Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Time toxicity in cancer care: A concept analysis using Walker and Avant's method","authors":"Chinomso Nwozichi ,&nbsp;Salako Omolabake ,&nbsp;Margaret O. Ojewale ,&nbsp;Funmilola Faremi ,&nbsp;Deliverance Brotobor ,&nbsp;Elizabeth Olaogun ,&nbsp;Mosidat Oshodi-Bakare ,&nbsp;Oluwaseun Martins-Akinlose","doi":"10.1016/j.apjon.2024.100610","DOIUrl":"10.1016/j.apjon.2024.100610","url":null,"abstract":"<div><h3>Objective</h3><div>The purpose of this concept analysis was to explore and clarify the concept of time toxicity in the context of cancer care using Walker and Avant's method, identify its defining attributes, antecedents, and consequences, and explore its implications for cancer care.</div></div><div><h3>Methods</h3><div>Walker and Avant's eight-step method was employed to analyze time toxicity. The literature was reviewed, focusing on peer-reviewed articles, grey literature, and cancer care policy documents to identify the defining attributes, antecedents, consequences, and empirical referents of time toxicity. Contextual factors, such as health care infrastructure and socioeconomic status, shape the manifestation of time toxicity in different patient populations. Model, borderline, and contrary cases were developed to clarify the concept further.</div></div><div><h3>Results</h3><div>Time toxicity is characterized by its defining attributes of temporal burden, disruption of daily life, cumulative effect, opportunity cost, and emotional strain. Antecedents include cancer diagnosis, complex treatment regimens, and health care inefficiencies, while consequences involve reduced quality of life, non-adherence to treatment, and economic strain. Empirical referents include time logs, patient-reported outcomes, and health care utilization data.</div></div><div><h3>Conclusions</h3><div>Our findings underscore the multidimensional nature of time toxicity and its significant implications for cancer patients’ well-being. Importantly, we highlight the vital role of oncology nurses in mitigating its effects through care coordination and patient support, thereby making our research directly applicable to clinical practice.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100610"},"PeriodicalIF":2.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698891","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":"Character strength patterns, social support and psychological distress in adolescents and young adults with cancer: A multicenter cross-sectional study","authors":"Ning Qin ,&nbsp;Yinglong Duan ,&nbsp;Yi Zhou ,&nbsp;Yuxuan Li ,&nbsp;Juan Luo ,&nbsp;Yue Kang ,&nbsp;Jian Zhou ,&nbsp;Jianfei Xie ,&nbsp;Andy S.K. Cheng","doi":"10.1016/j.apjon.2024.100609","DOIUrl":"10.1016/j.apjon.2024.100609","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescents and young adults with cancer (AYAC) experience severe psychological distress worldwide. Social support was associated with reduced distress among cancer patients, but the role of character strength patterns in this association is unexplored. This study explored whether character strength patterns influence the association between social support and psychological distress in AYAC.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study was conducted at four hospitals in Changsha, China. Participants completed questionnaires assessing sociodemographic, distress, social support, and character strengths. Latent profile analysis determined character strength patterns, and multiple linear regression models examined the association. Interaction terms tested moderation effects, and adjusted models examined confounding, all stratified by gender.</div></div><div><h3>Results</h3><div>Among 728 participants, three character strength patterns emerged: low (LCS), moderate (MCS), and high (HCS). Across all patterns, higher social support was significantly associated with lower distress in AYAC (female: <em>β</em> = −0.124, 95% CI = −0.051 to −0.015; male: <em>β</em> = −0.180, 95% CI = −0.080 to −0.030; <em>P</em> &lt; 0.001). AYAC with MCS and HCS experienced significantly less distress than those with LCS, across both genders. However, the association between character strength patterns and lower distress was stronger in males (MCS: <em>β</em> = −0.384, 95% CI = −1.898 to −1.033; HCS: <em>β</em> = −0.777, 95% CI = −3.420 to −2.495; <em>P</em> &lt; 0.001) compared to females (MCS: <em>β</em> = −0.284, 95% CI = −1.215 to −0.700; HCS: <em>β</em> = −0.593, 95% CI = −2.776 to −2.102; <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Character strength patterns didn't moderate or confound the association between social support and psychological distress, but had stronger protective effects against psychological distress than social support. Higher character strength patterns showed a stronger association with lower psychological distress, especially for males.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100609"},"PeriodicalIF":2.4,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral self-management of palbociclib using mobile technology: Findings from a nurse-led randomized controlled trial.","authors":"AnnMarie Mazzella-Ebstein, Margaret Barton-Burke, Venice Anthony, Charlie White, Zhigang Zhang, Andrea Smith, Mark Robson","doi":"10.1016/j.apjon.2024.100604","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100604","url":null,"abstract":"<p><strong>Objective: </strong>Test the feasibility and effectiveness of a text message reminder intervention for the self-management of oral anticancer medication in patients with metastatic breast cancer.</p><p><strong>Methods: </strong>Forty-three females initiating treatment with palbociclib participated in a two-armed prospective randomized clinical trial. Participants were randomized into the control (<i>n</i> = 21) and intervention groups (<i>n</i> = 22) from January 2020 to January 2023. Survey responses were collected at three-time points; (1) at consent, (2) end of treatment cycles, and (3) at a follow-up clinic visit. Surveys included a demographic questionnaire, the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, post-study assessment, and the R-15 Participant Satisfaction Questionnaire. Nurse providers completed the Adaptation of Stamps Nurse Workload questionnaire.</p><p><strong>Results: </strong>The COVID-19 pandemic and regulatory decisions supporting other CDK4/6 medications negatively influence recruitment; thus, a small sample for each arm only detected large differences between the two arms regarding effectiveness. Feasibility analysis was not conducted due to insufficient data, but the participants frequently used their smartphones for text messaging. Although the survey data were limited, participants provided anecdotal information supporting the use of text messaging as a positive method to remind them to take their medication, have their labs drawn, and attend MD visits. Participants would have liked text messages at the exact time they took their medications as a simple reminder.</p><p><strong>Conclusions: </strong>Given the importance of cancer treatments and the difficulties patients experience during these treatments, text messages using smartphones can actively improve patients' engagement and their ability to manage their treatment regimens.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov; ID: NCT04216576.</p>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"100604"},"PeriodicalIF":2.4,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11653135/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142852361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of the self-report symptom inventory of immune-related adverse events in patients with lung cancer","authors":"Tiantian Fan ,&nbsp;Siying Zhu ,&nbsp;Hong Wang ,&nbsp;Yan Dong ,&nbsp;Ying Zhou ,&nbsp;Yalan Song ,&nbsp;Shan Pan ,&nbsp;Qiujuan Wu ,&nbsp;Graeme Drummond Smith ,&nbsp;Yumei Li ,&nbsp;Yuan Han","doi":"10.1016/j.apjon.2024.100603","DOIUrl":"10.1016/j.apjon.2024.100603","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop and validate the Self-Report Symptom Inventory of immune-related Adverse Events in Patients with Lung Cancer (SRSI-irAEs-LC) to allow for systematic assessment of symptomatic irAEs in patients with lung cancer treated with programmed cell death protein 1 (PD-1)/programmed death-ligand 1 (PD-L1) immune checkpoint inhibitors (ICIs).</div></div><div><h3>Methods</h3><div>A sequential two-phase mixed-methods study was conducted. In phase I, a draft version of the SRSI-irAEs-LC was constructed through item generation and draft inventory construction. Delphi expert consultation, cognitive interviews and a pilot study were conducted to evaluate the content validity and refine the scale. In phase II, psychometric testing was performed on 512 patients with lung cancer treated with PD-1/PD-L1 ICIs using item analysis, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), criterion validity, discriminant validity, and reliability evaluations.</div></div><div><h3>Results</h3><div>Through 5 sequential steps in phase I, the preliminary version of the SRSI-irAEs-LC comprised 10 dimensions with 41 items. Through EFA, the final version of the SRSI-irAEs-LC included 8 dimensions and 26 items that explained 62.33% of the variance. The CFA model showed that the 8-factor model fitted the data well. Good criteria validity and known-groups discriminant validity were demonstrated. Cronbach's <em>alpha</em>, split-half reliability, and test-retest reliability of the scale were 0.824, 0.725, and 0.851, respectively.</div></div><div><h3>Conclusions</h3><div>Preliminarily, the SRSI-irAEs-LC is a valid and reliable instrument for assessing symptomatic irAEs in patients with lung cancer treated with PD-1/PD-L1 ICIs. Further research is needed to confirm its generalizability to a broader population as well as its validity and reliability.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100603"},"PeriodicalIF":2.4,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698889","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":"Associations between breast radiation dermatitis and post-mastectomy pain syndrome in patients with breast cancer: A multicenter retrospective study","authors":"Yinpeng Ren ,&nbsp;Ran Gao ,&nbsp;Shuguang Zhang ,&nbsp;Xiaoli Geng ,&nbsp;Qingheng Yang ,&nbsp;Liquan Ouyang ,&nbsp;Ye Zhao ,&nbsp;Jing Zhao ,&nbsp;Hua Kang ,&nbsp;Jing Wang","doi":"10.1016/j.apjon.2024.100602","DOIUrl":"10.1016/j.apjon.2024.100602","url":null,"abstract":"<div><h3>Objective</h3><div>This study explores the relationship between breast radiation dermatitis (BRD) and post-mastectomy pain syndrome (PMPS) among patients with breast cancer. Both BRD and PMPS significantly impact quality of life, yet their correlation and risk factors require further investigation.</div></div><div><h3>Methods</h3><div>We conducted a multicenter retrospective analysis of 784 patients with breast cancer who underwent postoperative radiotherapy between 2017 and 2023. Clinical data on BRD and PMPS were collected through patient questionnaires and hospital records, examining risk factors and evaluating the prevalence of PMPS among those with BRD.</div></div><div><h3>Results</h3><div>BRD affected 81.25% of patients, with higher incidence among older and obese individuals. PMPS was observed in 23.4% of the BRD group versus 13.6% in non-BRD patients (P=0.009). Early BRD onset during radiotherapy (P=0.004) and larger dermatitis areas (P=0.000) were strongly associated with increased PMPS risk.</div></div><div><h3>Conclusions</h3><div>This study highlights the significant relationship between BRD and PMPS, underscoring the need for early interventions to manage BRD and reduce chronic pain risk. Tailored care strategies could improve outcomes for high-risk patients.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100602"},"PeriodicalIF":2.4,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698887","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":"Prevalence and associated factors of post-traumatic stress symptoms in hospitalised children with cancer and their parents in South China: A multicentred cross-sectional study","authors":"Yunyun Peng ,&nbsp;Lin Xu ,&nbsp;Can Gu ,&nbsp;Guiyuan Ma ,&nbsp;Zitong Zhang ,&nbsp;Yilin Zhang ,&nbsp;Li Liu ,&nbsp;Jianhui Xie ,&nbsp;Sulan Lin ,&nbsp;Stanley Kam Ki Lam","doi":"10.1016/j.apjon.2024.100568","DOIUrl":"10.1016/j.apjon.2024.100568","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the prevalence and risk factors of Post-Traumatic Stress Symptoms (PTSS) in hospitalised children with cancer and their parents and explore the PTSS correlation between parents and children.</div></div><div><h3>Methods</h3><div>Data were collected using the University of California at Los Angeles (UCLA) Posttraumatic Stress Disorder-Reaction Index for DSM-IV and the Chinese version of the Impact of Event Scale-Revised Questionnaire.</div></div><div><h3>Results</h3><div>Out of 203 families with hospitalised children with cancer, 77.3% of parents and 7.9% of children experienced PTSS. Time since diagnosis of less than 3 months (<em>β</em> = −0.063, <em>P</em> &lt; 0.001), actively seeking financial help (<em>β</em> = −0.190, <em>P</em> = 0.031), children living in rural areas (<em>β</em> = 0.166, <em>P</em> = 0.023) and having a daughter with cancer (<em>β</em> = 0.135, <em>P</em> = 0.040) were risk factors for parental PTSS. At the early stages of diagnosis (<em>β</em> = 0.118, <em>P</em> = 0.017), recurrence (<em>β</em> = 0.140, <em>P</em> = 0.042) and low monthly household income (<em>β</em> = −0.283, <em>P</em> = 0.003) were risk factors for children's PTSS. No significant correlation between parental PTSS and children's PTSS (<em>r</em> = −0.06, <em>P</em> &gt; 0.05).</div></div><div><h3>Conclusions</h3><div>The hospitalised children with cancer had a low prevalence of PTSS, but their parents' PTSS prevalence was high. No significant correlation was observed between parental and children's PTSS. Attention should be given to the mental health of families with hospitalised children with cancer. Early psychosocial support should be provided, especially to families with poor economic situations and a newly diagnosed or relapsed child.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100568"},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416053","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":"When clinical advances outpace knowledge: The role of nurses in precision oncology","authors":"Celia Díez de los Ríos de la Serna,&nbsp;Paz Fernández-Ortega","doi":"10.1016/j.apjon.2024.100566","DOIUrl":"10.1016/j.apjon.2024.100566","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100566"},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356796","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":"What Judith L. Johnson brought to us","authors":"Asuko Sekimoto","doi":"10.1016/j.apjon.2024.100547","DOIUrl":"10.1016/j.apjon.2024.100547","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 10","pages":"Article 100547"},"PeriodicalIF":2.4,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416054","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 and its influencing factors in patients with thyroid cancer: A retrospective study","authors":"Yingjia Qian ,&nbsp;Lei Zheng ,&nbsp;Jian Li","doi":"10.1016/j.apjon.2024.100584","DOIUrl":"10.1016/j.apjon.2024.100584","url":null,"abstract":"<div><h3>Objective</h3><div>To understand the level of benefit finding in patients with thyroid cancer and identify its influencing factors.</div></div><div><h3>Methods</h3><div>This retrospective study included 241 patients with thyroid cancer who underwent surgical treatment at a tertiary hospital in Shanghai from October to December 2022. Data were collected using the General Information Questionnaire, the Chinese Benefit Finding Scale, the Social Support Revalued Scale, and the Medical Coping Modes Questionnaire. Logistic regression analysis was performed to explore factors influencing benefit finding.</div></div><div><h3>Results</h3><div>The total benefit finding score among patients with thyroid cancer was 89.00 (76.00, 101.50). Logistic regression analysis indicated that social support (OR = 1.08, 95% CI: 1.02–1.14) and avoidance coping mode (OR = 1.17, 95% CI: 1.00–1.37) significantly impacted benefit finding (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Patients with thyroid cancer demonstrated a high level of benefit finding. Social support and medical coping modes were identified as key factors influencing benefit finding. Healthcare professionals should focus on enhancing these aspects to improve benefit finding in patients with thyroid cancer.</div></div><div><h3>Trial registration</h3><div>EC REFERENCE No. 2024-133.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 11","pages":"Article 100584"},"PeriodicalIF":2.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142357474","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":"When western concept meets eastern culture: Exploring the impact of Confucianism on shared decision-making in China","authors":"Meiqi Meng ,&nbsp;Xuejing Li ,&nbsp;Junqiang Zhao ,&nbsp;Yufang Hao","doi":"10.1016/j.apjon.2024.100586","DOIUrl":"10.1016/j.apjon.2024.100586","url":null,"abstract":"<div><div>This commentary explores how Confucian values influence shared decision-making (SDM) in Chinese healthcare, particularly in oncology. It highlights two key cultural foundations: <strong>Family Harmony and Filial Piety</strong>, which underscore the deep-rooted involvement of families in medical decision-making, often prioritizing collective decisions over individual autonomy; and <strong>Ritual Governance</strong>, which explains the cultural roots of power imbalances in healthcare relationships, where patients typically defer to the authority of doctors, and the role of nurses in SDM is limited. The paper argues that for SDM to be effectively integrated into Chinese healthcare, strategies must be adapted to align with cultural norms while encouraging patient empowerment. It also calls for a nuanced understanding of the evolving Chinese culture and emphasizes the need for global healthcare providers to develop cultural competence to better support Chinese patients, especially in the context of oncology, both domestically and internationally.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 11","pages":"Article 100586"},"PeriodicalIF":2.4,"publicationDate":"2024-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417969","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}