Oncology nursing forum最新文献_第9页

Multifactorial Model of Dyspnea in Patients With Cancer. 癌症患者呼吸困难的多因素模型。

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-04-21 DOI: 10.1188/23.ONF.397-415

Joosun Shin, Kord M Kober, Patsy Yates, Melissa L Wong, Christine Miaskowski

{"title":"Multifactorial Model of Dyspnea in Patients With Cancer.","authors":"Joosun Shin, Kord M Kober, Patsy Yates, Melissa L Wong, Christine Miaskowski","doi":"10.1188/23.ONF.397-415","DOIUrl":"https://doi.org/10.1188/23.ONF.397-415","url":null,"abstract":"Problem identification: Dyspnea is a common and distressing symptom for patients with cancer. Although the risk factors for dyspnea in patients with cancer are likely to be multifactorial, a comprehensive description of these risk factors and associated mechanisms is not available in the extant literature.Literature search: A search of all relevant databases, including Cochrane Library, PubMed®, Embase®, Web of Science, and CINAHL®, was done from January 2009 to May 2022. Case-control and cohort studies that had either a cross-sectional or longitudinal design, as well as randomized controlled trials, were included in the review. Peer-reviewed, full-text articles in English were included. Nineteen studies reported on risk factors for dyspnea.Data evaluation: The methodologic quality of each study was examined using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.Synthesis: A number of factors can influence the occurrence and severity of dyspnea. Using the Mismatch Theory of Dyspnea as the central core of this Multifactorial Model of Dyspnea in Patients With Cancer, the factors included in this conceptual model are person, clinical, and cancer-related factors, as well as respiratory muscle weakness, co-occurring symptoms, and stress.Implications for practice: The Multifactorial Model of Dyspnea in Patients With Cancer can be used by clinicians to evaluate for multiple factors that contribute to dyspnea and to develop individualized and multilevel interventions for patients experiencing this symptom.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"397-415"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476118","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}

引用次数: 1

Symptom Clusters in Lymphoma Survivors Before, During, and After Chemotherapy: A Prospective Study  . 淋巴瘤幸存者化疗前、期间和之后的症状群:一项前瞻性研究 。

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-04-21 DOI: 10.1188/23.ONF.361-371

Chih-Jung Wu, Li-Yuan Bai, Yu-Chi Chen, Ching-Feng Wu, Kuan-Chia Lin, Ya-Jung Wang

{"title":"Symptom Clusters in Lymphoma Survivors Before, During, and After Chemotherapy: A Prospective Study \u2029.","authors":"Chih-Jung Wu, Li-Yuan Bai, Yu-Chi Chen, Ching-Feng Wu, Kuan-Chia Lin, Ya-Jung Wang","doi":"10.1188/23.ONF.361-371","DOIUrl":"https://doi.org/10.1188/23.ONF.361-371","url":null,"abstract":"Objectives: To explore symptom clusters (SCs) in lymphoma survivors before, during, and after chemotherapy.&nbsp.Sample & setting: 61 lymphoma survivors from a medical center in central Taiwan were enrolled in the study.&nbsp.Methods & variables: A prospective observational study design was adopted. The MD Anderson Symptom Inventory was used to measure symptoms. The 13 symptoms assessed by the MD Anderson Symptom Inventory were evaluated after diagnosis and before chemotherapy (T1), after the fourth cycle of chemotherapy (T2), and after completion of chemotherapy (T3). Data were analyzed using mean, frequency, and latent profile analysis.&nbsp.Results: Three SCs were identified at T1, four at T2, and three at T3. Fatigue was the predominant symptom in each SC for the participants over time. Fatigue, disturbed sleep, and numbness constituted an SC at T2 and T3. An SC consisting of multiple psychological symptoms was found only at T1.Implications for nursing: This study describes methods for grouping SCs. An SC of fatigue, disturbed sleep, and numbness was identified at T2 and T3. By familiarizing themselves with this SC, clinicians can be attentive to patients' concurrent symptoms and implement early prevention measures and timely symptom management.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"361-371"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528899","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}

引用次数: 1

Facilitators of Multiple Myeloma Treatment: A Qualitative Study. 多发性骨髓瘤治疗促进者:一项定性研究。

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-04-21 DOI: 10.1188/23.ONF.372-380

Stefanie Blejec, Rose Cytryn, Radhi Yagnik, Nina A Bickell, Jenny J Lin

{"title":"Facilitators of Multiple Myeloma Treatment: A Qualitative Study.","authors":"Stefanie Blejec, Rose Cytryn, Radhi Yagnik, Nina A Bickell, Jenny J Lin","doi":"10.1188/23.ONF.372-380","DOIUrl":"https://doi.org/10.1188/23.ONF.372-380","url":null,"abstract":"Objectives: To examine factors that lead to the facilitation of multiple myeloma (MM) treatment.Sample & setting: 29 patients who had been diagnosed with MM at Mount Sinai Hospital in New York City.Methods & variables: Semistructured qualitative interviews were administered by trained research staff. Interview topics included illness beliefs, illness experiences, treatment experiences, and treatment decision-making. Interviews were audio recorded and transcribed verbatim. Four coders independently coded the transcripts, and the authors analyzed data using interpretive description.Results: The following facilitators of treatment were identified: (a) healthcare team trust and support, (b) personal resilience and initiative-taking, and (c) external support (emotional/social support and instrumental/organizational support). Healthcare team trust and support were established through rapport-building and compassion, accessibility and time spent with the patient, shared decision-making, and provider reputation. Personal resilience was manifested by patients through positive attitudes, taking control of their illness, and self-advocacy.Implications for nursing: Understanding factors that facilitate MM treatment may lead to better patient outcomes and can potentially inform oncology nursing practice by providing a framework for tailored health education and care management practices for patients with MM.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"372-380"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528901","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}

引用次数: 0

Implementing Physical Activity Recommendations in Clinical Practice: A Survey of Oncology Nurses' Perspectives. 在临床实践中实施体育锻炼建议：肿瘤科护士观点调查。

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-04-21 DOI: 10.1188/23.ONF.325-336

Rachel Hirschey, Mary Wangen, Ayomide Okanlawon Bankole, Becky Hoover, Stephanie B Wheeler, Jennifer Leeman, Ashley Leak Bryant

{"title":"Implementing Physical Activity Recommendations in Clinical Practice: A Survey of Oncology Nurses' Perspectives.","authors":"Rachel Hirschey, Mary Wangen, Ayomide Okanlawon Bankole, Becky Hoover, Stephanie B Wheeler, Jennifer Leeman, Ashley Leak Bryant","doi":"10.1188/23.ONF.325-336","DOIUrl":"10.1188/23.ONF.325-336","url":null,"abstract":"Problem statement: Better understanding of oncology nurses' perspectives about how interventions should be designed can promote physical activity (PA) in clinical settings.Design: 75 oncology nurses completed online surveys.Data sources: A published survey, guided by the Consolidated Framework for Implementation Research, was used to assess multilevel factors that influence implementation of evidence-based interventions.Analysis: Descriptive statistics were applied to quantitative data; directed content analyses were applied to qualitative data.Findings: Participants believed it was important to discuss PA with patients; however, they had limited self-efficacy and resources to provide PA counseling. Barriers to providing counseling included competing clinical demands and a lack of education about PA for cancer survivors and resources.Implications for practice: Findings inform how interventions can be designed for implementation and sustained practice change in clinical settings. Integration of PA education in routine clinical practice will lead to increased PA and, ultimately, improved quality of life among cancer survivors.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"325-336"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10290493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10063861","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 Integrative Review of Sex Differences in Quality of Life and Symptoms Among Survivors of Hematologic Malignancies. 血液恶性肿瘤幸存者生活质量和症状的性别差异综述

IF 1.6 4区医学

Oncology nursing forum Pub Date : 2023-04-21 DOI: 10.1188/23.ONF.299-312

Sara M Tinsley-Vance, Dorothie S Durosier Mertilus, Lisa Nodzon, Cecile A Lengacher

{"title":"An Integrative Review of Sex Differences in Quality of Life and Symptoms Among Survivors of Hematologic Malignancies.","authors":"Sara M Tinsley-Vance, Dorothie S Durosier Mertilus, Lisa Nodzon, Cecile A Lengacher","doi":"10.1188/23.ONF.299-312","DOIUrl":"10.1188/23.ONF.299-312","url":null,"abstract":"Objectives: To conduct an integrative review of studies to identify disparities in quality of life (QOL), symptoms, and symptom burden between men and women diagnosed with hematologic malignancies.Sample & setting: 11 studies comprising 13,546 participants aged 18 years or older were included in the analysis. Studies were original peer-reviewed research published in English between January 2005 and December 2020.Methods & variables: A literature search was performed using keywords associated with health-related QOL, hematologic malignancy, and sex/gender differences. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to identify relevant studies. Data were extracted for sex differences in QOL, symptoms, and symptom burden. All studies were appraised for quality and level of evidence.Results: Women have worse physical health and function, more pain, and higher symptom burden compared with men.Implications for nursing: Healthcare providers need to understand the impact of sex-based differences on QOL, symptoms, and symptom burden to provide optimal, personalized care.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"299-312"},"PeriodicalIF":1.6,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11401479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528896","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

Self-Management Energy Conservation for Cancer-Related Fatigue in Thai Women With Breast Cancer Receiving Chemotherapy: A Pilot Study. 泰国接受化疗的乳腺癌妇女癌症相关疲劳的自我管理能量节约:一项试点研究

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-04-21 DOI: 10.1188/23.ONF.337-347

Wipasiri Naraphong, Debra Barton

{"title":"Self-Management Energy Conservation for Cancer-Related Fatigue in Thai Women With Breast Cancer Receiving Chemotherapy: A Pilot Study.","authors":"Wipasiri Naraphong, Debra Barton","doi":"10.1188/23.ONF.337-347","DOIUrl":"https://doi.org/10.1188/23.ONF.337-347","url":null,"abstract":"Objectives: To examine the adherence to and the usefulness, satisfaction, and preliminary efficacy of a 12-week self-management energy conservation and active management intervention on fatigue.Sample & setting: A total of 19 Thai women diagnosed with stage I-III breast cancer receiving adjuvant chemotherapy were enrolled from a local hospital in the central region of Thailand.Methods & variables: A randomized controlled trial design was used. Fatigue was measured using the Piper Fatigue Scale-Revised and was collected at baseline and 12 weeks. Descriptive statistics and Student's t tests were used to analyze the data.Results: Participants completed four interventional sessions. Of participants in the experimental group, nine were satisfied with the intervention, seven were satisfied with its effects on fatigue, and seven were very satisfied with the telephone delivery. Participants in the experimental group reported significantly less fatigue at 12 weeks compared to the attention control group (p = 0.008).Implications for nursing: Teaching energy conservation principles and strategies to women with breast cancer undergoing chemotherapy is an intervention oncology nurses can easily deliver.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"337-347"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9528900","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}

引用次数: 0

Great Plains American Indians' Perspectives on Patient and Family Needs Throughout the Cancer Journey. 大平原美国印第安人对癌症旅程中患者和家庭需求的看法。

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-04-21 DOI: 10.1188/23.ONF.279-289

Mary J Isaacson, Tinka Duran, Gina R Johnson, Alexander Soltoff, Sean M Jackson, Sara J Purvis, Michele Sargent, J R LaPlante, Daniel G Petereit, Katrina Armstrong, Bethany-Rose Daubman

{"title":"Great Plains American Indians' Perspectives on Patient and Family Needs Throughout the Cancer Journey.","authors":"Mary J Isaacson, Tinka Duran, Gina R Johnson, Alexander Soltoff, Sean M Jackson, Sara J Purvis, Michele Sargent, J R LaPlante, Daniel G Petereit, Katrina Armstrong, Bethany-Rose Daubman","doi":"10.1188/23.ONF.279-289","DOIUrl":"10.1188/23.ONF.279-289","url":null,"abstract":"Purpose: To explore the perspectives on patient and family needs during cancer treatment and survivorship of American Indian (AI) cancer survivors, caregivers, Tribal leaders, and healers.Participants & setting: 36 AI cancer survivors from three reservations in the Great Plains region.Methodologic approach: A community-based participatory research design was employed. Postcolonial Indigenous research techniques of talking circles and semistructured interviews were used to gather qualitative data. Data were analyzed using content analysis to identify themes.Findings: The overarching theme of accompaniment was identified. The following themes were intertwined with this theme: (a) the need for home health care, with the subthemes of family support and symptom management; and (b) patient and family education.Implications for nursing: To provide high-quality cancer care to AI patients in their home communities, oncology clinicians should collaborate with local care providers, relevant organizations, and the Indian Health Service to identify and develop essential services. Future efforts must emphasize culturally responsive interventions in which Tribal community health workers serve as navigators to accompany patients and families during treatment and in survivorship.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 3","pages":"279-289"},"PeriodicalIF":1.9,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10233750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9551799","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

A Sense of Urgency in 2023: A New Iceberg Awaits Us. 2023 年的紧迫感：新的冰山在等着我们

IF 1.6 4区医学

Oncology nursing forum Pub Date : 2023-02-17 DOI: 10.1188/23.ONF.132-133

Debra Lyon

引用次数: 0

Rural Cancer Survivors' Perceptions of a Nurse-Led Telehealth Intervention to Manage Cancer-Related Distress. 农村癌症幸存者对以护理为主导的远程健康干预的认识，以管理癌症相关的痛苦。

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-02-17 DOI: 10.1188/23.ONF.173-184

Veronica Bernacchi, Virginia T LeBaron, Ivora D Hinton, Pamela B DeGuzman

{"title":"Rural Cancer Survivors' Perceptions of a Nurse-Led Telehealth Intervention to Manage Cancer-Related Distress.","authors":"Veronica Bernacchi, Virginia T LeBaron, Ivora D Hinton, Pamela B DeGuzman","doi":"10.1188/23.ONF.173-184","DOIUrl":"10.1188/23.ONF.173-184","url":null,"abstract":"Objectives: To understand rural survivors' experiences of participating in a nurse-led telehealth visit designed to address cancer-related distress.Sample & setting: 25 rural-dwelling, post-treatment adult survivors of head and neck cancer recruited from a cancer center clinic affiliated with an academic health system serving a rural catchment area in the southeastern United States.Methods & variables: A descriptive multimethod approach using semistructured qualitative interviews and the Telemedicine Satisfaction and Usefulness Questionnaire.Results: Three primary themes emerged from the qualitative interviews, related to trust, access to information, and technology barriers. Quantitative findings indicated high satisfaction with the nurse-patient relationship through telehealth and lower satisfaction with using telehealth equipment to connect to a visit.Implications for nursing: Despite facing technology barriers, rural cancer survivors prioritize speaking with an oncology certified nurse through telehealth. Although they may be willing to be open and vulnerable with an oncology nurse about their distress, rural survivors are less likely to accept a referral to another provider of psychosocial care. Nurses can incorporate warm handoffs to increase psychosocial referral uptake for rural survivors.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 2","pages":"173-184"},"PeriodicalIF":1.9,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10566986","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}

引用次数: 0

Care Processes and Quality-of-Life Outcomes Affecting the Gynecologic Cancer Survivorship Experience. 影响妇科癌症生存经验的护理过程和生活质量结果。

IF 1.9 4区医学

Oncology nursing forum Pub Date : 2023-02-17 DOI: 10.1188/23.ONF.185-200

Anne M Reb, Denice Economou, Diane G Cope, Tami Borneman, Maribel S Tejada, Ernest S Han, Mihaela Cristea, Betty R Ferrell

{"title":"Care Processes and Quality-of-Life Outcomes Affecting the Gynecologic Cancer Survivorship Experience.","authors":"Anne M Reb, Denice Economou, Diane G Cope, Tami Borneman, Maribel S Tejada, Ernest S Han, Mihaela Cristea, Betty R Ferrell","doi":"10.1188/23.ONF.185-200","DOIUrl":"10.1188/23.ONF.185-200","url":null,"abstract":"Purpose: To describe and assess physical and psychosocial concerns and care processes related to cancer and treatment in gynecologic cancer survivors.Participants & setting: 44 survivors of gynecologic cancer at City of Hope National Medical Center in southern California were enrolled.Methodologic approach: A descriptive mixed-methods approach was used. Data were collected on survivorship care plan implementation, supportive care referrals, and barriers to receiving care. Participants completed questionnaires assessing quality of life, unmet needs, and other outcomes at three, six, and nine months after enrollment. Changes over time were analyzed, and quantitative and qualitative results were compared.Findings: The most common unmet needs were stress reduction, side effect management, fear of cancer recurrence (FCR), and perception of adequate communication among the care team. Qualitative themes centered around communication, care coordination, FCR, financial distress, and need for information about peer support and healthy lifestyles.Implications for nursing: Nurses play a key role in coordinating care, assessing symptoms, and addressing psychosocial concerns. Providing education and coaching can reduce stress and facilitate survivors' self-management and self-efficacy.","PeriodicalId":19549,"journal":{"name":"Oncology nursing forum","volume":"50 2","pages":"185-200"},"PeriodicalIF":1.9,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10566989","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}

引用次数: 0