Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Acceptance of illness and its relationship with benefit finding among patients with colorectal cancer undergoing chemotherapy: A latent profile analysis","authors":"Fangyi Li ,&nbsp;Tian Xiao ,&nbsp;Ao Tang ,&nbsp;Zibochang Wang ,&nbsp;Chunmei Liu ,&nbsp;Qiumei Ma ,&nbsp;Linyu Zhou ,&nbsp;Ruihan Xiao ,&nbsp;Biao He ,&nbsp;Xueqin Qiu ,&nbsp;Xiaoju Chen","doi":"10.1016/j.apjon.2025.100715","DOIUrl":"10.1016/j.apjon.2025.100715","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify the potential profiles of acceptance of illness among colorectal cancer patients undergoing chemotherapy, examine the factors influencing these profiles, and analyze the relationship between acceptance of illness in different profiles and benefit finding.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 475 parents with colorectal cancer undergoing chemotherapy in southwest China from June to November 2024. Data were collected using general information questionnaire, the Acceptance of Illness Scale (AIS), and the Benefit Finding Scale (BFS). Use descriptive statistics, latent profile analysis, and multivariate logistic regression to analyze the data, while multiple linear regression was used to examine the impact of different categories of acceptance of illness on benefit finding.</div></div><div><h3>Results</h3><div>The acceptance of illness of patients was classified into three latent categories: “Low acceptance of illness group” (29.5%), “Moderate acceptance of illness group” (37.9%), and “High acceptance of illness group” (32.6%). Gender, relationship with family members, average monthly household income per capita and history of surgery were the influencing factors of acceptance of illness in different categories of patients (<em>P</em> ​&lt; ​0.05). After controlling for confounding factors, the latent profiles of acceptance of illness were significant predictors of benefit finding (<em>P</em> ​&lt; ​0.001).</div></div><div><h3>Conclusions</h3><div>The acceptance of illness among colorectal cancer patients undergoing chemotherapy exhibits heterogeneity and can be categorized into three latent profiles. Higher acceptance of illness among patients is associated with a higher level of benefit finding. Health care providers should implement targeted interventions based on the influencing factors of different categories of acceptance of illness to enhance benefit finding levels.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100715"},"PeriodicalIF":2.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070293","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":"Symptoms experience during the oral intake rehabilitation period following esophagectomy: A network analysis","authors":"Hanxue Liu ,&nbsp;Xiaoju Zhang ,&nbsp;Jiajia Qiu ,&nbsp;Zhenqi Lu ,&nbsp;Chong Chen","doi":"10.1016/j.apjon.2025.100710","DOIUrl":"10.1016/j.apjon.2025.100710","url":null,"abstract":"<div><h3>Objective</h3><div>Patients experience diverse symptoms during the oral intake rehabilitation period after esophagectomy, yet symptom interactions remain poorly understood. This study aimed to identify symptom clusters, core symptoms, and their relationships to inform targeted nursing interventions.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 252 participants completed the Anderson Symptom Assessment Scale and the European Organization for Research and Treatment of Cancer quality of life questionnaire, specifically the esophageal-specific module (EORTC QLQ-OES18). Symptom clusters were derived via Principal Component Analysis (SPSS 26.0), and a network analysis (R4.3.1) was conducted to explore symptom centrality and interconnectedness.</div></div><div><h3>Results</h3><div>Five symptom clusters emerged: reflux symptoms, unpleasant eating changes, low spirits symptoms, nerve damage symptoms, and energy deficiency symptoms. Distress (strength ​= ​4.878, betweenness ​= ​20, closeness ​= ​0.263) and trouble enjoying meals (strength ​= ​4.666, betweenness ​= ​28, closeness ​= ​0.258) were identified as core symptoms and with the highest bridge strength (distress: 3.400; trouble enjoying meals: 3.210). Patients experiencing these symptoms exhibited significantly greater weight loss (distress: 2.60 ​± ​2.52 vs. 1.68 ​± ​2.10 kg, <em>P</em> ​= ​0.002; trouble enjoying meals:2.42 ​± ​2.56 vs. 1.65 ​± ​2.00 kg, <em>P</em> ​= ​0.009).</div></div><div><h3>Conclusions</h3><div>Distress and trouble enjoying meals are not only core symptoms but also bridge symptoms. Future interventions targeting these two symptoms may be able to alleviate the overall symptoms and reduce weight loss during the oral intake rehabilitation period following esophagectomy.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100710"},"PeriodicalIF":2.4,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941597","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":"Self-care practices among hospice nurses in general hospitals in China: A qualitative study","authors":"Rong Tan ,&nbsp;Jing Wang ,&nbsp;Fen Teng ,&nbsp;Jiaqing Wang ,&nbsp;Yundan Wang ,&nbsp;Wenjuan Zhou ,&nbsp;Deying Hu","doi":"10.1016/j.apjon.2025.100706","DOIUrl":"10.1016/j.apjon.2025.100706","url":null,"abstract":"<div><h3>Objective</h3><div>This study was aimed at exploring the real-world self-care experiences and challenges encountered by hospice nurses caring for terminally ill patients at general hospitals in mainland China.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 15 hospice care nurses at 10 general hospitals in China from June 2022 to February 2023. Using Colaizzi's seven-step method, we analyzed and distilled the data into key themes.</div></div><div><h3>Results</h3><div>Three themes were identified: 1) benefits of self-care (personal growth and self-worth affirmation); 2) effective self-care strategies (physical health management, psychological resilience building, support resource mobilisation, and gaining spiritual consolation); and 3) challenges in self-care (professional development-related challenges and work environment-related challenges). The participants consisted of 14 women and 1 man, with the nurses having a maximum of 5 years of hospice experience. Despite efforts to balance participant numbers from different levels of hospital-based hospice care units, more hospice nurses from provincial tertiary general hospitals were recruited. This imbalance may limit the generalizability of the findings to other health care settings.</div></div><div><h3>Conclusions</h3><div>This study highlighted the importance and benefits of self-care for hospice nurses. Implementing effective self-care strategies can strengthen hospice nurses’ well-being and psychological resilience, expand their access to support resources, and ultimately improve the quality of care. Health care institutions and hospice providers should prioritize understanding and promotion of self-care practices among hospice nurses.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100706"},"PeriodicalIF":2.4,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143936077","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":"How to improve quality of life in children with cancer from family-based perspectives? Insights from network analysis","authors":"Jingran Lyu ,&nbsp;Dongyu Song ,&nbsp;Yaoyi Pan ,&nbsp;Weiyi Lin ,&nbsp;Yuli Li ,&nbsp;Yunpeng Dai ,&nbsp;Ka Yan Ho ,&nbsp;Yuanyuan Han","doi":"10.1016/j.apjon.2025.100709","DOIUrl":"10.1016/j.apjon.2025.100709","url":null,"abstract":"<div><h3>Objective</h3><div>A child's cancer diagnosis is a significant family event, and there is a need to explore factors that influence the quality of life of children with cancer from family-based perspectives. This study aimed to explore the interrelationships between parental burnout, sibling relationship quality, and quality of life in children with cancer.</div></div><div><h3>Methods</h3><div>This cross-sectional study enrolled 218 children with cancer and their parents in three tertiary hospitals in Shandong Province using convenience sampling. Children completed the Chinese version of the Pediatric Quality of Life Inventory 4.0, while their parents completed the Parental Perceptions of Children's Sibling Relationship Quality Questionnaire and Maslach Burnout Inventory, and provided their own sociodemographic information, as well as their children's sociodemographic and clinical characteristics. Network analysis was employed to examine the relationships between variables.</div></div><div><h3>Results</h3><div>In the overall network, social functioning in children with cancer exhibited the highest strength (<em>r</em>_<em>s</em> ​= ​1.03), while warmth in sibling relationship quality showed the highest bridge strength (<em>r</em>_<em>bs</em> ​= ​0.42). Social functioning was positively associated with warmth in sibling relationship quality (<em>r</em> ​= ​0.15), and negatively associated with personal achievement (<em>r</em> ​= ​−0.13) and depersonalization (<em>r</em> ​= ​−0.09) in parental burnout. Emotional functioning was negatively associated with emotional exhaustion in parental burnout (<em>r</em> ​= ​−0.10) and jealousy in sibling relationship quality (<em>r</em> ​= ​−0.10).</div></div><div><h3>Conclusions</h3><div>There are significant interrelationships between the network structure of family related variables and quality of life in children with cancer. These findings offer guidance for healthcare professionals focusing on family-based interventions to improve the quality of life of children with cancer.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100709"},"PeriodicalIF":2.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941596","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":"Development and validation of colorectal cancer and colonoscopy screening health beliefs scale for first-degree relatives of people with colorectal cancer (CCHBS-FDR) in China","authors":"Yingli Yang ,&nbsp;Shuya Lin ,&nbsp;Lei Cai ,&nbsp;Jun Zhong ,&nbsp;Yinxuan Ding ,&nbsp;Jingyi Wang ,&nbsp;Baojia Luo ,&nbsp;Xia Yang ,&nbsp;Yang Bai","doi":"10.1016/j.apjon.2025.100707","DOIUrl":"10.1016/j.apjon.2025.100707","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of the study was to develop and validate the psychometric properties of the Colorectal Cancer and Colonoscopy Screening Health Beliefs Scale for First-Degree Relatives (CCHBS-FDR) instrument for the first-degree relatives (FDRs) of people with colorectal cancer (CRC) in China.</div></div><div><h3>Methods</h3><div>This study was conducted in two phases: scale development and psychometric testing. In the scale development phase, a preliminary item pool was established based on a systematic review, qualitative interviews (<em>n</em> ​= ​42), and the Revised Colorectal Cancer Perception and Screening (RCRCPS) instrument. The scale was then refined through expert consultation and laymen review. Psychometric properties were tested by item analysis, validity assessment and reliability evaluation on a convenience sample of 258 Chinese FDRs of patients with CRC.</div></div><div><h3>Results</h3><div>A preliminary 37-item scale with six dimensions, perceived severity, perceived susceptibility, perceived benefits, barriers-priority, barriers-concerns and barriers-knowledge, was developed in the first phase. The content validity index of the CCHBS-FDR was satisfactory (I-CVI ​= ​0.86–1, S-CVI/UA ​= ​0.89, S-CVI/Ave ​= ​0.98). Cronbach's <em>α</em> coefficient for overall scale was 0.863, and subscales ranged from 0.689 to 0.939. Confirmatory factor analysis results suggested that the CCHBS-FDR conformed to the six-factor model (<em>χ</em>²/df ​= ​2.075, RMSEA ​= ​0.065, CFI ​= ​0.892, TLI ​= ​0.880, and SRMR ​= ​0.077).</div></div><div><h3>Conclusions</h3><div>The CCHBS-FDR demonstrated acceptable reliability and validity as a culturally specific instrument for assessing health beliefs among FDRs with CRC. It can serve as a valuable tool for providing a more precise assessment of health beliefs and helping healthcare professionals develop and evaluate tailored communication interventions to promote colonoscopy screening among FDRs.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100707"},"PeriodicalIF":2.4,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916090","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":"Initial quality of life and influencing factors in patients with advanced cancer receiving home hospice care: A propensity score-matched analysis stratified by survival period","authors":"Yitao Wei ,&nbsp;Huina Zou ,&nbsp;Wan Cheng ,&nbsp;Hong Wu ,&nbsp;Shaowei Lin ,&nbsp;Jianwei Zheng ,&nbsp;Huimin Xiao","doi":"10.1016/j.apjon.2025.100704","DOIUrl":"10.1016/j.apjon.2025.100704","url":null,"abstract":"<div><h3>Objective</h3><div>Quality of life (QoL) is increasingly recognized as an important prognostic indicator and has been identified to be associated with reduced survival in patients with advanced cancer during the last months of life. This study aimed to compare the initial QoL and influencing factors of patients with advanced cancer receiving home hospice care with less than 3-month survival period.</div></div><div><h3>Methods</h3><div>A secondary data analysis study was conducted using the data from a Fujian provincial home hospice center, in China, between 2010 and 2020. Propensity score matching was performed in 2761 cases to match patients with a less than 1 month survival period and those with a 1–3 months survival period. Differences in QoL between the two groups were analyzed using the ANOVA or Wilcoxon Mann–Whitney test, and the influencing factors were analyzed using multiple linear regression analysis.</div></div><div><h3>Results</h3><div>No significant differences in QoL were identified between cancer patients with a 1–3 month survival period and those with a survival period of less than 1 month. However, a significant difference was detected after the propensity score matching adjustment (<em>P ​&lt;</em> ​0.05). Sources of living, awareness of disease, and performance status commonly affected the QoL of patients with different survival periods (<em>P ​&lt;</em> ​0.05). Chemotherapy, weight loss, anorexia, and tumor type only affected the QoL of patients with a survival period of less than 1 month (<em>P ​&lt;</em> ​0.05).</div></div><div><h3>Conclusions</h3><div>The QoL of patients with advanced cancer receiving home hospice care is poor but does not necessarily deteriorate continuously during the last 3 months. Notably, the complexity of factors influencing QoL increases significantly as patients approach death.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100704"},"PeriodicalIF":2.4,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948587","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 effect of symptom distress on medication adherence in patients with breast cancer undergoing endocrine therapy: A moderated mediation model","authors":"Huanxi Li ,&nbsp;Chunlei Liu ,&nbsp;Sangsang Ke ,&nbsp;Linna Cui ,&nbsp;Mengying Sun ,&nbsp;Ying Bian ,&nbsp;Yanru Song ,&nbsp;Qian Lu","doi":"10.1016/j.apjon.2025.100701","DOIUrl":"10.1016/j.apjon.2025.100701","url":null,"abstract":"<div><h3>Objective</h3><div>Poor medication adherence is common among breast cancer patients undergoing endocrine therapy. Although previous studies have shown that symptom distress, illness perception, and fear of recurrence can have a connection with medication adherence, the underlying mechanism remains unclear. This study explored the effect of symptom distress on medication adherence, the mediating role of illness perception between symptom distress and medication adherence, and the moderating role of fear of recurrence among those factors.</div></div><div><h3>Methods</h3><div>Symptom distress, illness perception, fear of recurrence, and medication adherence were assessed in 405 patients. A structural equation model verified the mediating role of illness perception, and a multi-cluster analysis tested the moderating role of fear of recurrence.</div></div><div><h3>Results</h3><div>Illness perception had a mediating effect between symptom distress and medication adherence (effect size: −0.213), accounting for 28% of the total effect. A significant difference was observed in the path coefficient of “illness perception → medication adherence” between the low and high fear of recurrence group (CR ​= ​|-3.578| ​&gt; ​1.96, <em>P</em> ​&lt; ​0.05). In the high fear of recurrence group, the association between symptom distress and medication adherence was mediated by illness perception, while in the low fear of recurrence group, medication adherence was only connected by symptom distress.</div></div><div><h3>Conclusions</h3><div>The links of symptom distress and medication adherence were mediated by illness perception, whereas fear of recurrence moderated this relationship. To improve medication adherence, oncology nurses should alleviate symptom distress and implement interventions for patients with high fear of recurrence to reduce negative illness perception.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100701"},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878646","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":"Shared-care management standards of palliative care in Chinese adults: A Delphi study","authors":"Junchen Guo ,&nbsp;Linghao Zeng ,&nbsp;Yunyun Dai ,&nbsp;Xianghua Xu ,&nbsp;Yonghong Hu ,&nbsp;Yongyi Chen","doi":"10.1016/j.apjon.2025.100702","DOIUrl":"10.1016/j.apjon.2025.100702","url":null,"abstract":"<div><h3>Objective</h3><div>Shared-care management (SCM) in palliative care is a collaborative model where shared care teams work in partnership with patients' original health care providers, employing multimodal strategies including consultations and coordinated referrals to enhance quality of care for patients. The evidence regarding its implementation remains fragmented and lacks detailed explanations, which impedes its application in clinical practice. This study aimed to develop a SCM standard of palliative care in adults in mainland regions of China.</div></div><div><h3>Methods</h3><div>Initial standard framework identification was achieved via literature evidence summary. From April to August 2024, two rounds of Delphi method was conducted with the purposes of modifying the standard. To establish consensus, items with a mean importance score &gt; 3.50 and the coefficient of variation of item scores &lt; 0.25 were retained.</div></div><div><h3>Results</h3><div>The first round involved 35 experts, with a follow-up participation of 33 in the second round. The Kendall concordance coefficients of the two rounds of experts consultation were 0.128 and 0.134, respectively (all <em>P</em> ​&lt; ​0.001), indicating consensus among the experts. At the end of the second round, the average importance score of each item was 4.73–5.00. A total of 8 modules including SCM team, applicable population, process of SCM, contents of SCM, start time, precautions, effectiveness evaluation and quality control, and the corresponding 22 items were finally identified in this standard.</div></div><div><h3>Conclusions</h3><div>The establishment of the standard in this study provides a critical framework that can be adopted by health care institutions to ensure that SCM services are delivered uniformly and effectively in mainland regions of China.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100702"},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891320","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":"Patterns and associated factors of online health information seeking behaviors among young women diagnosed with breast cancer in China","authors":"Jialin Chen ,&nbsp;Yang Yang ,&nbsp;Haozhi Xia ,&nbsp;Yiwen Duan ,&nbsp;Chaojin Da ,&nbsp;Tingting Cai ,&nbsp;Changrong Yuan","doi":"10.1016/j.apjon.2025.100700","DOIUrl":"10.1016/j.apjon.2025.100700","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify latent classes of online health information seeking (OHIS) behaviors among young women diagnosed with breast cancer in China and examine associated personal characteristics to support tailored health education strategies.</div></div><div><h3>Methods</h3><div>Young women diagnosed with breast cancer were recruited from a cancer center in China between April and September 2024. Participants completed questionnaires on demographic and clinical characteristics, OHIS behaviors, psychosocial and cognitive factors, trust, social norms, communication, and information seeking experience. Latent class analysis (LCA) identified OHIS patterns, and multivariate logistic regression explored associated characteristics.</div></div><div><h3>Results</h3><div>Among the 398 patients, the median number of topics sought was 5 (4–7). The most frequently sought topics related to breast cancer included basic knowledge (89.7%), treatment plans (77.6%), and lifestyle (75.4%). Nearly half sought information only a few times a month or less. Social media (82.7%) and official accounts/websites (71.1%) were the most frequently used sources. LCA revealed three OHIS behavior classes: Class 1 “information explorers” (26.4%), Class 2 “occasional seekers” (49.2%), and Class 3 “information experts” (24.4%). Patients in adjuvant or other treatment phases were more likely to belong to Class 2 than Class 1. Those with a longer time since diagnosis were also more likely to be classified into Class 2 or Class 3. Conversely, stage I patients and those who trusted online health information were more likely to belong to Class 1, while higher eHealth literacy was associated with Class 3 membership.</div></div><div><h3>Conclusions</h3><div>Young women diagnosed with breast cancer display diverse OHIS patterns influenced by demographic and clinical factors. Recognizing these differences is vital for delivering tailored online health information services.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100700"},"PeriodicalIF":2.4,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886771","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 fear of cancer recurrence on anxiety and depression in women with cancer: The chain mediating roles of financial toxicity and psychological distress — A multicenter investigative study","authors":"Lu Liu ,&nbsp;Man Liu ,&nbsp;Yang Liu ,&nbsp;Hang Yi ,&nbsp;Zhuoheng Lyu ,&nbsp;ShuJun Xing ,&nbsp;Yan Liu","doi":"10.1016/j.apjon.2025.100699","DOIUrl":"10.1016/j.apjon.2025.100699","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the impact of fear of cancer recurrence on anxiety and depression in female cancer patients, and to examine the chain mediating roles of financial toxicity and psychological distress in this relationship.</div></div><div><h3>Methods</h3><div>Between February and July 2024, a total of 417 female cancer patients from top-tier cancer hospitals across 13 regions in China were recruited. Participants completed the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the Hospital Anxiety and Depression Scale (HADS), the Comprehensive Score for Financial Toxicity (COST), and the Distress Thermometer (DT).</div></div><div><h3>Results</h3><div>(1) Fear of recurrence, financial toxicity, psychological distress, anxiety, and depression were significantly correlated. (2) Two mediating pathways were identified: a direct path where fear of recurrence increased psychological distress, leading to heightened anxiety and depression; and an indirect chain mediation path wherein fear of recurrence elevated financial toxicity, which in turn intensified psychological distress, ultimately contributing to anxiety and depression.</div></div><div><h3>Conclusions</h3><div>Health care providers should be aware of the psychological and financial burdens associated with fear of recurrence in women with cancer. Addressing these issues may enhance the effectiveness of psychological interventions, reduce emotional distress, and ultimately improve patients' quality of life.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100699"},"PeriodicalIF":2.4,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879196","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}