Cancer Nursing最新文献

{"title":"Development and Effects of a Smartphone Application to Improve Self-Management in Workers Who Underwent Thyroid Cancer Surgery.","authors":"Myoyoun Kim, Seon Young Hwang","doi":"10.1097/NCC.0000000000001459","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001459","url":null,"abstract":"<p><strong>Background: </strong>Although the survival rate for thyroid cancer is high, a nursing intervention that enhances autonomous motivation is needed for patients with jobs to improve their long-term self-management abilities in the early postoperative period.</p><p><strong>Objectives: </strong>This study aims to develop a mobile application (app) based on the Self-Determination Theory for patients returning to work after thyroid cancer surgery and to verify its effectiveness.</p><p><strong>Methods: </strong>We developed an app to promote self-management and verify its effectiveness after 12 weeks in early outpatients who underwent thyroid cancer surgery through a randomized controlled trial design. In addition to a subjective questionnaire, objective data on steps, stress, and sleep quality from a smartwatch are analyzed.</p><p><strong>Results: </strong>Autonomous motivation (t = -2.11, P = .040), perceived health status (t = -2.05, P = .048), and perceived stress (t = 2.18, P = .039) show significant differences in the experimental group compared to the control group. Objective data collected using a smartwatch show that stress scores (t = 5.43, P = .006) and sleep quality scores (t = 3.83, P = .025) in the experimental group are significantly improved compared to those in the control group.</p><p><strong>Conclusion: </strong>Among workers in the early stages after thyroid cancer surgery, using the smartphone app strengthens autonomous motivation and improves steps, stress levels, and sleep quality, making it an effective nursing intervention for self-management.</p><p><strong>Implications for practice: </strong>In outpatient nursing practice, self-management should be promoted using a smartphone app among adult patients returning to work soon after thyroid cancer surgery.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958429","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":"Reconfiguring Priorities: Breastfeeding Decision-making Among Young Breast Cancer Survivors.","authors":"Ariadna Huertas-Zurriaga, Sandra Cabrera-Jaime, Isabel Navarri, Iris Teruel-Garcia, Juan Manuel Leyva-Moral","doi":"10.1097/NCC.0000000000001455","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001455","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors face unique challenges in breastfeeding decisions. Limited research exists on the experiences and decision-making processes of young women with breast cancer regarding breastfeeding.</p><p><strong>Objective: </strong>To explain the decision-making processes of young women with breast cancer in relation to breastfeeding throughout the cancer trajectory.</p><p><strong>Methods: </strong>A constructivist grounded theory approach was used. Semistructured interviews were conducted with 12 women diagnosed with breast cancer and 8 healthcare professionals. Data were analyzed using constant comparative analysis.</p><p><strong>Results: </strong>The core category \"Reconfiguring Priorities: The Secondary Role of Breastfeeding in the Context of Breast Cancer in Young Women\" emerged, encompassing 3 subcategories: (1) scars over time, (2) omitting breastfeeding in oncological care, and (3) self-management of breastfeeding.</p><p><strong>Conclusions: </strong>Breastfeeding decision-making among young breast cancer survivors is not driven by conscious will but by a constant struggle with the conditioning factors of the oncological process: mortality and toxicity of drugs to breast milk. The lack of professional support leads women to develop their own strategies for managing breastfeeding, marked by ambivalence between motivations and personal challenges.</p><p><strong>Implications for practice: </strong>Healthcare professionals should integrate breastfeeding discussions into oncological care for young breast cancer survivors. Specialized lactation consultants with oncology expertise should be incorporated into the care team. Peer support programs can provide valuable guidance based on lived experiences, empowering women to make informed decisions about breastfeeding after breast cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958473","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 Factors Influencing Early Ambulation in Patients With Gastrointestinal Neoplasms: A Mixed Study.","authors":"Zhiying Wu, Dun Liu, Yanfang Huang, Yafang Ye, Qiumei Ma, Jiahua Huang, Liping Wu","doi":"10.1097/NCC.0000000000001444","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001444","url":null,"abstract":"<p><strong>Background: </strong>Early ambulation helps improve postoperative recovery in gastrointestinal neoplasm patients. However, compliance with early ambulation remains low.</p><p><strong>Objective: </strong>This study aimed to explore the influencing factors and experiences of early ambulation in gastrointestinal neoplasm patients and to provide suggestions for subsequent intervention programs.</p><p><strong>Methods: </strong>A convergent mixed-method design was used, which was based on the Health Belief Model. Gastrointestinal neoplasm patients were invited to participate in the quantitative and qualitative investigations. The demographic data, early activity awareness, self-efficacy, disease treatment data, and social psychological data of 405 gastrointestinal neoplasm patients were collected and analyzed in a nested case-control study. A semistructured interview on early ambulation was conducted for 16 patients. Finally, the results of the 2 studies were integrated.</p><p><strong>Results: </strong>Quantitative analysis revealed that age, education level, exercise habits, nutritional status, pulmonary disease status, activity awareness, and social support were the influencing factors (P < .05). Five themes were extracted from the qualitative research results: insufficient recognition of perceived threat, perceived barriers and benefits, cues to action (internal/external factors), self-efficacy (success/failure), and needs.</p><p><strong>Conclusions: </strong>Patients' perceptions of early ambulation and social support influenced early ambulation. Perceptions of benefits/barriers, age, education level, and humanized nursing may affect early postoperative movement. Self-efficacy and behavioral cues, such as pulmonary disease status, nutritional status, and pain status, still need further exploration.</p><p><strong>Implication for practice: </strong>Reinforcing perceived severity, perceived benefits, and social support; removing possible barriers; and providing individualized health education according to the age and educational level of patients are recommended.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958476","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":"Mediating Role of Parent-Child Conflict in the Association Between Parental Anxiety and Emotional Behavioral Problems Among Children With Leukemia.","authors":"Mengjia Wang, Ziyue Hu, Mingli Xiang, Jia Lin, Ruixing Zhang","doi":"10.1097/NCC.0000000000001456","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001456","url":null,"abstract":"<p><strong>Background: </strong>There is a documented risk of emotional and behavioral disorders in children with leukemia. Assessing the factors contributing to their behavioral disorders is particularly important from a prevention perspective.</p><p><strong>Objective: </strong>The aim of this study was to study the influencing factors of internalizing and externalizing behaviors in children with leukemia from the perspective of adult family members.</p><p><strong>Methods: </strong>Cluster sampling was utilized to recruit a sample of 219 children diagnosed with leukemia. The caregivers of these children completed assessments on parental anxiety, parent-child conflict, and internalizing and externalizing child behavior problems.</p><p><strong>Results: </strong>Study findings indicate that children diagnosed with leukemia exhibit significant internalizing and externalizing behavior problems. Parental anxiety has a positive direct impact on both the internalizing and externalizing behavioral difficulties experienced by their children. Furthermore, parental anxiety indirectly influences the occurrence of internalizing and externalizing behavior problems through parent-child conflict.</p><p><strong>Conclusion: </strong>Findings underscore the potential for enhancing the parent-child relationship as a means to mitigate children's internalizing and externalizing problems by reducing parent-child conflict and parental anxiety.</p><p><strong>Implications for practice: </strong>The child and family-centered care approach in pediatric nursing is fundamental in assessing and addressing the needs of the child and family. To ameliorate emotional behavior issues in children with leukemia, the quality of the parent-child relationship needs to be considered as a pivotal component of family-based interventions and clinical practice.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958458","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":"Home Medication Regimen Complexity in Newly Diagnosed Pediatric Oncology Patients.","authors":"K Elizabeth Skipper, Aman Wadhwa, Marti Rice, Jocelyn York, Smita Bhatia, Wendy Landier","doi":"10.1097/NCC.0000000000001452","DOIUrl":"10.1097/NCC.0000000000001452","url":null,"abstract":"<p><strong>Background: </strong>Parents of children newly diagnosed with cancer require specialized education to provide care for their child at home, including the management of complex medication regimens.</p><p><strong>Objective: </strong>To assess the complexity of home medication regimens in a cohort of newly diagnosed pediatric oncology patients.</p><p><strong>Methods: </strong>We inventoried and categorized all discharge medications for each patient and used the Medication Regimen Complexity Index (MRCI) to quantify the complexity of the prescribed medication regimens. We used logistic regression to identify patient sociodemographic and clinical characteristics significantly (P < .05) associated with higher medication burden (ie, higher total MRCI scores).</p><p><strong>Results: </strong>The cohort consisted of 105 newly diagnosed pediatric oncology patients initially hospitalized between December 2016 and February 2019 (61.9% male, 65.7% non-Hispanic White, 65.7% leukemia or lymphoma; median [range] age at diagnosis, 7.1 [0.4-17.7] years; median [range] number of discharge medications, 9 [1-14]). The proportion of patients prescribed ≥1 medication in each pharmacologic category was as follows: antiemetics, 94.3%; antimicrobials, 93.3%; pain management, 88.6%; oral care, 86.7%; stool softeners/laxatives, 81.0%; gastrointestinal protectants, 60.0%; cancer-directed therapy, 51.5%, other supportive therapies, 49.5%, other, 27.6%. Characteristics associated with ≥ median (≥33.0) MRCI score included a diagnosis of leukemia or lymphoma (odds ratio, 2.7; 95% confidence interval, 1.1-6.6; P = .027; comparison: solid tumor) and older age (odds ratio, 1.1 per year; 95% confidence interval, 1.0-1.2; P = .020).</p><p><strong>Conclusions: </strong>Most children newly diagnosed with cancer are discharged with complex medication regimens that parents/caregivers must manage at home.</p><p><strong>Implications for practice: </strong>Nurses can use these findings to develop tailored medication education plans for parents/caregivers of newly diagnosed pediatric oncology patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958452","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":"Returning to Work After Cancer Treatment: An Exploratory Sequential Mixed-Methods Study Guided by Transitions Theory.","authors":"Jacqueline Galica, Agnès Alsius, Lauren Walker, Debora Stark, Hamza Noor, Danielle Kain, Christopher Booth, Amy Wickenden","doi":"10.1097/NCC.0000000000001449","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001449","url":null,"abstract":"<p><strong>Background: </strong>Although many individuals return to work after cancer treatment, supports to facilitate this transition are ineffective or lacking. Transitions Theory can be useful to conceptually explain the transition back to work after cancer; however, no known studies have used Transitions Theory to empirically examine this transition.</p><p><strong>Objective: </strong>To explore how and why Transition Theory concepts can be used to understand individuals' transition back to work after cancer treatment.</p><p><strong>Methods: </strong>Using an explanatory sequential mixed-methods design, breast or colorectal cancer survivors who had returned to work completed questionnaires aligned with Transitions Theory concepts. Spearman correlations were used to explore associations, and significant results were used to draft interview questions. One-to-one telephone interviews with a subsample of participants provided elaborations to quantitative results. Qualitative data were analyzed using template analysis.</p><p><strong>Results: </strong>Among the 23 participants who returned questionnaires, most identified as female (n = 21 [91%]) and had been back at work for 28.9 months (range, 3-60). The sample's productivity loss was 7.42%, indicating an incomplete mastery of their return to work. Only 2 significant associations were revealed with higher productivity loss: higher anxiety (r = 0.487, P = .019) and a greater number of unmet relational needs (r = 0.416, P = .048). Twelve participants engaged in interviews wherein explanations for quantitative results were uncovered.</p><p><strong>Conclusions: </strong>To support a smoother transition back to work after cancer, assessment and interventions should focus on individuals' psychological well-being and relationship needs.</p><p><strong>Implications for practice: </strong>Transitions Theory can be useful in developing interventions to support a successful return to work after cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958474","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 Relationship Between Digital Game Addiction and Levels of Anxiety and Depression in Adolescents Receiving Cancer Treatment.","authors":"Sureyya Sarvan, Pinar Bekar, Munevver Erkul, Emine Efe","doi":"10.1097/NCC.0000000000001369","DOIUrl":"10.1097/NCC.0000000000001369","url":null,"abstract":"<p><strong>Background: </strong>Adolescents diagnosed with cancer are vulnerable to symptoms of anxiety, depression, and posttraumatic stress.</p><p><strong>Objective: </strong>To examine the relationship between digital game addiction and levels of anxiety and depression in adolescents receiving cancer treatment.</p><p><strong>Methods: </strong>This analytical cross-sectional study was carried out with 120 adolescents aged 12-17 years who were receiving cancer treatment. Data were collected using the Digital Game Addiction Scale (DGAS-7) and the Hospital Anxiety and Depression Scale (HADS). Data were analyzed using independent-samples t test, 1-way analysis of variance, Pearson correlation analysis, and simple linear regression.</p><p><strong>Results: </strong>The mean age of the adolescents participating in the study was 15.21 ± 1.64 years. The mean DGAS-7 score was 15.19 ± 5.58, whereas the mean HADS Anxiety subscale score was 8.54 ± 4.33, and the mean HADS Depression subscale score was 7.72 ± 3.96. A positive, statistically significant relationship was found between the DGAS-7 mean score and the HADS Anxiety and Depression subscale mean scores ( P < .001).</p><p><strong>Conclusions: </strong>As the addiction levels increased in adolescents diagnosed with cancer, their anxiety and depression levels also increased.</p><p><strong>Implications for practice: </strong>Health professionals should be mindful that in adolescents diagnosed and treated for cancer, digital game addiction and levels of anxiety and depression may mutually reinforce each other.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"12-18"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946321","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 Quality of Life Among Posttreatment Cancer Survivors in Korea: A Meta-analysis.","authors":"Soo Hyun Kim, Yu Hyeon Choe, Jingyeong Choi, Ji Young Park, Eun Yi","doi":"10.1097/NCC.0000000000001273","DOIUrl":"10.1097/NCC.0000000000001273","url":null,"abstract":"<p><strong>Background: </strong>Identification of factors associated with quality of life (QOL) among cancer survivors is crucial for identifying potential targets for intervention.</p><p><strong>Objectives: </strong>We aimed to provide evidence of factors associated with the QOL among posttreatment cancer survivors in Korea.</p><p><strong>Methods: </strong>We performed a systematic literature search from January 2000 to September 2022 using PubMed, EMBASE, CINAHL, PsycINFO, and Korean databases (RISS, SCIENCEON). We evaluated study quality using the Joanna Briggs Institute Quality Appraisal Checklists for Analytical Cross-sectional Studies and performed statistical analysis using the R 3.0 software (R Foundation for Statistical Computing, Vienna, Austria) package. We analyzed the pooled effect sizes of potential QOL correlates by the random-effects model.</p><p><strong>Results: </strong>This meta-analysis included 31 studies with 8934 participants. The pooled estimates were significantly large for economic status ( r = -0.53); significantly medium for fatigue ( r = -0.39), anxiety ( r = -0.29), depression ( r = -0.42), self-efficacy ( r = 0.37), and social support ( r = 0.30); and significantly small for education level ( r = -0.18), job status ( r = -0.09), cancer stage ( r = -0.20), and time since diagnosis ( r = -0.26).</p><p><strong>Conclusions: </strong>Low education level, having no job, low economic status, advanced cancer stage, short disease period, fatigue, anxiety, and depression were significantly associated with worse QOL, whereas self-efficacy and social support were significantly associated with better QOL.</p><p><strong>Implications for practice: </strong>The findings have potential implications for identifying \"at-risk survivors\" of deteriorated QOL and for suggesting powerful strategies (eg, enhancing self-efficacy or social support) for improving QOL.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E47-E54"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9911552","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":"Monitoring Patient-Reported Outcomes in Self-management of Postsurgical Symptoms in Oncology: A Scoping Review.","authors":"Ana M Almeida, Lígia Lima, Teresa Martins","doi":"10.1097/NCC.0000000000001250","DOIUrl":"10.1097/NCC.0000000000001250","url":null,"abstract":"<p><strong>Background: </strong>Surgery is used widely for cancer treatment, and in most types, after discharge, patients usually report multiple symptoms, which, if not controlled, can put postoperative recovery at risk. Understanding which patient-reported outcomes (PROs) should be monitored could have a significant impact on reducing the symptom burden associated with cancer and its treatment by playing a pivotal role in developing symptom self-management plans and designing tailored approaches to optimize patients' symptom self-management behaviors.</p><p><strong>Objective: </strong>To map the PROs used for patients' postsurgical symptom self-management after hospital discharge following cancer surgery.</p><p><strong>Interventions/methods: </strong>Our scoping review process was guided by the steps for conducting scoping reviews recommended by the Joanna Briggs Institute.</p><p><strong>Results: </strong>The search identified 97 potentially relevant studies, with 27 articles meeting the inclusion criteria. The most frequently assessed and monitored PROs were problems with surgical wounds, more general physical symptoms, psychological functioning outcomes, and quality of life.</p><p><strong>Conclusions: </strong>Our results showed an overall uniformity among the PROs selected to be monitored in surgical cancer patients after hospital discharge. Monitoring through electronic platforms is widely used and seems useful to self-manage symptoms and optimize the recovery of cancer patients after discharge following surgery.</p><p><strong>Implications for practice: </strong>This study provides knowledge about PROs that can be applied in oncologic patients after surgery to self-report their symptoms following discharge.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"31-44"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9521928","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":"Online Experiences, Internet-Fostered Connection, Resilience, and Adjustment Among Adolescent Siblings of Children With Cancer.","authors":"Sarah E Wawrzynski, Kristin G Cloyes, Kamyar Arasteh, Jia-Wen Guo, Lauri Linder, Maija Reblin, Melissa A Alderfer","doi":"10.1097/NCC.0000000000001284","DOIUrl":"10.1097/NCC.0000000000001284","url":null,"abstract":"<p><strong>Background: </strong>Pediatric cancer disrupts the lives of siblings in many ways, including physical separations from family and friends that increase risk for distress. Research suggests that siblings use technology and social media to connect with friends and family and seek social support and interaction. However, this may expose siblings to negative online experiences that can erode self-esteem, reducing resilience.</p><p><strong>Objective: </strong>This study explored the relationship between online experiences, internet-fostered connection, resilience, and psychosocial health among siblings of children with cancer.</p><p><strong>Methods: </strong>Participants included adolescent siblings (N = 81; aged 12-17 years) of children with cancer. Most were female (56.8%), and 50.6% represented racially or ethnically minoritized groups. Online experiences, social media use, resilience, and psychosocial health were self-reported and analyzed using structural equation modeling.</p><p><strong>Results: </strong>A majority of siblings reported moderate to severe posttraumatic stress symptoms (PTSSs) (59%) and elevated emotional and behavioral difficulties (EBDs) (53%). Experiencing more positive online experiences was associated with greater perceived connection to family and friends online, but not resilience, PTSSs, or EBDs. In contrast, higher negative online experience scores were significantly associated with more PTSSs and EBDs. In addition, the association between negative online experiences and EBDs was significantly mediated by a negative association between negative online experiences and resilience.</p><p><strong>Conclusions: </strong>Although social media may be a valuable tool for helping siblings of children with cancer garner social support, negative online experiences may be detrimental to their adjustment.</p><p><strong>Implications for practice: </strong>Efforts should be made to preserve and foster resilience among siblings who use social media for support.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E1-E8"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11031615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}