Cancer Nursing最新文献

{"title":"Association Between Red Cell Index and Depressive Symptoms in NHANES (2005-2018): A Cross-sectional Study.","authors":"Cheng Xing, Bowen Sui, Long He, Jing Yang, Zhendong Yang, Minghan Jiang, Weilong An","doi":"10.1097/NCC.0000000000001501","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001501","url":null,"abstract":"<p><strong>Background: </strong>Physical symptoms and emotional distress, such as melancholy, are common among cancer survivors. Misinterpreting these as normal reactions delays depression diagnosis and worsens prognosis. Patients may hide depressive symptoms during treatment, whereas clinicians and families often dismiss them as expected disease adaptation. Emerging evidence links depression to inflammatory responses and symptoms such as fatigue/cognitive decline to hypoxia, suggesting relevance of the Red Cell Index (RCI).</p><p><strong>Objective: </strong>To identify depression risk factors in cancer survivors and evaluate RCI as a potential biomarker.</p><p><strong>Methods: </strong>We included and analyzed 2890 patients from the National Health and Nutrition Examination Survey database in this study. The 9-item Patient Health Questionnaire was used to evaluate the depressive symptoms. We employed multivariable logistic regression and stratified analyses to evaluate the association between RCI and depressive symptoms.</p><p><strong>Results: </strong>Higher RCI inversely correlated with depression risk in unadjusted analysis, persisting after full adjustment. Subgroup findings were consistent. A significant nonlinear RCI-depression connection was found by dose-response analysis.</p><p><strong>Conclusions: </strong>As the RCI increased, the likelihood of depression in patients diagnosed with cancer decreased. Nevertheless, cross-sectional studies can merely establish the link, necessitating further research to validate causality and assess the practicality of clinical use.</p><p><strong>Implications for practice: </strong>Possible connections between hematological markers and depression symptoms are revealed by this investigation. The RCI-depression correlation offers new perspectives for nursing practice. For cancer survivor care, integrating validated hematological indicators into assessments alongside monitoring physical/psychological symptoms is recommended. Future research should prioritize RCI-depression risk assessment and early interventions in oncology patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781776","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":"Effects of Auricular Acupressure on Fatigue, Sleep Quality, Physical Activity, and Quality of Life in Pancreatic Cancer Patients Undergoing Chemotherapy: A Randomized Controlled Trial.","authors":"Wei-Ling Gao, Hui-Mei Chen, Chieh-Yu Liu, Tse-Hung Huang, Chung-Pin Li, Shao-Jung Hsu, Pei-Chang Lee, Kuei-Chuan Lee","doi":"10.1097/NCC.0000000000001498","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001498","url":null,"abstract":"<p><strong>Background: </strong>Patients with pancreatic cancer exhibit various symptoms and numerous physiological and psychological complications. Therefore, designing intervention measures to alleviate symptoms is crucial.</p><p><strong>Objective: </strong>This study explored the effectiveness of a 4-week auricular acupressure intervention for reducing fatigue and improving quality of life, sleep quality, and physical activity in patients receiving chemotherapy for pancreatic cancer.</p><p><strong>Methods: </strong>This randomized controlled trial was conducted at a medical center in northern Taiwan. The study participants comprised 80 patients undergoing chemotherapy for pancreatic cancer. The experimental group received auricular acupressure therapy for 4 weeks, which targeted the shenmen (TF4), sympathetic (AH6), liver (CO12), spleen (CO13), and subcortex (AT4) acupoints, and the control group received routine care. The European Organization for Research and Treatment of Cancer Quality of Life Group Core Questionnaire-C30, European Organization for Research and Treatment of Cancer Quality of Life Group Core Questionnaire-PAN26, Brief Fatigue Inventory-Taiwanese version, Pittsburgh Sleep Quality Index, and 3-day Physical Activity Record were used for assessment.</p><p><strong>Results: </strong>After auricular acupressure therapy for 4 weeks, the experimental group exhibited significant improvements in insomnia symptoms during weeks 1 to 4, as measured using the European Organization for Research and Treatment of Cancer Quality of Life Group Core Questionnaire-C30 (all P < .01), and improvements in sleep quality by week 4, as measured using the Pittsburgh Sleep Quality Index (P < .036).</p><p><strong>Conclusions: </strong>After auricular acupressure therapy for 4 weeks, significant improvements were observed in patients' sleep quality and quality of life in terms of insomnia.</p><p><strong>Implications for practice: </strong>Auricular acupressure can improve sleep quality and other aspects of quality of life among patients undergoing chemotherapy for pancreatic cancer. The study findings indicate the potential of auricular acupressure as an adjunctive cancer care treatment.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781777","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":"Effects of Home-Based Exercise Program on Chemotherapy-Induced Peripheral Neuropathy and Quality of Life: A Single-blind Randomized Controlled Trial.","authors":"Necmiye Çömlekçi, Gülbeyaz Can, Faruk Taş","doi":"10.1097/NCC.0000000000001495","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001495","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy-induced peripheral neuropathy (CIPN) is a frequent symptom that negatively affects quality of life. Exercise is a beneficial intervention for managing peripheral neuropathy; however, insufficient evidence remains in this regard.</p><p><strong>Objective: </strong>To evaluate the efficacy of a home-based exercise program in reducing the severity and symptoms of CIPN and improving quality of life.</p><p><strong>Methods: </strong>This randomized controlled trial included 72 participants (intervention: n = 37, control: n = 35), with data collected from September 2020 to August 2022. The intervention group followed a home-based exercise program twice daily for 8 weeks, whereas the control group received standard care. Peripheral neuropathy severity was measured using Common Terminology Criteria for Adverse Events, whereas symptoms and quality of life were assessed using the European Organization for Research and Treatment of Cancer Chemotherapy-Induced Peripheral Neuropathy Quality-of-Life Questionnaire and the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire.</p><p><strong>Results: </strong>Peripheral neuropathy symptom scores were significantly lower in the intervention group than in the control group at 8 weeks postintervention (P < .001). The effect size for sensory and motor neuropathy scores was large (d = 3.47 and d = 2.76, respectively). Quality-of-life scores were significantly higher in the intervention group than in the control group postintervention (P < .001), with a large effect size (η2 = 0.45).</p><p><strong>Conclusion: </strong>A home-based exercise program reduced the severity and symptoms of CIPN and improved quality of life.</p><p><strong>Implications for practice: </strong>A home-based exercise program with sensory, strengthening, and balance exercises can be integrated into patient care as a nursing practice to improve CIPN symptoms and quality of life.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781778","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":"Frailty and Intrinsic Capacity as Predictors of Recovery in Older Patients Surgically Treated for Cancer: A Longitudinal Study.","authors":"Fang-Wen Hu, Chien-Yao Sun, Wu-Chou Su, Chia-Ming Chang","doi":"10.1097/NCC.0000000000001497","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001497","url":null,"abstract":"<p><strong>Background: </strong>Advanced age, cancer, and surgery contribute to functional decline, with concurrent cancer and surgery exacerbating this decline due to slower recovery and adverse outcomes.</p><p><strong>Objective: </strong>To investigate the association between preoperative frailty and intrinsic capacity and postoperative functional recovery and quality of life in older patients surgically treated for cancer.</p><p><strong>Methods: </strong>This longitudinal study at a tertiary care medical center included 74 patients 75 years and older undergoing elective surgery for malignancies, excluding those with terminal-stage cancer. Data on demographic variables, Cumulative Illness Rating Scale for Geriatrics, Clinical Frailty Scale, and intrinsic capacity were collected at admission. The Minimum Data Set Activities of Daily Living (MDS-ADL) and EuroQoL 5-dimension 3-level questionnaire (EQ5D) were assessed at admission, after operation, and 1 month, 3 months, 6 months, and 1 year after the operation for cancer.</p><p><strong>Results: </strong>The mean age of the 74 participants was 80.3 ± 4.6 years, and 56.8% were female. The generalized estimating equation showed that an increased preoperative Clinical Frailty Scale score was significantly associated with worsened MDS-ADL (adjusted β = 1.25; 95% confidence interval = 0.39-2.11; P = .004) and decreased EQ5D score after surgery for cancer (adjusted β = -0.04; 95% confidence interval = -0.07 to -0.01; P = .004). No significant associations were observed between intrinsic capacity and postoperative MDS-ADL or EQ5D scores.</p><p><strong>Conclusion: </strong>This study demonstrated that frailty is a better predictor of postoperative functional recovery and quality of life than intrinsic capacity in older cancer patients.</p><p><strong>Implications for practice: </strong>Identifying frailty preoperatively can help healthcare providers better anticipate recovery challenges and tailor postsurgical care to improve outcomes.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781787","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":"Character Strengths-Based Intervention for Enhancing Self-esteem and Quality of Life and Alleviating Depression in Female Patients With Breast Cancer: A Randomized Controlled Trial.","authors":"Tingting Yan, Ka Ming Chow, Jannan Xiao, Wei Liang, Khanh T Nguyen, Kai C Choi, Carmen W H Chan","doi":"10.1097/NCC.0000000000001486","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001486","url":null,"abstract":"<p><strong>Background: </strong>Character strengths-based intervention (CSI) has the potential to enhance self-esteem and reduce depression, leading to improved quality of life (QoL) for breast cancer patients.</p><p><strong>Objective: </strong>To explore the effects of an evidence-based and culturally appropriate CSI among Chinese female patients with breast cancer and their perceptions of the CSI.</p><p><strong>Methods: </strong>This study was a multisite assessor-blinded randomized controlled trial. The CSI underwent multiple stages of modeling as cultural tailoring, supported by a self-produced booklet and self-monitoring tool for patients. The outcomes were assessed at baseline (T0), immediately postintervention (T1), and 1 month postintervention (T2). Qualitative interviews were conducted to explore the experience and opinions among the CSI group.</p><p><strong>Results: </strong>One hundred twenty-two participants were randomly assigned to receive either the CSI (the CSI group; n = 61) or an \"early memories\" program (the control group; n = 61). The results showed that the CSI significantly increased self-esteem and QoL at T1 and T2. In addition, the CSI significantly reduced depressive symptoms at T1 and T2. The qualitative findings encompassed 5 themes: acceptability of the CSI, perceived benefits of the CSI, facilitators of application of the CSI, barriers to application of the CSI, and recommendations for the CSI.</p><p><strong>Conclusion: </strong>This study demonstrated that the CSI enhanced self-esteem and QoL and alleviated the depressive symptoms of the CSI group.</p><p><strong>Implications for practice: </strong>This study highlights the viability of nurses serving as implementers of the CSI and reveals the importance of professional training and resource support for nurses.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694037","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":"Psychological Resilience in Newly Diagnosed Prostate Cancer Survivors: A Longitudinal Study.","authors":"Ching-Hui Chien, Kuan-Lin Liu, Cheng-Keng Chuang, Chun-Te Wu, See-Tong Pang, Kai-Jie Yu, Po-Hung Lin","doi":"10.1097/NCC.0000000000001491","DOIUrl":"10.1097/NCC.0000000000001491","url":null,"abstract":"<p><strong>Background: </strong>Psychological resilience is considered a dynamic process or outcome. Most studies that have examined the psychological resilience of prostate cancer survivors have used cross-sectional designs, limiting the understanding of changes in psychological resilience across different stages of the disease.</p><p><strong>Objectives: </strong>To investigate changes in psychological resilience and demoralization among newly diagnosed prostate cancer survivors from before treatment to 1 year after treatment initiation as well as the associated influencing factors.</p><p><strong>Methods: </strong>A longitudinal design was adopted, and cases were collected from the outpatient department. Data collection occurred at four time points: prior to treatment after the treatment decision was made and at 3, 6, and 12 months after treatment. Study variables included demographic characteristics, disease characteristics, physical symptoms, fear of cancer recurrence, social participation, cancer-related self-efficacy, psychological resilience, and demoralization.</p><p><strong>Results: </strong>The psychological resilience and demoralization scores of prostate cancer survivors at 3, 6, and 12 months after treatment were similar to their scores before treatment. Survivors with higher fear of cancer recurrence and lower cancer-related self-efficacy had poorer psychological resilience and more severe demoralization. Severe hormonal symptoms and lower interpersonal relationship activity participation were associated with more severe demoralization in survivors with prostate cancer.</p><p><strong>Conclusions: </strong>Fear of cancer recurrence, self-efficacy, hormonal symptoms, and interpersonal activity participation are associated with psychological resilience and demoralization.</p><p><strong>Implications for practice: </strong>Assessing psychological resilience and demoralization is crucial in prostate cancer care. Integrated self-management interventions that address physical, psychological, and social aspects can enhance survivors' resilience.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665176","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 Associated With Physical Activity During Hospitalization for Hematopoietic Cell Transplantation and After Discharge: A Pilot Study.","authors":"Gisele C Tlusty, Ann M Berger, Vijaya R Bhatt, Eileen D Hacker, John M Noble, Windy W Alonso","doi":"10.1097/NCC.0000000000001494","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001494","url":null,"abstract":"<p><strong>Background: </strong>The importance of physical activity to support health has been widely demonstrated. Hematopoietic cell transplantation (HCT) requires lengthy hospitalizations resulting in substantial decreases in physical activity. Understanding the factors associated with physical activity during hospitalization and immediately following hospital discharge is vital to support the transition from hospital to home.</p><p><strong>Objective: </strong>To examine the associations among personal factors (exercise self-efficacy, physical and mental health, and symptom severity and interference) and physical activity immediately following HCT.</p><p><strong>Methods: </strong>In this prospective observational pilot study, accelerometers measured physical activity during hospitalization on HCT days 0 to 4 (T1) and days 5 to 9 (T2), and in the first 7 days after hospital discharge (T3). Personal factors were assessed at T1, T2, and T3. Physical activity and personal factors were evaluated for change over time (Friedman test) and associations (Spearman correlations).</p><p><strong>Results: </strong>Participants' (n = 26, 57% male; median age, 55 years [40-65.3]) accelerometer data revealed light and moderate to vigorous physical activity, and median steps decreased significantly as symptoms severity and interference increased from T1 to T2. Exercise self-efficacy was moderate to high from T1 to T3 and was correlated with increased steps at T2 (r = 0.57, P = .05) and increased light physical activity (r = 0.55, P = .05) and steps (r = 0.61, P = .01) at T3.</p><p><strong>Conclusions: </strong>This pilot study provides preliminary evidence of the relationships between physical activity and symptoms, symptom severity, and exercise self-efficacy.</p><p><strong>Implications for practice: </strong>Maintaining high levels of physical activity during hospitalization for HCT may not be possible. Nurses can help patients set realistic expectations for physical activity during hospitalization and immediately after hospital discharge.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665219","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":"A Systematic Literature Review of Interventions to Manage Hiccups in Patients With Cancer Undergoing Active Treatment.","authors":"Rebecca T Sutcliffe, Ijeoma Julie Eche-Ugwu","doi":"10.1097/NCC.0000000000001448","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001448","url":null,"abstract":"<p><strong>Background: </strong>Patients with cancer often experience persistent or intractable hiccups, which negatively impact their quality of life. Yet, interventions aimed at managing hiccups among patients with cancer receiving active treatment are lacking.</p><p><strong>Objective: </strong>To describe existing evidence on interventions that address hiccup management in patients with cancer receiving active treatment with curative intent.</p><p><strong>Methods: </strong>Our narrative synthesis review was conducted through a systematic search of 3 electronic databases (CINAHL Complete, PubMed, and HOLLIS) augmented by hand search from January 2003 to July 2023 to retrieve peer-reviewed articles published in English. Our review was guided by PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) and registered through the National Institute for Health Research, International Prospective Register of Systematic Reviews (CRD42023444545).</p><p><strong>Results: </strong>The database searches yielded 2686 records. After removing duplicates and ineligible articles, 13 articles met the inclusion criteria. Most were noninterventional observational studies. The most common pharmacologic interventions were as follows: steroid rotation (replacing dexamethasone with methylprednisolone or omitting dexamethasone), baclofen, and olanzapine. Of these pharmacologic interventions, replacing dexamethasone with another antiemetic was most beneficial in reducing hiccups. Baclofen was also found to be beneficial in reducing chronic or intractable hiccups. Acupuncture was found to be an effective nonpharmacologic intervention.</p><p><strong>Conclusions: </strong>This review identified several promising interventions such as steroid rotation (replacing dexamethasone with methylprednisolone or omitting dexamethasone), baclofen, and acupuncture for hiccup management among patients with cancer undergoing active treatment.</p><p><strong>Implications for practice: </strong>Future studies to identify efficacious interventions for hiccups among patients with cancer receiving active treatment are warranted.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659619","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":"Family Resilience Factors Associated With Family Adaptation of Children With Acute Leukemia: A Cross-sectional Study.","authors":"Luyao Wang, Xiaoliang Tong, Jojo Wong, Yuqiao Xiao, Guiyuan Ma, Can Gu","doi":"10.1097/NCC.0000000000001484","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001484","url":null,"abstract":"<p><strong>Background: </strong>Childhood leukemia critically disrupts family life, needing support for adaptation and resilience.</p><p><strong>Objective: </strong>Having investigated the main factors influencing the adaptation of families with children with leukemia, we provide support for clinical nurses to develop effective interventions to promote the adaptation of families with children with leukemia in future clinical practice.</p><p><strong>Method: </strong>This cross-sectional study surveyed 197 parents of children (≤14 years old) with acute leukemia from 4 hospitals in Changsha, China. Four questionnaires assessed family resilience: the Family Hardiness Index, Perceived Social Support Scale, Family Management Measure, and Family Crisis-Oriented Personal Evaluation Scale. Family adaptation was measured using the Family Adaptability and Cohesion Evaluation Scale.</p><p><strong>Results: </strong>The average family adaptation score for families of children with acute leukemia was 48.58 ± 8.71. Key resilience factors included family hardiness (β = .493, P < .001), social support (β = .096, P < .05), parental marital status (β = -6.964, P < .05), parental education level (β = 1.53, P < .05), and family coping strategies (β = .127, P < .05). Together, these factors explained 33.6% of the variance in family adaptation (F = 19.724, P < .001).</p><p><strong>Conclusion: </strong>Nurses should deliver family-centered care, bolster family resilience, and enhance coping skills, particularly for families with less education or single/divorced parents, to help them navigate the challenges of childhood leukemia.</p><p><strong>Implications for practice: </strong>The findings hope to guide global nursing support for leukemia patient families.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587895","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":"Effect of Remote Counseling on Screening Uptake in the First-Degree Relatives of Colorectal Cancer Patients: A Systematic Review and Meta-analysis.","authors":"Bei Dong, Yongfeng Chen, Dongting Zhang, Kai Chow Choi, Carmen W H Chan","doi":"10.1097/NCC.0000000000001467","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001467","url":null,"abstract":"<p><strong>Background: </strong>Remote counseling has been used to facilitate the uptake of colorectal cancer screening in the first-degree relatives of colorectal cancer patients, but a comprehensive evaluation of such an intervention remains lacking.</p><p><strong>Objective: </strong>The aim of this study was to explore the characteristics of remote counseling and its effect on the first-degree relatives of colorectal cancer patients.</p><p><strong>Methods: </strong>Eight English databases and 3 Chinese databases were searched from their inception to June 2024. Gray literature and the reference lists of the included studies were also examined. Randomized controlled trials conforming to the inclusion and exclusion criteria were screened and extracted. All meta-analyses were performed with Review Manager 5.3.</p><p><strong>Results: </strong>Five studies with 2601 first-degree relatives of colorectal cancer patients were included in this systematic review. Meta-analysis showed that remote counseling could significantly increase the colorectal cancer screening rate (relative risk, 1.65; 95% confidence interval, 1.46-1.86; P < .01). Among interventions of this kind, mailing tailored printing materials demonstrated a beneficial effect (relative risk, 1.57; 95% confidence interval, 1.22-2.03; P < .01). However, evidence that remote counseling could improve knowledge of and health beliefs about colorectal cancer and screening was limited.</p><p><strong>Conclusion: </strong>Remote counseling had a positive effect on colorectal cancer screening uptake in the first-degree relatives of colorectal cancer patients.</p><p><strong>Implications for practice: </strong>The first-degree relatives of colorectal cancer patients have an increased risk of developing the disease. Remote counseling is an effective intervention for improving their screening rate. However, more rigorous theory-driven randomized controlled trials are needed to determine an optimal intervention program.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587893","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}