Seminars in Oncology Nursing最新文献

{"title":"The Transformation of Cancer Nursing Propelled by Novel SACT","authors":"Verna Lavender , Mary Tanay , Linda Gomm","doi":"10.1016/j.soncn.2025.151843","DOIUrl":"10.1016/j.soncn.2025.151843","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151843"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426627","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 Cold Therapy on the Prevention of Chemotherapy-Induced Peripheral Neuropathy in Oncology Patients: A Systematic Review Study.","authors":"Zeliha Genç, Ayda Kebapçı, Gülbeyaz Can","doi":"10.1016/j.soncn.2025.151849","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151849","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to investigate the effect of cold therapy on the prevention of chemotherapy-induced peripheral neuropathy in oncology patients.</p><p><strong>Methods: </strong>This review was prepared based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. The Medline, CINAHL, Embase, Cochrane Library, PubMed, Scopus and Web of Science databases were searched for studies published between January 1997 and June 2024. Two reviewers independently evaluated study suitability and extracted data. The Jadad critical appraisal scale and Methodological Index for Non-Randomized Studies (MINORS) risk of bias tool was used for quality assessment. The findings of this review are presented using a narrative synthesis.</p><p><strong>Results: </strong>Overall, cold therapy was effective in preventing CIPN in more than half of the studies. Cold therapy methods such as cold hilotherapy, frozen gloves and socks, cold mitts and slippers, and cooling gloves/socks were found to be the most effective in six studies. In contrast, three studies that applied interventions like frozen gloves and socks, crushed ice, and various cooling methods did not show a significant effect.</p><p><strong>Conclusion: </strong>Cold therapy was found to be a reasonable option for preventing CIPN in patients receiving taxane-based chemotherapy, as it does not result in serious side effects. Due to the heterogeneity of studies with different methods, sample sizes and measurement procedures for CIPN, it is difficult to make a clear statement about the duration and temperature of cold application that the patient can tolerate.</p><p><strong>Implications for nursing practice: </strong>Cold therapy can provide a useful option for the prevention of CIPN in patients receiving taxane-based chemotherapy. Nurses should increase patient and provider awareness of the benefits of cold therapy for CIPN.</p><p><strong>Prospero registration id: </strong>CRD42024619942.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151849"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765856","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":"Exploring Barriers and Inequalities in Access to Comprehensive Care for Pediatric Oncology Patients: A Systematic Review.","authors":"Aycan Kucukkaya, Polat Goktas, Remziye Semerci Şahin","doi":"10.1016/j.soncn.2025.151852","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151852","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review aimed to explore and synthesize existing research on the barriers and inequalities in access to comprehensive care for pediatric oncology patients.</p><p><strong>Methods: </strong>The search was conducted in five databases, including PubMed, Scopus, Web of Science, CINAHL, and APA PsycINFO in December 2024. This review followed PRISMA guidelines and included studies published up to December 2024. Study quality was assessed using Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields.</p><p><strong>Results: </strong>Thirteen articles in this systematic reviews identified key barriers to healthcare access, including inadequate infrastructure, workforce shortages, and financial constraints. Socioeconomic disparities, geographic inequities, and racial and ethnic inequalities further exacerbated these challenges. Lower family income was linked to worse outcomes, such as higher chronic graft-versus-host disease rates and late-stage cancer diagnoses. Cross-border residency, clinical trial underrepresentation, and insufficient clinician training also contributed to disparities. Proposed solutions included psychosocial screening, workforce development, financial toxicity mitigation, and policy reforms.</p><p><strong>Conclusions: </strong>This review highlights the complex and multifaceted barriers affecting equitable access to comprehensive care for pediatric oncology patients. Using a multidimensional perspective, such as the National Institute on Minority Health and Health Disparities Research Framework, our findings suggest that disparities stem from interconnected social, economic, and systemic factors. Addressing these challenges requires a comprehensive, structural, and patient-centered approach to promote equitable healthcare access.</p><p><strong>Implications for nursing practice: </strong>This review underlines the critical role of nursing advocacy, education, and interdisciplinary collaboration in promoting equitable care and addressing disparities within this vulnerable population.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151852"},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765854","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 Turkish Adaptive Coping with Disease Scale in Adult Cancer Patients.","authors":"Cansu Akdag Topal, Reyyan Gurel, Tugce Ucgun, Betul Sahin Kılınc","doi":"10.1016/j.soncn.2025.151847","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151847","url":null,"abstract":"<p><strong>Objectives: </strong>We evaluated the psychometric properties of the Turkish version of the Adaptive Coping with Disease Scale (ACDS) questionnaire for Turkish patients with cancer.</p><p><strong>Methods: </strong>A total of 175 patients with cancer aged 18 to 65 years were referred to a university hospital in Ankara, Türkiye. The patients, selected by convenience sampling in 2024, completed the Descriptive Form and Turkish versions of the ACDS questionnaire. The construct validity of the scale was assessed through confirmatory factor analysis and exploratory factor analysis. Pearson's correlation analysis was conducted to evaluate the relationships between item-total scores and item-subscale total scores. The reliability of the scale was determined using Cronbach's alpha coefficient. In addition, the scale language validity and test-retest reliability were evaluated. The data were analyzed using the IBM SPSS Statistics and AMOS 25.</p><p><strong>Results: </strong>The scale demonstrated high validity (content validity index = 0.97, interclass coefficient = 0.721, P < .001), indicating high stability and consistency of test scores over time. The comparative fit index confirmed the six-factor structure of the ACDS scale, excluding item 13. The Kaiser-Meyer-Olkin coefficient was 0.738, and Bartlett's test yielded a value of 2305.623 (P < .001). Fit indices indicated a good model fit (χ²/degrees of freedom = 1.98, root mean square error of approximation = 0.074, comparative fit index = 0.815). The scale exhibited acceptable internal consistency, with an overall Cronbach's alpha of 0.78. The total explained variance ratio was 57.14%.</p><p><strong>Conclusions: </strong>The Turkish version of ACDS in patients with cancer is a reliable and valid questionnaire that can be used in clinics and research.</p><p><strong>Implications for nursing practice: </strong>Nurses can use the ACDS to assess the level of disease-related stress experienced by patients with cancer. In addition, they can guide the patients to develop effective coping methods and a better quality of life.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151847"},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744482","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":"Letter to the Editor Regarding \"Nursing Care Throughout the Chimeric Antigen Receptor T-Cell Therapy Process for Multiple Myeloma\".","authors":"Lúcia Bacalhau, Patrícia Pontifice-Sousa","doi":"10.1016/j.soncn.2025.151846","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151846","url":null,"abstract":"","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151846"},"PeriodicalIF":2.3,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712132","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":"Healthcare Professionals' Wishes Toward End-of-Life Conversations: A Descriptive Correlational Study (ConVita Study).","authors":"Gianluca Catania, Michela Calzolari, Milko Zanini, Paola Pilastri, Patrizia Borsellino, Lorena Forni, Camilla Guglielmelli, Melanie Valera, Silvia Marenco, Michele Gallucci, Bruno Cavaliere, Roberta Rapetti, Marco Di Nitto, Loredana Sasso, Annamaria Bagnasco","doi":"10.1016/j.soncn.2025.151844","DOIUrl":"https://doi.org/10.1016/j.soncn.2025.151844","url":null,"abstract":"<p><strong>Objective: </strong>End-of-life conversations could improve anxiety, depression, and quality of life of patients and their families. Most patients believe it is important to discuss prognosis with their healthcare professionals, however only a minority reports to do so. The aim of this study was to describe healthcare professionals' wishes regarding end-of-life if they were in hypothetical end-of-life condition.</p><p><strong>Methods: </strong>In this descriptive-correlational study, 467 healthcare providers were selected using the census sampling method. Physicians, nurses, or nursing assistants who worked in the oncohematology, internal medicine, intermediate care, surgical areas, or hospices of three hospitals in the northwest of Italy were included. All participants were included if they agreed to participate in the study and signed a written informed consent. A modified version of the guide \"Your Conversation Starter Kit,\" the ConVita Questionnaire, was used. A logistic regression to analyze possible associations between personal and professional characteristics and end-of-life wishes of healthcare professionals was performed.</p><p><strong>Results: </strong>Of the 747 professionals who agreed to participate, 467 questionnaires were returned. Compared to physicians, nurses (OR = 2.551 [95% CI 1.306-4.982], P = .006) and nursing assistants (OR = 2.755 [95% CI 1.218-6.23], P = .015) were more likely to prefer receiving treatments regardless the discomfort these might cause. This was less likely to occur when professionals attended palliative care courses (OR = 0.655 [95% CI 0.431-0.997], P = .048). Professionals with longer working experience in the same unit were more likely to give more importance to the quality of life than to the amount of medical care (OR = 1.041 [95% CI 1.006-1.078], P = .022). Compared to physicians, nurses were more likely to worry about not receiving sufficient treatments (OR = 2.883 [95% CI 1.526-5.446], P = .001).</p><p><strong>Conclusions: </strong>This study contributes to a better understanding of healthcare professionals' wishes if they were in the hypothetical condition of end of life. Healthcare professionals need support to gain insight into end-of-life issues.</p><p><strong>Implication for nursing practice: </strong>By better understanding healthcare professionals' perspective on end of life, this study may help build the support they need to feel better equipped to address end-of-life conversations with patients and families. Palliative care courses may raise healthcare professionals' awareness toward a timely start of end-of-life conversations.</p>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":" ","pages":"151844"},"PeriodicalIF":2.3,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665321","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":"Explore Potential Profiles and Influencing Factors for Financial Toxicity in Patients with Colorectal Cancer Undergoing Chemotherapy: A Cross-Sectional Study","authors":"Fangyi Li ,&nbsp;Tian Xiao ,&nbsp;Chunmei Liu ,&nbsp;Qiumei Ma ,&nbsp;Xiaoli Huang ,&nbsp;Xueqin Qiu ,&nbsp;Linyu Zhou ,&nbsp;Ruihan Xiao ,&nbsp;Xiaoju Chen","doi":"10.1016/j.soncn.2024.151762","DOIUrl":"10.1016/j.soncn.2024.151762","url":null,"abstract":"<div><h3>Objectives</h3><div>To explore the potential financial toxicity (FT) profiles in patients with colorectal cancer (CRC) undergoing chemotherapy and analyze its influencing factors.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 373 CRC patients undergoing chemotherapy in southwest China from January 2024 to May 2024. We utilized the General Information Questionnaire, the FT based on Patient-Reported Outcome Measures (COST-PROM), the Brief Illness Perception Questionnaire (BIPQ), and the Family APGAR Index (APGAR). Latent profile analysis (LPA) by Mplus8.3 was used to identify the latent profiles of the FT. Multinomial logistic regression analysis was used to analyze the relevant factors in the different categories.</div></div><div><h3>Results</h3><div>The patients with CRC undergoing chemotherapy were divided into four profiles: high FT group (44.5%), moderate FT-low psychological adaptation group (22.8%), moderate FT-high psychological adaptation group (18.0%), and low FT group (14.7%). Age, average monthly household income per capita, employment status, disease duration, round of chemotherapy, illness perception, and family function were the influencing factors for potential profiles of FT in CRC chemotherapy patients (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>There are four potential profiles of FT in patients with CRC undergoing chemotherapy. Healthcare providers should pay attention to patients with CRC undergoing chemotherapy aged 18 to 59 years old, employed and unemployed, with lower average monthly household income per capita, disease duration of less than 1 year, and more times of chemotherapy. Additionally, reducing patients’ negative perceptions of the disease and improving family function can help lower the level of FT.</div></div><div><h3>Implication for Nursing Practice</h3><div>This research can assist nurses in identifying patients at high risk of FT, enabling early intervention and the implementation of targeted psychological nursing interventions. Nurses can help patients develop positive perceptions of the disease and improve family relationships, thereby mitigating the negative effects of FT.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151762"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824600","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":"Nutritional Status in Locally Advanced or Metastatic Solid Cancer Patients Treated With Chemotherapy, Radiotherapy, and Immunotherapy in Spanish Outpatient Oncology Units","authors":"Julio C. de la Torre-Montero ,&nbsp;Jorgina Serra-López ,&nbsp;Raquel Alvárez-García ,&nbsp;Magdalena Battle-Vidal ,&nbsp;Nieves Gil-Gómez ,&nbsp;Patricia Beorlegui-Murillo ,&nbsp;Dolores Pérez-Cárdenas ,&nbsp;Andrés Sánchez-Belchiz ,&nbsp;Erik Medina Cruz ,&nbsp;Ángeles Peñuelas-Saiz","doi":"10.1016/j.soncn.2024.151801","DOIUrl":"10.1016/j.soncn.2024.151801","url":null,"abstract":"<div><h3>Objectives</h3><div>Malnutrition is a prevalent condition in cancer patients that significantly impacts patients' clinical outcomes and health-related quality of life (HR-QoL). The outcome was to characterize the nutritional status by describing the prevalence of malnutrition (mild, moderate, or severe) and its risk in outpatient cancer patients.</div></div><div><h3>Methods</h3><div>Multicenter, prospective, cross-sectional, descriptive, two-cohort study conducted on consecutive adult patients with locally advanced or metastatic solid tumors (stages III-IV). The study was conducted in 10 Spanish hospitals distributed all over the Spanish geography, with a recruitment period of 5 months (between April and September 2020). Study patients were divided into two groups according to their cancer therapy: group A, patients who underwent immunotherapy, and group B, patients who received combined therapy (immunotherapy plus chemotherapy and radiotherapy).</div></div><div><h3>Results</h3><div>A total of 585 patients were included. The proportion of patients at risk of malnutrition was notably more significant in the combination group (chemotherapy and/or radiotherapy) than in the immunotherapy-only group (28.3% versus 58.5%, respectively, <em>P</em> &lt; .0001). According to this evaluation the highest proportion of patients at risk were those with pancreatic cancer (51 patients; 89.5%), followed by large intestine cancer (52 patients; 55.3%) and lung cancer (56 patients; 29.3%), <em>P</em> &lt; .0001.</div></div><div><h3>Conclusions</h3><div>Patients treated with only immunotherapy seemed to have better nutritional status, which indicated health-related quality of life improvement. Additionally, there was a trend associating nutritional status with tumor location. Treatment strategy, treatment duration, performance status, and treatment location were independently associated with malnutrition.</div></div><div><h3>Implications for Nursing Practice</h3><div>Integrating nutritional assessment into routine clinical practice will improve the quality of life of oncology patients. An integrative approach to health improves overall results in terms of nutritional status and improved quality of life and shows that daily living activities are more satisfactory for patients with nursing interventions. Nursing interventions are consistent with an educational approach to patients as long as the interventions described in international guidelines are detailed in the framework of the patient care.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151801"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Exercise-Based Interventions on Fatigue among Head and Neck Cancer Patients on Radiotherapy: Systematic Review with Meta-Analysis","authors":"Shalini Ganesh Nayak ,&nbsp;Krishna Sharan ,&nbsp;Ravishankar Nagaraja ,&nbsp;Anice George","doi":"10.1016/j.soncn.2024.151755","DOIUrl":"10.1016/j.soncn.2024.151755","url":null,"abstract":"<div><h3>Objectives</h3><div>Fatigue is a significant challenge among head and neck cancer patients undergoing radiotherapy, impacting their well-being and daily functioning. Exercise-based interventions hold promise in alleviating this fatigue burden. This systematic review aims to evaluate the effectiveness of exercise-based interventions on fatigue among patients with head and neck cancer receiving radiotherapy.</div></div><div><h3>Methods</h3><div>We systematically searched for the studies in Cumulative Index to Nursing and Allied Health Literature, PubMed, Cochrane Library Database, MEDLINE, and Google Scholar in the English language from 2000 to 2023. Two reviewers independently identified the articles using key thesaurus and free text terms based on the inclusion criteria. The review was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement. Meta-analysis was done by using RevMan 5.3 software.</div></div><div><h3>Results</h3><div>The systematic review included nine trials encompassing 647 participants, out of which five were randomized control trials and were selected for meta-analysis. Pooled data from randomized control trials showed that exercise-based interventions were effective in reducing few dimensions of fatigue such as general fatigue, physical fatigue, emotional fatigue significantly (<em>P</em> &lt; .001) among Head and Neck Cancer patients receiving radiotherapy.</div></div><div><h3>Conclusion</h3><div>Preliminary evidence from the review suggests that engaging in exercise-based interventions may reduce fatigue among patients with head and neck cancer receiving radiotherapy. However, future research is necessary, as most of the articles in current review were either pilot studies or feasibility trials.</div></div><div><h3>Implications for Nursing Practice</h3><div>This systematic review and meta-analysis protocol was registered in PROSPERO with the register number CRD42023428284.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151755"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689744","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":"Individual Rumination in Adult Cancer Care: A Concept Analysis","authors":"Jinyong Cao,&nbsp;Yeter Sinem Üzar‐Özçetin","doi":"10.1016/j.soncn.2024.151802","DOIUrl":"10.1016/j.soncn.2024.151802","url":null,"abstract":"<div><h3>Objective</h3><div>To conceptualize rumination in adult cancer care.</div></div><div><h3>Methods</h3><div>Walker and Avant's concept analysis method was used to examine rumination in adults with cancer. A systematic search was conducted across psychology, nursing, medicine, and public health disciplines in PsycINFO, PubMed, Web of Science, CINAHL, and Scopus databases from their inception to April 2024. Additional records were identified by manually searching reference lists of relevant studies.</div></div><div><h3>Results</h3><div>Analysis of 50 articles identified rumination's three defining attributes (intrusions, brooding, instrumentality), antecedents (cancer-related adversity, pre-existing susceptibilities), and consequences (psychophysiological functioning impairments, long-term adaptation). Key features included trait-state duality, internal variability, external cyclicality, and high emotional correlation.</div></div><div><h3>Conclusions</h3><div>This concept analysis establishes a preliminary conceptual model of rumination in adult cancer care, integrating its attributes, antecedents, and consequences. The model offers insights into rumination mechanisms, highlighting its complexity and variability, and may inform the development of targeted interventions and theoretical development for cancer population. Further research is needed to validate the model and explore its clinical applications.</div></div><div><h3>Implications for Nursing Practice</h3><div>Understanding rumination in adult cancer care helps nurses identify and support at-risk patients. By recognizing key signs, nurses can implement targeted interventions to improve patients' emotional and psychological well-being, ultimately enhancing their long-term adaptation and quality of life.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151802"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928622","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}