Cancer Nursing最新文献

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Enhancing Inpatients' Sleep in Oncology Care Settings: Examining Factors Impacting Nurses' Practices. 加强肿瘤护理环境中住院病人的睡眠:检查影响护士实践的因素。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-11-01 Epub Date: 2025-03-25 DOI: 10.1097/NCC.0000000000001489
Heba Mohedat, Suzanne S Dickerson, Rebecca A Lorenz, Chin-Shang Li, Andrew Storer, Darryl Somayaji
{"title":"Enhancing Inpatients' Sleep in Oncology Care Settings: Examining Factors Impacting Nurses' Practices.","authors":"Heba Mohedat, Suzanne S Dickerson, Rebecca A Lorenz, Chin-Shang Li, Andrew Storer, Darryl Somayaji","doi":"10.1097/NCC.0000000000001489","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001489","url":null,"abstract":"<p><strong>Background: </strong>Sleep disturbances are prevalent among cancer patients and can often persist or worsen during hospital stays. However, nurses' practices to promote oncology patients' sleep during hospitalization and factors affecting their sleep promotion practices are not well understood.</p><p><strong>Objective: </strong>This study aimed to examine nurses' behaviors to promote oncology patients' sleep during hospitalization and associated factors.</p><p><strong>Methods: </strong>An exploratory descriptive correlational research design was used. Bedside registered nurses in inpatient oncology settings were invited to complete an online survey consisting of a demographic questionnaire, self-reported questionnaires, and open-ended questions. Bivariate tests and multivariable linear regression were conducted to identify relationships between study variables. Qualitative and quantitative content analysis was used to analyze the qualitative data.</p><p><strong>Results: </strong>A total of 201 nurse participants were included. Nurses' sleep knowledge significantly predicts their sleep promotion behaviors, attitudes, and perceived control to improve inpatients' sleep (P < .05). Nurses' sleep hygiene practices also affect their perceived control over enhancing patients' sleep (P < .05). Qualitative findings reflected positive nurses' attitudes to improving patients' sleep. However, various barriers emerged, and recommendations were provided to facilitate enhancing patients' sleep in hospitals.</p><p><strong>Conclusion: </strong>Nurses have positive attitudes toward improving oncology patients' sleep. However, increasing their sleep knowledge and sleep hygiene is important for effective practice.</p><p><strong>Implications for practice: </strong>To enhance nurses' sleep knowledge, nurse educators can incorporate sleep related topics, including sleep hygiene practices, into nursing education. Furthermore, it is important for nurse leaders to focus on adopting strategies that empower nurses to effectively implement sleep promotion interventions.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":"49 6","pages":"459-472"},"PeriodicalIF":2.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247328","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}
引用次数: 0
Predictors of Spiritual Well-being Among Oncology Nurses in Oman. 阿曼肿瘤科护士精神健康的预测因素。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-11-01 Epub Date: 2025-04-02 DOI: 10.1097/NCC.0000000000001500
Fatema Al-Abdalii, Mohammad Al Qadire, Ahmad Musa, Omar Al Omari, Hanan Abdelrahman
{"title":"Predictors of Spiritual Well-being Among Oncology Nurses in Oman.","authors":"Fatema Al-Abdalii, Mohammad Al Qadire, Ahmad Musa, Omar Al Omari, Hanan Abdelrahman","doi":"10.1097/NCC.0000000000001500","DOIUrl":"10.1097/NCC.0000000000001500","url":null,"abstract":"<p><strong>Background: </strong>Spiritual care is a crucial component of oncology nursing, addressing patients' holistic needs. However, limited research has explored spiritual well-being, competence, practices, and barriers among oncology nurses, particularly within specific cultural and religious contexts.</p><p><strong>Objective: </strong>To assess spiritual well-being and its predictors, including perceived competence, practices, and barriers to providing spiritual care among oncology nurses in Oman.</p><p><strong>Methods: </strong>A descriptive correlational study was conducted with 422 oncology nurses from 3 cancer care centers in Muscat, Oman. Convenience sampling was used, and data were collected through validated instruments, including the Spiritual Well-being Scale, Spiritual Care Competence Scale, Nurse Spiritual Care Therapeutics Scale, and Spiritual Care Practice Questionnaire. SPSS version 27 was used for data analysis, using descriptive statistics, Pearson correlation, independent t tests, analysis of variance, and multiple linear regression.</p><p><strong>Results: </strong>Nurses exhibited high spiritual well-being (mean, 102.1 [SD, 14.7]) and moderate spiritual care competence (mean, 96.1 [SD, 19.1]), yet spiritual care practices were infrequent (mean, 37.6 [SD, 13.1]). Major barriers included beliefs about the privacy of patients' spirituality (59.5%) and lack of time (54.7%). Higher competence and prior oncology training were significantly associated with greater spiritual well-being.</p><p><strong>Conclusions: </strong>Although oncology nurses in Oman report high spiritual well-being, barriers such as time constraints and role perceptions hinder spiritual care practices.</p><p><strong>Implications for practice: </strong>Targeted education and training programs are essential to enhance spiritual care delivery. Addressing systemic challenges, including time management and role clarity, can foster a supportive environment for integrating spiritual care into oncology nursing.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"473-480"},"PeriodicalIF":2.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781788","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}
引用次数: 0
Male Spouses' Experiences in Providing Support and Care for Women With Breast Cancer: A Qualitative Systematic Review and Metasynthesis. 男性配偶对乳腺癌妇女提供支持和照顾的经验:定性系统回顾和综合。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-11-01 Epub Date: 2025-04-09 DOI: 10.1097/NCC.0000000000001506
Liyun Kong, Huichen Yang, Yi Li, Xulin Wang, Huaxiu Xu
{"title":"Male Spouses' Experiences in Providing Support and Care for Women With Breast Cancer: A Qualitative Systematic Review and Metasynthesis.","authors":"Liyun Kong, Huichen Yang, Yi Li, Xulin Wang, Huaxiu Xu","doi":"10.1097/NCC.0000000000001506","DOIUrl":"10.1097/NCC.0000000000001506","url":null,"abstract":"<p><strong>Background: </strong>The global incidence of breast cancer is increasing, making the care of breast cancer survivors a priority for health services worldwide. Spouses are often the primary caregivers for breast cancer survivors, and understanding their caregiving experiences is essential for developing supportive programs aimed at reducing the burden on these caregivers.</p><p><strong>Objective: </strong>The aim of this study was to synthesize qualitative research evidence on male spouses' experiences in providing support and care for breast cancer survivors.</p><p><strong>Methods: </strong>Three databases were comprehensively searched, and the Joanna Briggs Institute qualitative synthesis method was used to evaluate the quality of the studies and synthesize the results.</p><p><strong>Results: </strong>A total of 14 studies identified 4 themes: male spouses have negative and positive emotional responses to breast cancer; male spouses experience physical, economic, and social consequences associated with breast cancer care; male spouses experience changes in child-rearing and intimate relationships; and male spouses use a range of strategies to cope with caregiving for an ill spouse.</p><p><strong>Conclusions: </strong>Spouses face numerous physical, psychological, and economic challenges when caring for breast cancer survivors. Therefore, support programs for caregivers should be multifaceted. Healthcare professionals should identify these challenges early and develop personalized intervention strategies to effectively enhance caregiving competence and facilitate adaptation to role transitions.</p><p><strong>Implications for practice: </strong>Healthcare providers should emphasize positive feedback and a sense of benefit in the process of spousal caregiving, enhance training in professional skills, provide diversified support, and promote positive spousal changes to improve the caregiving experience.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"e701-e712"},"PeriodicalIF":2.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812843","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}
引用次数: 0
How Many Attended the Oncogenetic Consultation, When, and Who?: A Population-Based Study Among Relatives of French Patients With Cancer. 有多少人、何时、何人参加了肿瘤遗传学咨询?法国癌症患者亲属的一项基于人群的研究。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-11-01 Epub Date: 2026-04-28 DOI: 10.1097/NCC.0000000000001576
Camille Joannès, Edith Chipoulet, Rosine Guimbaud, Laetitia Daubisse-Marliac, Sébastien Lamy, Pascale Grosclaude
{"title":"How Many Attended the Oncogenetic Consultation, When, and Who?: A Population-Based Study Among Relatives of French Patients With Cancer.","authors":"Camille Joannès, Edith Chipoulet, Rosine Guimbaud, Laetitia Daubisse-Marliac, Sébastien Lamy, Pascale Grosclaude","doi":"10.1097/NCC.0000000000001576","DOIUrl":"10.1097/NCC.0000000000001576","url":null,"abstract":"<p><strong>Background: </strong>In France, individuals newly diagnosed with genetic cancer (probands) inform their relatives (related cases) about the risk of cancer transmission. Participation rates, delays in attending oncogenetic consultations and characteristics of the related cases remain undocumented.</p><p><strong>Objective: </strong>This study aimed to (1) assess the proportion of related cases who attend oncogenetic consultation, (2) estimate the delay until related cases attend oncogenetic consultation, and (3) identify factors associated with the use of oncogenetic consultation among related cases.</p><p><strong>Methods: </strong>Data from 98 probands with hereditary cancer and their 263 related cases were collected from oncogenetic consultations at the University Cancer Institute of Toulouse between 2017 and 2020. Related cases were followed until February 2022. Attendance rates were analyzed using descriptive statistics, while logistic regression and mixed-effects models identified influencing factors.</p><p><strong>Results: </strong>A total of 59% of related cases attended oncogenetic consultation. Among those expected to attend, 50% did so within 374 days, with early attenders presenting within 78 days. After accounting for the family effect, a higher attendance rate was observed among women (odds ratio [OR] men = 0.49 [0.24-0.99]), those with a frequent relationship with their proband (OR <once year = 0.21 [0.07-0.61]; OR none = 0.11 [0.02-0.58]) and among those whose proband was younger (OR [40-50 years] = 0.15 [0.02-1.12]; OR [50-65 years] = 0.08 [0.01-0.53]; OR >65 years = 0.06 [0.01-0.43]).</p><p><strong>Conclusions: </strong>Improving access to oncogenetic consultation and the dissemination of genetic risk information remains a critical challenge.</p><p><strong>Implications for practice: </strong>In-depth qualitative research is essential to support the development of research aimed at improving health literacy and collaboration between patients and healthcare providers in the context of hereditary cancers.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"e770-e777"},"PeriodicalIF":2.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148254411","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}
引用次数: 0
Self-efficacy, Self-esteem, Cancer Coping, and Psychosocial Adjustment in Women With Gynecological Cancer in Turkey: A Cross-sectional Study. 自我效能、自尊、癌症应对和心理社会适应在土耳其妇科癌症妇女:一项横断面研究。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-11-01 Epub Date: 2025-04-03 DOI: 10.1097/NCC.0000000000001502
Seda Purtul, Fatma Uslu-Sahan
{"title":"Self-efficacy, Self-esteem, Cancer Coping, and Psychosocial Adjustment in Women With Gynecological Cancer in Turkey: A Cross-sectional Study.","authors":"Seda Purtul, Fatma Uslu-Sahan","doi":"10.1097/NCC.0000000000001502","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001502","url":null,"abstract":"<p><strong>Background: </strong>Women diagnosed with gynecological cancer face significant psychosocial challenges that impact their self-efficacy, self-esteem, and coping abilities. Understanding these factors is essential for developing effective psychosocial interventions.</p><p><strong>Objective: </strong>To examine the relationships between self-efficacy, self-esteem, cancer coping strategies, and psychosocial adjustment in women with gynecological cancer in Turkey.</p><p><strong>Methods: </strong>This correlational cross-sectional study involved 105 women with gynecological cancer from 2 university hospitals in Turkey. Data were collected using the General Self-efficacy Scale, Rosenberg's Self-esteem Scale, Cancer Coping Questionnaire, and Psychosocial Adjustment to Illness Scale. Statistical analyses included independent t tests, 1-way analysis of variance, Pearson correlation, and hierarchical regression.</p><p><strong>Results: </strong>The mean psychosocial adjustment score was 70.22 ± 4.60. Significant negative correlations were found between psychosocial adjustment and self-efficacy (r = -0.572, P = .001), self-esteem (r = -0.277, P = .004), and cancer coping (r = -0.581, P = .001). Hierarchical regression revealed that self-efficacy (β = -0.462, P = .001), cancer coping (β = -0.280, P = .001), and treatment type (β = -0.332, P = .001) collectively explained 55% of the variance in psychosocial adjustment.</p><p><strong>Conclusions: </strong>Self-efficacy and coping strategies significantly influence psychosocial adjustment in women with gynecological cancer, whereas self-esteem showed no significant effect. These findings highlight the need for targeted interventions to strengthen self-efficacy and coping mechanisms in women with gynecological cancer.</p><p><strong>Implications for practice: </strong>Healthcare professionals should implement structured interventions to enhance self-efficacy and coping strategies, as these factors are key to improving psychosocial adjustment and overall well-being in women undergoing gynecological cancer treatment.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":"49 6","pages":"e745-e752"},"PeriodicalIF":2.6,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247313","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}
引用次数: 0
Effect of Psychosomatic Symptom Intervention on Psychosomatic Symptoms During Initial Treatment in Patients With Differentiated Thyroid Cancer: A Single-blind Randomized Controlled Trial. 心身症状干预对分化型甲状腺癌患者初始治疗心身症状的影响:一项单盲随机对照试验
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-11-01 Epub Date: 2025-04-23 DOI: 10.1097/NCC.0000000000001511
Shuhua Luo, Xiaoxiao Wei, Jiaxin Zhao, Zhiqing Zhou, Lingling Zheng, Yuan Yang, Li Liu
{"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":"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":"e786-e795"},"PeriodicalIF":2.6,"publicationDate":"2026-11-01","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}
引用次数: 0
Effects of Home-Based Exercise Program on Chemotherapy-Induced Peripheral Neuropathy and Quality of Life: A Single-blind Randomized Controlled Trial. 家庭锻炼计划对化疗引起的周围神经病变和生活质量的影响:单盲随机对照试验》。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-11-01 Epub Date: 2025-03-31 DOI: 10.1097/NCC.0000000000001495
Necmiye Çömlekçi, Gülbeyaz Can, Faruk Taş
{"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":"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":"e681-e694"},"PeriodicalIF":2.6,"publicationDate":"2026-11-01","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}
引用次数: 0
Effects of Social Support and Rural-Urban Residence on Behavioral Financial Toxicity Among Patients With Cancer in China: A Multicenter Cross-Sectional Study. 社会支持和城乡居住对中国癌症患者行为财务毒性的影响:一项多中心横断面研究
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-10-09 DOI: 10.1097/NCC.0000000000001636
Binbin Xu, Winnie K W So, Kai Chow Choi
{"title":"Effects of Social Support and Rural-Urban Residence on Behavioral Financial Toxicity Among Patients With Cancer in China: A Multicenter Cross-Sectional Study.","authors":"Binbin Xu, Winnie K W So, Kai Chow Choi","doi":"10.1097/NCC.0000000000001636","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001636","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related financial toxicity (FT) is a global challenge encompassing material burden, psychological distress, and cost-related behaviors such as delaying or forgoing treatment. Behavioral FT affects adherence but remains understudied.</p><p><strong>Objective: </strong>To examine independent, interactive, and combined associations of social support and residential setting with behavioral FT among patients with cancer.</p><p><strong>Methods: </strong>This secondary analysis included 1208 patients with cancer from 12 hospitals across 3 Chinese provinces. Hierarchical logistic regression examined independent associations and multiplicative interaction between social support and residential setting on behavioral FT, adjusting for 11 covariates. Additive interaction was assessed using relative excess risk due to interaction, attributable proportion, and synergy index. A 4-group composite variable was used to evaluate the combined association.</p><p><strong>Results: </strong>After adjustment for household income and other covariates, rural residence (odds ratio [OR] = 2.03, P < .001) and low social support (OR = 1.59, P = .005) were independently associated with greater behavioral FT, with no significant multiplicative or additive interaction. However, compared with urban high-support patients, the odds of behavioral FT increased progressively across the urban low-support (OR = 1.90, P = .036), rural high-support (OR = 2.19, P < .001), and rural low-support (OR = 3.26, P < .001) groups.</p><p><strong>Conclusions: </strong>Rural residence and low social support were independently associated with greater behavioral FT, with the highest vulnerability among patients experiencing both.</p><p><strong>Implications for oncology nursing practice: </strong>Oncology nurses should routinely assess patients' financial concerns and social support, particularly among rural patients, and facilitate referral to financial navigation and supportive services.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149553","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}
引用次数: 0
Mapping an Overlooked Spiral of Trauma-Exposure to Sexual Abuse and Psycho-Spiritual Outcomes in Patients With Cancer: A Systematic Review and Meta-Analysis. 在癌症患者中绘制一个被忽视的创伤-暴露于性虐待和心理-精神结果的螺旋:一项系统回顾和荟萃分析。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-09-16 DOI: 10.1097/NCC.0000000000001633
Ki Sum Samson Wong, Mingfang Li, Chia-Chin Lin
{"title":"Mapping an Overlooked Spiral of Trauma-Exposure to Sexual Abuse and Psycho-Spiritual Outcomes in Patients With Cancer: A Systematic Review and Meta-Analysis.","authors":"Ki Sum Samson Wong, Mingfang Li, Chia-Chin Lin","doi":"10.1097/NCC.0000000000001633","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001633","url":null,"abstract":"<p><strong>Background: </strong>Cancer and sexual abuse survivorship both involve trauma, yet little evidence synthesis has examined psycho-spiritual outcomes at the intersection of both. This may limit nurses' recognition of compounded distress in patients with cancer and sexual trauma, who often remain silent.</p><p><strong>Objective: </strong>To appraise psycho-spiritual outcomes associated with sexual abuse exposure in patients with cancer.</p><p><strong>Interventions/methods: </strong>A systematic search was conducted on 10 databases until April 21, 2026. Unadjusted and adjusted effect estimates were pooled separately.</p><p><strong>Results: </strong>Of the identified sources, 11 studies involving 79,318 patients were included. Sexual abuse was associated with depression (unadjusted standardized mean difference [SMD] = 0.51, 95% confidence interval [CI] = 0.31-0.71; adjusted SMD = 0.32, 95% CI = 0.24-0.41), anxiety (unadjusted SMD = 0.42, 95% CI = 0.17-0.67), and spiritual concerns (unadjusted SMD = 0.32, 95% CI = 0.11-0.53; adjusted SMD = 0.27, 95% CI = 0.16-0.38). Findings on posttraumatic stress symptoms were inconclusive (unadjusted SMD = 0.34, 95% CI = 0.17-0.50; adjusted SMD = 0.02, 95% CI = -0.19 to 0.23). Childhood exposure demonstrated a stronger association with depression in adulthood (unadjusted SMD = 0.68, 95% CI = 0.65-0.70) than lifetime exposure (unadjusted SMD = 0.35, 95% CI = 0.07-0.63).</p><p><strong>Conclusions: </strong>This meta-analysis clarifies the extent to which past exposure to sexual abuse may aggravate psycho-spiritual symptoms in patients with cancer.</p><p><strong>Implications for oncology nursing practice: </strong>Oncology nurses must practice trauma-informed care to prevent re-traumatization. Awareness of sexual abuse survivorship should be incorporated into continuing professional development in oncology nursing.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978779","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}
引用次数: 0
Dyadic Coping in Patients With Hematologic Malignancies and Their Partners: A Scoping Review. 恶性血液病患者及其伴侣的二元应对:一项范围综述。
IF 2.6 3区 医学
Cancer Nursing Pub Date : 2026-09-16 DOI: 10.1097/NCC.0000000000001635
Dabin Hwang, Argin Malakian, John Kuruvilla, Lindsay A Jibb, Rinat Nissim, Samantha J Mayo
{"title":"Dyadic Coping in Patients With Hematologic Malignancies and Their Partners: A Scoping Review.","authors":"Dabin Hwang, Argin Malakian, John Kuruvilla, Lindsay A Jibb, Rinat Nissim, Samantha J Mayo","doi":"10.1097/NCC.0000000000001635","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001635","url":null,"abstract":"<p><strong>Background: </strong>Patients and their partners coping with hematologic malignancies (HMs) experience significant psychological and relational challenges. Dyadic coping (DC) plays a critical role in couples' adaptation under cancer treatments.</p><p><strong>Objective: </strong>To synthesize existing evidence on DC strategies, influencing factors, and outcomes among couples facing HMs.</p><p><strong>Methods: </strong>Guided by the JBI framework, this review systematically searched for and included original studies of any design that examined DC in adult couples where one partner had hematologic cancer. Data on study design, population characteristics, coping strategies, factors, and outcomes were extracted and summarized narratively.</p><p><strong>Results: </strong>Nine articles across 8 studies were reviewed. Commonly used DC strategies included stress communication, protective buffering, and common coping. Some evidence suggested the potential usefulness of couple-based programs that incorporate communal coping training, but overall, no studies directly examined factors influencing DC. Studies using the Actor-Partner Interdependence Model revealed reciprocal associations between partners' coping and well-being. Negative strategies were consistently associated with higher distress, poorer relationship satisfaction, and greater unmet needs. Positive strategies showed mixed effects, generally associated with improved relationship satisfaction and quality of life, though sometimes related to increased distress or unmet needs.</p><p><strong>Conclusions: </strong>DC significantly affects relationship quality, psychological well-being, and quality of life in HM couples. Positive strategies can foster mutual support but may also increase strain, whereas negative strategies exacerbate distress.</p><p><strong>Implications for oncology nursing practice: </strong>Findings highlight the clinical importance of supporting couples as relational units. Oncology nurses should integrate tailored, couple-based interventions that address both shared and individual coping needs.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148978768","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}
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