Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Experiences of weight management during rehabilitation in breast cancer survivors: A qualitative study","authors":"Zhou Zhou ,&nbsp;Yonghong Shen ,&nbsp;Wenjia Ye ,&nbsp;Changle Pei ,&nbsp;Jingxia Liu ,&nbsp;Weibo Lyu ,&nbsp;Jingting Wang ,&nbsp;Zhaohui Geng","doi":"10.1016/j.apjon.2025.100722","DOIUrl":"10.1016/j.apjon.2025.100722","url":null,"abstract":"<div><h3>Objective</h3><div>Weight management plays an important role in the recovery period of breast cancer patients, which has a positive impact on prognosis and survival. This study aims to explore the weight management experience in terms of cognitive and emotional dimensions under the guidance of Experience Based Co-Design (EBCD).</div></div><div><h3>Methods</h3><div>This study used a purposive sampling method to select 26 breast cancer patients in the breast department of a tertiary general hospital in Shanghai, China, who were recovering from breast cancer from May 2023 to October 2023; semi-structured interviews were conducted using the phenomenological research method; and Van Manen's hermeneutic-phenomenological approach was used to analyze the data and refine the themes.</div></div><div><h3>Results</h3><div>A total of 3 themes and 9 sub-themes have been extracted: 1) Orientation to encounter difficulties and seek solutions (sub-themes were \"Knowing but not doing\", \"Avoiding exercise due to illness\" and \"Reshaping Dietary Rules\"); 2) Nascence to face reality bravely (sub-themes were \"Health above all\", \"Power of role models\" and \"Release from being a patient\"); and 3) Self-renewal to transcend the ego (sub-themes were \"Responsibility to be healthy\", \"Spiritual growth\" and \"Sustenance of life\").</div></div><div><h3>Conclusions</h3><div>By means of EBCD, the experience of weight management during breast cancer rehabilitation is influenced by emotion, habit and culture. Patients demonstrate a clear need for weight management, facing various facilitators and obstacles related to physical, mental, and social aspects. Key factors that encourage breast cancer patients to engage in weight management include guidance, emotional support, and proactive behavior. These insights can inform the development of targeted interventions to enhance the weight management experience for breast cancer survivors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100722"},"PeriodicalIF":2.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240978","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":"Quality indicators of outpatient palliative care: A systematic review","authors":"Sina Sharifi ,&nbsp;Salman Barasteh ,&nbsp;Akram Parandeh ,&nbsp;Seyed Qasem Mousavi","doi":"10.1016/j.apjon.2025.100718","DOIUrl":"10.1016/j.apjon.2025.100718","url":null,"abstract":"<div><h3>Objective</h3><div>Outpatient palliative care is an integral part of providing services to patients with life-threatening conditions within health care systems. Identifying indicators of outpatient palliative care can help improve these services. Therefore, this study was conducted to identify quality indicators for the care of patients with life-limiting conditions in outpatient settings.</div></div><div><h3>Methods</h3><div>This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included a search of databases such as PubMed, ProQuest, Science Direct, Web of Science, Scopus, and the Google Scholar search engine, with no time restrictions. Quality assessment was performed using the Appraisal of Indicators through Research and Evaluation (AIRE) tool. Final indicators were categorized based on a content analysis approach using conventional content analysis and the Donabedian model.</div></div><div><h3>Results</h3><div>Six articles were selected for final analysis among the 659 identified articles. In this review, 32 quality indicators specific to outpatient palliative care were identified: 19 indicators were categorized under the process dimension, 11 under outcomes, and two under structure. These indicators were grouped into areas such as the patient-care provider relationship and mutual understanding (5 indicators), symptom and pain management (22 indicators), supportive care and referrals (5 indicators), and overall patient experience assessment (8 indicators).</div></div><div><h3>Conclusions</h3><div>The findings of this study indicated that the identified indicators primarily focused on the physical and psychological aspects of outpatient palliative care. This review is the first to systematically categorize outpatient palliative care quality indicators and highlight priority areas for future development. There is a need to expand outpatient care quality indicators to include structural, cultural, and social dimensions to provide comprehensive, patient-centered palliative care.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100718"},"PeriodicalIF":2.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116885","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 of an evidence-based auriculotherapy program for urinary incontinence in men after radical prostatectomy","authors":"Ying Zhang ,&nbsp;Keping Zhu ,&nbsp;Siyuan Wu ,&nbsp;Fuchao Xie ,&nbsp;Wenbo Qiao ,&nbsp;Yaqin Li ,&nbsp;Kun Li ,&nbsp;Wei Wang","doi":"10.1016/j.apjon.2025.100720","DOIUrl":"10.1016/j.apjon.2025.100720","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop an evidence-based auriculotherapy program for reducing urinary incontinence in men after radical prostatectomy.</div></div><div><h3>Methods</h3><div>The Medical Research Council Framework for Developing and Evaluating Complex Interventions was used to guide the intervention development process, which consisted of four stages: (1) establishing the research team; (2) identifying existing evidence; (3) identifying relevant theories; and (4) refining and modeling the program via an expert panel.</div></div><div><h3>Results</h3><div>An initial auriculotherapy program was developed based on available evidence from three practice standards, eight books, nine reviews, and two clinical trials. The Delphi study confirmed excellent consensus, with all items scoring ≥ 3.5 and a coefficient of variation &lt; 0.25. The final auriculotherapy program comprises true-auriculotherapy and sham-auriculotherapy, each including six key components: (1) auricular acupoints, (2) auricular acupoints location, (3) auriculotherapy modality, (4) auricular sticking techniques, (5) auricular acupressure techniques, and (6) auriculotherapy dosage.</div></div><div><h3>Conclusions</h3><div>This study develops an evidence-based and theory-driven auriculotherapy for postprostatectomy incontinence management, which will be further implemented in clinical settings to confirm its effectiveness. The methodology described in this study may provide implications for future studies to develop complex interventions in the field of alternative therapies.</div></div><div><h3>Trial registration</h3><div>ChiCTR2300071700.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100720"},"PeriodicalIF":2.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167512","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 psychometric assessment of a care competency scale for family caregivers in home palliative care","authors":"Tingting Wang ,&nbsp;Jun Kong ,&nbsp;Xin Chen ,&nbsp;Yiyun Yang ,&nbsp;Dan Liu ,&nbsp;Ting Liu ,&nbsp;Li Li","doi":"10.1016/j.apjon.2025.100719","DOIUrl":"10.1016/j.apjon.2025.100719","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to develop and validate a scale for measuring the care competency of family caregivers in home palliative care (CCSHPC).</div></div><div><h3>Methods</h3><div>The initial version was established based on the model for caregiver skill building/effectiveness, literature review, qualitative research, expert consultations, and quantitative research. The measurement properties included content validity, structural validity, internal consistency, reliability, measurement error, and construct validity. The survey included 381 family caregivers who had previously or were currently receiving home palliative care services in Shanghai.</div></div><div><h3>Results</h3><div>The final scale comprised 29 items across 6 dimensions: care knowledge, daily care skills, special care skills, caregiving qualities, self-care practices, and the acquisition of social supports and resources. The cumulative variance contribution rate was 75.406%. Confirmatory factor analysis showed good model fit (<em>χ</em>^<em>2</em> ​= ​767.146, <em>df</em> ​= ​357, <em>χ</em>^<em>2</em>/<em>df</em> ​= ​2.149, root mean square of approximation error ​= ​0.074, root mean square residual ​= ​0.063, incremental fitting index ​= ​0.904, comparative fit index ​= ​0.903). The content validity at the scale and item levels were 0.97 and 0.86 to 1.00, respectively. The reliability of the scale was acceptable (Cronbach's α ​= ​0.954, McDonald's Omega ​= ​0.959, split-half reliability ​= ​0.886, test-retest reliability ​= ​0.931). The standard error of measurement was 4.38.</div></div><div><h3>Conclusions</h3><div>The scale is reliable and valid, and it can be applied to measure the care competency of family caregivers in home palliative care, providing a reference for medical professionals to develop targeted intervention strategies. However, the applicability of the scale among family caregivers in different cultural and social contexts, as well as the validation of other measurement properties of the scale, requires further research.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100719"},"PeriodicalIF":2.4,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167511","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":"Experiences of body image changes in Chinese hematopoietic stem cell transplantation survivors: A qualitative study","authors":"Jia Yin Ruan ,&nbsp;Lingxiang Lu ,&nbsp;Wing Fai Yeung ,&nbsp;Ying Qian ,&nbsp;Mary-Ellen Brierley ,&nbsp;Yim Wah MaK ,&nbsp;Yiyu Zhuang","doi":"10.1016/j.apjon.2025.100717","DOIUrl":"10.1016/j.apjon.2025.100717","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the experiences of body image changes in hematopoietic stem cell transplantation survivors in China and to depict how those changes affected their perception of self and body.</div></div><div><h3>Methods</h3><div>A qualitative descriptive approach was applied to provide a straight and comprehensive understanding of experiences in body image changes. Twenty hematopoietic stem cell transplantation survivors who underwent transplantation at a Chinese tertiary hospital were selected through purposeful sampling. Data were collected via semi-structured interviews and analyzed using conventional content analysis. Reporting adhered to the Consolidated Criteria for Reporting Qualitative Research Checklist.</div></div><div><h3>Results</h3><div>Three themes and 11 subthemes were identified: (1) I am an inferior person (a distinctly weird appearance, an impaired body function, and depending on external resources for survival); (2) I am a person struggling to reconcile with my changed body (struggling to conceal or disclose my changed body, negotiating the impact of my changed body on my work identity, struggling to understand and care for my changed body, and catching up in rumination over my changed body); and (3) I am a brand-new person (having escaped from the gate of hell, enhanced appearance, optimized personality, possessed sublimated emotions).</div></div><div><h3>Conclusions</h3><div>This qualitative study offers novel insights into the experiences of body image changes in patients with hematological cancers post-hematopoietic stem cell transplantation within the Chinese context. It also presents a journey toward accepting body image changes. Further research is warranted to explore the underlying mechanisms linking body image changes to shifts in self-identity, and the process of body image acceptance.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100717"},"PeriodicalIF":2.4,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134368","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":"Acceptance of illness and its relationship with benefit finding among patients with colorectal cancer undergoing chemotherapy: A latent profile analysis","authors":"Fangyi Li ,&nbsp;Tian Xiao ,&nbsp;Ao Tang ,&nbsp;Zibochang Wang ,&nbsp;Chunmei Liu ,&nbsp;Qiumei Ma ,&nbsp;Linyu Zhou ,&nbsp;Ruihan Xiao ,&nbsp;Biao He ,&nbsp;Xueqin Qiu ,&nbsp;Xiaoju Chen","doi":"10.1016/j.apjon.2025.100715","DOIUrl":"10.1016/j.apjon.2025.100715","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify the potential profiles of acceptance of illness among colorectal cancer patients undergoing chemotherapy, examine the factors influencing these profiles, and analyze the relationship between acceptance of illness in different profiles and benefit finding.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 475 parents with colorectal cancer undergoing chemotherapy in southwest China from June to November 2024. Data were collected using general information questionnaire, the Acceptance of Illness Scale (AIS), and the Benefit Finding Scale (BFS). Use descriptive statistics, latent profile analysis, and multivariate logistic regression to analyze the data, while multiple linear regression was used to examine the impact of different categories of acceptance of illness on benefit finding.</div></div><div><h3>Results</h3><div>The acceptance of illness of patients was classified into three latent categories: “Low acceptance of illness group” (29.5%), “Moderate acceptance of illness group” (37.9%), and “High acceptance of illness group” (32.6%). Gender, relationship with family members, average monthly household income per capita and history of surgery were the influencing factors of acceptance of illness in different categories of patients (<em>P</em> ​&lt; ​0.05). After controlling for confounding factors, the latent profiles of acceptance of illness were significant predictors of benefit finding (<em>P</em> ​&lt; ​0.001).</div></div><div><h3>Conclusions</h3><div>The acceptance of illness among colorectal cancer patients undergoing chemotherapy exhibits heterogeneity and can be categorized into three latent profiles. Higher acceptance of illness among patients is associated with a higher level of benefit finding. Health care providers should implement targeted interventions based on the influencing factors of different categories of acceptance of illness to enhance benefit finding levels.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100715"},"PeriodicalIF":2.4,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070293","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":"Japanese version of the MD Anderson Symptom Inventory for Head and Neck Tumor module: Validation study","authors":"Hiroto Sawaguchi ,&nbsp;Masanori Someya ,&nbsp;Kensei Nakata ,&nbsp;Yu Takada ,&nbsp;Keiko Danzuka ,&nbsp;Mitsunori Miyashita ,&nbsp;Mikiko Kawamura","doi":"10.1016/j.apjon.2025.100711","DOIUrl":"10.1016/j.apjon.2025.100711","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the reliability and validity of the Japanese version of the MD Anderson Symptom Inventory Head and Neck Tumor module (MDASI-HN), a patient-reported outcome measure for head and neck cancer.</div></div><div><h3>Methods</h3><div>The MDASI-HN was translated into Japanese, and cognitive debriefing was conducted. A cross-sectional study was administered to patients with head and neck cancer who were recruited within 5 years of receiving surgery, chemotherapy, or radiotherapy at three cancer treatment centers. The reliability and validity of the Japanese version were confirmed through structural equation modeling, internal consistency, test–retest reliability, convergent validity, known-groups validity.</div></div><div><h3>Results</h3><div>The Japanese translation of the MDASI-HN was revised with developer feedback. Cognitive debriefing with five patients provided positive feedback regarding the ease of completion and understanding. A cross-sectional sample of 147 patients completed the questionnaire. Structural equation modeling showed a Confirmatory Fit Index of 0.975 and Root Mean Square Error of Approximation of 0.059. The Cronbach's alpha coefficient was 0.88 for head and neck cancer-specific items and 0.96 for all symptom items. The Intraclass Correlation Coefficients (2,1) were 0.72 for HNC-specific items and 0.74 for all items. The convergent validity with the EORTC QLQ-H&amp;N module was <em>r</em> ​= ​0.79. The known-groups validity showed small to moderate effect sizes for all subitems, based on the comparison of mean ECOG Performance Status Scale scores between the two groups.</div></div><div><h3>Conclusions</h3><div>The results showed that the translated MSASI-HN was reliable, valid, and feasible for use in Japanese-speaking patients with head and neck cancer.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100711"},"PeriodicalIF":2.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514326","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 influencing factors of cancer-related fatigue in Chinese patients with myelodysplastic syndrome: A cross-sectional study","authors":"Libing Liang ,&nbsp;Jian Gao ,&nbsp;Caiqin Wu ,&nbsp;Yan Qian","doi":"10.1016/j.apjon.2025.100712","DOIUrl":"10.1016/j.apjon.2025.100712","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate Cancer-related fatigue (CRF) prevalence in Myelodysplastic syndrome (MDS) and identify contributing factors. The goal was to aid in developing interventions to alleviate CRF, and refine clinical nursing practices.</div></div><div><h3>Methods</h3><div>A cross-section study was conducted from June 2023 to April 2024, recruiting 144 MDS patients from a Shanghai hospital. Surveys and scales were used to assess fatigue, insomnia, caregiving burden, and nutritional status. Statistical analyses, including t-tests, ANOVA, correlation, and regression, were performed to identify CRF influencers.</div></div><div><h3>Results</h3><div>The study revealed that the mean CRF score among patients with MDS was 28.63 ​± ​9.73, with a median score of 30 (IQR 22–35), indicating moderate CRF levels. CRF showed positive correlations with anxiety/depression, insomnia, nutritional status, and number of chemotherapies, while demonstrating a negative correlation with family support. Multivariate analysis identified age, chemotherapy regimen, Revised International Prognostic Scoring System (IPSS-R) risk category, anxiety/depression, and nutritional status as significant predictors of CRF.</div></div><div><h3>Conclusions</h3><div>The study identified moderate CRF levels in patients with MDS, with severity influenced by age, IPSS-R risk category, chemotherapy regimen, anxiety/depression, and nutritional status. Multivariate analysis identified anxiety/depression and nutritional status as key contributing factors. These findings highlight the need for further research into the pathogenesis of MDS-associated CRF, particularly focusing on comprehensive assessment and targeted management of anxiety/depression and nutritional status in this patient population.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100712"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089104","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":"Heterogeneity and influencing factors of cancer-related fatigue among patients with cervical cancer undergoing brachytherapy: A cross-sectional analysis","authors":"Yanhua Li ,&nbsp;Yuqi Liu ,&nbsp;Zimo Zhang ,&nbsp;Jun Ma ,&nbsp;Ping Jiang ,&nbsp;Panfeng Wang ,&nbsp;Lijuan Sun","doi":"10.1016/j.apjon.2025.100714","DOIUrl":"10.1016/j.apjon.2025.100714","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to examine the prevalence and heterogeneity of cancer-related fatigue (CRF) among patients with cervical cancer undergoing intracavitary brachytherapy and to identify associated determinants.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 105 patients with cervical cancer who received brachytherapy at a tertiary hospital in Beijing between March and June 2023. Participants completed the Cancer Fatigue Scale, Patient-Generated Subjective Global Assessment, Hospital Anxiety and Depression Scale, and Pittsburgh Sleep Quality Index. Latent class analysis (LCA) was used to identify fatigue subgroups. Influencing factors were explored using univariate and multivariate analyses, including t-tests, chi-square tests, multiple linear regression, and logistic regression.</div></div><div><h3>Results</h3><div>The mean CRF score was 26.10 ​± ​10.55 (range: 0–60), with 36.2% of patients scoring ≥ 30. LCA identified three fatigue subgroups: high, moderate, and low fatigue, with 83.8% of patients classified into the moderate and high fatigue groups. Higher educational attainment, receipt of chemotherapy, poor nutritional status, and depression were positively associated with greater CRF, while a history of cervical cancer surgery and higher household income were negatively associated. These variables explained 64.3% of the variance in CRF. Patients who received chemotherapy, had higher depression scores, and had poorer nutritional status were more likely to belong to the high-fatigue group.</div></div><div><h3>Conclusions</h3><div>Cancer-related fatigue is highly prevalent among patients with cervical cancer undergoing brachytherapy, particularly affecting physical and emotional domains. Substantial heterogeneity exists across fatigue severity groups. Tailored interventions addressing physical symptoms, psychological distress, and nutritional status are needed. Further research with larger, diverse samples is warranted to validate these findings.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100714"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144240977","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":"Upper limb symptoms in breast cancer survivors with lymphedema: A latent class analysis and network analysis","authors":"Aomei Shen ,&nbsp;Nada Lukkahatai ,&nbsp;Zijuan Zhang ,&nbsp;Hongmeng Zhao ,&nbsp;Nezar Ahmed Salim ,&nbsp;Gyumin Han ,&nbsp;Wanmin Qiang ,&nbsp;Qian Lu","doi":"10.1016/j.apjon.2025.100713","DOIUrl":"10.1016/j.apjon.2025.100713","url":null,"abstract":"<div><h3>Objective</h3><div>Breast cancer survivors (BCS) with lymphedema experience multiple symptoms in upper limbs that significantly impact their quality of life. The complexity of symptomology and the connection among these symptoms are unclear. This study aimed to identify upper limb symptom subgroups and symptom networks among BCS.</div></div><div><h3>Methods</h3><div>This secondary analysis included individuals with lymphedema (defined as an inter-limb circumference difference of ≥ 2 cm) from three cross-sectional studies among post-surgery BCS. Upper limb symptoms were assessed by the Breast Cancer and Lymphedema Symptom Experience Index. Descriptive analysis, latent class analysis, logistic regression analysis, and network analysis were performed.</div></div><div><h3>Results</h3><div>A total of 341 BCS with upper limb lymphedema were included. Swelling, heaviness and tightness were the most prevalent symptoms. Four distinct latent classes were identified: “Severe symptom” group (Class 1: 9.4%), “Movement-limitation and lymph-stasis” group (Class 2: 24.6%), “Lymph-stasis” group (Class 3: 37.5%), and “Mild symptom” group (Class 4: 28.4%). BCS with axillary lymph node dissection, radiotherapy, longer post-surgery duration, and without medical insurance were less likely to belong to the mild symptom group (<em>P</em> ​&lt; ​0.001). Symptom network density decreased from Class 1 to 4. Core symptoms for each symptom network were tenderness, firmness, arm-swelling, and heaviness, respectively.</div></div><div><h3>Conclusions</h3><div>This study identified four distinct categories of upper limb symptoms and influencing factors among individuals with breast cancer-related lymphedema (BCRL). Our findings suggest the need to consider individualized approaches to symptom management and support for BCRL, taking into account their specific symptom clusters and associated risk factors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100713"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098330","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}