Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Death preparedness interventions for patients with advanced cancer: A systematic review","authors":"Xi Zhang ,&nbsp;Meizhen Zhao ,&nbsp;Tieying Zeng ,&nbsp;Xiaoli Wei","doi":"10.1016/j.apjon.2025.100697","DOIUrl":"10.1016/j.apjon.2025.100697","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to synthesize and critically evaluate the current evidence on interventions aimed at enhancing death preparedness among patients with advanced cancer.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Embase, Cochrane Library, CINAHL, ProQuest, and Web of Science was conducted to identify relevant studies. The review followed Systematic Review and Meta-Analysis Preferred Reporting Items (PRISMA) guidelines, with a structured assessment of study quality and intervention outcomes.</div></div><div><h3>Results</h3><div>Nine studies involving a total of 876 patients with advanced cancer met the inclusion criteria. Interventions demonstrated significant improvements in overall death preparedness, with additional benefits observed in psychological well-being and functional status. Most interventions incorporated death education, psychological support, and meaning-centered psychotherapy.</div></div><div><h3>Conclusions</h3><div>Interventions appear to be effective in enhancing death preparedness among patients with advanced cancer. Future research should focus on refining intervention components, clearly defining outcome measures, and aligning strategies with individualized patient needs and goals.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD420250652562.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100697"},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860105","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":"Evidence summary on pain management in thoracoscopic lung cancer surgery","authors":"Dongdong Wu ,&nbsp;Jianjuan Dai ,&nbsp;Yifan Sheng ,&nbsp;Yin Lin ,&nbsp;Hong Ye ,&nbsp;Donglin Wang ,&nbsp;Lina Lu ,&nbsp;Boer Yan","doi":"10.1016/j.apjon.2025.100693","DOIUrl":"10.1016/j.apjon.2025.100693","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to systematically retrieve, evaluate and summarize evidence on perioperative pain management in adults undergoing thoracoscopic lung cancer surgery, to assist oncology nurses in improving pain assessment and management.</div></div><div><h3>Methods</h3><div>The research question was established using PIPOST model and a systematic search was conducted in English and Chinese databases, professional society websites and guideline platforms for literature published between January 2017 and December 2024. Included literature types comprised guidelines, systematic reviews, evidence summaries, expert consensus, and standards. After literature searching and screening in January 2025, the remaining guidelines were evaluated by four investigators, while other literature was assessed by two investigators. Evidence was then extracted and graded.</div></div><div><h3>Results</h3><div>Eighteen articles were included, comprising 5 systematic reviews, 3 guidelines, 2 clinical decisions, 4 evidence summaries, 3 expert consensus, and 1 standard. Twenty-five pieces of evidence across six topics were summarized, covering organizational management, high-risk patient assessment and preoperative education, pain assessment, intraoperative analgesia, multimodal pharmacological strategies, and non-pharmacological interventions.</div></div><div><h3>Conclusions</h3><div>This evidence summary highlights effective strategies for perioperative pain management in thoracoscopic lung cancer surgery, which could support oncology nurses in implementing comprehensive pain assessment, identifying high-risk patients, and applying diversified analgesic interventions.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100693"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828921","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, validation, and clinical utility of risk prediction models for cancer-associated venous thromboembolism: A retrospective and prospective cohort study","authors":"Shuai Jin ,&nbsp;Dan Qin ,&nbsp;Chong Wang ,&nbsp;Baosheng Liang ,&nbsp;Lichuan Zhang ,&nbsp;Weiyin Gao ,&nbsp;Xiao Wang ,&nbsp;Bo Jiang ,&nbsp;Benqiang Rao ,&nbsp;Hanping Shi ,&nbsp;Lihui Liu ,&nbsp;Qian Lu","doi":"10.1016/j.apjon.2025.100691","DOIUrl":"10.1016/j.apjon.2025.100691","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to develop cancer-associated venous thromboembolism (CA-VTE) risk prediction models using survival machine learning (ML) algorithms.</div></div><div><h3>Methods</h3><div>This study employed a double-cohort study design (retrospective and prospective). The retrospective cohort (<em>n</em> ​= ​1036) was used as training set (70.0%, <em>n</em> ​= ​725) and internal validation set (30.0%, <em>n</em> ​= ​311); while the prospective cohort (<em>n</em> ​= ​321) was used as external validation set. Seven survival ML algorithms, including COX regression, classification, regression and survival tree, random survival forest, gradient boosting survival machine tree, extreme gradient boosting survival tree, survival support vector analysis, and survival artificial neural network, were applied to train CA-VTE models.</div></div><div><h3>Results</h3><div>Univariate analysis and LASSO-COX regression both selected five predictors: age, previous VTE history, ICU/CCU, CCI, and D-dimer. The seven survival ML models (C-index: 0.709–0.760; Brier Score: 0.212–0.243) all outperformed Khorana Score (C-index: 0.632; Brier Score: 0.260) in external validation set. Among all models, the COX_DD model (COX regression ​+ ​D-dimer) performed best. However, ML models and Khorana Score predicted CA-VTE risk on <span><math><mrow><mo>≥</mo></mrow></math></span> 7 days of hospitalization with an increase in Brier Score <span><math><mrow><mo>≥</mo></mrow></math></span> 0.25, showing poor calibration.</div></div><div><h3>Conclusions</h3><div>In this study, the CA-VTE risk prediction models developed in seven survival ML algorithms outperformed Khorana Score. Combining with D-dimer can improve model performance. Applying the nomogram based on the optimal COX_DD model allows oncology nurse to reassess CA-VTE risk once a week. The prediction models developed using survival ML algorithms in this study may contribute to the dynamic and accurate risk assessment of CA-VTE for cancer survivors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100691"},"PeriodicalIF":2.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828241","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 role of health perception in preventive care","authors":"Negin Dorri","doi":"10.1016/j.apjon.2025.100689","DOIUrl":"10.1016/j.apjon.2025.100689","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100689"},"PeriodicalIF":2.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852318","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 interplay between sleep and cancer-related fatigue in breast cancer: A casual and computer-simulated network analysis","authors":"Hongman Li ,&nbsp;Ying Xiong ,&nbsp;Qihan Zhang ,&nbsp;Yufei Lu ,&nbsp;Qiaoling Chen ,&nbsp;Siqi Wu ,&nbsp;Yiguo Deng ,&nbsp;Chunmin Yang ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.apjon.2025.100692","DOIUrl":"10.1016/j.apjon.2025.100692","url":null,"abstract":"<div><h3>Objective</h3><div>Sleep problems and cancer-related fatigue are common symptoms in women for breast cancer, during and after treatment. Identifying key intervention targets for this symptom cluster may improve patient reported outcomes. This study aimed to explore the relationship between sleep and cancer-related fatigue to identify optimal intervention targets.</div></div><div><h3>Methods</h3><div>In the “Be Resilient to Breast Cancer” program, self report data were collected on sleep and cancer-related fatigue the Multidimensional Fatigue Symptom Inventory–Short Form and the Pittsburgh Sleep Quality Index. Gaussian network analysis was employed to identify central symptoms and nodes, while a Bayesian network explored their causal relationships. Computer-simulated interventions were used to identify core symptoms as targets for intervention.</div></div><div><h3>Results</h3><div>General fatigue (Str ​= ​0.95, Bet ​= ​7, Clo ​= ​0.007) was considered the node with the strongest centrality. The daytime dysfunction item on the Pittsburgh sleep quality index had the strongest bridge strength. Core symptoms were identified as targets for intervention by the computer-simulated analysis.</div></div><div><h3>Conclusions</h3><div>Sleep quality is the strongest predictor of cancer-related fatigue from a casual networking perspective. Sleep latency and daytime dysfunction should be targeted to break the chained symptom interaction between sleep and cancer-related fatigue.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100692"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807385","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 the symptom assessment scale for patients with nasopharyngeal cancer undergoing radiotherapy","authors":"Fangying Wang ,&nbsp;Qingyu Zhao ,&nbsp;Guanmian Liang ,&nbsp;Wanying Wu","doi":"10.1016/j.apjon.2025.100690","DOIUrl":"10.1016/j.apjon.2025.100690","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop the Symptom Assessment Scale for Patients with Nasopharyngeal Cancer Undergoing Radiotherapy (SAS-NPC), based on the Symptom Experience Model.</div></div><div><h3>Methods</h3><div>In Phase 1, a content analysis of the literature and group discussions were conducted to construct an initial pool of 61 items. Following expert review by 16 specialists and cognitive interviews with 10 patients, the pool was refined to 56 items. In Phase 2, a convenience sampling method was used to recruit 625 patients with nasopharyngeal cancer (NPC) undergoing radiotherapy, who assessed and explored the scale items. Phase 3 focused on evaluating the scale's reliability and validity.</div></div><div><h3>Results</h3><div>The SAS-NPC consists of 7 dimensions and 33 items. Reliability analysis revealed a Cronbach's α coefficient of 0.928 for the total scale, a split-half reliability of 0.790, and a retest reliability of 0.828. Validity analysis showed content validity indices for each item ranging from 0.833 to 1.000, with an overall content validity index of 0.970 for the scale. Exploratory factor analysis (EFA) identified 7 common factors, which accounted for 74.505% of the total variance. Confirmatory factor analysis (CFA) demonstrated good overall model fit.</div></div><div><h3>Conclusions</h3><div>The SAS-NPC comprehensively captures acute and long-term symptoms associated with patients with NPC undergoing radiotherapy. The scale exhibits strong reliability and validity, making it an ideal tool for assessing NPC symptom burden and facilitating clinical symptom management.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100690"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851601","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":"Latent profile analysis of self-management and its association with quality of life differences in patients with cancer treated with immune checkpoint inhibitors","authors":"Ruiqi Lu ,&nbsp;Zhihui Yang ,&nbsp;Jingxia Miao ,&nbsp;Qian Xu ,&nbsp;Lili Zhang","doi":"10.1016/j.apjon.2025.100687","DOIUrl":"10.1016/j.apjon.2025.100687","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore latent profiles of self-management ability in patients with cancer treated with immune checkpoint inhibitors, analyze each subgroup's characteristics, and determine the relationship between self-management and quality of life.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 393 patients treated with immune checkpoint inhibitors. The participants completed questionnaires containing sociodemographic information, the Functional Assessment of Cancer Therapy-Immune Checkpoint Modulator (FACT-ICM), the Cancer Patient Self-management Evaluation Scale, and the Medical Coping Modes Questionnaire. Latent profile analysis was used to examine potential latent groups of self-management. Multivariate logistic regression was used to analyze the sociodemographic variables in each profile. Kruskal-Wallis H-rank sum test was used to explore the relationships between self-management profiles and quality of life.</div></div><div><h3>Results</h3><div>The self-management abilities of the patients treated with immune checkpoint inhibitors were grouped into three latent profiles: “low self-management” (16.8%), “average self-management-avoidance of information” (44.3%), and “high self-management” (38.9%). The coping modes, educational levels, medical insurances, age, monthly family income per capita, and communication styles with health care professionals post-discharge significantly influenced the distribution of self-management. There were significant differences in the FACT-ICM scores across all three groups, except for the emotional well-being dimension.</div></div><div><h3>Conclusions</h3><div>The patients with cancer treated with immune checkpoint inhibitors exhibit three distinct self-management profiles. To enhance patients' quality of life, healthcare professionals should develop targeted self-management strategies focusing on information management and communication between patients and healthcare providers.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100687"},"PeriodicalIF":2.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815004","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":"Knowledge, attitudes, and practices toward nutritional management among patients with gastrointestinal cancer: A cross-sectional study","authors":"Xiaoxu Zhi ,&nbsp;Jie Chen ,&nbsp;Liu Yang ,&nbsp;Sheng Li ,&nbsp;Liuliu Zhang ,&nbsp;Yun Zhao ,&nbsp;Min Wang ,&nbsp;Zhiyan Zhou ,&nbsp;Funa Yang ,&nbsp;Zhie Gu ,&nbsp;Xiaoju Zhang ,&nbsp;Huizi Tian ,&nbsp;Qin Xu ,&nbsp;Jun Yao","doi":"10.1016/j.apjon.2025.100688","DOIUrl":"10.1016/j.apjon.2025.100688","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the knowledge, attitudes, and practices (KAP) regarding nutritional management among patients with gastrointestinal cancer.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study was conducted from December 2023 to May 2024 across hospitals in Jiangsu, Henan, Shanghai, and Tianjin, China. Participants completed questionnaires that collected demographic data and assessed their KAP toward nutritional management.</div></div><div><h3>Results</h3><div>A total of 1239 valid questionnaires were analyzed. Among the participants, 769 (62.1%) were male, and 452 (36.5%) had been diagnosed with gastrointestinal cancer for less than six months. The proportion of participants demonstrating adequate knowledge, positive attitudes, and proactive practices were 1018 (82.1%), 328 (26.4%), and 403 (32.5%), respectively. Multivariate logistic regression identified several factors independently associated with proactive practices, including adequate knowledge, lack of insurance, a gastrointestinal tumor duration of 2–3 years or more, no doubts about nutritional management, absence of nutritional screening, and having others as primary caregivers. Structural equation modeling revealed direct effects of knowledge on both attitude (<em>β</em> ​= ​0.308, <em>P</em> ​&lt; ​0.001) and practice (<em>β</em> ​= ​0.475, <em>P</em> ​&lt; ​0.001), as well as of attitude on practice (<em>β</em> ​= ​0.286, <em>P</em> ​&lt; ​0.001). Additionally, knowledge indirectly influenced practice through attitude (<em>β</em> ​= ​0.088, <em>P</em> ​&lt; ​0.001).</div></div><div><h3>Conclusions</h3><div>While most gastrointestinal cancer patients demonstrated adequate knowledge regarding nutritional management, their attitudes were predominantly negative, and their practices were largely inactive. These findings highlight a critical need for targeted educational interventions to bridge knowledge gaps and encourage more active engagement with nutritional guidelines.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100688"},"PeriodicalIF":2.4,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854976","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":"An ideal portrait of the professional competence of clinical research nurses: A qualitative study","authors":"Heng Yang ,&nbsp;Yipei Chen ,&nbsp;Xin Peng","doi":"10.1016/j.apjon.2025.100682","DOIUrl":"10.1016/j.apjon.2025.100682","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to identify and define the ideal professional competencies of Clinical Research Nurses (CRNs) in China, focusing on the essential knowledge, skills, and personal attributes required for effective practice in clinical trials.</div></div><div><h3>Methods</h3><div>Interviews were conducted with CRNs, Nurse Managers (NMs), Principal Investigators (PIs), Sub-Investigators (SIs), Clinical Research Coordinators (CRCs), Clinical Research Associates (CRAs), and subjects. Thematic analysis was performed using Colaizzi's seven-step method to analyze interview data and identify key competencies.</div></div><div><h3>Results</h3><div>The study identified four primary themes that characterize the ideal CRN profile: (1) theoretical knowledge ability, (2) practical technical ability, (3) professional quality and ability, and (4) personal traits. A total of 21 specific indicators were delineated, reflecting the diverse expectations of various stakeholders in clinical trials.</div></div><div><h3>Conclusions</h3><div>The findings highlight the multifaceted nature of CRN competencies, emphasizing the importance of comprehensive training programs tailored to the needs of CRNs. This study provides a foundational framework for enhancing CRN training and professional development in China.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100682"},"PeriodicalIF":2.4,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Don't need resuscitate” in palliative care: Ethical challenge or obstacle to a good death","authors":"Mohadese Babaie ,&nbsp;Azam Shirinabadi Farahani ,&nbsp;Maryam Rassouli","doi":"10.1016/j.apjon.2025.100681","DOIUrl":"10.1016/j.apjon.2025.100681","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100681"},"PeriodicalIF":2.4,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}