Cancer Nursing最新文献

{"title":"Effectiveness of Integrated Mindfulness-Based Fitness Training Program in Ameliorating Physical Symptoms and Survivor Concerns in Patients With Breast Cancer: A Randomized Clinical Trial.","authors":"Yun-Chen Chang","doi":"10.1097/NCC.0000000000001285","DOIUrl":"10.1097/NCC.0000000000001285","url":null,"abstract":"<p><strong>Background: </strong>Patients with breast cancer typically experience both mental and physical distress after aggressive treatments. Some studies have explored the use of integrated interventions, such as mindfulness-based or exercise-based approaches, to reduce these symptoms. However, the results of these studies have been conflicting.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the effectiveness of an integrated mindfulness-based fitness training (MBFT) program in addressing overactive bladder, fear of cancer recurrence, and female sexual function in patients with breast cancer.</p><p><strong>Methods: </strong>Fifty patients with breast cancer were either assigned to an 8-week MBFT group or a waitlist control group. The postintervention and preintervention scores were compared using descriptive analysis of the data set, as well as paired and independent t tests.</p><p><strong>Results: </strong>There was no significant improvement in overactive bladder symptoms. Significant differences were observed in survivor concerns for items related to future diagnostic tests ( t = 2.667, P = .024; 95% confidence interval [CI], 0.120-1.335), another type of cancer ( t = 2.667, P = .024; 95% CI, 0.120-1.335), cancer coming back ( t = 4.183, P = .002; 95% CI, 0.297-0.975), dying ( t = 2.609, P = .026; 95% CI, 0.093-1.180), and my health ( t = 2.887, P = .016; 95% CI, 0.104-0.805). A significant difference was found in the item measuring overall sexual life satisfaction ( t = -3.162, P = .013) and sexual desire (MBFT vs waitlist control group, 2.00 vs 1.18; P = .023).</p><p><strong>Conclusion: </strong>Mindfulness-based fitness training interventions were effective in enhancing the well-being of patients with breast cancer by reducing fear of recurrence and enhancing sexual function. These findings support the use of MBFT as complementary therapy.</p><p><strong>Implications for practice: </strong>Healthcare providers should carefully assess the individual needs and preferences of each patient and tailor interventions accordingly. In addition, integrating multiple approaches may be more effective in reducing distress.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"159-170"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075762","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":"Impact of Exergames on the Rehabilitation of Cancer Patients Undergoing Major Abdominal Surgery: A Randomized Controlled Trial.","authors":"Isabel Alves, Ana Paula Moreira, Teresa Sousa, Paulo Teles, Bruno Miguel Magalhães, Filipe Goncalves, Carla Sílvia Fernandes","doi":"10.1097/NCC.0000000000001331","DOIUrl":"10.1097/NCC.0000000000001331","url":null,"abstract":"<p><strong>Background: </strong>Exergames can be an appealing strategy that is integrated into post-abdominal surgery rehabilitation.</p><p><strong>Objective: </strong>The aim of this study was to assess the effectiveness of exergame rehabilitation in improving independence in activities of daily living (ADLs) and patient balance after abdominal cancer surgery.</p><p><strong>Methods: </strong>A randomized control-group study was carried out in an oncological hospital in Portugal. Seventy postoperative patients were included, and data collection took place between January 2023 and May 2023. The patients were randomly assigned to either an exergame rehabilitation program (n = 35) or a traditional rehabilitation program (n = 35). The assessed outcomes were the Barthel and Berg scales, and data collection occurred at 3 different time points: admission, 48 hours postoperatively, and on the seventh day after surgery.</p><p><strong>Results: </strong>At the third assessment, a statistically significant difference was observed between the 2 groups for both indicators, ADLs and balance.</p><p><strong>Conclusions: </strong>There was an improvement in ADLs and balance in the exergames group. By the seventh day after surgery, the intervention group showed improvement in balance and ADLs compared with the control group.</p><p><strong>Implications for practice: </strong>The use of exergames can be a solution to the challenges of traditional rehabilitation methods after abdominal surgery for cancer for postoperative patients. This is the first study carried out in this specific population.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"239-244"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139991765","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":"Start With the Body or the Mind? Differential Benefits of Mindfulness and Qigong Practices for Colorectal Cancer Survivors: A Qualitative Study.","authors":"Adrian H Y Wan, Rainbow T H Ho, Joshua C Y Yau, Elzer F K Yau","doi":"10.1097/NCC.0000000000001288","DOIUrl":"10.1097/NCC.0000000000001288","url":null,"abstract":"<p><strong>Background: </strong>Mindfulness and qigong are 2 distinct forms of mind-body practice that have been well-received by cancer survivors. Although there is evidence supporting the effectiveness of mindfulness or qigong in promoting wellness of cancer survivors, little is known about the differential benefits of these common forms of mind-body practices among survivors.</p><p><strong>Objective: </strong>To compare the potential biopsychosocial-spiritual impacts of mindfulness and Baduanjin (BDJ) qigong on colorectal cancer survivors.</p><p><strong>Methods: </strong>Sixty cancer survivors who participated in a mindfulness intervention (n = 38) and BDJ qigong (n = 22) intervention were invited to provide qualitative feedback for their experiences. Content analyses were conducted to identify emerging themes from the data, and χ2 tests were conducted to compare the responses of the mindfulness and BDJ groups in the major categories.</p><p><strong>Results: </strong>Both practices positively influenced psychosocial wellness. The practice of BDJ qigong led to more prominent improvements in physical well-being, whereas mindfulness worked best in enhancing spiritual growth and intrapersonal connectedness.</p><p><strong>Conclusions: </strong>Survivors of colorectal cancer who are looking for ways to enhance their vitality and rejuvenate their physical body may find the practice of BDJ helpful, whereas survivors who are looking for spiritual comfort or growth may consider practicing mindfulness as an entry point toward mind-body unity.</p><p><strong>Implications for practice: </strong>Mindfulness and BDJ may be helpful for survivors of colorectal cancer to improve their holistic wellness. Oncology nurses can consider prescription of mindfulness and/or BDJ for patients recovering from colorectal cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"180-189"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41158649","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":"An Integrative Review of the Support Needs of Informal Caregivers of Hematological Cancer Patients in the Period Immediately Following Discharge From Inpatient to Outpatient Care.","authors":"Laura J Brunt, Alexandra Rivalland, Yvonne Panek-Hudson, Meinir Krishnasamy","doi":"10.1097/NCC.0000000000001292","DOIUrl":"10.1097/NCC.0000000000001292","url":null,"abstract":"<p><strong>Background: </strong>Preparing informal caregivers for a patient's transition to outpatient care is an important component of safe, quality hematological cancer care. The development of many novel therapies and emerging treatments has created opportunities to address the needs of informal caregivers following the discharge of patients from inpatient settings.</p><p><strong>Objective: </strong>To review and synthesize the literature on the needs of informal caregivers of patients with a hematological malignancy postdischarge from inpatient care.</p><p><strong>Interventions/methods: </strong>Integrative review methodology was used to explore the body of evidence available. This included a quality appraisal of qualitative, quantitative, and mixed-methods research findings, subsequent data extraction, and inductive thematic synthesis.</p><p><strong>Results: </strong>One thousand eight articles were screened with 10 included in the review. Key insights into the needs of caregivers entering the outpatient setting were identified and grouped into key subheadings: Encountering complex emotions knowing what to know, little time for yourself, and collateral impact.</p><p><strong>Conclusion: </strong>Findings convey the complex and multiple needs of informal caregivers of hematological cancer patients. With a growing population of people with hematological malignancies and innovations in outpatient cancer therapies, there is a pressing need to codesign interventions to support their caregivers.</p><p><strong>Implications for practice: </strong>This review has identified a need for more robust research to coproduce interventions in collaboration with caregivers. In addition, interventions developed from further research should be tested in quality implementation science studies to determine their feasibility, sustainability, and impact on outcomes that matter to hematological cancer caregivers.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"e174-e188"},"PeriodicalIF":2.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92157179","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 Home-Based Palliative Care on Quality of Life in Patients With Cancer: A Systematic Review and Meta-analysis of Randomized Controlled Trials.","authors":"Ernita Rante Rupang, Ninuk Dian Kurniawati, Huey-Ming Tzeng, Dame Elysabeth Tuty Arna Uly Tarihoran, Ice Septriani Saragih, Ita Daryanti Saragih","doi":"10.1097/NCC.0000000000001512","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001512","url":null,"abstract":"<p><strong>Background: </strong>The implementation of home-based palliative care for patients with cancer aims to relieve suffering and improve quality of life, regardless of disease stage. However, outcomes of such interventions have been inconclusive.</p><p><strong>Objective: </strong>This study investigated the effect of home-based palliative care on the quality of life in patients with cancer.</p><p><strong>Interventions/methods: </strong>Six databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PubMed, Web of Science) were searched for relevant studies up to June 9, 2024. Randomized trials involving patients with cancer receiving home-based palliative care were included. A forest plot was generated using the DerSimonian and Laird random-effects model.</p><p><strong>Results: </strong>A total of 8 studies were included in the final analysis. Home-based palliative care appeared to enhance the quality of life of patients with cancer (pooled standard mean difference, 0.45 [95% confidence interval, 0.04-0.86]; P = .03).</p><p><strong>Conclusion: </strong>Home-based palliative care improves the quality of life for patients with cancer. Further research with larger sample sizes and more rigorous methodologies is needed.</p><p><strong>Implication for practice: </strong>The findings highlight the value of home-based palliative care as a model to address the needs of patients with cancer at home, improving their quality of life, similar to hospital-based care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004176","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 Psychosomatic Symptom Intervention on Psychosomatic Symptoms During Initial Treatment in Patients With Differentiated Thyroid Cancer: A Single-blind Randomized Controlled Trial.","authors":"Shuhua Luo, Xiaoxiao Wei, Jiaxin Zhao, Zhiqing Zhou, Lingling Zheng, Yuan Yang, Li Liu","doi":"10.1097/NCC.0000000000001511","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001511","url":null,"abstract":"<p><strong>Background: </strong>There is increasing evidence suggesting that patients with thyroid cancer may experience prolonged anxiety and depression postsurgery, which could potentially impact their treatment outcomes adversely.</p><p><strong>Objectives: </strong>To investigate the impact of a psychosomatic symptom intervention program on the psychological and physical health of patients with differentiated thyroid cancer (DTC).</p><p><strong>Methods: </strong>Eighty-four patients with DTC were recruited from one cancer hospital and were randomly assigned to either the experimental (n = 42) or control group (n = 42). The intervention group received a 12-week psychosomatic symptom intervention. Anxiety and depression, thyroid-stimulating hormone attainment rate, self-management efficacy, and shoulder joint function were evaluated before intervention, after intervention, and during follow-up.</p><p><strong>Results: </strong>The generalized estimating equation showed that the intervention group had significantly lower levels of anxiety and depression at T1 and T2 compared with the control group (P < .001). The time, group, and interaction effects were significant (P < .001). The thyroid-stimulating hormone target rate in the intervention group (59.5%) was higher than that in the control group (26.2%) (P = .008). There were significant differences in self-management efficacy and shoulder joint function between the 2 groups (P < .001).</p><p><strong>Conclusions: </strong>These findings hold significant implications for the psychological and physical symptoms of DTC patients. It suggests that early interventions can expedite patient recovery during the initial treatment phase.</p><p><strong>Implication for practice: </strong>During the initial treatment phase, nurses can implement interventions targeting psychological and physical symptoms in DTC patients, aimed at facilitating postoperative self-care and promoting expeditious recovery of overall health.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013681","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":"Neuro-oncology Caregiver Intervention Associated With Changes in C-Reactive Protein.","authors":"Paula R Sherwood, Florien Boele, Jason Weimer, Anna Marsland, Jan Drappatz, Terri S Armstrong, Lauren Terhorst, Heidi S Donovan","doi":"10.1097/NCC.0000000000001507","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001507","url":null,"abstract":"<p><strong>Background: </strong>Stress biomarkers are documented in neuro-oncology family caregivers, although those reported to date are not routinely assessed in primary care, limiting their clinical utility.</p><p><strong>Objective: </strong>This secondary analysis explored the impact of an 8-week, nurse-caregiver collaborative problem-solving intervention on a clinically relevant biomarker (C-reactive protein [CRP]) in adult neuro-oncology family caregivers.</p><p><strong>Interventions/methods: </strong>As part of a randomized clinical trial to evaluate the effectiveness of a problem-solving intervention, CRP levels were obtained from 80 caregivers of persons with a primary malignant brain tumor at baseline and immediately following the intervention (intervention n = 57, control n = 23). Analysis used generalized linear modeling and evaluation of change in cardiac risk over time.</p><p><strong>Results: </strong>Exploratory analysis found a significant (P < .03) time × group interaction; mean CRP in the intervention group decreased over time (mean = 1.11-0.88), whereas that in the control group increased over time (mean = 0.63-1.30). A higher number of caregivers in the control group (50%) had an increase in cardiovascular risk defined by CRP level compared with those in the intervention group (11%).</p><p><strong>Conclusions: </strong>Results suggest CRP may be a clinically relevant measure of caregiver stress, which is readily used in primary care practice.</p><p><strong>Implications for practice: </strong>Given the observed association between CRP levels and psychological stress among this cohort of neuro-oncology caregivers, primary care providers should consider incorporating CRP testing as part of routine assessments for caregiver health. This could facilitate early identification of heightened stress levels and associated cardiovascular risk, enabling timely interventions to support caregiver well-being.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997378","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":"Financial Toxicity and Psychosocial Challenges of Chinese Parents in Pediatric Cancer Treatment: A Phenomenological Study.","authors":"Yalin Shen, Jun Deng, Siying Wu, Longzhen Liu, Huijie Guan, Ruiqing Cai","doi":"10.1097/NCC.0000000000001508","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001508","url":null,"abstract":"<p><strong>Background: </strong>Multimodal treatment and care for pediatric cancer can result in catastrophic medical expenses. However, the lived experiences of parents in navigating financial toxicity during their child's cancer treatment have not been fully explored.</p><p><strong>Objective: </strong>This study aims to explore the essence of the lived experiences of parents facing financial toxicity when their child undergoes cancer treatment.</p><p><strong>Methods: </strong>A descriptive phenomenological study was conducted, involving in-depth interviews with parents of children with cancer.</p><p><strong>Results: </strong>Four major themes emerged: (1) facing moments of complex challenges: risk factors for financial toxicity, (2) \"everything for the child\": existential guilt and embodied experiences, (3) \"trapped time\": the collapse of the future dimension and the life resistance in trauma, and (4) \"overdrawing the entire family\": the impact of financial toxicity on family functioning.</p><p><strong>Conclusion: </strong>This study explored the subjective experiences of financial toxicity among 18 parents of children with cancer within the sociocultural context of China. The findings indicate that the impact of financial toxicity on some parents extends well beyond material hardship, reshaping their lived experiences through complex physical and psychological pathways. Notably, some participants demonstrated proactive family resilience in the context of posttraumatic growth by embracing a \"living in the moment\" mindset.</p><p><strong>Implications for practice: </strong>Based on the findings of this study, nurses could consider assessing the financial toxicity of families in similar contexts and providing those in need with information on financial support.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040156","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":"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":"2025-04-18","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":"Patterns Identified in Parents' Cancer Disclosure Practices: Parent and Child Perspectives.","authors":"Lei Cheng, Ling Yu, Min Wu, Hongsheng Wang, Kai Li, Junye Jiang, Linghui Zhang, Wei Yao, Chen Shen, Xiaowen Zhai","doi":"10.1097/NCC.0000000000001510","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001510","url":null,"abstract":"<p><strong>Background: </strong>Family-centered care is fundamental in pediatric oncology, emphasizing holistic support for both the patient and their family throughout the cancer journey. However, disclosing a cancer diagnosis remains a complex and culturally sensitive process, with practices varying and being influenced by multiple factors.</p><p><strong>Objectives: </strong>This study aimed to explore parental disclosure patterns in children with cancer and identify influencing factors from both parent and child perspectives.</p><p><strong>Methods: </strong>A descriptive qualitative study was conducted at a Chinese national children's medical center. Parents and children were recruited and interviewed, with data analyzed using thematic analysis to identify disclosure patterns and content analysis to explore influencing factors.</p><p><strong>Results: </strong>Thirty-three participants (23 parents and 10 children) from 23 families were interviewed. Five distinct disclosure patterns were identified: \"sharing it honestly,\" \"revealing it gradually,\" \"waiting for the right time,\" \"keeping it to oneself,\" and \"remaining silent indefinitely.\" Guided by the Social-Ecological Framework, we found disclosure patterns were influenced by individual (disease-related, child-related, and parental factors), interpersonal (family dynamics and close relationships), institutional (providers, care settings, and community), and societal (cultural norms and practice guidelines) factors.</p><p><strong>Conclusions: </strong>This study reveals the diverse and culturally influenced patterns of parental cancer disclosure, shaped by multilayered factors. Future research should focus on deepening understanding of these dynamics and identifying key elements to inform tailored interventions.</p><p><strong>Implications for practice: </strong>Healthcare providers can support families by tailoring approaches to disclosure patterns, addressing barriers, and fostering open communication, while advocating for culturally sensitive guidelines to strengthen parent-child relationships and provide quality care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013697","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}