications for nursing: </strong>As integral parts of the healthcare team, nurses can communicate with patients with advanced cancer about ACP and initiate EOL discussions, enhance patients' awareness of their EOL stage, and encourage them to plan their EOL care.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"70-80"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Controlled Trial of Aromatherapy to Reduce Symptom Burden in Patients Undergoing Hematopoietic Stem Cell Transplantation.","authors":"Monica Bates, Alexandra Thullen, Laura Basham, Allie Carter, Alyson Keen","doi":"10.1188/25.ONF.E1-E11","DOIUrl":"https://doi.org/10.1188/25.ONF.E1-E11","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the safety and efficacy of aromatherapy on symptom burden and associated outcomes.</p><p><strong>Sample & setting: </strong>92 inpatients who underwent hematopoietic stem cell transplantation on hematology-oncology units in an academic hospital.</p><p><strong>Methods & variables: </strong>Participants in this pilot randomized controlled trial received essential oil-infused or blank aromatherapy patches and completed a symptom journal. Mixed-model analysis of variance was used to analyze chemotherapy-induced nausea, vomiting, and retching (CINVR) and anxiety symptoms. A t test was used to analyze medications administered for CINVR. Descriptive statistics were used to analyze additional study aims.</p><p><strong>Results: </strong>There was no significant difference in mean symptom scores or medications administered between the intervention and control groups. On a 1-10 rating scale (10 = extremely satisfied/extremely likely), aromatherapy was rated 8 or higher for satisfaction (n = 50) and likeliness to use again (n = 53).</p><p><strong>Implications for nursing: </strong>Aromatherapy can be used for holistic symptom management to improve the patient experience.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"52 1","pages":"E1-E11"},"PeriodicalIF":1.6,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HPV Status and Oral Health Symptom Patterning During Treatment and Survivorship in Patients With Head and Neck Cancer: A Longitudinal Analysis.","authors":"Hayley Dunnack Yackel, Wanli Xu, Jung Wun Lee, Xiaomei Cong, Andrew L Salner, Valerie B Duffy, Michelle P Judge","doi":"10.1188/24.ONF.565-575","DOIUrl":"https://doi.org/10.1188/24.ONF.565-575","url":null,"abstract":"<p><strong>Objectives: </strong>To describe longitudinal oral health symptom patterns of patients receiving concurrent chemotherapy and radiation therapy for head and neck cancer (HNC) and examine associations between phenotypic characteristics, including human papillomavirus (HPV) status and oral health symptoms.</p><p><strong>Sample & setting: </strong>A pilot retrospective longitudinal chart review (N = 270) of patients with HNC at a northeastern U.S. regional cancer institute.</p><p><strong>Methods & variables: </strong>HPV status and oral health symptoms (pain, mucositis, taste alteration, xerostomia, dysphagia, and candidiasis) were examined during treatment (six weeks) and survivorship (three months). Latent transition analysis was conducted across each time point.</p><p><strong>Results: </strong>The latent transition analysis revealed classes with moderate to high symptom expression persisted into survivorship. The HPV-negative phenotype had higher symptom expression across treatment and survivorship.</p><p><strong>Implications for nursing: </strong>Patients with HPV-negative HNC may require early intervention, while considering social determinants of health to attenuate symptom expression and improve outcomes.</p>","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"51 6","pages":"565-575"},"PeriodicalIF":1.6,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}