Xiaoting Pan , Yingzi Yang , Xinxin Chen , Weichao Huang , Junyan Ye , Ying Huang , Yumei Li
{"title":"Coping with family function changes: A qualitative study of couples facing advanced lung cancer","authors":"Xiaoting Pan , Yingzi Yang , Xinxin Chen , Weichao Huang , Junyan Ye , Ying Huang , Yumei Li","doi":"10.1016/j.apjon.2024.100504","DOIUrl":"10.1016/j.apjon.2024.100504","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to explore the experiences of couples with advanced lung cancer in coping with changes in their family functioning.</p></div><div><h3>Methods</h3><p>This study included patients with advanced lung disease and their spouses who were hospitalized in a tertiary hospital in Shanghai, China. Data were collected through interviews that focused on three key areas: (1) patient coping, (2) spousal coping, and (3) dyadic coping. Semi-structured qualitative interviews were conducted in Chinese and analyzed using Braun-Clarke thematic analysis.</p></div><div><h3>Results</h3><p>A total of 15 couples participated in the study (12 male and 3 female patients). The average age of the patients was 63.73 years, and that of their partners was 63.20 years. Marriage duration ranged from 25 to 53 years. Three distinct themes emerged from the data: individual patient coping was expressed in four areas: struggle, acceptance of reality, cherishing the present and regaining hope, and rebuilding family life; spousal coping was expressed in three areas: acceptance and understanding of the patient, providing active support, and adjusting roles and sharing of family responsibilities; and dyadic coping was expressed in three areas: cognitive consistency of changes in family functioning, stress communication, and family adjustment and adaptation based on shared cognition. A relationship diagram of patients with advanced lung cancer and their spouses in coping with post-cancer changes in family functioning was constructed.</p></div><div><h3>Conclusions</h3><p>Post-cancer coping with changes in family functioning in couples with advanced lung cancer is a continuous developmental and gradual evolutionary process, and there is a close relationship between the two that influences each other. Early assistance for couples to form consistent cognition and communicate effectively with the stress caused by the disease can help improve the family functioning of both partners and, in turn, improve the quality of life of patients. Therefore, it is recommended that clinicians conduct family- or couple-centered intervention studies aimed at improving the post-cancer quality of life of patients with advanced lung cancer.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 7","pages":"Article 100504"},"PeriodicalIF":1.8,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001264/pdfft?md5=68aba0db1460f610d64f96dc5f4c58d1&pid=1-s2.0-S2347562524001264-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029707","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":"Co-creating cancer control strategies in a strained healthcare landscape","authors":"David Makumi-Kinyanjui","doi":"10.1016/j.apjon.2024.100505","DOIUrl":"10.1016/j.apjon.2024.100505","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 7","pages":"Article 100505"},"PeriodicalIF":1.8,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001276/pdfft?md5=75021dfd152242b68902f4bb0adad69d&pid=1-s2.0-S2347562524001276-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141033278","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}
Liying Wang , Yan Ding , Yi Zhang , Yaqiong Chen , Mei Xue , Xia Wang
{"title":"The association between neuropsychological impairment, self-perceived cognitive deficit, symptoms, and health related quality of life in newly diagnosed ovarian cancer patients","authors":"Liying Wang , Yan Ding , Yi Zhang , Yaqiong Chen , Mei Xue , Xia Wang","doi":"10.1016/j.apjon.2024.100447","DOIUrl":"10.1016/j.apjon.2024.100447","url":null,"abstract":"<div><h3>Objective</h3><p>To assess cognitive function in patients newly diagnosed with ovarian cancer (OC) before treatment and explore the relationship between neuropsychological impairment, self-perceived cognitive deficit, symptoms, and health-related quality of life in them.</p></div><div><h3>Methods</h3><p>From May 2021 to February 2022, 105 women newly diagnosed with OC were enrolled in the Cancer Center of Fudan University, Shanghai, China. Objective and subjective cognitive functions were assessed using the Montreal Cognitive Assessment (MoCA) scale and Perceptual Deficits Questionnaire (PDQ). Symptoms and quality of life were evaluated using the Memorial Symptom Assessment Scale (MSAS) and Functional Assessment of Cancer Therapy-Ovarian Cancer (FACT-O), respectively.</p></div><div><h3>Results</h3><p>This study included 105 newly diagnosed OC patients, with an average age of 49.73 (±8.48) years. Of these, 72.38% had impaired neuropsychological test scores, especially in delayed recall, abstraction, and visuospatial/executive function. Retrospective, and prospective memory were the most serious perceived deficits. The results of the MoCA test were not associated with PDQ (R<sub>s</sub> = -0.180, <em>P</em> = 0.067) and significantly correlated with the distress index, physiological and total scores of the MSAS, and emotional well- being of the FACT-O. The PDQ positively correlated with all MSAS dimensions but not with the FACT-O.</p></div><div><h3>Conclusion</h3><p>The incidence of neuropsychological impairment in patients newly diagnosed with OC was high, with no association with self-perceived cognitive deficits. It is recommended that healthcare providers include cognitive impairment in symptom management in this population, who may benefit from early assessment, prevention, and intervention.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100447"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000672/pdfft?md5=7df629e17793562fc6bce5daf61b7ad3&pid=1-s2.0-S2347562524000672-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140398956","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}
Leni Merdawati , Hui-Chen Lin , Ya-Ching Wang , Kuan-Chia Lin , Hui-Chuan Huang
{"title":"Factors associated with loneliness in middle-aged and older patients with breast cancer","authors":"Leni Merdawati , Hui-Chen Lin , Ya-Ching Wang , Kuan-Chia Lin , Hui-Chuan Huang","doi":"10.1016/j.apjon.2024.100444","DOIUrl":"10.1016/j.apjon.2024.100444","url":null,"abstract":"<div><h3>Objective</h3><p>Loneliness is associated with adverse mental and physical health conditions and increased mortality. In this study, we identified significant factors associated with loneliness in middle-aged and older patients with breast cancer (BC).</p></div><div><h3>Methods</h3><p>For this cross-sectional study, we enrolled 200 patients (aged from 20 to 60 years) with BC from two hospitals in Indonesia through convenience sampling. Demographic characteristics, distress symptoms (Symptom Distress Scale), social support (Multidimensional Scale of Perceived Social Support), frailty (Groningen Frailty Indicator), and loneliness (UCLA Loneliness Scale, version 3) were measured. Multivariate logistic regression was performed to identify significant factors associated with loneliness in our cohort.</p></div><div><h3>Results</h3><p>Loneliness risk was negatively correlated with social support but positively correlated with unemployment and frailty. Thus, the patients received a high level of social support (odds ratio [OR]: 0.96; 95% confidence interval [CI]: 0.92–0.99) and had a low risk of severe loneliness. By contrast, patients who were unemployed (OR: 4.00; 95% CI: 1.65–9.66) and those who had frailty (OR: 5.79; 95% CI: 2.50–13.42) had an elevated risk of severe loneliness.</p></div><div><h3>Conclusions</h3><p>Unemployment, social support, and frailty may significantly influence the risk of loneliness in patients with BC. Early and regular assessments of loneliness should be integrated in the care of these patients. Suitable strategies aimed at increasing social support and mitigating frailty may benefit middle-aged and older patients with BC, particularly unemployed patients, by reducing their risk of loneliness.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100444"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000647/pdfft?md5=e93e79e38c42d90e92f89a540d4d5028&pid=1-s2.0-S2347562524000647-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279010","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}
Xining He , Shengzheng Wu , Fan Zhang , Wenhao Ge , Dudu Wu , Mei Chen , Keyan Li , Xiuyun Ren
{"title":"Corrigendum to “Assessing pripherally inserted central catheter tip location in multiple postures: A case report” [Asia–Pacific J Oncol Nurs 10 (2023) 100238]","authors":"Xining He , Shengzheng Wu , Fan Zhang , Wenhao Ge , Dudu Wu , Mei Chen , Keyan Li , Xiuyun Ren","doi":"10.1016/j.apjon.2024.100434","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100434","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100434"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000544/pdfft?md5=2b14c924962cae9f5f622053d039de41&pid=1-s2.0-S2347562524000544-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140914027","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":"Corrigendum to “Investigating nurses' acceptance of patients' bring your own device implementation in a clinical setting: A pilot study” [Asia–Pacific J Oncol Nurs 10 (2023) 100195]","authors":"Shuo-Chen Chien , Chun-You Chen , Chia-Hui Chien , Usman Iqbal , Hsuan-Chia Yang , Huei-Chia Hsueh , Shuen-Fu Weng , Wen-Shan Jian","doi":"10.1016/j.apjon.2024.100437","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100437","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100437"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S234756252400057X/pdfft?md5=6f73e8d6d149c8881bba36054811a98d&pid=1-s2.0-S234756252400057X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072560","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":"Enhancing practice: A path forward","authors":"Ayda Gan Nambayan","doi":"10.1016/j.apjon.2024.100445","DOIUrl":"10.1016/j.apjon.2024.100445","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100445"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000659/pdfft?md5=329fcb757cdda1050926980ff04f2a65&pid=1-s2.0-S2347562524000659-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140269493","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}
Haeok Lee , Jasintha T. Mtengezo , Mary Sue Makin , Ling Shi , Address Malata , Joyce Fitzpatrick , Jonathan Ngoma , Lingling Zhang , Linda Larkey , Eileen Stuart-Shor , Yohannie Mlombe , Deogwoon Kim
{"title":"Mobile health–delivered narrative intervention to increase cervical cancer screening among Malawian women living with HIV: A pilot randomized controlled trial","authors":"Haeok Lee , Jasintha T. Mtengezo , Mary Sue Makin , Ling Shi , Address Malata , Joyce Fitzpatrick , Jonathan Ngoma , Lingling Zhang , Linda Larkey , Eileen Stuart-Shor , Yohannie Mlombe , Deogwoon Kim","doi":"10.1016/j.apjon.2024.100448","DOIUrl":"10.1016/j.apjon.2024.100448","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to develop and evaluate a mobile health (mHealth)-delivered, theory-guided, culturally tailored storytelling narrative (STN) intervention to increase cervical cancer screening among Malawian women living with human immunodeficiency virus (HIV).</p></div><div><h3>Methods</h3><p>This study involved two phases: Phase 1: development of a theory-guided and culturally adapted STN intervention and Phase 2: a pilot randomized controlled trial was conducted. Participants were randomly assigned to one of three arms: Arm 1: tablet-based video (mHealth) with STN (<em>n</em> = 60); Arm 2: mHealth with a video of nonnarrative educational materials (<em>n</em> = 59); and Arm 3: control group with only reading nonnarrative educational materials in person (<em>n</em> = 60). Cervical cancer screening was measured using visual inspection with acetic acid (VIA) uptakes by self-report and health passport record review at 2 and 6 months after intervention.</p></div><div><h3>Results</h3><p>Both arms 1 and 2 had nearly twice the rate of VIA uptakes than those in Arm 3 (51.0% and 50.0%, respectively, vs. 35.0%, <em>P</em> = 0.01) at 2 months follow-up, but there were no differences among groups from 2- to 6-month follow-ups. All groups demonstrated significant improvement of knowledge about risk factors, intention, and VIA uptakes.</p></div><div><h3>Conclusions</h3><p>The findings demonstrate the preliminary effectiveness of the intervention on cervical cancer screening behavior and the feasibility of the study regarding recruitment, retention, treatment fidelity, and acceptability of the single 30-min session. The feasibility and the preliminary results of the effectiveness of the proposed study indicate scaling up the STN intervention to a larger population of women to increase cervical cancer screening uptake to prevent deaths due to cervical cancer in Malawi.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100448"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000684/pdfft?md5=6cd396c7109c901d13023e29334d5dae&pid=1-s2.0-S2347562524000684-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140400170","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 profiles and comparison of caregiving ability among informal caregivers of patients with lung cancer: A latent profile analysis","authors":"Xiaoyuan Lin , Ziqing Chen , Qi Zhao , Xiaozhou Zhou","doi":"10.1016/j.apjon.2024.100480","DOIUrl":"10.1016/j.apjon.2024.100480","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to explore the benefit finding (BF) profiles among informal caregivers of patients with lung cancer, identify demographic and disease characteristics, and analyze differences in caregiving ability between profiles.</p></div><div><h3>Methods</h3><p>This cross-sectional study utilized convenience sampling to select 272 informal caregivers of patients with lung cancer from a tertiary care hospital in Guangzhou, China. The research instruments used included the Demographic and Disease Characteristics Questionnaire, the revised version of the BF Scale, and the Chinese version of the Family Caregiver Task Inventory. Data analysis was performed using latent profile analysis, chi-square test, Fisher's exact probability test, Kruskal–Wallis test, and multivariate logistic regression.</p></div><div><h3>Results</h3><p>(1) BF can be divided into three profiles: “high benefit—family and personal growth” (Profile 1, 7.7%), “moderate benefit—unclear perception” (Profile 2, 44.9%), and “low benefit—coping ability deficient” (Profile 3, 47.4%). (2) Having a cocaregiver and a disease duration of 6–12 months were more likely to belong to Profile 1; caregivers of patients aged 40–60 years tended to belong to Profile 2; caregivers of older patients with disease duration > 12 months and clinical stage II or III were more likely to belong to Profile 3. (3) There were significant differences in the total score of caregiving ability and the scores of each dimension among the different BF profiles (<em>P</em> < 0.001), and the caregiving abilities of Profile 1 and Profile 2 were higher than those of Profile 3.</p></div><div><h3>Conclusions</h3><p>There was heterogeneity in BF among informal caregivers of patients with lung cancer. Healthcare professionals can identify the key profiles of lung-cancer caregivers based on characteristics such as age, clinical stage, disease duration, and cocaregiver status and enhance their caregiving ability through targeted nursing guidance.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100480"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001008/pdfft?md5=2be45a20e77c1d4376b23cd5b29bae37&pid=1-s2.0-S2347562524001008-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140407947","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}
Elisabetta Bertocchi , Francesco Frigo , Loredana Buonaccorso , Francesco Venturelli , Maria Chiara Bassi , Silvia Tanzi
{"title":"Cancer cachexia: A scoping review on non-pharmacological interventions","authors":"Elisabetta Bertocchi , Francesco Frigo , Loredana Buonaccorso , Francesco Venturelli , Maria Chiara Bassi , Silvia Tanzi","doi":"10.1016/j.apjon.2024.100438","DOIUrl":"10.1016/j.apjon.2024.100438","url":null,"abstract":"<div><h3>Objective</h3><p>Cancer cachexia occurs in 30%–80% of patients, increasing morbidity and mortality and impacting the health-related quality of life also for caregivers. Pharmacological interventions have been studied but have shown inconsistent effects on patients' lives in terms of relative outcomes and poor adherence to pharmacological treatment. We provide an overview of the evidence on non-pharmacological interventions for cancer cachexia.</p></div><div><h3>Methods</h3><p>We conducted a scoping review based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses-extension for scoping review (PRISMA-ScR). On September 21, 2022, plus an update on January 10, 2024, we searched MEDLINE, Embase, CINAHL, Cochrane, PsycINFO, and Scopus for 2012–2024. We excluded pharmacological interventions defined as “any substance, inorganic or organic, natural or synthetic, that can produce functional modifications, through a chemical, physicochemical or physical action.”</p></div><div><h3>Results</h3><p>The search retrieved 9308 articles, of which 17 were eligible. Non-pharmacological interventions included nutritional counseling, complementary therapies (acupuncture), rehabilitation, and psychoeducational/psychosocial support. The data showed small and heterogeneous samples and different disease localization and stages. Thirty-nine percent were multimodal interventions and aimed at patients, not families. The common primary outcomes were body weight and composition, biomarkers, quality of life, psychological suffering, and muscular strength. Only three studies focus on the patient-caregiver dyad.</p></div><div><h3>Conclusions</h3><p>Interventions on cancer cachexia should be multimodal and multiprofessional, proposed early, and aimed at quality of life outcomes. The caregiver's involvement is essential. Nurses can play an active role in managing cancer cachexia. More well-designed studies are needed to understand the efficacy and contents of non-pharmacological interventions.</p></div><div><h3>Systematic review registration</h3><p>The review protocol has been registered in the OSF registry (DOI: <span>10.17605/OSF.IO/H4A29</span><svg><path></path></svg>).</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 5","pages":"Article 100438"},"PeriodicalIF":1.8,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524000581/pdfft?md5=1a8a9e493644af443d16a3832cae7dcb&pid=1-s2.0-S2347562524000581-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140274106","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}