Cancer Nursing最新文献

{"title":"Latent Profile Analysis of Symptom Clusters in Children and Adolescents With Malignant Tumors During Radiotherapy.","authors":"Yanyan Liu, Nanping Shen, Jing Sun, Yun Hu, Huijuan Qian, Junjie Hua, Changrong Yuan","doi":"10.1097/NCC.0000000000001514","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001514","url":null,"abstract":"<p><strong>Background: </strong>Children undergoing treatment for cancer may experience a range of adverse symptoms, yet there is limited information on the symptoms they experience during radiotherapy and the potential heterogeneity among these symptoms.</p><p><strong>Objective: </strong>This study aimed to describe the symptom profiles of children during radiotherapy, identify subgroups of children with cancer experiencing similar symptom patterns, and evaluate differences in demographic and clinical characteristics across these subgroups.</p><p><strong>Methods: </strong>A total of 154 children were assessed using the Chinese version of the Memorial Symptom Assessment Scale 10-18. Latent profile analysis was used to identify distinct subgroups of patients based on symptom occurrence profiles with a prevalence greater than 40%.</p><p><strong>Results: </strong>Children experienced multiple adverse symptoms during radiotherapy. The best-fitting model identified 3 distinct symptom profiles: low symptom prevalence, high symptom prevalence, and high gastrointestinal symptom prevalence. Significant differences were observed among subgroups based on age, family income, demographic factors, and clinical characteristics, including treatment type, the number of patients currently receiving radiotherapy, radiotherapy site, and recent chemotherapy within the past week.</p><p><strong>Conclusions: </strong>This study found that children experienced various adverse symptoms during radiotherapy, with notable heterogeneity in symptom profiles identified through latent profile analysis. Symptom prevalence varied according to demographic and clinical characteristics.</p><p><strong>Implication for practice: </strong>This study highlights the need for healthcare providers to focus on different patient subgroups and provide targeted prevention and early intervention strategies for managing symptoms in children during radiotherapy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Contributing to Sleep Disturbance in Inpatients With Cancer: A Cross-sectional Study.","authors":"Sandra Cabrera-Jaime, Maria Montserrat Martí-Dillet, Pedro Roura-Martí, Saray Hosa-Salor, Montserrat Grabalosa-Valderas, Dolors Company-Castelló, Laura Cabrera-Jaime","doi":"10.1097/NCC.0000000000001513","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001513","url":null,"abstract":"<p><strong>Background: </strong>Sleep disturbances can have significant physiological consequences and are associated with several health problems, including cancer.</p><p><strong>Objective: </strong>To assess the prevalence and self-reported determinants of sleep disturbances in patients hospitalized with oncohematological disease.</p><p><strong>Methods: </strong>This was a cross-sectional study in 2 specialized oncohematology units of the Catalan Public Health System (Spain). A stratified probability sampling strategy was implemented. Data were collected using a questionnaire that was previously developed and tested, based on the Richards-Campbell Sleep Questionnaire and the Pittsburgh Sleep Quality Questionnaire.</p><p><strong>Results: </strong>The study included 621 oncohematological patients. The self-reported prevalence of sleep disturbance was 61.5% (n = 375). More than 90% of the patients woke up during the night, with an average of 3.1 (SD, 2.0) interruptions. The mean self-reported quality of sleep score was 6.5/10 (SD, 2.2) points. There was a statistically significant but low-magnitude inverse relationship between the presence of disturbances and self-reported sleep quality. The most influential factors were the number of times patients woke up, professional conversations in the corridor, professional interruptions, room light, pain/discomfort, and roommates ( P < .001).</p><p><strong>Conclusions: </strong>Inpatients with oncohematological disease report very frequent sleep disruptions. The main causes are environmental discomfort, pain and anxiety, and noise caused by clinical devices and professionals. Numerous factors in the hospital environment that result in rest disturbance can be modified or controlled.</p><p><strong>Implications for practice: </strong>Professionals must lead strategies to change the dynamics of care and environment to improve the patient's rest. Current models of care should be reviewed with the aim of promoting better sleep environments.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom Clusters Trajectories and Influencing Factors in Patients With Head and Neck Cancer: A Longitudinal Study.","authors":"Qiling Shen, Jiaxin Li, Ziyue Fu, Biaoxin Zhang, Yaling Zheng, Kaile Wu","doi":"10.1097/NCC.0000000000001509","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001509","url":null,"abstract":"<p><strong>Background: </strong>While head and neck cancer (HNC) patients often experience many concurrent symptoms, most research has focused on the assessment and management of individual, isolated symptoms.</p><p><strong>Objective: </strong>The aim of this study was to investigate the longitudinal trajectories of symptom clusters in patients with HNC and analyze the predictive factors of each trajectory subgroup.</p><p><strong>Methods: </strong>An exploratory factor analysis was conducted to analyze symptom clusters using the M. D. Anderson Symptom Inventory-Head and Neck in 218 HNC patients at 3 time points: during hospitalization, 1 month after discharge, and 3 months after discharge. The latent growth mixture modeling was used to identify the trajectory subgroups, and multinomial logistic regression was used to analyze the predictive factors of trajectory changes.</p><p><strong>Results: </strong>The 4 symptom clusters were referred to as the mouth and throat symptom cluster, gastrointestinal symptom cluster, psychotherapeutic symptom cluster, and energy deficit symptom cluster. Three to 4 trajectory subgroups were identified in the symptom cluster using the latent growth mixture modeling. High-risk trajectory subgroups were influenced by female patients, low family per-capita monthly income, laryngeal cancer, high clinical staging, and age ( P < .05).</p><p><strong>Conclusions: </strong>Mouth and throat symptom cluster is unique to HNC. The high-risk trajectory categories are influenced by gender, family per-capita monthly income, tumor site, TNM clinical staging, and age.</p><p><strong>Implications for practice: </strong>Identifying high-risk trajectories and influencing factors of symptom clusters can help cancer caregivers in implementing individualized and tailored interventions.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mediation and Dose-Response Relationship Among Physical Activity, Daylight Exposure, and Rest-Activity Circadian Rhythm in Patients With Esophageal and Gastric Cancer.","authors":"Hui-Mei Chen, Denise Shuk Ting Cheung, Chien-Sheng Huang, Yu-Chung Wu, Po-Kuei Hsu","doi":"10.1097/NCC.0000000000001306","DOIUrl":"10.1097/NCC.0000000000001306","url":null,"abstract":"<p><strong>Background: </strong>Physical activity and daylight exposure predict rest-activity circadian rhythm (RACR) in patients with cancer. However, whether daylight exposure mediates the relationship between physical activity and RACR and the optimal amounts of physical activity and daylight that benefit RACR remain unclear.</p><p><strong>Objectives: </strong>This study investigated the mediating role of daylight exposure and determined the dose-response relationship among daylight exposure, physical activity, and RACR in patients with cancer.</p><p><strong>Methods: </strong>This cross-sectional exploratory study recruited 319 patients with esophageal and gastric cancer from 2 surgery outpatient departments in Taiwan. Daylight exposure (>500 lux), physical activity (up activity mean), and RACR (midline estimating statistic of rhythm) were measured through actigraphy. Regression was performed, and the receiver operating characteristic curve was plotted.</p><p><strong>Results: </strong>Daylight exposure (>500 lux) partially mediated the relationship between physical activity (up activity mean) and RACR (midline estimating statistic of rhythm). The optimal cutoffs for discriminating between satisfactory and poor RACR were 187.43 counts/min for physical activity (sensitivity, 90.3%; specificity, 84.4%) and 35.71 min/d for daylight exposure (sensitivity, 55.9%; specificity, 78.2%).</p><p><strong>Conclusions: </strong>Participants who engaged in physical activity were more likely to receive daylight exposure and experience improved RACR. The optimal level of daylight exposure and frequency of physical activity that can improve RACR in patients with esophageal and gastric cancer are 36 min/d and 187 counts/min, respectively.</p><p><strong>Implications for practice: </strong>Healthcare professionals should encourage patients to engage in exercise or physical activity during the daytime to improve their circadian rhythm.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"221-228"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138446919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Time Matters: Addressing the Hidden Toxicity in Cancer Care and Placing Emphasis Where It Belongs.","authors":"Chinomso Nwozichi, Oluwaseun Martins-Akinlose, Omolabake Salako","doi":"10.1097/NCC.0000000000001485","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001485","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":"48 3","pages":"157-158"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2024 Reviewer Thank You.","authors":"","doi":"10.1097/NCC.0000000000001477","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001477","url":null,"abstract":"","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":"48 3","pages":"155-156"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of Subsyndromal Delirium Prediction Model in Patients With Advanced Malignant Tumor: A Case-Control Study.","authors":"Pan Wang, Weisheng Xiao","doi":"10.1097/NCC.0000000000001290","DOIUrl":"10.1097/NCC.0000000000001290","url":null,"abstract":"<p><strong>Background: </strong>Subsyndromal delirium (SSD) is a clinical manifestation between delirium and nondelirium. There is no established guideline for diagnosing SSD, with a few different tools used for diagnosis.</p><p><strong>Objectives: </strong>To construct and verify the risk prediction model for subdelirium syndrome in patients with advanced malignant tumors and explore its application value in risk prediction.</p><p><strong>Methods: </strong>A total of 455 patients admitted to the Oncology Department in a tertiary grade A hospital in Hengyang City were recruited from December 2020 to May 2021. They were selected as the modeling group. The model was constructed by logistic regression. A total of 195 patients with advanced malignant tumors from June 2021 to July 2021 were selected to validate the developed model.</p><p><strong>Results: </strong>The predictors incorporated into the model were opioids (odds ratio [OR], 1.818), sleep disorders (OR, 1.783), daily living ability score (OR, 0.969), and pain (OR, 1.810). In the modeling group, the Hosmer-Lemeshow goodness-of-fit test was P = .113, the area under the receiver operating characteristic curve was 0.884, the sensitivity was 0.820, and the specificity was 0.893. In the validation group, the Hosmer-Lemeshow goodness-of-fit test P = .108, the area under the receiver operating characteristic curve was 0.843, the Yuden index was 0.670, the sensitivity was 0.804, and the specificity was 0.866.</p><p><strong>Conclusions: </strong>This model has excellent precision in the risk prediction of subdelirium in patients with advanced malignant tumors.</p><p><strong>Implications for practice: </strong>The model we developed has a guiding significance for specialized tumor nurses to care for patients with advanced malignant tumors and improve their quality of life.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"e150-e155"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Mindfulness and Emotional Regulation on Self-care Competence Among Cancer Patients Undergoing Chemotherapy.","authors":"Seri Son, Sunhee Lee","doi":"10.1097/NCC.0000000000001400","DOIUrl":"10.1097/NCC.0000000000001400","url":null,"abstract":"<p><strong>Background: </strong>Many cancer patients require long-term self-care, both during and after treatment, and need to have self-care competence. Mindfulness and emotional regulation can enhance self-care competence among cancer patients.</p><p><strong>Objective: </strong>To examine the effect of mindfulness and emotional regulation on self-care competence among cancer patients undergoing chemotherapy.</p><p><strong>Methods: </strong>The data were completed by 106 cancer patients who were hospitalized at 3 long-term nursing hospitals. The instruments were the Mindfulness Scale, Korean Version of the Difficulties in Emotion Regulation Scale, and Self-As-Care Inventory Scale.</p><p><strong>Result: </strong>Self-care competence was significantly correlated with mindfulness among cancer patients undergoing chemotherapy. Also, the relationship between mindfulness and emotional regulation was significant. However, emotional regulation did not significantly affect self-care competence.</p><p><strong>Conclusions: </strong>It is important for cancer patients to focus on the present moment and maintain a balanced approach that keeps a distance from excessive worry. Development and application of interventions aimed at enhancing self-care competence among cancer patients should focus on a high level of mindfulness.</p><p><strong>Implications for practice: </strong>It is necessary to support cancer patients in taking time out for mindfulness practice through meditation programs and to help them seamlessly incorporate this habit into their daily lives. Nurses can effectively assist cancer patients by being well-versed in mindfulness techniques and providing adept guidance. Offering personalized mindfulness guidance based on the patient's condition and needs is also beneficial. By developing programs that incorporate feedback from both patients and healthcare providers, nurses can help patients continuously apply mindfulness practices.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"e203-e208"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-management Behaviors and Associated Factors in Adult Cancer Survivors: An Integrative Review.","authors":"Mar Lar Aung, Huilin Cheng","doi":"10.1097/NCC.0000000000001289","DOIUrl":"10.1097/NCC.0000000000001289","url":null,"abstract":"<p><strong>Background: </strong>Despite numerous systematic reviews on self-management interventions for cancer survivors, little is known about survivors' daily self-management practices and the influencing factors.</p><p><strong>Objective: </strong>To identify self-management behaviors and related factors among cancer survivors.</p><p><strong>Methods: </strong>Six databases were searched for primary quantitative, qualitative, and mixed-methods studies on self-management behaviors in cancer survivors that were published in English-language, peer-reviewed journals between 2012 and July 2022. The methodological quality of the included studies was evaluated using the Mixed Methods Appraisal Tool. The data extracted using a predetermined form were analyzed using qualitative content analysis.</p><p><strong>Results: </strong>A total of 22 articles were included in the review; the majority were qualitative research, and half had moderate to high quality of evidence. Nine domains of self-management behaviors were identified, namely, physical activity/exercise, diet, emotional management, complementary and alternative medicine, symptom management, religiosity/spirituality, attending regular follow-ups, adjustment of other lifestyles, and medication management. Four categories of factors were associated with self-management behaviors in cancer survivors: (1) personal factors (demographic and psychological), (2) health status, (3) family factors, and (4) healthcare system. However, the relationships between self-management behaviors and these factors were mainly identified from qualitative studies or addressed in single studies.</p><p><strong>Conclusions: </strong>Self-management behaviors in cancer survivors are multifaceted. There is an urgent need for quantitative exploration of factors associated with self-management in cancer survivors.</p><p><strong>Implications for practice: </strong>This review provides nurses with a comprehensive basis for designing self-management support interventions for cancer survivors.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"e156-e165"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41184095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Effect of Hope Level Between Social Support and Benefit Finding in Patients With Advanced Lung Cancer.","authors":"Mengjiao Zhao, Yunxia Jiang, Guangyi Xu, Xin Lin","doi":"10.1097/NCC.0000000000001295","DOIUrl":"10.1097/NCC.0000000000001295","url":null,"abstract":"<p><strong>Background: </strong>As a protective factor, social support can influence benefit finding (BF) in patients with advanced lung cancer. However, the mechanism through which social support affects BF is controversial.</p><p><strong>Objective: </strong>To investigate the factors influencing BF in patients with advanced lung cancer and the role of hope level in mediating the relationship between social support and BF.</p><p><strong>Methods: </strong>This was a cross-sectional study. From September 2022 to March 2023, 286 participants completed the Social Support Rating Scale, Herth Hope Index, and Benefit Finding Scale. Data analysis included correlation analyses and multiple stepwise regression analysis; the SPSS PROCESS program was used to determine the significance of mediating effects.</p><p><strong>Results: </strong>Social support and hope level were positively associated with BF. Monthly per-capita household income, social support and hope level entered the final regression model and explained 50.7% of BF variance. Social support's direct and indirect effects on BF were significant ( P < .05), suggesting that hope level partially mediated the relationship between social support and BF.</p><p><strong>Conclusion: </strong>Our findings validate a positive association between social support and BF in patients with advanced lung cancer. The hope level as a mediating variable provided the impetus for their BF.</p><p><strong>Implications for practice: </strong>Nurses should implement necessary interventions to help patients with advanced lung cancer carry out protective resources and coping strategies to facilitate their BF.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"213-220"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}