Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"A nature-immersive virtual reality intervention to support hospice family caregivers: Qualitative findings from a pilot study","authors":"Arienne Patano ,&nbsp;Mohammed Alanazi ,&nbsp;Rebecca Lehto ,&nbsp;Dawn Goldstein ,&nbsp;Gwen Wyatt","doi":"10.1016/j.apjon.2024.100616","DOIUrl":"10.1016/j.apjon.2024.100616","url":null,"abstract":"<div><h3>Objective</h3><div>Family caregivers (FCGs) of cancer patients who are in hospice experience psychological challenges and poor quality of life (QOL) as a consequence of caregiving demands and anticipatory loss. Supportive interventions are needed. Exposure to nature offers a source of relaxation; however, FCGs are often homebound and have limited opportunities for respite. Technology-mediated nature experiences delivered via virtual reality (VR) may be an alternative. The purpose was to explore the perspectives of hospice FCGs who completed a nature-immersive VR intervention for the enhancement of their emotional health and QOL.</div></div><div><h3>Methods</h3><div>Nine scenes, including a tropical beach, green meadow, underwater ocean, and red savanna, were offered. Participants were asked to select one scene to view for a minimum of 10 minutes for five consecutive days at home. Semi-structured interviews were conducted via videoconferencing software and audio-taped, then transcribed, coded, and analyzed using content analysis.</div></div><div><h3>Results</h3><div>Nine participants (aged 33–76 years old) were interviewed. Two content categories included 1) feasibility and 2) acceptability. Participants reported ease-of-use and denied encountering difficulties. Scenes were relaxing and calming, providing mindfulness and escapism elements. Participants enjoyed the interactive, multisensory experience, offering views of wildlife and nature sounds. Two reported motion sickness and eye strain with longer use. Suggestions included extending the study duration and the option to explore other scenes.</div></div><div><h3>Conclusions</h3><div>Findings provide preliminary evidence for the efficacy of a nature-based VR intervention. Larger, diverse samples, with group randomization, are warranted. Technology-mediated nature experiences offer support for the emotional health and QOL of hospice FCGs.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100616"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930509","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":"Calling time on the traffic cop model of oncology nursing: Creating a new research agenda for nurse-led supportive cancer care","authors":"Sarah H. Kagan","doi":"10.1016/j.apjon.2024.100619","DOIUrl":"10.1016/j.apjon.2024.100619","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100619"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880947","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":"Interrelation between dyadic coping and psychological resilience among cervical cancer couples in Northwest China: An Actor-Partner interdependence model","authors":"Tianruixue Zhang ,&nbsp;Ping Yan ,&nbsp;Zhisheng Huang ,&nbsp;Li Liu ,&nbsp;Yanhui Zhou ,&nbsp;Yuqiao Xiao ,&nbsp;Guiyuan Ma ,&nbsp;Zixuan Liu ,&nbsp;Jia Xu ,&nbsp;Can Gu","doi":"10.1016/j.apjon.2024.100615","DOIUrl":"10.1016/j.apjon.2024.100615","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore how dyadic coping (DC) influences the psychological resilience (PR) levels of patients with cervical cancer (CC) and their spouses.</div></div><div><h3>Methods</h3><div>From April to June 2024, this cross-sectional study involved 177 dyads of patients with CC and their spouses from the gynecology and oncology wards of two tertiary hospitals in Xinjiang. Data were collected through questionnaires on demographic information, clinical characteristics, the Resilience Scale, and the Dyadic Coping Inventory, all of which were self-report measures. The results were thoroughly analyzed utilizing the Actor-Partner Interdependence Mediation Model.</div></div><div><h3>Results</h3><div>The patients had a mean age of 49.94 ​± ​8.05 years (range: 26–64), with the majority being at stage II of CC. Their spouses had a mean age of 51.90 ​± ​8.02 years (range: 27–65). DC scores averaged 105.50 ​± ​23.98 for patients and 103.34 ​± ​22.26 for spouses, while PR scores were 63.51 ​± ​19.68 for patients and 67.44 ​± ​18.97 for spouses. Positive DC, which significantly correlated with higher levels of PR, was observed in patients with CC and their spouses (<em>r</em> ​= ​0.285, <em>P</em> ​&lt; ​0.01; <em>r</em> ​= ​0.697, <em>P</em> ​&lt; ​0.01). Conversely, a negative DC was associated with a lower PR (<em>r</em> ​= ​−0.187, −0.390; <em>P</em> ​&lt; ​0.01). Positive DC by patients with CC and their spouses equally improves both partners' PR. In contrast, negative DC by patients with CC and their spouses affects only their own PR.</div></div><div><h3>Conclusions</h3><div>Patients with CC and their spouses' PR is significantly influenced by both partners' DC behaviors. When both partners used positive coping strategies, their PR increased. Conversely, negative DC behaviors affected only patients' PR, possibly because of self-concealment and communication barriers, which may explain the lack of a reciprocal impact. Nurses should identify couples at risk for negative DC and implement resilience interventions to encourage both partners' engagement in positive coping.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100615"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880950","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":"Social isolation, perceived social support, and type D personality among gastrointestinal cancer survivors in China: A mediating model analysis","authors":"Yuqiu Zhao ,&nbsp;Yeming Xu ,&nbsp;Tianxiu Wang ,&nbsp;Mingbo Hua ,&nbsp;Shantanu Baral ,&nbsp;Qiannan Sun ,&nbsp;Daorong Wang","doi":"10.1016/j.apjon.2024.100617","DOIUrl":"10.1016/j.apjon.2024.100617","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the mediating effect of social isolation between perceived social support and type D personality in gastrointestinal cancer survivors based on the WHITE heuristic cognitive-behavioral model of emotion cognition theory.</div></div><div><h3>Methods</h3><div>The study utilized a convenience sampling method to recruit 183 survivors of gastrointestinal cancer who were undergoing chemoradiotherapy. SPSS 26.0 was used to analyze the correlation among social isolation, perceived social support, and type D personality. Additionally, SmartPLS 3.0 was utilized to analyze the mediating role of social isolation in the relationships between perceived social support and type D personality.</div></div><div><h3>Results</h3><div>The study found that gastrointestinal cancer survivors scored 60.58 ​± ​10.94 for perceived social support, 36.25 ​± ​4.71 for social isolation, and 26.26 ​± ​5.84 for type D personality. We discovered that perceived social support has a negative correlation with social isolation and type D personality (<em>r</em> ​= ​−0.593, −0.396, both <em>P</em> ​&lt; ​0.001), while social isolation was positively correlated with type D personality (<em>r</em> ​= ​0.564, <em>P</em> ​&lt; ​0.001). The association between type D personality and perceived social support was partially mediated by social isolation (VAF ​= ​59.67%).</div></div><div><h3>Conclusions</h3><div>The association between type D personality and perceived social support is mediated by social isolation in gastrointestinal cancer survivors undergoing chemoradiotherapy. Clinical staff should prioritize evaluating social isolation among these survivors to enhance social support and potentially reduce the prevalence of type D personality traits.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100617"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743709","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":"Oral self-management of palbociclib using mobile technology: Findings from a nurse-led randomized controlled trial","authors":"AnnMarie Mazzella-Ebstein ,&nbsp;Margaret Barton-Burke ,&nbsp;Venice Anthony ,&nbsp;Charlie White ,&nbsp;Zhigang Zhang ,&nbsp;Andrea Smith ,&nbsp;Mark Robson","doi":"10.1016/j.apjon.2024.100604","DOIUrl":"10.1016/j.apjon.2024.100604","url":null,"abstract":"<div><h3>Objective</h3><div>Test the feasibility and effectiveness of a text message reminder intervention for the self-management of oral anticancer medication in patients with metastatic breast cancer.</div></div><div><h3>Methods</h3><div>Forty-three females initiating treatment with palbociclib participated in a two-armed prospective randomized clinical trial. Participants were randomized into the control (<em>n</em> = 21) and intervention groups (<em>n</em> = 22) from January 2020 to January 2023. Survey responses were collected at three-time points; (1) at consent, (2) end of treatment cycles, and (3) at a follow-up clinic visit. Surveys included a demographic questionnaire, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, post-study assessment, and the R-15 Participant Satisfaction Questionnaire. Nurse providers completed the Adaptation of Stamps Nurse Workload questionnaire.</div></div><div><h3>Results</h3><div>The COVID-19 pandemic and regulatory decisions supporting other CDK4/6 medications negatively influence recruitment; thus, a small sample for each arm only detected large differences between the two arms regarding effectiveness. Feasibility analysis was not conducted due to insufficient data, but the participants frequently used their smartphones for text messaging. Although the survey data were limited, participants provided anecdotal information supporting the use of text messaging as a positive method to remind them to take their medication, have their labs drawn, and attend MD visits. Participants would have liked text messages at the exact time they took their medications as a simple reminder.</div></div><div><h3>Conclusions</h3><div>Given the importance of cancer treatments and the difficulties patients experience during these treatments, text messages using smartphones can actively improve patients' engagement and their ability to manage their treatment regimens.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>; ID: NCT04216576.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100604"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852361","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":"Latent profiles of problem-solving skills and their association with depressive symptoms in parents of children with cancer: A cross-sectional study","authors":"Tianji Zhou ,&nbsp;Yuanhui Luo ,&nbsp;Wenjin Xiong ,&nbsp;Zhenyu Meng ,&nbsp;Nancy Xiaonan Yu ,&nbsp;Jingping Zhang","doi":"10.1016/j.apjon.2024.100633","DOIUrl":"10.1016/j.apjon.2024.100633","url":null,"abstract":"<div><h3>Objective</h3><div>Depressive symptoms are prevalent among parents of children with cancer, significantly impacting their well-being. Problem-solving skills, strongly linked to depressive symptoms, offer a promising avenue for intervention. This study aimed to identify latent profiles of parental problem-solving skills and evaluate differences in depressive symptoms across these profiles.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 318 parents of children with cancer in mainland China. Self-reported data on demographics, problem-solving skills, and depressive symptoms were collected. Latent profile analysis was used to classify parental problem-solving skills into distinct profiles, and multiple logistic regression identified predictors of profile membership.</div></div><div><h3>Results</h3><div>Three profiles of problem-solving skills were identified: (1) problem-oriented and constructive (<em>n</em> ​= ​94, 29.6%), (2) impulsivity-oriented and irrational (<em>n</em> ​= ​76, 23.9%), and (3) emotion-oriented and avoidant (<em>n</em> ​= ​148, 46.5%). Parents with higher education, greater income, and urban residency were more likely to belong to the problem-oriented group. Fathers predominated in the impulsivity-oriented group, while mothers were more represented in the emotion-oriented group. Significant differences in depressive symptoms were observed across profiles, with the problem-oriented group reporting the lowest levels.</div></div><div><h3>Conclusions</h3><div>This study highlights the heterogeneity of problem-solving skills among parents of children with cancer and underscores the need for tailored interventions. Addressing specific characteristics of each profile can improve parental well-being and provide targeted support for this vulnerable population.</div></div><div><h3>Trial registration</h3><div>ChiCTR2300071828.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100633"},"PeriodicalIF":2.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930512","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":"Coping flexibility and associated factors after gastrectomy in patients with gastric cancer: A cross-sectional multisite study","authors":"Miwako Eto ,&nbsp;Sena Yamamoto ,&nbsp;Ryohei Kawabata ,&nbsp;Tamon Miyanaga ,&nbsp;Noriko Iga ,&nbsp;Aoi Yoshino ,&nbsp;Hiroshi Yamada ,&nbsp;Yoko Nishitani ,&nbsp;Mami Matsunaga ,&nbsp;Harue Arao","doi":"10.1016/j.apjon.2024.100627","DOIUrl":"10.1016/j.apjon.2024.100627","url":null,"abstract":"<div><h3>Objective</h3><div>To elucidate the current state of coping flexibility and associated factors in gastric cancer patients after gastrectomy.</div></div><div><h3>Methods</h3><div>A cross-sectional multisite study was conducted with 142 patients with gastric cancer who completed questionnaires on coping flexibility, postgastrectomy dysfunction, health literacy, and perceived social support. Coping flexibility was measured using the Coping Flexibility Scale-Revised, which includes three subscales: Abandonment Coping (i.e., abandoning ineffective coping strategies), Re-Coping (i.e., assessing the process of developing and implementing alternative coping strategies), and Meta-Coping (i.e., monitoring coping flexibility process). Higher scores indicate greater coping flexibility. Descriptive statistics and univariable and multivariable logistic analyses were conducted to examine factors associated with coping flexibility.</div></div><div><h3>Results</h3><div>The mean age of the participants was 72.6 (± 10.5) years. Limited activity due to decreased food consumption was associated with lower scores for Abandonment Coping (odds ratio [OR]: 0.4; <em>P</em> ​= ​0.03; 95% confidence interval [CI], 0.2–0.9) and Re-Coping (OR: 0.3; <em>P</em> ​= ​0.003; 95% CI, 0.1–0.6). Higher levels of communicative health literacy were associated with higher Abandonment Coping scores (OR: 1.1; <em>P</em> ​= ​0.04; 95% CI, 1.0–1.3), and higher levels of critical health literacy were associated with higher Re-Coping scores (OR: 1.2; <em>P</em> ​= ​0.03; 95% CI, 1.0–1.3).</div></div><div><h3>Conclusions</h3><div>Limited activity due to decreased food consumption and limited coping flexibility were significantly associated. Health literacy had an important role in facilitating coping flexibility. Nursing support may be crucial in evaluating coping strategies and developing alternatives based on new information.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100627"},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982437","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":"Latent profile analysis of spousal information concealment in patients with cancer: A cross-sectional study","authors":"Yue Zhang ,&nbsp;Kaili Zhu ,&nbsp;Siyu Li ,&nbsp;Xiaoqing Wang ,&nbsp;Rui Xu ,&nbsp;Yiqin Cao ,&nbsp;Hongfang Ye ,&nbsp;Peibei Duan","doi":"10.1016/j.apjon.2024.100626","DOIUrl":"10.1016/j.apjon.2024.100626","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate spousal information concealment in patients with cancer and analyse its influencing factors.</div></div><div><h3>Methods</h3><div>Between April and July 2024, 371 spouses of patients with cancer were surveyed using the Demographic and Clinical Characteristics Questionnaire, the Information Concealment Scale for Caregivers, Fear of Progression Questionnaires for Partners, and the Medical Coping Modes Questionnaire. Influencing factors were analysed using latent profile analysis.</div></div><div><h3>Results</h3><div>Based on the degree of information concealment, spouses of patients with cancer were categorised into three subgroups: the low concealment - low control (19.14%), medium concealment (50.40%), and high concealment - high dissimulation group (30.46%). Multivariate logistic regression analysis revealed that sex, age, educational level, disease stage, fear of disease progression, and medical coping modes were the influencing factors of the information concealment subgroups (<em>P</em>＜0.05).</div></div><div><h3>Conclusions</h3><div>Information concealment among spouses of patients with cancer has individualized characteristics. Analysing the demographics, disease features, and psychological conditions of spouses in different information concealment subgroups can help medical staff formulate more targeted and personalized interventions and reduce the degree of information concealment among patients' spouses.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100626"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885219","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":"Frequency of ischemic cardiac events in patients receiving long-term multikinase inhibitor: A report of three cases","authors":"Nao Muraoka ,&nbsp;Takuya Oyakawa ,&nbsp;Ayano Fujita ,&nbsp;Kei Iida ,&nbsp;Tomoya Yokota ,&nbsp;Hirotsugu Kenmotsu","doi":"10.1016/j.apjon.2024.100624","DOIUrl":"10.1016/j.apjon.2024.100624","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the incidence and characteristics of ischemic cardiac events, specifically major adverse cardiac events (MACE), in patients undergoing long-term treatment with multikinase inhibitors (MKIs) such as lenvatinib and sorafenib.</div></div><div><h3>Methods</h3><div>A single-center retrospective analysis was conducted on 41 patients treated with lenvatinib or sorafenib for more than one year at our institution from 2015 to 2022. Patient records were reviewed to collect data on demographics, cancer type, cardiovascular risk factors, MKI treatment duration, and MACE incidence. MACE events, defined as acute heart failure, fatal arrhythmia, acute myocardial infarction, and coronary revascularization, were analyzed to determine potential correlations with MKI therapy.</div></div><div><h3>Results</h3><div>Among the 41 patients, three (7.3%) developed MACE, presenting as acute heart failure, fatal arrhythmia, and acute myocardial infarction, all associated with significant coronary artery stenosis. Notably, none of these patients had a prior history of cardiovascular disease. Despite variations in clinical presentation, all cases suggested a link between long-term MKI administration and accelerated coronary atherosclerosis. Factors involved in atherosclerosis were significantly older and tended to be more hypertensive in the non-MACE group.</div></div><div><h3>Conclusions</h3><div>Long-term MKI therapy may increase the risk of severe ischemic cardiac events, likely due to accelerated atherosclerosis. Clinicians and oncology nurses should monitor patients closely for early signs of angina, especially in an outpatient setting, to prevent acute cardiac events. Further large-scale studies are warranted to establish a clearer causal relationship between MKI therapy and cardiovascular risks.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100624"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876033","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":"Effective management of cervical anastomotic leakage post-esophageal cancer surgery using negative pressure wound therapy with saline instillation: A case report","authors":"Mengxiao Jiang ,&nbsp;Wenguang Liang ,&nbsp;Xiaoping Chen ,&nbsp;Yonglan Ge ,&nbsp;Yanyan Fang ,&nbsp;Huiting Zhang ,&nbsp;Rongrong Jiang ,&nbsp;Baojia Luo","doi":"10.1016/j.apjon.2024.100623","DOIUrl":"10.1016/j.apjon.2024.100623","url":null,"abstract":"<div><div>Cervical anastomotic leakage (AL) is a severe complication following esophageal cancer surgery, leading to significant morbidity and risk of mortality. This case report describes the successful application of negative pressure wound therapy with instillation (NPWTi) in managing AL after esophageal surgery. A 61-year-old patient developed an anastomotic leak on postoperative day 7, accompanied by persistent neck pain and leakage of nutritional fluids. Treatment involved a dual-tube NPWTi system with continuous saline instillation to clean and prevent infection, maintain wound moisture, and promote tissue granulation. Within 15 days, the leakage was substantially controlled, and a barium swallow test confirmed complete closure by day 20. This case suggests NPWTi as a promising and less invasive approach to managing AL post-esophagectomy, warranting further research on its clinical efficacy and safety.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100623"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880961","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}