Seminars in Oncology Nursing最新文献

{"title":"Understanding Nurses' Role in Systemic Anti-cancer Therapy Day Unit: A Qualitative Study","authors":"Zhuming Bao ,&nbsp;Jenny Harris ,&nbsp;Verna Lavender ,&nbsp;Anne Marie Rafferty ,&nbsp;Jo Armes","doi":"10.1016/j.soncn.2024.151720","DOIUrl":"10.1016/j.soncn.2024.151720","url":null,"abstract":"<div><h3>Objectives</h3><div>Internationally systemic anti-cancer therapy (SACT) nurses are facing increasing workload challenges against the backdrop of rising patient numbers, innovations in systemic anti-cancer therapies and continued development of responsive outpatient chemotherapy systems. This raises concerns about the possible effects on the quality of patient care and has implications for workforce outcomes (e.g., wellbeing, staff retention). This study aims to explore in-depth aspects of SACT day unit nurses' work including their roles and responsibilities (e.g., safe chemotherapy administration, symptom assessment, information giving, self-management advice, and psychosocial support).</div></div><div><h3>Methods</h3><div>Qualitative, online, semi-structured interviews with SACT nurses which analysed using thematic analysis.</div></div><div><h3>Results</h3><div>15 SACT day unit nurses were recruited. Two key themes emerged from the analysis: ‘SACT day unit nurses' roles’ and ‘Factors affecting SACT day unit nurses' roles’. The theme ‘SACT day unit nurses' roles’ encompassed four distinct sub-themes: the specialist clinical role, informal leadership role, enabling work role and supportive role. The theme ‘Factors affecting SACT day unit nurses’ encompassed workforce shortages, work overload, treatment delays, and lack of recognition and support.</div></div><div><h3>Conclusions</h3><div>The themes provided insights into the responsibilities and challenges that impact SACT day unit nurses in fulfilling their roles effectively. By detailing the care provided within the SACT day units, this study addresses the current research gap pertaining to the roles of SACT day unit nurses.</div></div><div><h3>Implications for Nursing Practice</h3><div>The multifaceted roles of SACT day unit nurses encompasses clinical expertise, leadership capabilities, facilitative roles, and supportive functions within the cancer care pathway. Understanding these roles and the challenges nurses face, such as workforce shortages and treatment delays, is crucial for optimizing patient care and addressing the well-being and retention of nursing staff in this specialized field.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 2","pages":"Article 151720"},"PeriodicalIF":2.3,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057231","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":"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":"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":"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}

{"title":"Adaptation of the Shirom–Melamed Burnout Measure in Parents of Turkish Pediatric Oncology Patients","authors":"Ayşe Ay RN, PhD ,&nbsp;Remziye Semerci RN, PhD ,&nbsp;Pınar Taşpınar RN, M.Sc ,&nbsp;Gülşah Tanyildiz MD ,&nbsp;Serap Karaman MD","doi":"10.1016/j.soncn.2024.151759","DOIUrl":"10.1016/j.soncn.2024.151759","url":null,"abstract":"<div><h3>Objectives</h3><div>This study was conducted to adapt the Shirom–Melamed Burnout Measure (SMBM) in parents of Turkish pediatric oncology patients.</div></div><div><h3>Methods</h3><div>This methodological and descriptive study was conducted with 184 parents of pediatric oncology patients from December 2023 to July 2024. Data was collected face to face interviews via an information form and the SMBM. Translation processes, expert opinions, and content validity were meticulously addressed. Data analysis was utilized by IBM SPSS Statistics and AMOS 25.</div></div><div><h3>Results</h3><div>The mean age of parents was 37.02 ± 8.20, and 94.6% of the parents were mothers. The scale demonstrated high validity (content validity index = 0.97) and excellent internal consistency (Cronbach's alpha = 0.91). The Exploratory Factor Analysis revealed a 4-factor structure, explaining 67.60% of the variance. A modified 4‐factor 19‐item model of the provided excellent model fit (chi-square/df = 1.946, RMSEA = 0.072, GFI = 0.861, CFI = 0.932, IFI = 0.933, RFI = 0.849, NFI = 0.871, TLI = 0.920).</div></div><div><h3>Conclusions</h3><div>The Turkish scale with 4‐factor 19‐item is a valid and reliable tool can be used to determine the burnout level of parents of pediatric oncology patients.</div></div><div><h3>Implications for Nursing Practice</h3><div>Healthcare providers should use the SMBM to assess parental burnout, develop targeted support programs, and evaluate the impact of caregiving on parents' well-being.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151759"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689740","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":"Effectiveness of Postoperative Dietary Intervention in Patients with Gastric Cancer who Underwent Gastrectomy: Quasi-Experimental Study Design","authors":"Dahye KIM ,&nbsp;Myung Kyung LEE","doi":"10.1016/j.soncn.2024.151797","DOIUrl":"10.1016/j.soncn.2024.151797","url":null,"abstract":"<div><h3>Objectives</h3><div>This article aims to investigate the effects of a postoperative dietary intervention on fatigue, self-efficacy in managing gastrointestinal side effects, self-efficacy for nutritional management, self-care activity, and unmet nursing needs among patients with gastric cancer who have undergone gastrectomy.</div></div><div><h3>Methods</h3><div>We used a quasi-experimental study design (nonequivalent control group pretest–posttest). Data were collected from 59 patients with gastric cancer (30 in the experimental group and 29 in the control patients) hospitalized for gastrectomy in Daegu, South Korea. The control group completed a preintervention survey, received routine care, and then completed a postintervention survey. After the control group finished their routine care and tests, the experimental group received a postoperative dietary intervention. This intervention included individual face-to-face education and telephone counseling on managing gastrectomy side effects, eating methods to prevent symptoms, foods to avoid, ways to consume sufficient calories, maintaining a balanced diet, and pledge writing. The control group served as a waitlist control. After all interventions and tests for the experimental group were completed, the same dietary intervention was offered to the control group upon their request. This experimental study was conducted from June 2021 to February 2023.</div></div><div><h3>Results</h3><div>Compared with the control group, the experimental group showed significant improvements in fatigue (<em>P</em> = .005), self-efficacy in managing gastrointestinal side effects (<em>P</em> &lt; .001), self-efficacy for nutritional management (<em>P</em> = .03), self-care activity (<em>P</em> &lt; .001), and unmet nursing needs (<em>P</em> &lt; .001).</div></div><div><h3>Conclusion</h3><div>Postoperative dietary interventions contribute to improving self-efficacy, fatigue levels, and self-care activity among patients with gastric cancer.</div></div><div><h3>Implications for Nursing Practice</h3><div>Upon discharge, implementing a needs-based and loss-framed message-based dietary intervention, alongside routine discharge education, for patients who underwent gastrectomy for gastric cancer can enhance fatigue levels, self-efficacy in managing nutrition and gastrointestinal side effects, self-care activity, and unmet nursing needs.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151797"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878120","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":"Effectiveness of Digital-Based Interventions on Physical and Psychological Outcomes Among Cancer Patients: A Systematic Review and Meta-Analysis","authors":"Chun Chong Goh ,&nbsp;Xi Meng Gan ,&nbsp;Piyanee Klainin-Yobas","doi":"10.1016/j.soncn.2024.151796","DOIUrl":"10.1016/j.soncn.2024.151796","url":null,"abstract":"<div><h3>Objective</h3><div>Evolving digital technology has paved the way for endless potentiality. Leveraging on digital technology for healthcare purposes can target cancer patients, thus improving physical and psychological symptoms. Nevertheless, there is limited consolidated evidence on the effectiveness of virtual reality (VR) and mobile applications. This review aimed to synthesize evidence concerning the effectiveness of VR and mobile-based interventions on physical (pain, fatigue, and sleep) and psychological (anxiety and depression) outcomes among cancer patients.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted on ten electronic databases, ongoing trials, and grey literature, reported between 2013 to 2023. All randomized controlled trials (RCTs) examining VR and mobile-based interventions on the physical or psychological outcomes among people with cancer were included. Two independent reviewers screened records for eligibility, appraised methodological quality, and extracted data from included studies. The Cochrane Risk of Bias tool was used for data appraisal, and a modified Cochrane data extraction form was used for data extraction. Meta-analysis and subgroup analysis were used to analyze data.</div></div><div><h3>Results</h3><div>In total, 43 studies were included. VR relaxation videos and game-based activities were efficacious in improving cancer-related pain. Mobile applications with educational content, symptom monitoring, relaxation videos, teleconsultation, and regular reminders contributed to positive effects on all outcomes. Mindfulness practice appeared to improve sleep quality, anxiety, and depression. Intervention effects sustained at least 6 months for all outcomes, except sleep.</div></div><div><h3>Conclusions</h3><div>VR and mobile-based interventions had the potential to improve pain, fatigue, sleep, anxiety, and depression at post-intervention. Future RCTs are required to further test both digital interventions on specific types of cancer on multiple research settings.</div></div><div><h3>Implications to Nursing Practice</h3><div>VR and mobile-based interventions can be offered in clinical settings to help cancer manage their pain, fatigue, sleep, anxiety, and depression. VR relaxation videos, game-based activities, teleconferences, mindfulness, education, and system reminders can be included.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151796"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900100","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":"Nonpharmacological Management of Cancer-Related Cachexia: A Systematic Review","authors":"Cloconi Constantina ,&nbsp;Economou Mary ,&nbsp;Orphanos George ,&nbsp;Ferentinos Konstantinos ,&nbsp;Kouta Christiana ,&nbsp;Middleton Nicos ,&nbsp;Charalambous Andreas","doi":"10.1016/j.soncn.2024.151803","DOIUrl":"10.1016/j.soncn.2024.151803","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;Cancer-related cachexia affects approximately 50% to 80% of cancer patients and contributes significantly to cancer-related mortality, accounting for 20% of deaths. This multifactorial syndrome is characterized by systemic inflammation, anorexia, and elevated energy expenditure, leading to severe weight loss and muscle wasting. Understanding the underlying mechanisms is critical for developing effective interventions. While progress has been made over the past decade, most therapeutic approaches have centered on pharmacological agents or nutritional supplements. This systematic review seeks to address a critical gap by examining interventional studies that focus on nonpharmacological, nonsupplement, and nonparenteral strategies for managing cancer-related cachexia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A systematic review followed the guidelines provided by PRISMA 2020. The review was conducted to identify clinical trials on the nonpharmacological, nonsupplement, and nonparenteral management of cancer-related cachexia. The literature search encompassed PubMed, CINAHL, and Scopus, targeting studies published between 2014 and 2024. Inclusion criteria required studies to be written in English, involve human participants aged 18 years or older, and focus on individuals diagnosed with active solid tumors. Studies involving participants with hematological malignancies were excluded due to the unique dietary requirements associated with these conditions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The search identified 2,949 articles, of which 10 met the eligibility criteria. The nonpharmacological interventions examined included acupuncture, nutritional advice, education and support, informational booklets, behavior change support, and exercise. Significant heterogeneity was observed in both the types of interventions and the sample sizes across the studies. Most participants were outpatients. Commonly, assessed outcomes included body weight, body mass index, quality of life (QoL), and muscular strength. This variation highlights the need for more standardized approaches to better evaluate the impact of such interventions.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Exercise interventions improved lean mass, QoL, and fatigue. Complementary interventions like acupuncture have demonstrated promising benefits in managing cancer-related cachexia. These include improved appetite, enhanced Karnofsky Performance Status (indicating better functional ability), and reduced weight loss. While some studies suggest nutritional interventions may positively impact weight or dietary habits, the evidence remains inconclusive. This highlights the importance of initiating interventions early in the course of care, just after the diagnosis and the start of treatment to maximize potential benefits. Additionally, actively involving patients in their care is crucial, as this can enhance adherence, personalize strategies, and address individual needs more ef","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151803"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146088","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":"Providing Information or Support Based on Cancer Worry Can Decrease Psychological Distress Among Daughters of Women with Breast Cancer","authors":"Van Du Phung ,&nbsp;Susan J. Fetzer ,&nbsp;Su-Ying Fang","doi":"10.1016/j.soncn.2024.151760","DOIUrl":"10.1016/j.soncn.2024.151760","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Cancer Worry (CW) can shape the responses and behaviors of information or support-seeking of daughters of women with breast cancer.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study aims to explore the roles of Cancer Worry (CW) as a moderator and mediator in the relationship between information needs, support needs, and psychological distress.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;A cross-sectional and correlational design was used in conjunction with a convenience sampling strategy. Daughters of mothers with breast cancer were requested to complete the questionnaires Impact of Event Scale Chinese version (IES-C), Cancer Worry Scale for Genetic Counseling (CWS-GC), and Information and Support Needs Questionnaire (ISNQ). Hayes' PROCESS macro using SPSS for Windows were used to examine the mediator and moderator role of CW.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;A total of 194 daughters provided data. Cancer worry was significantly correlated with total IES (r = 0.352, &lt;em&gt;P &lt; .&lt;/em&gt;01), intrusion-IES (r = 0.353, &lt;em&gt;P&lt;/em&gt; &lt; .01), avoidance-IES (r = 0.313, &lt;em&gt;P&lt;/em&gt; &lt; .01), unmet support needs (r = 0.226, &lt;em&gt;P&lt;/em&gt; &lt; .01), and unmet information needs (r = 0.17, &lt;em&gt;P&lt;/em&gt; &lt; .05). Cancer worry mediated the relationship between unmet support needs and total IES (β = 0.089, 95% CI: 0.026, 0.171) and moderated the relationship between unmet information needs and total IES (β = −0.395, &lt;em&gt;P&lt;/em&gt; = .018, 95% CI: −0.723, −0.066).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;The role of cancer worry should be paid attention to when clinicians deliver information and provide support as well as tailoring psychological intervention for ameliorating distress in daughters of women with breast cancer.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Implications for nursing&lt;/h3&gt;&lt;div&gt;Providing personalized information and support is essential to address the unmet needs of daughters of women with breast cancer. Healthcare professionals providing interventions to reduce distress and improve overall care should consider individual CW&lt;strong&gt;&lt;em&gt;.&lt;/em&gt;&lt;/strong&gt;&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Plain English summary&lt;/h3&gt;&lt;div&gt;This research looks at how worrying about cancer affects daughters of women who have breast cancer. It focuses on the degree of cancer worry changes the way they feel when they don't get the information and support. Researchers used surveys to gather data from these daughters, examining how their level of cancer worry influenced their needs for information and support and their psychological distress. They found that greater unmet support needs will intensify worry about cancer and then increase psychological stress. However, too much or too little worry about cancer will also heighten their psychological distress due to limited information. The findings suggest that healthcare providers, including nurses, should consider the level of worry about cancer when offering support and information to these individuals to help reduce their stress.&lt;/div&gt;&lt;/","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 1","pages":"Article 151760"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774830","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}