Cancer Nursing最新文献

{"title":"Examining the Sequential Relationships Between Voice Changes, Symptom Experiences, Fear of Cancer Recurrence, and Voice-Related Quality of Life in Patients With Thyroid Cancer: A Cross-sectional Study.","authors":"Myung Kyung Lee, Jihyun Oh","doi":"10.1097/NCC.0000000000001466","DOIUrl":"10.1097/NCC.0000000000001466","url":null,"abstract":"<p><strong>Background: </strong>Thyroid cancer is considered lower-grade cancer with a high survival rate; however, the voice changes, and the presence of other diverse symptoms following a thyroidectomy can impact a patient's voice-related quality of life (VRQOL).</p><p><strong>Objective: </strong>This study aimed to examine the serial multiple mediating effects of voice changes, symptom experiences, and fear of cancer recurrence on the VRQOL among patients diagnosed with thyroid cancer postthyroidectomy.</p><p><strong>Methods: </strong>This cross-sectional study used a descriptive, structured self-report questionnaire. A total of 225 individuals participated who were 20 years and older, had been diagnosed with thyroid cancer and had undergone thyroidectomy surgery at comprehensive university hospitals in Daegu, Daejeon, Sejong, and Anyang in South Korea before data collection.</p><p><strong>Results: </strong>The study's findings revealed a statistically significant direct impact between patients' voice changes and their VRQOL. Moreover, the serial mediation model highlighted that as the severity of patients' voice changes escalated, the intensity of their other symptom experiences and fear of cancer recurrence increased, resulting in a deterioration in their VRQOL. The study's findings identified partial mediating effects of symptom experiences and the fear of cancer recurrence in the association between voice changes and the VRQOL.</p><p><strong>Conclusions: </strong>These findings underscore the importance of adopting a modeling approach that considers the simultaneous sequential relationships among 4 pivotal variables, namely, voice changes, symptom experiences, fear of cancer recurrence, and VRQOL.</p><p><strong>Implications for practice: </strong>The findings highlight the crucial impact of voice changes on patients' VRQOL, which is closely linked to various psychological aspects of the disease.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"373-380"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Character Strengths-Based Intervention for Enhancing Self-esteem and Quality of Life and Alleviating Depression in Female Patients With Breast Cancer: A Randomized Controlled Trial.","authors":"Tingting Yan, Ka Ming Chow, Jannan Xiao, Wei Liang, Khanh T Nguyen, Kai C Choi, Carmen W H Chan","doi":"10.1097/NCC.0000000000001486","DOIUrl":"10.1097/NCC.0000000000001486","url":null,"abstract":"<p><strong>Background: </strong>Character strengths-based intervention (CSI) has the potential to enhance self-esteem and reduce depression, leading to improved quality of life (QoL) for breast cancer patients.</p><p><strong>Objective: </strong>To explore the effects of an evidence-based and culturally appropriate CSI among Chinese female patients with breast cancer and their perceptions of the CSI.</p><p><strong>Methods: </strong>This study was a multisite assessor-blinded randomized controlled trial. The CSI underwent multiple stages of modeling as cultural tailoring, supported by a self-produced booklet and self-monitoring tool for patients. The outcomes were assessed at baseline (T0), immediately postintervention (T1), and 1 month postintervention (T2). Qualitative interviews were conducted to explore the experience and opinions among the CSI group.</p><p><strong>Results: </strong>One hundred twenty-two participants were randomly assigned to receive either the CSI (the CSI group; n = 61) or an \"early memories\" program (the control group; n = 61). The results showed that the CSI significantly increased self-esteem and QoL at T1 and T2. In addition, the CSI significantly reduced depressive symptoms at T1 and T2. The qualitative findings encompassed 5 themes: acceptability of the CSI, perceived benefits of the CSI, facilitators of application of the CSI, barriers to application of the CSI, and recommendations for the CSI.</p><p><strong>Conclusion: </strong>This study demonstrated that the CSI enhanced self-esteem and QoL and alleviated the depressive symptoms of the CSI group.</p><p><strong>Implications for practice: </strong>This study highlights the viability of nurses serving as implementers of the CSI and reveals the importance of professional training and resource support for nurses.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E654-E663"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Effectiveness of Psychosocial Interventions on Family Function and Resilience for Cancer Caregivers: A Systematic Review With Pairwise and Network Meta-analysis.","authors":"Jiang-Yan Song, Min Liu, Miao Zhang, Zaharah Sulaiman, Tengku Alina Tengku Ismail, Shu-Mei Li, Yun Ye","doi":"10.1097/NCC.0000000000001476","DOIUrl":"10.1097/NCC.0000000000001476","url":null,"abstract":"<p><strong>Background: </strong>Improving family function and resilience among cancer caregivers is a vital clinical concern requiring thorough research. Psychosocial interventions are expected to enhance family function and strengthen resilience; however, the outcomes can differ significantly, highlighting the necessity for further investigation.</p><p><strong>Objectives: </strong>This study aimed to evaluate the comparative effectiveness of psychosocial interventions in enhancing family function and resilience among caregivers of cancer patients based on data derived from randomized controlled trials.</p><p><strong>Methods: </strong>A systematic review was performed by searching 6 electronic databases and clinical trial registries until July 12, 2024. Pairwise and network meta-analyses (NMA) were performed using the network package in STATA 16.</p><p><strong>Results: </strong>This review identified 12 studies with a total of 1162 participants. The pairwise meta-analysis revealed a significant positive impact of psychosocial interventions on family function: standardized mean difference (SMD), 1.34; 95% confidence interval [CI], 0.16-2.52. NMA showed family interaction approaches (SMD, 0.69; 95% CI, 0.22-1.15) and psychoeducation interventions (SMD, 0.66; 95% CI, 0.24-1.08) both led to improvements in family function. However, neither the pairwise meta-analysis nor the NMA revealed the positive effects of psychosocial interventions on resilience.</p><p><strong>Conclusion: </strong>Evidence suggests that psychosocial interventions can moderately improve family function. Among the various interventions explored, the family interactions demonstrated the most significant potential for effectiveness. However, resilience meta-analyses have not supported our psychosocial intervention recommendations.</p><p><strong>Implications for practice: </strong>This study offers valuable insights for nursing practice, emphasizing the need for nurses to consider the relationships and resources available within the families of cancer patients while providing care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E601-E611"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568681","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":"335-342"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12230179/pdf/","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":"OA","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 Saribudak, Besti Üstün, Servet Cihan","doi":"10.1097/NCC.0000000000001487","DOIUrl":"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":"E634-E642"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","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":"Intolerance of Uncertainty and Its Association With Cancer-Related Symptoms: A Scoping Review.","authors":"Yesol Yang, Yufen Lin, Bohyun Kim, Stephanie M Gorka, Diane Von Ah","doi":"10.1097/NCC.0000000000001462","DOIUrl":"10.1097/NCC.0000000000001462","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related symptoms have negative impacts on the health outcomes of adults with cancer. Thus, it is critical to identify who might be at risk. Intolerance of uncertainty (IU) could be the major contributor for cancer-related symptoms; however, this relationship is understudied in the context of cancer.</p><p><strong>Objective: </strong>The purpose of this scoping review was to map the literature that has investigated IU and its link to cancer-related symptoms.</p><p><strong>Methods: </strong>This scoping review used the framework proposed by Arksey and O'Malley and PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). A comprehensive search was conducted using 5 databases. English-language primary research published focusing on IU and cancer-related symptoms was included in this review.</p><p><strong>Results: </strong>Of 12 articles included in this review, 11 studies found a positive relationship of IU with affective symptoms, including anxiety, depression, stress, fear, worry, and distress. Additionally, one study showed that higher IU was associated with greater cognitive impairment and that association was mediated by anxiety.</p><p><strong>Conclusion: </strong>Findings from this scoping review support the positive association between IU and cancer-related symptoms. This review further suggests that IU could be a potential risk factor for cancer-related affective and cognitive symptoms.</p><p><strong>Implication for practice: </strong>The incidence of affective and cognitive symptoms in cancer survivors is high. Given that IU is associated with these symptoms, IU-focused treatments may be beneficial in this group.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E563-E572"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081958","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":"Assessing the Effects of Yoga on Cognition and Immune Function in Colorectal Cancer: A Feasibility Study.","authors":"Moira A Visovatti, Mi Sook Jung, Diane Von Ah","doi":"10.1097/NCC.0000000000001473","DOIUrl":"10.1097/NCC.0000000000001473","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related cognitive impairment can interfere with daily functioning and negatively affect quality of life. To date, there are no validated treatments. Yoga may be a promising intervention that combines physical activity and meditation to improve cognition.</p><p><strong>Objectives: </strong>The aim of this study was to assess the feasibility of a randomized controlled trial with yoga, physical activity, and waitlist control arms in colorectal cancer survivors, determine effect sizes, and explore differences among groups.</p><p><strong>Methods: </strong>Interventions included 2 weekly 90-minute sessions over 12 weeks. Participants were assessed before, after, and 3 months after completion of the intervention. Measures included feasibility and acceptability, attention (Attentional Function Index, Attention Network Test, Digit Span, Digit Substitution Test, Trail Making Test), and circulating immune markers (interleukin [IL] 1β, tumor necrosis factor α, IL-6, IL-8, IL-12p70, IL-1 receptor antagonist, tumor necrosis factor receptor II, C-reactive protein, and neopterin). Data analyses included descriptive statistics, comparative analyses, Cohen d statistics, and reliable improvement percentages.</p><p><strong>Results: </strong>Enrollment, retention, and intervention fidelity rates were 39%, 74%, and >75%, respectively. Exploratory analyses showed the yoga group improved performance in alertness at 3 months postintervention at time 3, with 60% of the group demonstrating reliable improvement, and improved cognitive control at time 3, with 30% of the group demonstrating reliable improvement ( P  < .05).</p><p><strong>Conclusion: </strong>Findings suggest that this randomized controlled trial study is feasible, and yoga may have a positive benefit on cognition.</p><p><strong>Implication for practice: </strong>Yoga is a possible intervention, but to optimize function in colorectal cancer survivors, further validation is needed.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E519-E530"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442679","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":"E498-E510"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","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":"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":"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":"E643-E653"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12967278/pdf/","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":"OA","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":"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":"343-354"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","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}