Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Prevalence and associated factors of post-traumatic stress symptoms in hospitalised children with cancer and their parents in South China: A multicentred cross-sectional study","authors":"Yunyun Peng ,&nbsp;Lin Xu ,&nbsp;Can Gu ,&nbsp;Guiyuan Ma ,&nbsp;Zitong Zhang ,&nbsp;Yilin Zhang ,&nbsp;Li Liu ,&nbsp;Jianhui Xie ,&nbsp;Sulan Lin ,&nbsp;Stanley Kam Ki Lam","doi":"10.1016/j.apjon.2024.100568","DOIUrl":"10.1016/j.apjon.2024.100568","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the prevalence and risk factors of Post-Traumatic Stress Symptoms (PTSS) in hospitalised children with cancer and their parents and explore the PTSS correlation between parents and children.</div></div><div><h3>Methods</h3><div>Data were collected using the University of California at Los Angeles (UCLA) Posttraumatic Stress Disorder-Reaction Index for DSM-IV and the Chinese version of the Impact of Event Scale-Revised Questionnaire.</div></div><div><h3>Results</h3><div>Out of 203 families with hospitalised children with cancer, 77.3% of parents and 7.9% of children experienced PTSS. Time since diagnosis of less than 3 months (<em>β</em> = −0.063, <em>P</em> &lt; 0.001), actively seeking financial help (<em>β</em> = −0.190, <em>P</em> = 0.031), children living in rural areas (<em>β</em> = 0.166, <em>P</em> = 0.023) and having a daughter with cancer (<em>β</em> = 0.135, <em>P</em> = 0.040) were risk factors for parental PTSS. At the early stages of diagnosis (<em>β</em> = 0.118, <em>P</em> = 0.017), recurrence (<em>β</em> = 0.140, <em>P</em> = 0.042) and low monthly household income (<em>β</em> = −0.283, <em>P</em> = 0.003) were risk factors for children's PTSS. No significant correlation between parental PTSS and children's PTSS (<em>r</em> = −0.06, <em>P</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>The hospitalised children with cancer had a low prevalence of PTSS, but their parents' PTSS prevalence was high. No significant correlation was observed between parental and children's PTSS. Attention should be given to the mental health of families with hospitalised children with cancer. Early psychosocial support should be provided, especially to families with poor economic situations and a newly diagnosed or relapsed child.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416053","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":"When clinical advances outpace knowledge: The role of nurses in precision oncology","authors":"Celia Díez de los Ríos de la Serna,&nbsp;Paz Fernández-Ortega","doi":"10.1016/j.apjon.2024.100566","DOIUrl":"10.1016/j.apjon.2024.100566","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356796","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":"What Judith L. Johnson brought to us","authors":"Asuko Sekimoto","doi":"10.1016/j.apjon.2024.100547","DOIUrl":"10.1016/j.apjon.2024.100547","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416054","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":"Benefit finding and its influencing factors in patients with thyroid cancer: A retrospective study","authors":"Yingjia Qian ,&nbsp;Lei Zheng ,&nbsp;Jian Li","doi":"10.1016/j.apjon.2024.100584","DOIUrl":"10.1016/j.apjon.2024.100584","url":null,"abstract":"<div><h3>Objective</h3><div>To understand the level of benefit finding in patients with thyroid cancer and identify its influencing factors.</div></div><div><h3>Methods</h3><div>This retrospective study included 241 patients with thyroid cancer who underwent surgical treatment at a tertiary hospital in Shanghai from October to December 2022. Data were collected using the General Information Questionnaire, the Chinese Benefit Finding Scale, the Social Support Revalued Scale, and the Medical Coping Modes Questionnaire. Logistic regression analysis was performed to explore factors influencing benefit finding.</div></div><div><h3>Results</h3><div>The total benefit finding score among patients with thyroid cancer was 89.00 (76.00, 101.50). Logistic regression analysis indicated that social support (OR = 1.08, 95% CI: 1.02–1.14) and avoidance coping mode (OR = 1.17, 95% CI: 1.00–1.37) significantly impacted benefit finding (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Patients with thyroid cancer demonstrated a high level of benefit finding. Social support and medical coping modes were identified as key factors influencing benefit finding. Healthcare professionals should focus on enhancing these aspects to improve benefit finding in patients with thyroid cancer.</div></div><div><h3>Trial registration</h3><div>EC REFERENCE No. 2024-133.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357474","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":"When western concept meets eastern culture: Exploring the impact of Confucianism on shared decision-making in China","authors":"Meiqi Meng ,&nbsp;Xuejing Li ,&nbsp;Junqiang Zhao ,&nbsp;Yufang Hao","doi":"10.1016/j.apjon.2024.100586","DOIUrl":"10.1016/j.apjon.2024.100586","url":null,"abstract":"<div><div>This commentary explores how Confucian values influence shared decision-making (SDM) in Chinese healthcare, particularly in oncology. It highlights two key cultural foundations: <strong>Family Harmony and Filial Piety</strong>, which underscore the deep-rooted involvement of families in medical decision-making, often prioritizing collective decisions over individual autonomy; and <strong>Ritual Governance</strong>, which explains the cultural roots of power imbalances in healthcare relationships, where patients typically defer to the authority of doctors, and the role of nurses in SDM is limited. The paper argues that for SDM to be effectively integrated into Chinese healthcare, strategies must be adapted to align with cultural norms while encouraging patient empowerment. It also calls for a nuanced understanding of the evolving Chinese culture and emphasizes the need for global healthcare providers to develop cultural competence to better support Chinese patients, especially in the context of oncology, both domestically and internationally.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417969","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":"Factors associated with physical activity in patients with upper gastrointestinal cancer during outpatient chemotherapy: A cross-sectional study","authors":"Natsuko Arimatsu ,&nbsp;Ayumi Amemiya ,&nbsp;Koichi Hayano ,&nbsp;Kentaro Murakami ,&nbsp;Takeshi Toyozumi ,&nbsp;Yasunori Matsumoto ,&nbsp;Yoshihiro Kurata ,&nbsp;Hisahiro Matsubara","doi":"10.1016/j.apjon.2024.100585","DOIUrl":"10.1016/j.apjon.2024.100585","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to clarify the physical activity level of patients with upper gastrointestinal cancer during outpatient chemotherapy and the factors associated with decreased physical activity levels after drug administration.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, activity intensity and steps were measured using an accelerometer in 39 patients with upper gastrointestinal cancer for 1 week before and after drug administration. Furthermore, the participants responded to a questionnaire on their lifestyles.</div></div><div><h3>Results</h3><div>No significant differences in steps and activity intensity were found before and after drug administration, and many participants had low activity levels. Logistic regression analysis showed that the Geriatric 8 scores and domestic roles were positively associated with higher activity levels after drug administration, whereas total bedtime showed a negative association. A predictive score for low activity was calculated from the three associated factors, and receiver operating characteristic analysis was conducted, resulting in an area under the curve of 0.90.</div></div><div><h3>Conclusions</h3><div>Physical activity may be low in patients with upper gastrointestinal cancer during outpatient chemotherapy. To maintain and promote physical activity, the results suggest the need to predict those who become less active after treatment and to support them by focusing on their domestic roles and total bedtime while considering their general condition. Our newly proposed predictive score can objectively identify patients with lower physical activity, regardless of the nurse's experience and ability, and improve patients' support during chemotherapy, even in the limited time available as outpatients.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417968","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":"Postoperative rehabilitation management self-efficacy and its relationship with symptoms in the patients with lung cancer: A latent profile analysis","authors":"Yujie Chen ,&nbsp;Xuting Li ,&nbsp;Tian Chen ,&nbsp;Tian Liu ,&nbsp;Qi Lei ,&nbsp;Jianfeng Qiao ,&nbsp;Man Ye ,&nbsp;Lihua Huang","doi":"10.1016/j.apjon.2024.100554","DOIUrl":"10.1016/j.apjon.2024.100554","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the potential subgroups of postoperative rehabilitation management self-efficacy in patients with lung cancer and explore the association between these subgroups and symptom burden.</p></div><div><h3>Methods</h3><p>This cross-sectional study enrolled 231 lung cancer patients who underwent surgery between May and August 2023. Latent profile analysis, univariate analysis, and disordered multinomial logistic regression were performed to explore postoperative rehabilitation management self-efficacy profiles and identify interindividual variability. ANOVA, LSD, and Tamhane's T2 method were used for multiple comparisons between symptom burden and self-efficacy subgroups.</p></div><div><h3>Results</h3><p>The three subgroups of postoperative rehabilitation management self-efficacy identified included low level group (17.7%), medium level group (63.2%), and high level group (19.0%). Patients with junior high school education were more likely to be classified as medium level groups, and patients with higher levels of social support and better resilience were more likely to be classified as medium and high level groups. Symptom severity and symptom interference of lung cancer patients after surgery varied considerably among the three classes. In the lung cancer module, the high level group had fewer symptoms than the medium level group (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>Postoperative rehabilitation management self-efficacy has different classification features among patients with lung cancer. Educational background, resilience, and social support were the influencing factors of postoperative rehabilitation management self-efficacy. Lung cancer patients with higher self-efficacy in postoperative rehabilitation management showed fewer symptom burdens. Medical staff should actively pay attention to patients with low self-efficacy and provide precise interventions for patients with different subgroups.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001768/pdfft?md5=9e00830db6d80a66cd32cb8f5c75812d&pid=1-s2.0-S2347562524001768-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141693744","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":"The effectiveness of cognitive behavioral therapy in women with gynecological cancer: A systematic review and meta-analysis of randomized controlled trials","authors":"Eungil Ko ,&nbsp;Yaelim Lee","doi":"10.1016/j.apjon.2024.100562","DOIUrl":"10.1016/j.apjon.2024.100562","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to perform a meta-analysis of randomized control trials to evaluate the effects of cognitive behavioral therapy on depression, anxiety, fatigue, distress, the fear of cancer recurrence, and the quality of life in gynecological cancer patients.</p></div><div><h3>Methods</h3><p>An extensive literature search of PubMed, Web of Science, Scopus, and CINAHL was performed, and a meta-analysis was conducted on ten studies that included 1027 patients. The quality of the data was evaluated using the Cochrane Risk of Bias tool. The effect size of the mean difference and standardized mean difference were computed using Revman 5.4.1.</p></div><div><h3>Results</h3><p>Gynecological cancer patients receiving cognitive behavioral therapy showed decreases in depression (<em>P</em> &lt; 0.001), anxiety (<em>P</em> = 0.01), fatigue (<em>P</em> &lt; 0.001), distress (<em>P</em> = 0.03), and the fear of cancer recurrence (<em>P</em> = 0.01) compared to those receiving no treatment, whereas no improvement in quality of life was seen in the cognitive behavioral therapy group (<em>P</em> = 0.05).</p></div><div><h3>Conclusions</h3><p>Cognitive behavioral therapy was shown to be a useful treatment for the symptoms experienced by women with gynecological cancer, with significant effect sizes. However, more research is required to validate the efficacy of cognitive behavioral therapy in patients with gynecological cancer, considering the limitations of this study's small sample size and statistical heterogeneity.</p></div><div><h3>Systematic review registration</h3><p>PROSPERO- CRD42024516039.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001847/pdfft?md5=8508950bd7d4db71b13350bf14b7c381&pid=1-s2.0-S2347562524001847-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142122327","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":"What are the perceived unmet needs for patient care, education, and research among genitourinary cancer nurses in Australia? A mixed method study","authors":"Catherine Paterson ,&nbsp;Helen Anderson ,&nbsp;Michelle Rosano ,&nbsp;Donna Cowan ,&nbsp;Diana Schulz ,&nbsp;Kerry Santoro ,&nbsp;Tina Forshaw ,&nbsp;Cynthia Hawks ,&nbsp;Natasha Roberts ,&nbsp;On behalf of the Cancer Nurses Society of Australia","doi":"10.1016/j.apjon.2024.100564","DOIUrl":"10.1016/j.apjon.2024.100564","url":null,"abstract":"<div><h3>Objective</h3><p>Specialist genitourinary (GU) nurses provide care to a broad and diverse group of patients diagnosed with kidney, bladder, prostate, testicular, adrenal, and penile cancer. The purpose of this study was to identify GU cancer nurse perspectives of perceived unmet needs in service provision, specific educational and research priorities.</p></div><div><h3>Methods</h3><p>A concurrent mixed methods study design incorporated quantitative and qualitative data collection from the GU Cancer nurses workforce in Australia. Quantitative data collected using an electronic survey instrument and were analysed using descriptive statistics. Qualitative data collected through semi-structured interviews and coded for thematic analysis. Ethical approval was gained.</p></div><div><h3>Results</h3><p>Fifty responses were received from the electronic survey. 39/50 (78%) were female and 35 (70%) were metropolitan based. The highest domains of perceived unmet needs related to psychological/emotional needs – 17/23 (74%), intimacy needs – 15/23 (65%) and informational needs – 13/23 (57%). The themes from the qualitative interviews identified: (1) Patient needs – lack of tumour specific contact for cancer patients, fragmented delivery of cancer care, perception of better access to supportive care for public patients, lack of access to supportive care screening tools for needs assessment. (2) Educational needs – lack of GU specific cancer educational resources/learning opportunities and barriers to accessing educational opportunities. (3) Research priorities – impact on carers/partners, specific needs of different GU cancers, future focus on genetic testing/counselling, interventions for financial toxicity and development of models of care for geriatric GU patients.</p></div><div><h3>Conclusions</h3><p>Specialist GU cancer nurses support a broad group of patients. Given the prominence of addressing unmet cancer care needs among people with GU cancers in this study, cancer nursing as a discipline alongside the multidisciplinary team, requires innovative solutions to overcome fragmented care which is often highly complex, and develop individualised and integrated care across the cancer care continuum. We encourage clinicians, researchers, policy makers, people affected by cancer, and their care networks, to continue to drive innovation by (1) Embedding an integrated approach to cancer nursing, (2) Implementation of shared care, (3) Implementation of patient navigation, (4) Embracing emerging technologies, (5) Future focus on education, and (6) Future focus on nurse-led research.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001860/pdfft?md5=b8848657bc0464251a734b7f8721b4c7&pid=1-s2.0-S2347562524001860-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845166","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":"A perspective on inequities in the management of radiation dermatitis","authors":"Sumeetha Swaminathan,&nbsp;Omolola Salako,&nbsp;Debanjan Kundu,&nbsp;Henry Ddungu,&nbsp;Adaorah Enyi,&nbsp;Corina van den Hurk,&nbsp;Matthew Allsop,&nbsp;Julie Ryan Wolf","doi":"10.1016/j.apjon.2024.100582","DOIUrl":"10.1016/j.apjon.2024.100582","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319559","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}