Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Relationship between perceived depression, suicidal ideation, and return to work among cancer survivors in South Korea: A national survey analysis","authors":"Haeryun Cho ,&nbsp;Hye Suk Jun","doi":"10.1016/j.apjon.2024.100611","DOIUrl":"10.1016/j.apjon.2024.100611","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the relationship between perceived depression, suicidal ideation, and return to work among cancer survivors in South Korea, with a focus on sociodemographic and employment-related factors.</div></div><div><h3>Methods</h3><div>A secondary analysis of data from 874 cancer survivors, retrieved from the 2015, 2017, and 2019 Korean National Health and Nutrition Examination Surveys, was conducted. Key variables included employment status, household income, marital status, perceived depression, and suicidal ideation. Data were analyzed using descriptive statistics and chi-square tests.</div></div><div><h3>Results</h3><div>Female cancer survivors reported higher rates of perceived depression compared to male survivors. Survivors with lower household incomes or without spouses experienced elevated levels of both perceived depression and suicidal ideation. Those in the nonworking group exhibited significantly higher rates of these psychological challenges compared to those who had returned to work. However, the type of job performed was not associated with perceived depression or suicidal ideation.</div></div><div><h3>Conclusions</h3><div>Returning to work, regardless of job type, is associated with improved psychological health among cancer survivors, emphasizing the importance of employment in fostering social interaction and emotional stability. Interventions supporting the return-to-work process and addressing the specific needs of vulnerable groups are critical for improving the overall well-being of cancer survivors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100611"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142906284","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":"Correlation between cancer cachexia and psychosocial impact in older patients with advanced lung cancer undergoing chemotherapy","authors":"Rika Sato ,&nbsp;Tateaki Naito ,&nbsp;Haruyasu Murakami ,&nbsp;Shota Omori ,&nbsp;Haruki Kobayashi ,&nbsp;Akira Ono ,&nbsp;Nobuaki Mamesaya ,&nbsp;Kazushige Wakuda ,&nbsp;Ryo Ko ,&nbsp;Hirotsugu Kenmotsu ,&nbsp;Sakiko Aso ,&nbsp;Miho Hasaba ,&nbsp;Keita Mori ,&nbsp;Toshiaki Takahashi ,&nbsp;Naoko Hayashi","doi":"10.1016/j.apjon.2025.100658","DOIUrl":"10.1016/j.apjon.2025.100658","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the association of cancer cachexia with psychosocial impact, nutrition impact symptoms (NIS), and geriatric assessment in older patients newly diagnosed with advanced lung cancer undergoing chemotherapy.</div></div><div><h3>Methods</h3><div>Older patients with advanced lung cancer scheduled to receive first-line chemotherapy between August 2021 and February 2022 were enrolled. Cachexia was diagnosed according to the International Consensus. NIS and psychosocial impacts were assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ) C30, CAX24, and the Eating-Related Distress Questionnaire (ERD). Non-parametric tests evaluated the association between cachexia and its impacts. Patients with cachexia who consented to be interviewed were asked about their experiences with diet and weight changes. Three authors reviewed the interview data to ensure the analysis's veracity.</div></div><div><h3>Results</h3><div>Twenty-one of the 31 participants (68%) had cachexia at baseline. The cachexia group showed significantly greater severity of Food Aversion (<em>P</em> ​= ​0.035), Eating and Weight Loss Worry (<em>P</em> ​&lt; ​0.001), and Loss of Control (<em>P</em> ​= ​0.005) compared to the non-cachexia group. There were no significant differences in the ERD and geriatric assessment (all <em>P</em> ​&gt; ​0.05). The interview revealed that patients with cachexia perceived diet and weight changes early on and tried to manage their symptoms by themselves.</div></div><div><h3>Conclusions</h3><div>Cancer cachexia showed an association with NIS and psychosocial impacts. Older patients with advanced lung cancer scheduled to receive first-line chemotherapy should undergo a comprehensive assessment of cancer cachexia, including its potential physical and psychological impacts.</div></div><div><h3>Trial registration</h3><div>The trial registration number was UMIN 000053843.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100658"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512151","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":"Best evidence summary on anticoagulant management in patients with cancer-associated venous thromboembolism","authors":"Xinyue Xiang ,&nbsp;Yudi Yu ,&nbsp;Xiaomei Fang ,&nbsp;Tian Zheng ,&nbsp;Wenbo Qiao","doi":"10.1016/j.apjon.2025.100789","DOIUrl":"10.1016/j.apjon.2025.100789","url":null,"abstract":"<div><h3>Objective</h3><div>To retrieve, evaluate, and summarize the best evidence for anticoagulant management in patients with cancer-associated venous thromboembolism (VTE).</div></div><div><h3>Methods</h3><div>This was an evidence summary study conducted in strict accordance with the reporting standards of the Fudan University Center for Evidence-Based Nursing. According to the evidence pyramid “6S” model, the search was performed from top to bottom. The following databases were searched: BMJ Best Practice, UpToDate, Joanna Briggs Institute, Cochrane Library, Guidelines International Network, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses Association of Ontario, YiMaiTong Guidelines Network, PubMed, Embase, Web of Science, Sinomed, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP. Professional association websites included those of the American Society of Clinical Oncology, American Society of Hematology, British Society for Haematology, and the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis. The search period was from the inception of each database to October 2024. Literature types included clinical practice guidelines, clinical decisions, expert consensuses, systematic reviews, and randomized controlled trials (RCTs).</div></div><div><h3>Results</h3><div>A total of 19 studies were included, comprising three clinical decisions, 10 guidelines, one expert consensus, four systematic reviews, and one RCT. Thirty-four pieces of evidence were synthesized across eight aspects: risk factor assessment, timing of anticoagulation, drug selection, treatment duration, management of recurrence, safety monitoring, health education, and follow-up care.</div></div><div><h3>Conclusions</h3><div>This study summarizes the best evidence for anticoagulant management in patients with cancer-associated VTE. When applying this evidence clinically, health care providers should thoroughly evaluate the feasibility and appropriateness of each recommendation to develop clinical decisions tailored to China's national conditions and health care resources.</div></div><div><h3>Systematic review registration</h3><div>This study has been registered on the Fudan University Centre for Evidence-based Nursing (Registration No. ES20244015).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100789"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145372014","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":"Group-based trajectory modeling for supportive care needs in Chinese cancer survivors: A systematic review","authors":"Kexin Li ,&nbsp;Shi Chen ,&nbsp;Ran Xu ,&nbsp;Xiaohui Dong,&nbsp;Xianying Lu,&nbsp;Xinyu Chen,&nbsp;Chaoming Hou,&nbsp;Jing Gao","doi":"10.1016/j.apjon.2025.100738","DOIUrl":"10.1016/j.apjon.2025.100738","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to systematically synthesize studies that applied group-based trajectory modeling to examine the trajectories of supportive care needs (SCNs) among cancer survivors and to identify associated influencing factors.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted in the following databases: CINAHL, Cochrane Library, Embase, PubMed, Web of Science, CNKI, SinoMed, VIP, and Wanfang. Studies were screened and assessed independently by two reviewers using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Cohort Studies and the Guidelines for Reporting on Latent Trajectory Studies (GRoLTS) checklist. Key study characteristics and findings were extracted and synthesized narratively.</div></div><div><h3>Results</h3><div>Ten studies met the inclusion criteria. Five distinct SCNs trajectories were identified across studies, including high-stable, moderate-stable, low-stable, decreasing, and increasing patterns. A total of 18 statistically significant influencing factors were identified and categorized according to the five domains of the Social-Ecological Model (SEM). Most factors were related to demographic characteristics, clinical variables, and individual symptoms.</div></div><div><h3>Conclusions</h3><div>SCNs trajectories among cancer survivors exhibit substantial heterogeneity. While individual- and disease-level factors are commonly reported, limited evidence exists regarding the role of social support, healthcare system factors, and community-level influences. Future research should incorporate broader socio-environmental determinants to enhance understanding of SCNs patterns and inform tailored survivorship care.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD42024586557.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100738"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658241","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":"Effectiveness of question prompt list interventions for patients with cancer: A systematic review and meta-analysis of randomized controlled trials","authors":"Ruichen Han ,&nbsp;Jiayi Liu ,&nbsp;Jiarui Chen ,&nbsp;Jinfeng Ding ,&nbsp;Can Gu ,&nbsp;Ni Gong ,&nbsp;Jinnan Xiao","doi":"10.1016/j.apjon.2025.100765","DOIUrl":"10.1016/j.apjon.2025.100765","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the effectiveness of question prompt list (QPL) interventions in patients with cancer and to synthesize the delivery characteristics of such interventions.</div></div><div><h3>Methods</h3><div>A systematic search of five electronic databases was conducted for English-language randomized controlled trials published up to January 2025. Two independent reviewers performed study selection and data extraction. Eligible studies included cancer patients aged 16 years or older, with QPLs used in the intervention group to facilitate patient–physician communication. The Cochrane Risk of Bias 2.0 tool was used to assess study quality, and meta-analysis was conducted using RevMan 5.4 software.</div></div><div><h3>Results</h3><div>A total of 302 records were identified, of which 14 studies (reported in 16 articles) met the inclusion criteria. Interventions were categorized into two groups: QPLs with instructions and QPLs without instructions. Pooled meta-analysis demonstrated that QPL interventions significantly enhanced patient engagement in shared decision-making, increased the number of questions asked, and improved the perceived helpfulness of the material. Compared to QPL alone, QPL with instructions further increased the number of patient-initiated questions and improved decision self-efficacy.</div></div><div><h3>Conclusions</h3><div>QPL interventions with accompanying instructions showed superior effectiveness in promoting patient question-asking behavior and enhancing decision self-efficacy. This review underscores the potential of QPLs—particularly those with instructions—to improve patient–physician communication. Further research is warranted to refine these interventions and explore their role in reducing patient anxiety.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO: CRD42024594145.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100765"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940332","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 aerobic and resistance exercise for cancer cachexia management – A systematic scoping review","authors":"Romane Peyrachon ,&nbsp;Astrid Lièvre ,&nbsp;Amélie Rébillard","doi":"10.1016/j.apjon.2025.100748","DOIUrl":"10.1016/j.apjon.2025.100748","url":null,"abstract":"<div><h3>Objective</h3><div>Cancer cachexia is highly prevalent in digestive and head and neck cancer patients who often face mechanical eating difficulties and metabolic disturbances. However, terminological and diagnostic ambiguities surround cachexia, limiting the evaluation of the effects of management interventions for these patients. Whole-body exercise plays a key role in mitigating weight and muscle mass losses. This scoping review provides an updated synthesis of the effects of exercise interventions and offers practical guidelines for patients with digestive or head and neck cancers experiencing undernutrition, anorexia, sarcopenia, and/or cachexia.</div></div><div><h3>Methods</h3><div>In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, a systematic search of the published literature was carried out in the PubMed, Google Scholar, and EBSCOhost databases. Studies eligible for inclusion investigated the feasibility and effects of whole-body exercise interventions in digestive or head and neck cancer patients with altered nutritional status. The findings from each study were tabulated and synthesized according to the type of exercise intervention.</div></div><div><h3>Results</h3><div>Twenty-six full texts out of 603 studies met the inclusion criteria, encompassing a total of 1936 patients participated (mean age: 63.80 ​± ​6.22 years; 822 [31.62%] women). Exercise interventions did not result in adverse outcomes. The most assessed parameters included functional and aerobic capacity, muscle strength, body weight, quality of life, and physical activity levels, with findings ranging from positive effects and trends to non-significant changes. Interventions incorporating endurance exercises demonstrated greater improvements in functional and aerobic capacity compared to those focusing solely on resistance training. Supervised interventions yielded the most significant improvements.</div></div><div><h3>Conclusions</h3><div>Exercise interventions are safe and feasible for patients with digestive and head and neck cancers identified as suffering from undernutrition, anorexia, sarcopenia, and/or cachexia. Future research should focus on tailoring exercise characteristics to achieve greatest benefits in patients with cachexia. Studies should also explore real-life implementation strategies to optimize patient engagement and adherence while accommodating medical and personal constraints.</div></div><div><h3>Systematic review registration</h3><div>CRD42024602857.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100748"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673872","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":"2025-12-01","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":"Evidence summary on management strategies for gastroesophageal reflux symptoms in patients following esophageal cancer surgery","authors":"Yuqing Zhao ,&nbsp;Yaxin Fu ,&nbsp;Wei Zhang ,&nbsp;Shengjiang Zhao ,&nbsp;Huixia Li","doi":"10.1016/j.apjon.2024.100639","DOIUrl":"10.1016/j.apjon.2024.100639","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to summarize evidence-based strategies for the self-management of gastroesophageal reflux symptoms (GERS) at home among patients who have undergone esophageal cancer surgery, providing practical references for clinical practice.</div></div><div><h3>Methods</h3><div>A systematic evidence summary was conducted based on the reporting standards of the Fudan University Center for Evidence-based Nursing. Literature was retrieved from international and Chinese databases, including guidelines, expert consensus, systematic reviews, and original studies. The search covered the period from the inception of the databases to June 30, 2024. Two independent reviewers appraised the quality of evidence and synthesized recommendations across six domains: reflux symptoms, assessment, treatment, health education, follow-up, and outcome indicators.</div></div><div><h3>Results</h3><div>A total of 25 high-quality studies were included, comprising 10 guidelines, 10 expert consensus documents, two systematic reviews, and three original studies. Thirty-four evidence items were synthesized, emphasizing a combination of pharmacological treatments, lifestyle modifications, and health education to improve self-management outcomes.</div></div><div><h3>Conclusions</h3><div>This evidence synthesis highlights effective strategies for home-based self-management of GERS after esophageal cancer surgery. Future research should focus on culturally tailored interventions and large-scale studies to further enhance the applicability and reliability of these findings.</div></div><div><h3>Trial registration</h3><div>This study was registered at the Fudan University Center for Evidence-Based Nursing (Registration No. ES202446701).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100639"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982443","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":"Shared decision-making for early-stage breast cancer treatment: An evolutionary concept analysis","authors":"Heemin Chae ,&nbsp;Hee-Ju Ji ,&nbsp;Hyunjung Moon ,&nbsp;Yeongeun Lee ,&nbsp;Youn-Jung Son","doi":"10.1016/j.apjon.2025.100775","DOIUrl":"10.1016/j.apjon.2025.100775","url":null,"abstract":"<div><h3>Objective</h3><div>The lack of a clear and unified definition of shared decision-making (SDM) may hinder its effective application in oncology care. This study aims to clarify the concept of SDM specifically in the context of early-stage breast cancer treatment through an evolutionary concept analysis.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across PubMed, CINAHL, PsycINFO, Cochrane, and EMBASE databases for articles published from January 2015 to December 2024. Using keywords “shared decision-making” and “breast cancer,” relevant studies were identified, and key attributes of SDM were extracted and synthesized. Sixteen studies met the inclusion criteria.</div></div><div><h3>Results</h3><div>SDM for early-stage breast cancer treatment was characterized by 10 attributes spanning three levels: 1) Patient perspective: involvement in decision-making, values and preferences regarding treatment options, and deliberative thinking to achieve choice certainty; 2) Healthcare professional perspective: provision of individualized information, psychological support, consultation focused on patients’ best interests, collaborative partnerships with patients, coordinated care delivery, and promotion of person-centered, informed choices; 3) Healthcare system level: fostering a patient-centered healthcare culture.</div></div><div><h3>Conclusions</h3><div>These findings provide a comprehensive conceptual framework to guide the development of detailed SDM guidelines tailored for early-stage breast cancer patients. Enhanced understanding of SDM can support nurses and healthcare professionals in facilitating collaborative and optimal decision-making processes within oncology care. Furthermore, this study lays the groundwork for developing measurement tools and disease-specific interventions to advance SDM implementation in early-stage breast cancer treatment.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO (CRD42024587218)</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100775"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013789","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":"Best evidence for rehabilitation management of urinary incontinence in patients with bladder cancer following orthotopic neobladder reconstruction","authors":"Man Xu ,&nbsp;Shuhong Chen ,&nbsp;Xiyuan Liu ,&nbsp;Yuyi Luo ,&nbsp;Di Wang ,&nbsp;Huiming Lu ,&nbsp;Mengxiao Jiang ,&nbsp;Xiaoping Chen","doi":"10.1016/j.apjon.2024.100647","DOIUrl":"10.1016/j.apjon.2024.100647","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to establish the best evidence for the rehabilitation management of urinary incontinence (UI) in patients with orthotopic neobladder (ONB) following radical cystectomy (RC) for bladder cancer, providing a theoretical foundation for clinical practice.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across evidence-based databases, guideline networks, and professional association websites to identify relevant literature on rehabilitation management for patients with ONB after bladder cancer surgery. Studies published in both English and Chinese, up to May 8, 2024, were included. Trained researchers assessed the quality of the literature and summarized the evidence.</div></div><div><h3>Results</h3><div>Fourteen documents were included, consisting of eight guidelines, two clinical decision documents, and four expert consensus reports. A total of 43 pieces of evidence were identified, covering seven key areas: preoperative UI assessment and counseling, preventive measures, UI assessment and diagnosis, conservative treatments, selection and use of nursing equipment, evaluation of effectiveness, and follow-up care.</div></div><div><h3>Conclusions</h3><div>The best evidence for UI rehabilitation management after ONB for bladder cancer can help standardize patient care and clinical practices. Healthcare providers should adapt this evidence to their local healthcare settings, cultural contexts, barriers, and patient preferences.</div></div><div><h3>Systematic review registration</h3><div>This study was conducted following the evidence summary reporting specifications of the Fudan University Center for Evidence-Based Nursing (Registration No. ES20244165).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100647"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143078490","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}