Cancer Nursing最新文献

{"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}

{"title":"Identifying Adolescent and Young Adults' Preferences for Oncology Symptom Management Clinical Trial Participation.","authors":"Robert Knoerl, Liat Smener, Katherine Grandinetti, Leslie A Fecher, N Lynn Henry, Yasmin Karimi, Kristen Pettit, Scott Schuetze, Emily Walling, Anao Zhang, Debra Barton","doi":"10.1097/NCC.0000000000001463","DOIUrl":"10.1097/NCC.0000000000001463","url":null,"abstract":"<p><strong>Background: </strong>Most studies to date exploring facilitators and barriers to adolescent and young adults' (AYAs') participation in clinical trials have been focused on external factors to AYAs' participation or recruitment strategies.</p><p><strong>Objective: </strong>The purpose of this mixed-methods study was to determine AYA cancer survivors' preferences for oncology symptom management clinical trial participation.</p><p><strong>Methods: </strong>Semistructured interviews and conjoint analysis were conducted to clarify potential attributes (eg, characteristics) and levels (eg, value of the characteristic) that may be important to AYA cancer survivors when considering clinical trial participation (n = 19). The final list of attributes and levels was administered within a choice-based conjoint analysis survey (n = 52). The utility score for each level was analyzed using hierarchical Bayes estimation, and the feature importance for each attribute was quantified.</p><p><strong>Results: </strong>The type of new treatment (22.9%) and perceived importance of study topic (19.5%) were the most important attributes identified by participants. The levels with the highest utility scores within each attribute included prescription medicine treatment with mild side effects, electronic surveys, under-30-minute study visits, no follow-up visits, 4-week treatment period, and once-a-week treatment frequency.</p><p><strong>Conclusion: </strong>The data support that study designs with low participant burden, interventions with few side effects, and the involvement of AYAs in determining the priority of the research topic are appealing to AYAs when considering participation in symptom management trials.</p><p><strong>Implications for practice: </strong>AYA participation in clinical trials is necessary to develop new symptom management modalities. Clinicians may use the results to introduce clinical trials containing trial characteristics that appeal to AYA cancer survivors.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069456","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":"Administrator, Provider, and Staff Perspectives on Implementing Acupuncture in Medically Underserved Breast Cancer Survivors.","authors":"Hongjin Li, Ardith Z Doorenbos, Hannah Choi, Judith M Schlaeger, Nia I Butler, Zhengjia Chen, Oana Danciu, Natalie Lif, Crystal L Patil","doi":"10.1097/NCC.0000000000001499","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001499","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer survivors on endocrine therapy frequently experience multiple symptoms that significantly impact their quality of life. Acupuncture has shown potential in managing these symptoms but remains less accessible for medically underserved populations.</p><p><strong>Objective: </strong>This study aimed to explore the acceptability, challenges, and facilitators of acupuncture integration from the perspective of health system partners.</p><p><strong>Interventions/methods: </strong>Using a convergent mixed-methods approach and the Consolidated Framework for Implementation Research, we conducted interviews (n = 14) and surveys (n = 13) with administrators, providers, and staff from a federally qualified health center and oncology clinic between September 2023 and May 2024. Interviews were analyzed through directed content analysis, and descriptive statistics assessed demographics and acupuncture experience, as well as 6 key Consolidated Framework for Implementation Research constructs.</p><p><strong>Results: </strong>Five key themes emerged: acceptability and willingness to use acupuncture, limited experience and awareness of its effectiveness, and perceived challenges and facilitators to implementation. Survey results highlighted a positive organizational culture, strong leadership engagement, and a supportive learning environment, although clinic stress was noted as a concern. High receptivity to acupuncture was evident, with challenges (eg, limited insurance coverage) and facilitators (eg, leadership support and collaboration with community partners) identified for its integration.</p><p><strong>Conclusions: </strong>There is strong support among administrators, providers, and staff for integrating acupuncture into care for underserved breast cancer survivors. Addressing challenges while leveraging facilitators will aid successful implementation.</p><p><strong>Implications for practice: </strong>Enhancing patient/provider education, establishing acupuncture spaces, fostering supportive clinic environments, securing funding, and addressing insurance coverage issues are vital steps to advancing equitable access to acupuncture.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported Sexual Health-Related Outcomes in Gynecological Cancer Survivors: Results From a Quasi-experimental Multicenter Intervention Study on Follow-up After Gynecological Cancer Treatment.","authors":"Anita Paulsen, Liv Fegran, Milada Hagen, Ingvild Vistad","doi":"10.1097/NCC.0000000000001493","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001493","url":null,"abstract":"<p><strong>Background: </strong>Gynecological cancer survivors often face sexual health challenges posttreatment, making interventions to address these issues essential.</p><p><strong>Objective: </strong>The aim of this study was to investigate changes in sexual health-related outcomes among gynecological cancer survivors comparing 2 different follow-up models.</p><p><strong>Methods: </strong>This preplanned substudy utilized data from the Lifestyle and Empowerment Techniques in Survivorship of Gynecologic Oncology study. Participants were assigned to either the intervention or control group based on their treatment hospital. The control group received standard follow-up care, whereas the intervention group received shared follow-up care with sexual health communication. Analyses included 686 participants with sexual activity as the primary outcome. Secondary outcomes included feelings of reduced physical attractiveness for all, sexual enjoyment and vaginal dryness (sexually active participants), and reasons for sexual inactivity (sexually inactive participants). Assessments were conducted at the end of treatment and at 6 and 12 months posttreatment.</p><p><strong>Results: </strong>No statistically significant group differences were found in any of the outcomes at 12 months. The intervention group showed a more favorable trend in sexual activity at 6 months, not sustained at 12 months. Both groups experienced an increase in vaginal dryness. The absence of a partner was the most common reason for sexual inactivity.</p><p><strong>Conclusions: </strong>Findings suggest that nurse-led sexual health communication during routine follow-up consultations may have a limited impact on the sexual health-related outcomes measured in this study.</p><p><strong>Implications for practice: </strong>More intensive and individualized interventions may be necessary for significant improvements in the outcomes of this study.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994406","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 Important Value of Nursing \"Compassionate Care\": A Phenomenological Study From the Perspective of Patients Living With a Cancer Diagnosis.","authors":"Tuğba Pehlivan Sarıbudak, Besti Üstün, Servet Cihan","doi":"10.1097/NCC.0000000000001487","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001487","url":null,"abstract":"<p><strong>Background: </strong>Although the number of studies on the reflection of compassionate care practices in patient experiences has increased in recent years, the issue is still not sufficiently studied and clearly defined, and no study has been conducted with patients living with a cancer diagnosis in Türkiye.</p><p><strong>Objective: </strong>This study aimed to examine the perspectives of compassionate care and compassionate care experiences of cancer patients in-depth using qualitative methods.</p><p><strong>Methods: </strong>Between March and August 2024, 22 phenomenological semistructured interviews were conducted with cancer patients. The data were analyzed using Colaizzi's 7-step descriptive analysis approach.</p><p><strong>Results: </strong>Five themes emerged from the analysis: (1) compassionate care behaviors, (2) noncompassionate care behaviors, (3) the value of compassionate care for the patients, (4) perceptions of compassionate care barriers, and (5) suggestions to improve compassionate care.</p><p><strong>Conclusions: </strong>Compassionate care from cancer patients' perspectives involves being friendly, respectful, and responsive to needs, whereas noncompassionate care behaviors mainly involve ineffective communication skills. Compassionate care has a positive effect on the outcomes of cancer patients with a long and challenging treatment journey. On the contrary, it may adversely affect communication, leading to an increase in unmet needs and a poor impact on cancer prognosis.</p><p><strong>Implications for practice: </strong>Cancer nurses should be trained to gain awareness of compassionate care and practices to ensure compassionate care, and training should be repeated regularly. For institution managers, reducing the patient-nurse ratio, monitoring cancer nurses for compassion fatigue, implementing prevention and coping programs, and creating a corporate culture to provide compassionate care are recommended.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812854","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":"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":""},"PeriodicalIF":2.4,"publicationDate":"2025-04-09","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}