Seminars in Oncology Nursing最新文献

{"title":"Predictive Role of Perceived Social Support and Psychological Distress on Caregiver Burden in Parents of Children With Cancer.","authors":"Mehrnaz Ahmadi, Samira Beiranvand, Shayesteh Haghighi, Sakineh Akbari","doi":"10.1016/j.soncn.2025.151851","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151851","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore the predictors of caregiver burden among parents of children with cancer.</p><p><strong>Methods: </strong>A descriptive correlational study was conducted on 254 parents of children with cancer in the oncology department of Baghaei 2 Hospital in Ahvaz, Iran from September 2022 to July 2023. The study's data was collected through the demographic information questionnaire, the caregiver burden scale (CBS), the perceived social support (PSS), and the General Health Questionnaire (GHQ). Data were analyzed using an independent t-test, 1-way ANOVA, Pearson's correlation coefficient, and multiple linear regression in SPSS-22.</p><p><strong>Results: </strong>Parents experienced a moderate level of CBS (54.74 ± 10.17), PSS (41.52 ± 12.94), and GHQ (18.95 ± 4.47). Regression models showed that PSS (β = -0.381, P < .001), GH (β = 0.199, P < .001), caregiving responsibilities for others (β = 0.195, P < .001), satisfaction with income (β = -0.151, P = .005), and hospitalization number (β = 0.142, P = .007) were significantly associated with the CB of parents of children with cancer. These variables accounted for 32% of the variance in CB.</p><p><strong>Conclusion: </strong>This study demonstrated various degrees of CB among parents of children with cancer. A better understanding of the predictive factors of CB is needed to provide suitable interventions such as caregiving skills, and coping strategies to alleviate CB among parents and subsequently improve the quality of caregiving.</p><p><strong>Implication for nursing practice: </strong>Pediatric oncology nurses should adopt a holistic approach that addresses both the emotional and social needs of parents, in addition to the medical needs of the child. Developing support programs tailored to parents' experiences, educating them on managing caregiving challenges, and facilitating effective communication regarding treatment processes can help alleviate parental CB.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151851"},"PeriodicalIF":2.3,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Physical Activity Participation Among Colorectal Cancer Survivors: A Mixed-Method Systematic Review","authors":"Jiayu Mao ,&nbsp;Yi Zhang ,&nbsp;Xiaoke Qiu ,&nbsp;Can Wang ,&nbsp;Xueli Yang ,&nbsp;Qiuping Li","doi":"10.1016/j.soncn.2025.151811","DOIUrl":"10.1016/j.soncn.2025.151811","url":null,"abstract":"<div><h3>Objectives</h3><div>Physical activity (PA) is essential in cancer rehabilitation. Worryingly, PA compliance among colorectal cancer (CRC) survivors is relatively poor, and the barriers and facilitators of PA participation in this population are poorly understood. This review aimed to identify the barriers and facilitators of PA participation among CRC survivors and apply the Capability-Opportunity-Motivation-Behavior (COM-B) model to analyze and categorize these factors.</div></div><div><h3>Methods</h3><div>A mixed-method systematic review was conducted using six electronic databases (Embase, Medline, PubMed, Scopus, Web of Science, and Chinese National Knowledge Infrastructure) to conduct literature search. The searches were conducted from the inception of databases till May 2024, and eligible studies were limited to English or Chinese. The mixed methods appraisal tool (MMAT) was utilized to perform quality assessment, and the convergent integrated approach and descriptive analysis were used for data synthesis and analysis.</div></div><div><h3>Results</h3><div>This review included 32 studies (seven qualitative, 24 quantitative, and one mixed-method), and no studies were eliminated due to quality. According to the COM-B model, cancer-related symptoms, time constraints, and lack of motivation or interest were the main barriers to PA participation among CRC survivors. The main facilitators of PA participation for CRC survivors included improvement in cancer-related symptoms, enough social support from family and friends, and perceived benefits of PA.</div></div><div><h3>Conclusions</h3><div>This review comprehensively identified the unique barriers and facilitators to PA participation among CRC survivors based on the COM-B model. Future research should consider these barriers and facilitators and develop effective PA interventions to increase PA compliance among CRC survivors.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151811"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot Testing a Peer-Led Self-Management Program for Women After Breast Cancer","authors":"Karin Ribi ,&nbsp;Franziska Schmidt ,&nbsp;Jörg Haslbeck ,&nbsp;Corinne Urech ,&nbsp;Karin Holm ,&nbsp;Manuela Eicher ,&nbsp;COSS Pilot Study Group","doi":"10.1016/j.soncn.2025.151814","DOIUrl":"10.1016/j.soncn.2025.151814","url":null,"abstract":"<div><h3>Background</h3><div>Different approaches exist to support self-management in breast cancer (BC) survivors. The aim of this project was to cocreate a new version of an existing peer-led program to meet the needs of BC survivors in Switzerland. In a pilot study, the preliminary efficacy in terms of self-management skills and symptom burden and the feasibility of implementing it in two Swiss university hospitals was assessed.</div></div><div><h3>Methods</h3><div>A prospective nonequivalent pretest-posttest control group design with two consecutive cohorts of women with early-stage BC who had completed primary treatment was applied. BC survivors (peers) led the 7-week course of weekly small-group sessions of 2.5 to 3 hours. The primary outcome was change in self-management skills; secondary outcomes included change in self-efficacy, symptom burden, and health literacy. Between-group changes were assessed using the Mann–Whitney <em>U</em> or <em>X</em>² test, individual changes using the Reliable Change Index. Feasibility was assessed using qualitative methods.</div></div><div><h3>Results</h3><div>Of the 95 BC survivors screened for inclusion criteria, 68 were eligible, 18 agreed to participate in the control group and 20 in the intervention group. No significant differences were found between the groups for any of the outcomes. Individual changes in self-management skills were noted in both groups. Several issues related to course delivery and feasibility were identified.</div></div><div><h3>Conclusions</h3><div>The current form of the program did not fully meet the needs of BC survivors, and implementation into the clinical care pathway appeared to be challenging. The program may benefit from providing the possibility of spontaneous interaction and discussion and considering elements of e-health interventions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151814"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Readiness to Implement Novel SACT: Tumor-Infiltrating Lymphocyte Therapy","authors":"Linda Gomm","doi":"10.1016/j.soncn.2025.151841","DOIUrl":"10.1016/j.soncn.2025.151841","url":null,"abstract":"<div><h3>Objectives</h3><div>Adoptive cell therapy using tumor-infiltrating lymphocyte (TIL) therapy has demonstrated promising results in clinical trials. Recognizing the growing potential of cell therapies for solid tumors, oncology services need to prepare for an increasing number of trials and, in the near future, optimize patient access to TIL. Consultation with clinical trials professionals in England, however, highlighted low organizational readiness and significant knowledge gaps for use of adoptive cell therapy. The aim of this discussion paper is to provide guidance about the role of the nurse in the delivery of TIL therapy.</div></div><div><h3>Methods</h3><div>Guidance was written based on peer-reviewed literature and best practice guidelines between 2006 and 2024 identified through electronic database searches on PubMed, CINAHL, and MEDLINE and expert experience of managing patients in clinical trials who are receiving TIL.</div></div><div><h3>Results</h3><div>TIL therapy is set to transform current care pathways with treatments that can potentially induce long-lasting tumor responses. There are, however, numerous challenges for successful and safe implementation of TIL therapy in practice. Nurses have a central role in coordinating the safe delivery and patient care of patients receiving TIL therapy. Nurses need knowledge and understanding about the regulatory processes and extensive treatment pathways involved whilst also managing novel side effects and patient expectations.</div></div><div><h3>Conclusions</h3><div>TIL therapy requires a specialist team to safely deliver these complex treatments and support colleagues nursing patients receiving TIL therapy. Specialist knowledge and skills and close coordination is required to ensure a smooth process from patient referral, product ordering, manufacturing, storage, and administration of the treatment to the patient.</div></div><div><h3>Implications for Nursing Practice</h3><div>Organizations planning to initiate TIL therapy should review their infrastructure, identify and address specialist knowledge and skills needs of oncology professionals, and seek guidance and support from expert teams. There needs to be a robust governance structure in place and ensure all healthcare professionals involved are trained and educated on a high level on how to care for these patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151841"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143411503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Greater Symptom Burden and Poorer Quality of Life Outcomes Are Associated With The Co-Occurrence of Anxiety and Depression During Cancer Chemotherapy","authors":"Alejandra Calvo-Schimmel ,&nbsp;Marilyn J. Hammer ,&nbsp;Yvette P. Conley ,&nbsp;Steven M. Paul ,&nbsp;Bruce A. Cooper ,&nbsp;Joosun Shin ,&nbsp;Carolyn Harris ,&nbsp;Lisa Morse ,&nbsp;Jon D. Levine ,&nbsp;Christine Miaskowski","doi":"10.1016/j.soncn.2025.151809","DOIUrl":"10.1016/j.soncn.2025.151809","url":null,"abstract":"<div><h3>Objectives</h3><div>Anxiety and depression are common symptoms in oncology patients undergoing chemotherapy. Study purpose was to evaluate for differences in severity of common symptoms (ie, fatigue, energy, sleep disturbance, cognitive function, pain) and quality of life (QOL) outcomes among three subgroups of oncology outpatients with distinct joint anxiety and depression profiles.</div></div><div><h3>Methods</h3><div>Oncology outpatients (N = 1328) completed measures of state anxiety and depression, six times over two cycles of chemotherapy. Latent profile analysis was done to identify subgroups of patients with distinct joint state anxiety AND depression profiles. Patients completed measures of trait anxiety, morning and evening fatigue, morning and evening energy, sleep disturbance, cognitive function, and pain, as well as generic and disease-specific measures of QOL at enrollment. Differences among the classes in symptom severity scores and QOL scores were evaluated using parametric and non-parametric tests.</div></div><div><h3>Results</h3><div>Three distinct joint anxiety AND depression profiles were identified and named: Low Anxiety and Low Depression (57.5%, Both Low), Moderate Anxiety and Moderate Depression (33.7%, Both Moderate), and High Anxiety and High Depression (8.8%, Both High). All of the symptom severity scores showed a “dose-response effect” (ie, as the joint anxiety AND depression profiles worsened, the severity of all of the symptoms increased). Likewise, for both the general and disease-specific QOL (except spiritual well-being) measures, all of the scores decreased as the joint anxiety AND depression profiles worsened. Compared to the Both Low classes, the other two classes reported lower scores for the spiritual well-being domain.</div></div><div><h3>Conclusions</h3><div>More than 40% of patients receiving chemotherapy experience moderate to high levels of both anxiety AND depression. These patients report an extremely high symptom burden and significant decrements in all domains of QOL.</div></div><div><h3>Implications for Nursing Practice</h3><div>Clinicians need to perform comprehensive assessments of depression and anxiety and other common symptoms and QOL outcomes during chemotherapy. In addition, referrals for targeted interventions are needed to manage multiple symptoms and improve patients’ QOL.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151809"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Properties of the Self Care Oral Anticancer Agents Index (SCOAAI)","authors":"Marco Di Nitto ,&nbsp;Silvia Ucciero ,&nbsp;Tatiana Bolgeo ,&nbsp;Vincenzo Damico ,&nbsp;Greta Ghizzardi ,&nbsp;Sipontina Rita Zerulo ,&nbsp;Mario Roselli ,&nbsp;Rosaria Alvaro ,&nbsp;Francesco Torino ,&nbsp;Ercole Vellone","doi":"10.1016/j.soncn.2025.151810","DOIUrl":"10.1016/j.soncn.2025.151810","url":null,"abstract":"<div><h3>Objective</h3><div>To test the Self-Care Oral Anticancer Agents Index (SCOAAI)’s psychometric properties (structural validity, convergent validity, predictive validity, and internal consistency) in a sample of patients with solid tumour on Oral anticancer agents (OAA).</div></div><div><h3>Methods</h3><div>A methodological research in five in- or out-patient Italian facilities. Structural validity was tested by confirmatory factor analysis, and internal consistency was assessed through Cronbach's alpha and composite reliability. The Mann–Whitney U-test was used to test associations between SCOAAI scores and patient's emergency room admission, re-hospitalization, mortality, and quality of life measured three months after baseline.</div></div><div><h3>Results</h3><div>We enrolled 356 patients; mostly were male (52.24%), and mean age was 59.10 years. Analyses demonstrated the SCOAAI's factorial validity and internal consistency. Moreover, patients that experienced emergency room admissions (U = 3484.5; <em>P</em> = .002) and re-hospitalization (U = 2446.0; <em>P</em> = .001) showed lower self-care maintenance scores; those who experienced emergency room admission (U = 3263.5; <em>P</em> = .019) and died at follow-up (U = 700.5; <em>P</em> = .025) had lower self-care monitoring scores; while patients that experienced re-hospitalisation (U = 2931.5; <em>P</em> = .040) and emergency room admission (U = 3285.0; <em>P</em> = .012) had lower self-care management scores. Patients with adequate self-care (≥ 70) reported significantly higher quality of life (self-care maintenance U = 1228.500, <em>P</em> &lt; .001; self-care monitoring U = 3512.500, <em>P</em> &lt; .001; self-care management U = 3287.500, <em>P</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>According to our findings the SCOAAI is a valid and reliable tool. Patients with inadequate self-care can experience more emergency room accesses, re-hospitalization, death, and lower quality of life.</div></div><div><h3>Implications for Nursing Practice</h3><div>Adequate self-care behaviors can improve patient's outcomes and should be assessed by healthcare providers during the disease pathway.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151810"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I Put a Wall Between Me and My Emotions, but That Wall Was Coming Towards Me”: A Descriptive Qualitative Study on Determining Emotion Regulation Experiences of Oncology Nurses","authors":"Aycan Kayalar ,&nbsp;Duygu Hiçdurmaz","doi":"10.1016/j.soncn.2025.151840","DOIUrl":"10.1016/j.soncn.2025.151840","url":null,"abstract":"<div><h3>Aims</h3><div>The intense emotional nature of cancer care makes it crucial for oncology nurses to effectively regulate their emotions, as this impacts their mental health, quality of care, empathy challenges, burnout, and workforce retention. The aim of this study is to determine oncology nurses' experiences with emotion regulation during patient care and how these experiences affect their well-being and the quality of patient care.</div></div><div><h3>Methods</h3><div>This descriptive qualitative study used a sample of 28 oncology nurses from various units, collected data through in-depth semistructured interviews, and analyzed it using content analysis.</div></div><div><h3>Results</h3><div>Emotion regulation challenges encompass situations related to perspective and skills, patient-related conditions, and work-related issues. Emotional responses differ between the first and later years in the profession. Methods used include avoidance, alleviating the emotional burden, and cognitive restructuring, while needs involve gaining awareness and skills to regulate emotions and improving working conditions.</div></div><div><h3>Conclusions</h3><div>This study provides insight into how oncology nurses regulate their emotions during patient care and discusses the positive and negative effects of the emotion regulation strategies used on their mental health. Nursing professionals who struggle with emotion regulation during their early years in the profession describe experiencing burnout and compassion fatigue in the later stages of their careers. Beginning nurses are inexperienced with challenging emotions. They should be trained to regulate their emotions.</div></div><div><h3>Implications for Practice</h3><div>Oncology nurses struggle with regulating their emotions during patient care, which leads to mental health issues and burnout over time. Therefore, it is important to develop effective emotion regulation skills. The research findings can contribute to planning emotion regulation training for oncology nurses and help managers pay attention to working conditions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151840"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Reiki Applied to Cancer Patients on Pain, Anxiety, and Stress Levels: A Randomized Controlled Study","authors":"Sevcan Oz Kahveci ,&nbsp;Esra Engin ,&nbsp;Erdem Goker","doi":"10.1016/j.soncn.2024.151807","DOIUrl":"10.1016/j.soncn.2024.151807","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study is to investigate the effect of Reiki applied to cancer patients on their pain, anxiety, and stress levels.</div></div><div><h3>Methods</h3><div>This three-armed, double-blinded, and randomized follow-up trial, which involves experimental, placebo and control groups, enrolled 58 cancer patients at a medical center in Türkiye. The data for the research was collected a total of four times, including pre-test, 4th day follow-up, 21st day follow-up and 3rd month follow-up periods, using the Visual Analog Scale, State-Trait Anxiety Inventory and Perceived Stress Scale. The experimental group received Reiki, the placebo group received Sham Reiki and the control group received Progressive Relaxation Exercise for 4 days.</div></div><div><h3>Results</h3><div>In the within-group time comparison of Reiki and Progressive Relaxation Exercise groups, a significant decrease in pain and anxiety levels over time between the pre-test and other measurement times was found, and the most significant decrease occurred in the Reiki group. There was no significant difference in cortisol levels between groups. There was a significant interaction in Perceived Stress Scale median scores between groups. In the 3rd month follow-up, it was found that the lowest stress levels were in the Reiki group. It was concluded that Reiki is effective in the long term for pain and anxiety, and it is more effective in reducing stress levels compared to Progressive Relaxation Exercise. Reiki was found to be effective on pain and anxiety in the long term and more effective than Progressive Relaxation Exercise in reducing stress levels.</div></div><div><h3>Conclusions</h3><div>Reiki is more effective in reducing the pain, anxiety, and stress levels of cancer patients compared to Sham Reiki and Progressive Relaxation Exercise.</div></div><div><h3>Implications for Nursing Practice</h3><div>The use of Reiki, a complementary and integrative therapy method, as a nursing intervention can be recommended for improving pain, anxiety, and stress levels in cancer patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151807"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom Clusters in Patients with Brain Tumors: A Systematic Review","authors":"Yanrong Hao,&nbsp;Haiyan Wu,&nbsp;Yingqin Huang","doi":"10.1016/j.soncn.2025.151815","DOIUrl":"10.1016/j.soncn.2025.151815","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify composition, predictors, outcomes and stability of symptom clusters in brain tumor patients and to examine assessment tools and statistical methods.</div></div><div><h3>Methods</h3><div>The PubMed, Web of Science, Embase, CINAHL, and Cochrane Library databases were systematically searched. Two reviewers independently screened the titles, abstracts and full texts. Data were extracted and synthesized based on the aims of the review.</div></div><div><h3>Results</h3><div>Eleven studies were included, covering eight symptom assessment tools and four analysis methods. Four symptom clusters in patients with primary brain tumors were identified: lack of energy cluster/ affective cluster/ gastrointestinal cluster/ neurocognitive cluster. Three symptom clusters in patients with brain metastases were identified: somatic stress cluster/ gastrointestinal cluster/ neurocognitive cluster. Longitudinal instability of symptom clusters was found. The severity of symptom clusters has a significant negative correlation with quality of life, performance status and functioning. There is little information on the predictors.</div></div><div><h3>Conclusions</h3><div>Although major symptom clusters of patients with primary brain tumors and brain metastases have been identified, methodological differences have affected the homogeneity of the inferences drawn. It is necessary to standardize the selection of assessment tools and statistical methods for symptom cluster research to facilitate comparison and combination across studies, and further clarify the temporal trajectories, predictive factors, and underlying mechanisms.</div></div><div><h3>Implications for Nursing Practice</h3><div>Knowledge of symptom clusters contributes to the adoption of prevention strategies and management measures and the adjustment of treatments, thus alleviating symptom distress and improving quality of life.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151815"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of YouTube Videos on Herbal Approaches Used in Coping with Cancer","authors":"Ferda Akyuz Ozdemir ,&nbsp;Dilek Yildirim","doi":"10.1016/j.soncn.2025.151816","DOIUrl":"10.1016/j.soncn.2025.151816","url":null,"abstract":"<div><h3>Objective</h3><div>The use of herbal approaches is very common among cancer patients. Patients obtain information about herbal products mostly from YouTube. However, toxicity and complications may develop as a result of unconscious use of herbal products. This study was conducted to evaluate the scope, validity, reliability and quality of English language videos on YouTube about herbal approaches to cope with cancer.</div></div><div><h3>Methods</h3><div>The present descriptive study analyzed a total of 62 YouTube videos. All videos published on YouTube until 10 January 2024 were watched as a result of a search with English words ‘herbal approaches for cancer treatment’ and ‘herbal approaches for medicine’ . The 62 videos that met the inclusion criteria were assessed for reliability, quality, and content by 2 independent reviewers by using the Global Quality Score, DISCERN, JAMA scales and Herbal Approaches Checklist. The results indicated that the videos included in the study exhibited moderate quality.</div></div><div><h3>Results</h3><div>Of the analyzed videos, 53.2% were found to be informative and 46.8% were found to be misleading. It was established that 59.7% (n=37) of the videos recommended the use of herbs that are known to be incompatible with chemotherapy.</div></div><div><h3>Conclusions</h3><div>It was concluded that the majority of the videos on YouTube about herbal approaches had low accuracy, low quality and insufficient information level. In addition, the use of many herbal products incompatible with cancer type and treatment was recommended. However, the level of knowledge of health professionals regarding herbal approaches should also be taken into consideration and it should be recommended that health professionals with expertise in this field inform patients.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses should educate patients about herbal approaches and guide them in evaluating the reliability of online sources. They should stay updated through continuous education on herbal products and collaborate with other healthcare professionals to prevent potential herb-drug interactions.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151816"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}