Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Advancing PICC excellence in cancer care: Integrating evidence-based practice with patient-centered outcomes","authors":"Baudolino Mussa, Barbara Defrancisco","doi":"10.1016/j.apjon.2025.100698","DOIUrl":"10.1016/j.apjon.2025.100698","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100698"},"PeriodicalIF":2.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the “cancer pain assessment difficulties in older patients with cognitive decline” (CPAD-CD) scale: A psychometric evaluation","authors":"Nami Sakuraba ,&nbsp;Hisao Imai ,&nbsp;Kunihiko Kobayashi","doi":"10.1016/j.apjon.2025.100696","DOIUrl":"10.1016/j.apjon.2025.100696","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to develop and validate the Cancer Pain Assessment Difficulties in Older Patients with Cognitive Decline (CPAD-CD) scale, designed to assess the challenges nurses face in managing cancer pain for older patients with cognitive decline.</div></div><div><h3>Methods</h3><div>A three-phase process was used for scale development: (1) item generation through literature review and expert input, (2) content validation via expert review and a pilot study, and (3) psychometric evaluation, including exploratory factor analysis, confirmatory factor analysis, and reliability testing. The scale was administered to 199 nurses working in oncology and palliative care settings in Japan. Internal consistency was assessed using Cronbach's alpha, and test-retest reliability was determined using intraclass correlation coefficients (ICCs). Known-groups validity was tested based on nurses' confidence levels and years of cancer nursing experience.</div></div><div><h3>Results</h3><div>The final CPAD-CD scale comprised 32 items across five factors, and the internal consistency coefficients were ≥ 0.80, indicating strong internal consistency. Factor loadings ranged from 0.430 to 0.859. The test-retest reliability ICC was 0.797, demonstrating moderate reliability. Known-groups validity analyses showed significant differences in total scale and factor scores based on nurses’ confidence and experience levels (<em>P</em> ​&lt; ​0.05).</div></div><div><h3>Conclusions</h3><div>The CPAD-CD scale is a valid and reliable instrument for assessing difficulties in cancer pain management among nurses caring for older patients with cognitive decline. It can serve as a valuable tool for evaluating training needs and guiding interventions to enhance nursing competency in pain management. Further validation in diverse cultural and clinical contexts is recommended.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100696"},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878647","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":"Death preparedness interventions for patients with advanced cancer: A systematic review","authors":"Xi Zhang ,&nbsp;Meizhen Zhao ,&nbsp;Tieying Zeng ,&nbsp;Xiaoli Wei","doi":"10.1016/j.apjon.2025.100697","DOIUrl":"10.1016/j.apjon.2025.100697","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to synthesize and critically evaluate the current evidence on interventions aimed at enhancing death preparedness among patients with advanced cancer.</div></div><div><h3>Methods</h3><div>A comprehensive search of PubMed, Embase, Cochrane Library, CINAHL, ProQuest, and Web of Science was conducted to identify relevant studies. The review followed Systematic Review and Meta-Analysis Preferred Reporting Items (PRISMA) guidelines, with a structured assessment of study quality and intervention outcomes.</div></div><div><h3>Results</h3><div>Nine studies involving a total of 876 patients with advanced cancer met the inclusion criteria. Interventions demonstrated significant improvements in overall death preparedness, with additional benefits observed in psychological well-being and functional status. Most interventions incorporated death education, psychological support, and meaning-centered psychotherapy.</div></div><div><h3>Conclusions</h3><div>Interventions appear to be effective in enhancing death preparedness among patients with advanced cancer. Future research should focus on refining intervention components, clearly defining outcome measures, and aligning strategies with individualized patient needs and goals.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD420250652562.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100697"},"PeriodicalIF":2.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143860105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Legacy-making interventions in pediatric palliative care: A mixed methods systematic review","authors":"Chanjuan Deng ,&nbsp;Ruishuang Zheng ,&nbsp;Jennifer Hong ,&nbsp;Qiaohong Guo","doi":"10.1016/j.apjon.2025.100694","DOIUrl":"10.1016/j.apjon.2025.100694","url":null,"abstract":"<div><h3>Objective</h3><div>To identify existing legacy-making interventions for children in the context of palliative care, to evaluate the reported outcomes of these interventions, and to explore the perceptions and experiences of children, family members, and healthcare professionals regarding these interventions.</div></div><div><h3>Methods</h3><div>A mixed-methods systematic review was conducted. Six English databases, including PubMed, the Cochrane Library, Embase, CINAHL via EBSCO, ProQuest Nursing &amp; Allied Health Database, and PsycINFO via EBSCO, and three Chinese databases, including CNKI, Wanfang, and Weipu, were systematically searched from inception to July 21, 2024. Articles reporting the results of qualitative, quantitative, or mixed-methods studies related to legacy-making interventions for children receiving palliative care were selected. A meta-synthesis and a quantitative narrative synthesis were conducted, and the findings were integrated using a convergent segregated approach.</div></div><div><h3>Results</h3><div>Twenty-one articles were included. Existing legacy-making interventions were categorized into tangible legacy items and living legacy projects. These interventions were found to have numerous benefits, such as improving children's quality of life, preserving dignity, fostering adaptive coping mechanisms for illness-specific stressors for both children and their parents, enhancing parent-child communication, and promoting psychosocial well-being. They also contributed to reducing compassion fatigue and burnout among healthcare professionals. The majority of children's and parents' experiences with legacy-making interventions were positive, with high acceptability of these interventions. Suggestions from family members and healthcare professionals for enhancing these interventions were also reported.</div></div><div><h3>Conclusions</h3><div>Legacy-making interventions could benefit children, their families, and healthcare professionals. More rigorous clinical trials should be conducted to confirm the effects of these interventions in the future.</div></div><div><h3>Systematic review registration</h3><div>This systematic review has been registered on PROSPERO (Registration No. CRD42024490925).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100694"},"PeriodicalIF":2.4,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143898779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence summary on pain management in thoracoscopic lung cancer surgery","authors":"Dongdong Wu ,&nbsp;Jianjuan Dai ,&nbsp;Yifan Sheng ,&nbsp;Yin Lin ,&nbsp;Hong Ye ,&nbsp;Donglin Wang ,&nbsp;Lina Lu ,&nbsp;Boer Yan","doi":"10.1016/j.apjon.2025.100693","DOIUrl":"10.1016/j.apjon.2025.100693","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to systematically retrieve, evaluate and summarize evidence on perioperative pain management in adults undergoing thoracoscopic lung cancer surgery, to assist oncology nurses in improving pain assessment and management.</div></div><div><h3>Methods</h3><div>The research question was established using PIPOST model and a systematic search was conducted in English and Chinese databases, professional society websites and guideline platforms for literature published between January 2017 and December 2024. Included literature types comprised guidelines, systematic reviews, evidence summaries, expert consensus, and standards. After literature searching and screening in January 2025, the remaining guidelines were evaluated by four investigators, while other literature was assessed by two investigators. Evidence was then extracted and graded.</div></div><div><h3>Results</h3><div>Eighteen articles were included, comprising 5 systematic reviews, 3 guidelines, 2 clinical decisions, 4 evidence summaries, 3 expert consensus, and 1 standard. Twenty-five pieces of evidence across six topics were summarized, covering organizational management, high-risk patient assessment and preoperative education, pain assessment, intraoperative analgesia, multimodal pharmacological strategies, and non-pharmacological interventions.</div></div><div><h3>Conclusions</h3><div>This evidence summary highlights effective strategies for perioperative pain management in thoracoscopic lung cancer surgery, which could support oncology nurses in implementing comprehensive pain assessment, identifying high-risk patients, and applying diversified analgesic interventions.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100693"},"PeriodicalIF":2.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development, validation, and clinical utility of risk prediction models for cancer-associated venous thromboembolism: A retrospective and prospective cohort study","authors":"Shuai Jin ,&nbsp;Dan Qin ,&nbsp;Chong Wang ,&nbsp;Baosheng Liang ,&nbsp;Lichuan Zhang ,&nbsp;Weiyin Gao ,&nbsp;Xiao Wang ,&nbsp;Bo Jiang ,&nbsp;Benqiang Rao ,&nbsp;Hanping Shi ,&nbsp;Lihui Liu ,&nbsp;Qian Lu","doi":"10.1016/j.apjon.2025.100691","DOIUrl":"10.1016/j.apjon.2025.100691","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to develop cancer-associated venous thromboembolism (CA-VTE) risk prediction models using survival machine learning (ML) algorithms.</div></div><div><h3>Methods</h3><div>This study employed a double-cohort study design (retrospective and prospective). The retrospective cohort (<em>n</em> ​= ​1036) was used as training set (70.0%, <em>n</em> ​= ​725) and internal validation set (30.0%, <em>n</em> ​= ​311); while the prospective cohort (<em>n</em> ​= ​321) was used as external validation set. Seven survival ML algorithms, including COX regression, classification, regression and survival tree, random survival forest, gradient boosting survival machine tree, extreme gradient boosting survival tree, survival support vector analysis, and survival artificial neural network, were applied to train CA-VTE models.</div></div><div><h3>Results</h3><div>Univariate analysis and LASSO-COX regression both selected five predictors: age, previous VTE history, ICU/CCU, CCI, and D-dimer. The seven survival ML models (C-index: 0.709–0.760; Brier Score: 0.212–0.243) all outperformed Khorana Score (C-index: 0.632; Brier Score: 0.260) in external validation set. Among all models, the COX_DD model (COX regression ​+ ​D-dimer) performed best. However, ML models and Khorana Score predicted CA-VTE risk on <span><math><mrow><mo>≥</mo></mrow></math></span> 7 days of hospitalization with an increase in Brier Score <span><math><mrow><mo>≥</mo></mrow></math></span> 0.25, showing poor calibration.</div></div><div><h3>Conclusions</h3><div>In this study, the CA-VTE risk prediction models developed in seven survival ML algorithms outperformed Khorana Score. Combining with D-dimer can improve model performance. Applying the nomogram based on the optimal COX_DD model allows oncology nurse to reassess CA-VTE risk once a week. The prediction models developed using survival ML algorithms in this study may contribute to the dynamic and accurate risk assessment of CA-VTE for cancer survivors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100691"},"PeriodicalIF":2.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of health perception in preventive care","authors":"Negin Dorri","doi":"10.1016/j.apjon.2025.100689","DOIUrl":"10.1016/j.apjon.2025.100689","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100689"},"PeriodicalIF":2.4,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The interplay between sleep and cancer-related fatigue in breast cancer: A casual and computer-simulated network analysis","authors":"Hongman Li ,&nbsp;Ying Xiong ,&nbsp;Qihan Zhang ,&nbsp;Yufei Lu ,&nbsp;Qiaoling Chen ,&nbsp;Siqi Wu ,&nbsp;Yiguo Deng ,&nbsp;Chunmin Yang ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.apjon.2025.100692","DOIUrl":"10.1016/j.apjon.2025.100692","url":null,"abstract":"<div><h3>Objective</h3><div>Sleep problems and cancer-related fatigue are common symptoms in women for breast cancer, during and after treatment. Identifying key intervention targets for this symptom cluster may improve patient reported outcomes. This study aimed to explore the relationship between sleep and cancer-related fatigue to identify optimal intervention targets.</div></div><div><h3>Methods</h3><div>In the “Be Resilient to Breast Cancer” program, self report data were collected on sleep and cancer-related fatigue the Multidimensional Fatigue Symptom Inventory–Short Form and the Pittsburgh Sleep Quality Index. Gaussian network analysis was employed to identify central symptoms and nodes, while a Bayesian network explored their causal relationships. Computer-simulated interventions were used to identify core symptoms as targets for intervention.</div></div><div><h3>Results</h3><div>General fatigue (Str ​= ​0.95, Bet ​= ​7, Clo ​= ​0.007) was considered the node with the strongest centrality. The daytime dysfunction item on the Pittsburgh sleep quality index had the strongest bridge strength. Core symptoms were identified as targets for intervention by the computer-simulated analysis.</div></div><div><h3>Conclusions</h3><div>Sleep quality is the strongest predictor of cancer-related fatigue from a casual networking perspective. Sleep latency and daytime dysfunction should be targeted to break the chained symptom interaction between sleep and cancer-related fatigue.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100692"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143807385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the symptom assessment scale for patients with nasopharyngeal cancer undergoing radiotherapy","authors":"Fangying Wang ,&nbsp;Qingyu Zhao ,&nbsp;Guanmian Liang ,&nbsp;Wanying Wu","doi":"10.1016/j.apjon.2025.100690","DOIUrl":"10.1016/j.apjon.2025.100690","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop the Symptom Assessment Scale for Patients with Nasopharyngeal Cancer Undergoing Radiotherapy (SAS-NPC), based on the Symptom Experience Model.</div></div><div><h3>Methods</h3><div>In Phase 1, a content analysis of the literature and group discussions were conducted to construct an initial pool of 61 items. Following expert review by 16 specialists and cognitive interviews with 10 patients, the pool was refined to 56 items. In Phase 2, a convenience sampling method was used to recruit 625 patients with nasopharyngeal cancer (NPC) undergoing radiotherapy, who assessed and explored the scale items. Phase 3 focused on evaluating the scale's reliability and validity.</div></div><div><h3>Results</h3><div>The SAS-NPC consists of 7 dimensions and 33 items. Reliability analysis revealed a Cronbach's α coefficient of 0.928 for the total scale, a split-half reliability of 0.790, and a retest reliability of 0.828. Validity analysis showed content validity indices for each item ranging from 0.833 to 1.000, with an overall content validity index of 0.970 for the scale. Exploratory factor analysis (EFA) identified 7 common factors, which accounted for 74.505% of the total variance. Confirmatory factor analysis (CFA) demonstrated good overall model fit.</div></div><div><h3>Conclusions</h3><div>The SAS-NPC comprehensively captures acute and long-term symptoms associated with patients with NPC undergoing radiotherapy. The scale exhibits strong reliability and validity, making it an ideal tool for assessing NPC symptom burden and facilitating clinical symptom management.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100690"},"PeriodicalIF":2.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent profile analysis of self-management and its association with quality of life differences in patients with cancer treated with immune checkpoint inhibitors","authors":"Ruiqi Lu ,&nbsp;Zhihui Yang ,&nbsp;Jingxia Miao ,&nbsp;Qian Xu ,&nbsp;Lili Zhang","doi":"10.1016/j.apjon.2025.100687","DOIUrl":"10.1016/j.apjon.2025.100687","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore latent profiles of self-management ability in patients with cancer treated with immune checkpoint inhibitors, analyze each subgroup's characteristics, and determine the relationship between self-management and quality of life.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 393 patients treated with immune checkpoint inhibitors. The participants completed questionnaires containing sociodemographic information, the Functional Assessment of Cancer Therapy-Immune Checkpoint Modulator (FACT-ICM), the Cancer Patient Self-management Evaluation Scale, and the Medical Coping Modes Questionnaire. Latent profile analysis was used to examine potential latent groups of self-management. Multivariate logistic regression was used to analyze the sociodemographic variables in each profile. Kruskal-Wallis H-rank sum test was used to explore the relationships between self-management profiles and quality of life.</div></div><div><h3>Results</h3><div>The self-management abilities of the patients treated with immune checkpoint inhibitors were grouped into three latent profiles: “low self-management” (16.8%), “average self-management-avoidance of information” (44.3%), and “high self-management” (38.9%). The coping modes, educational levels, medical insurances, age, monthly family income per capita, and communication styles with health care professionals post-discharge significantly influenced the distribution of self-management. There were significant differences in the FACT-ICM scores across all three groups, except for the emotional well-being dimension.</div></div><div><h3>Conclusions</h3><div>The patients with cancer treated with immune checkpoint inhibitors exhibit three distinct self-management profiles. To enhance patients' quality of life, healthcare professionals should develop targeted self-management strategies focusing on information management and communication between patients and healthcare providers.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100687"},"PeriodicalIF":2.4,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}