Cancer Nursing最新文献

{"title":"The Effect of Virtual Reality on Chemotherapy-Associated Stress (Cortisol Value), Anxiety, and Pain Symptoms of Mastectomy Patients: A Randomized Controlled Pilot Study.","authors":"Vesile Eskici İlgin, Ayşegül Yayla, Rümeysa L Toraman, Zeynep K Özlü, Tülay Kilinç, İbrahim Özlü","doi":"10.1097/NCC.0000000000001478","DOIUrl":"10.1097/NCC.0000000000001478","url":null,"abstract":"<p><strong>Background: </strong>Pain, anxiety, and stress are the most common symptoms experienced by patients receiving chemotherapy after breast surgery. Virtual reality (VR) can be used as a method to manage these symptoms.</p><p><strong>Objective: </strong>To determine the effect of VR on chemotherapy-associated stress (salivary cortisol value), anxiety, pain, and vital signs of mastectomy patients.</p><p><strong>Methods: </strong>A total of 62 participants were enrolled in this randomized, 2-group design. Participants in the experimental group watched videos with VR glasses during their chemotherapy treatments. Saliva samples were collected from participants in both the control and experimental groups before and immediately after their chemotherapy treatments. The Personal Information Form, state anxiety component of the State-Trait Anxiety Inventory, visual analog scale, and the patients' vital signs were also collected.</p><p><strong>Results: </strong>The State-Trait Anxiety Inventory state anxiety component and visual analog scale scores and the stress value mean scores differed significantly between the 2 groups at the second data point. There was also a statistically significant decrease in systolic blood pressure and diastolic blood pressure after chemotherapy in the experimental group.</p><p><strong>Conclusion: </strong>The use of VR in women receiving chemotherapy significantly reduced their pain, anxiety, stress and blood pressure from before to immediately following the chemotherapy infusion.</p><p><strong>Implications for practice: </strong>VR can be an appropriate intervention to reduce pain, anxiety, and stress in patients receiving chemotherapy after mastectomy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"327-334"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781791","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":"Symptom Clusters and Social Support in Patients With Lung Cancer Undergoing Anti-Programmed Death 1/Programmed Death Ligand 1 Immunotherapy: A Cross-sectional Analysis.","authors":"Jinling Guo, Yanzhu Qin, Caixia Li, Juhua He, Lijun Zeng, Jing Peng","doi":"10.1097/NCC.0000000000001482","DOIUrl":"10.1097/NCC.0000000000001482","url":null,"abstract":"<p><strong>Background: </strong>Anti-programmed death 1/programmed death ligand 1 immunotherapy has greatly advanced lung cancer treatment; however, the symptom clusters experienced by patients during immunotherapy, their influencing factors, and the correlation with social support warrant further attention.</p><p><strong>Objectives: </strong>The aims of this study were to explore symptom clusters in patients with lung cancer undergoing anti-programmed death 1/programmed death ligand 1 immunotherapy and investigate their relationship with social support.</p><p><strong>Methods: </strong>We studied 133 patients with lung cancer admitted to a Chinese oncology unit. A cross-sectional survey assessed symptoms using the MD Anderson Symptom Inventory and social support using the Social Support Rating Scale. Sociodemographic and disease data were also collected. Exploratory factor analysis was used to identify symptom clusters, and binary logistic regression analysis was used to analyze the influencing factors.</p><p><strong>Results: </strong>Patients experienced various symptoms, with fatigue and cough being the most common and severe. Exploratory factor analysis revealed 3 clusters: general, lung cancer-specific, and gastrointestinal symptoms. Logistic regression showed that male sex was associated with general and lung cancer-specific symptom clusters. In contrast, previous radiotherapy was associated with the gastrointestinal cluster ( P  < .05). Social support was negatively correlated with the severity of some symptom clusters.</p><p><strong>Conclusion: </strong>The 3 symptom clusters adversely affected patients undergoing immunotherapy. Low social support exacerbated symptom severity.</p><p><strong>Implications for practice: </strong>Male patients should be monitored for general and lung cancer-specific symptoms, and those with a history of radiotherapy should be monitored for gastrointestinal symptoms. We recommend enhancing social support to alleviate symptom severity and tailoring symptom management strategies for individualized patient care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E624-E633"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568683","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":"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":"E531-E539"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","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":"Longitudinal Use of the Pediatric PRO-CTCAE in Heterogeneous Oncology Population is Feasible and Highlights Individuality of the Adverse Event Experience.","authors":"Catriona Mowbray, James E Bost, Pamela S Hinds, Shana Jacobs","doi":"10.1097/NCC.0000000000001609","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001609","url":null,"abstract":"<p><strong>Background: </strong>Documentation of the adverse events (AEs) experienced by pediatric oncology patients relies on input from patients, caregivers, and providers. Accurate AE reporting allows comparison of treatment options, preparation of supportive care guidance, as well as appropriate support of current patients.</p><p><strong>Objective: </strong>In this study, we aimed to assess the feasibility of collecting symptomatic AE information longitudinally from a diverse group of pediatric and adolescent oncology patients, to describe the most and least symptomatic parts of treatment, and to identify impactful AEs.</p><p><strong>Methods: </strong>Pediatric Patient-Reported Outcome version of the Common Terminology Criteria for Adverse Event (PRO-CTCAE) items were administered to a heterogeneous sample of pediatric and adolescent oncology patients and their caregivers over 6 time points: the start of 3 cycles of chemotherapy, 1 to 2 weeks following the start of 2 cycles, and at the end of treatment.</p><p><strong>Results: </strong>Sixty-seven percent of participants completed all required surveys. The frequency of AEs peaked at the expected count nadir, after the first cycle of treatment, and decreased by the end of treatment/maintenance but did not reach zero. The most frequent AE reported was anorexia; the highest severity and interference ratings were for fatigue. The least common AEs were oral mucositis, constipation, diarrhea, and numbness. Age and diagnosis did not predict AE burden. Some AEs, for example, oral mucositis, had low frequency but high severity and interference reported.</p><p><strong>Conclusion: </strong>It is feasible and clinically important to ask families to complete the Pediatric PRO-CTCAE items regularly throughout treatment.</p><p><strong>Implication for practice: </strong>Families will complete the Pediatric PRO-CTCAE. Identifying common AEs aids resource planning and design of supportive care guidelines; identifying unique AEs allows personalized care.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800710","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":"Menopausal Symptoms, Depression, and Sleep Quality Among Postmenopausal Women With and Without Breast Cancer.","authors":"Inah Kim, Na-Jin Park","doi":"10.1097/NCC.0000000000001630","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001630","url":null,"abstract":"<p><strong>Background: </strong>It remains unclear whether sleep quality in breast cancer (BC) survivors is primarily driven by BC-specific or menopausal factors, due to limited comparisons with cancer-free women.</p><p><strong>Objective: </strong>To compare sleep quality between postmenopausal BC survivors and healthy comparisons and to identify independent correlates of sleep quality across both groups.</p><p><strong>Methods: </strong>A cross-sectional secondary analysis was performed using baseline data from 102 postmenopausal women (BC, n = 64; health comparison, n = 38). Sleep quality, menopausal symptoms, and depressive symptoms were measured using the Pittsburgh Sleep Quality Index (PSQI), Breast Cancer Prevention Trial Symptom Checklist, and Center for Epidemiologic Studies Depression Scale, respectively. Hierarchical multiple linear regression identified correlates of sleep quality.</p><p><strong>Results: </strong>Global PSQI scores were similar between groups. More than one-third (34.3%) were classified as poor sleepers (PSQI > 5). While most demonstrated adequate sleep latency (66.7%) and efficiency (74.5%), and subjective sleep quality (90.2%), only 25.5% achieved more than 7 hours per night. Employment (β = -0.21, P = .006), smoking (β = 0.18, P = .023), vasomotor symptoms (β = 0.22, P = .004), and depressive symptoms (β = 0.45, P < .001) together explained 54% of the variance in global PSQI. Musculoskeletal pain became nonsignificant after accounting for depressive symptoms.</p><p><strong>Conclusions: </strong>BC survivorship was not associated with sleep quality. Vasomotor and depressive symptoms emerged as the primary correlates, regardless of cancer history.</p><p><strong>Implications for oncology nursing practice: </strong>Targeted interdisciplinary management of vasomotor and depressive symptoms, alongside routine sleep assessment, may enhance sleep outcomes in postmenopausal women.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800793","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":"Ringing the Bell in Cancer Care: A Scoping Review of Patients', Caregivers', and Healthcare Professionals' Experiences and Implications for Oncology Nursing.","authors":"Elena Papini, Diego Lopane, Raffaella Simone, Paolo Corradini, Simone Cosmai, Cristina Chiari, Alessandra Valsecchi, Alessandra Dacomi, Bianca Fidato, Sarah Scollo, Alberto Gibellato, Daniela Cattani, Gabriele Caggianelli, Stefano Mancin, Gloria Modena, Anna Sponton, Beatrice Mazzoleni","doi":"10.1097/NCC.0000000000001627","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001627","url":null,"abstract":"<p><strong>Background: </strong>Bell-ringing rituals mark the end of active cancer treatment in oncology settings worldwide. Despite their growing prevalence, their emotional and clinical implications across patients, caregivers, and healthcare professionals remain underexplored.</p><p><strong>Objective: </strong>To map and synthesize the available evidence on bell-ringing rituals in cancer care, examining their meanings and implications from the perspectives of patients, informal caregivers, and healthcare professionals.</p><p><strong>Interventions/methods: </strong>A scoping review was conducted following Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines (Open Science Framework protocol: https://doi.org/10.17605/OSF.IO/UCPFV). Five databases (PubMed, Scopus, Embase, CINAHL, and Cochrane Library) were searched from January 1996 to July 2025. Qualitative, quantitative, and mixed-methods studies were eligible. Two independent reviewers performed selection, extraction, and thematic synthesis.</p><p><strong>Results: </strong>Five studies met the inclusion criteria. Four themes emerged: (1) symbolic closure and transition, (2) emotional ambivalence encompassing joy, guilt, and anxiety, (3) visibility, recognition, and disparities, and (4) absence of institutional guidance. While many patients experienced achievement and community, those with ongoing treatments or advanced disease frequently reported exclusion and distress, including posttraumatic stress disorder triggers.</p><p><strong>Conclusions: </strong>Bell-ringing rituals support meaning-making for some patients but may unintentionally marginalize vulnerable individuals when implemented without adequate assessment. No evidence-based protocols currently exist for patient readiness or cultural appropriateness.</p><p><strong>Implications for oncology nursing practice: </strong>Oncology nurses should conduct preritual readiness assessments and offer individualized symbolic options to protect nonparticipating patients. Findings support inclusive institutional protocols and the integration of ritual literacy into nursing education.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708420","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 Impact of Social Determinants on Posttraumatic Growth Among Young Adult Childhood Cancer Survivors.","authors":"Gayeong Kim, Karen E Effinger, Melinda K Higgins, James Klosky, Jordan G Marchak, Canhua Xiao","doi":"10.1097/NCC.0000000000001621","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001621","url":null,"abstract":"<p><strong>Background: </strong>Young adult childhood cancer survivors (YA CCSs) may experience posttraumatic growth (PTG), yet little is known about how neighborhood-level social determinants influence PTG. Posttraumatic stress may also shape PTG, but its mediating role in the relationship between neighborhood deprivation and PTG remains unclear.</p><p><strong>Objective: </strong>To examine associations between neighborhood deprivation and PTG among YA CCSs and determine whether posttraumatic stress mediates these associations.</p><p><strong>Methods: </strong>This cross-sectional study included 121 YA CCSs. Neighborhood deprivation was measured using the Area Deprivation Index (ADI) and the Environmental Justice Index (EJI). PTG and posttraumatic stress were assessed using the Posttraumatic Growth Inventory and the Impact of Event Scale-Revised. Linear regression examined associations between neighborhood deprivation and PTG. The MEDCURVE macro tested curvilinear mediation.</p><p><strong>Results: </strong>Participants were mostly non-Hispanic White (71%) with a mean age of 19.4 years. Higher ADI scores were associated with greater PTG (B = 0.36, 95% confidence interval [CI], 0.17-0.55). Total EJI and its Social and Health Vulnerability subscale were positively associated with PTG. Posttraumatic stress curvilinearly mediated the ADI-PTG association, with stronger mediation in less deprived neighborhoods (B = 0.11, 95% CI, 0.02-0.30) and weaker mediation in more deprived neighborhoods (B = 0.07, 95% CI, 0.02-0.17). Similar mediation was observed for the EJI Social Vulnerability subscale.</p><p><strong>Conclusions: </strong>Greater neighborhood deprivation was associated with higher PTG in YA CCSs. Posttraumatic stress mediated this association, with its influence varying across neighborhood conditions.</p><p><strong>Implications for oncology nursing practice: </strong>Findings support personalized interventions addressing socioecological environments and psychological determinants.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708447","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":"Ethnic Differences in Psychosocial Factors for Cancer Survivorship Among Asian American Breast Cancer Survivors: Secondary Outcomes of a Randomized Controlled Trial.","authors":"Jiwon Baek, Seulgi Ryu, EunOk Im, Wonshik Chee","doi":"10.1097/NCC.0000000000001625","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001625","url":null,"abstract":"<p><strong>Background: </strong>Asian American breast cancer survivors face substantial disparities in recurrence rates; however, ethnic differences in breast cancer survivorship remain understudied.</p><p><strong>Objective: </strong>To examine the associations between psychosocial factors and breast cancer survivorship, with a focus on ethnic differences among Chinese, Korean, and Japanese Americans.</p><p><strong>Methods: </strong>This secondary analysis used data from 167 participants in a randomized clinical trial of Asian American breast cancer survivors. Cancer survivorship was measured with the Supportive Care Needs Survey, the Memorial Symptom Assessment Scale, and the Functional Assessment of Cancer Therapy-Breast Cancer. Psychosocial factors included attitudes, self-efficacy, perceived barriers, and social influences. All assessments were administered at baseline, 4-week posttest, and 12-week posttest. Baseline differences across ethnic groups were examined with analysis of variance (ANOVA), post hoc, and chi-square tests. Panel data were analyzed with mixed-effects linear regression models.</p><p><strong>Results: </strong>ANOVA tests indicated that Chinese Americans reported more negative attitudes toward cancer survivorship, whereas Japanese Americans reported lower levels of social influence. Mixed-effects linear regression models showed significant ethnic differences in associations: Compared with Japanese Americans, Chinese Americans exhibited stronger negative associations of cancer survivorship outcomes with a lack of social support and perceived barriers. Among Korean Americans, higher loneliness and lower social influence were associated with greater unmet needs (Supportive Care Needs Survey).</p><p><strong>Conclusion: </strong>To address survivorship experiences among Asian American breast cancer survivors, ethnic differences must be considered.</p><p><strong>Implications for oncology nursing practice: </strong>Survivorship care for Asian American breast cancer survivors should incorporate ethnic differences and modifiable psychosocial factors to guide culturally tailored interventions.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708464","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":"Benefit Finding in Patients With Lymphoma: A Phenomenological Investigation.","authors":"Ying Zhou, Xiaoyan Li, Senjun Liu, Caifu Li, Yubin Chen","doi":"10.1097/NCC.0000000000001626","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001626","url":null,"abstract":"<p><strong>Background: </strong>Patients with lymphoma face profound psychological challenges that extend beyond physical symptomatology. While benefit finding has demonstrated positive effects on cancer adaptation, the temporal progression and underlying mechanisms of this process in lymphoma populations remain inadequately understood. Understanding these processes is essential for developing targeted psychosocial interventions.</p><p><strong>Objective: </strong>This study aimed to explore the lived experiences and developmental trajectory of benefit finding among patients with lymphoma and to identify factors facilitating this psychological transformation.</p><p><strong>Methods: </strong>A phenomenological qualitative design was employed using Colaizzi's seven-step analytical framework. Eighteen patients with lymphoma, aged 24 to 63 years (mean age 38.72 ± 10.97 years), participated in semi-structured in-depth interviews until data saturation was achieved.</p><p><strong>Results: </strong>Thematic analysis revealed four sequential phases characterizing benefit-finding progression: benefit resistance and initial cognitive adaptation disruption, benefit emergence and initial cognitive adaptation formation, benefit construction and positive cognitive adaptation development, and benefit transcendence and cognitive adaptation maturation. Role models emerged as pivotal catalysts for cognitive transformation, while personal breakthroughs and social reintegration facilitated psychological transcendence.</p><p><strong>Conclusions: </strong>Benefit finding in lymphoma represents a dynamic, phase-specific developmental process grounded in cognitive adaptation mechanisms involving meaning reconstruction, perceived control restoration, and self-enhancement.</p><p><strong>Implications for oncology nursing practice: </strong>Oncology nurses should assess patients' current benefit-finding phase to deliver stage-tailored psychological interventions. Facilitating connections with peer role models and supporting meaning-making activities can accelerate patients' progression toward benefit transcendence and enhanced psychological well-being.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671153","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":"Feasibility and Acceptability of a Dyadic Physical Activity Behavioral Promotion Program for Breast Cancer Survivors and Their Spouses: A Pilot Study.","authors":"Weiyi Lin, Zihao Liu, Jingjing Wang, Jingyuan Du, Shifan Lin, Xiaoyun Wang, Ping Zhang, Qiuhuan Li, Yuli Li","doi":"10.1097/NCC.0000000000001624","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001624","url":null,"abstract":"<p><strong>Background: </strong>Physical activity (PA) alleviates the symptoms of breast cancer survivors and improves their spouses' wellness. Nevertheless, insufficient dyadic PA behavior among patient-spouse dyads constrains their PA levels.</p><p><strong>Objectives: </strong>To evaluate the feasibility, acceptability, and preliminary efficacy of a dyadic PA behavioral promotion program for breast cancer survivors during chemotherapy and their spouses.</p><p><strong>Methods: </strong>Fifteen patient-spouse dyads from a tertiary general hospital were enrolled in this single-arm pilot study and received an 8-session dyadic PA behavioral promotion intervention across 2 chemotherapy cycles. The feasibility, acceptability, and preliminary efficacy of the intervention were evaluated using t tests or Wilcoxon signed-rank tests, and effect sizes were calculated to estimate intervention effects.</p><p><strong>Results: </strong>Rates of recruitment (57.69%), retention (73.33%), and participation (84.71%) indicated good feasibility, and the high overall satisfaction score (4.85 ± 0.36), together with participant feedback, demonstrated high acceptability. PA levels (both P < .05, d = 0.71, d = 0.67) and marital intimacy (P < .01, d = 1.22; P < .05, d = 0.94) were significantly improved in both patients and their spouses. In addition, patients' quality of life was significantly improved (P < .05, d = 0.91), and spouses' sleep disturbance was reduced (P < .05, d = 0.75).</p><p><strong>Conclusions: </strong>The dyadic PA behavioral promotion program was feasible and acceptable and may help improve PA levels and reduce symptom burden.</p><p><strong>Implications for oncology nursing practice: </strong>Dyadic PA promotion interventions can be integrated into routine supportive care to enhance physical and mental well-being and health-promoting behaviors among patients and their spouses.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680921","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}