Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Meditation for the reduction of perioperative anxiety in patients undergoing oncology surgery: A scoping review","authors":"Jennifer R. Majumdar ,&nbsp;Cidalia J. Vital ,&nbsp;Justin M. O'Leary ,&nbsp;Stephen J. Yermal ,&nbsp;John C. Welch","doi":"10.1016/j.apjon.2024.100544","DOIUrl":"10.1016/j.apjon.2024.100544","url":null,"abstract":"<div><h3>Objective</h3><p>Patients undergoing surgery, particularly patients undergoing surgery for oncology diagnoses, experience anxiety. Surgery remains the primary treatment for many common types of cancer. One promising potential intervention to alleviate anxiety in the preoperative and postoperative period is meditation, an integrative medicine intervention. However, there remains a gap in the literature regarding the effectiveness of meditation to alleviate anxiety during the perioperative time period.</p></div><div><h3>Methods</h3><p>The scoping review was conducted using the Arksey and O'Malley framework to synthesize the study findings and was reported with the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). The review included EMBASE, PubMed, Web of Science, CINAHL Plus, Scopus, and Cochrane Review databases from 2013 through 2024. All identified articles were exported to the online systematic review software, Covidence.</p></div><div><h3>Results</h3><p>A total of 538 initial citations were identified, 415 titles and abstracts were screened, and 83 full-text articles reviewed. Six studies were finally included. The data extracted from the literature included: study purpose, study design, sample size, preoperative or postoperative timeframe, instrument to evaluate anxiety, and conclusions.</p></div><div><h3>Conclusions</h3><p>For patients undergoing oncology surgery, the perioperative period can be filled with anxiety. Guided, mindfulness, and loving-kindness meditation may be helpful in reducing anxiety, particularly in patients undergoing surgery for breast cancer during the postoperative period. However, the current literature is extremely limited. Future research should expand on the preliminary effectiveness to broader populations and carefully target the highest-risk populations for the ideal time point for interventions.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001665/pdfft?md5=56ceb04eb5c1cb0639d570c8d8611aef&pid=1-s2.0-S2347562524001665-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141732451","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":"Knowledge, attitudes, barriers and practices concerning cancer therapy–associated oral mucositis amongst oncology nurses: A mixed methods systematic review","authors":"Feifei Zuo ,&nbsp;Tong Li ,&nbsp;Ying Chen,&nbsp;Mianmian Wen,&nbsp;Huijiao Cao","doi":"10.1016/j.apjon.2024.100542","DOIUrl":"10.1016/j.apjon.2024.100542","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate oncology nurses' knowledge, attitudes, barriers and practices regarding the prevention and management of cancer therapy-associated oral mucositis.</p></div><div><h3>Methods</h3><p>A systematic review was conducted by ​mixed-methods; searches were conducted in PubMed, EMBASE, Medline, CINAHL, Cochrane Library and Web of Science databases. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were followed for the systematic review. Searched relevant literature ​published in English between January 2000 and December 2023. The Mixed Methods Appraisal Tool was used to evaluate the quality of the studies.</p></div><div><h3>Results</h3><p>A total of 15 studies were included: 10 cross-sectional studies, 4 non-randomized controlled trials, and one qualitative study. This review provides an overview of the studies: nurses had limited knowledge of cancer therapy-associated oral mucositis; generally positive attitudes towards oral care; there is a slight difference in oral care practices. The main barriers of nurses' prevention and management of cancer therapy-associated oral mucositis were lack of time, lack of knowledge, and lack of staff.</p></div><div><h3>Conclusions</h3><p>Our results highlight the importance of training for oncology nurses regarding the management of cancer therapy-associated oral mucositis. It is suggested that oncology nurses should focus on strengthening and continuing education in oral care, adopting evidence-based practice and evaluation systems, implementing institution-specific written standards for oral care protocols, and promoting multidisciplinary team cooperation.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001641/pdfft?md5=000a8a4640781d4f62abe387f2c81ce4&pid=1-s2.0-S2347562524001641-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141732429","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":"Improved method of dilating pupils for ophthalmic exams under anesthesia (faster and easier)","authors":"David H. Abramson ,&nbsp;Todd Liu ,&nbsp;Edith Guarini ,&nbsp;Jacquelyn Gaccione ,&nbsp;Christina Bracken ,&nbsp;Andrea Bobin ,&nbsp;Angela Foerch ,&nbsp;Melissa A. Robbins ,&nbsp;Ricardo Dodds Rojas ,&nbsp;Jasmine H. Francis","doi":"10.1016/j.apjon.2024.100543","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100543","url":null,"abstract":"<div><h3>Objective</h3><p>The pupils of children with retinoblastoma are routinely dilated pre-procedure with Tropicamide and Phenylephrine. Despite that, the pupil constricts once general anesthesia begins. The aim of this study is to see if adding Ketorolac to the regular dilating drops given pre-procedure shortens the length of anesthesia.</p></div><div><h3>Methods</h3><p>Retrospective comparison of time under anesthesia for two groups of retinoblastoma children receiving anesthesia for examination under anesthesia: one group (January 1, 2019 to October 1, 2022) had been dilated with Tropicamide 1% and Phenylephrine 2.5% while the second group (October 2, 2022 to July 1, 2023) was dilated with a combination drop using those drugs with topical Ketorolac 0.5% and Proparacaine 0.5%.</p></div><div><h3>Results</h3><p>Average anesthesia time for patients who received the older two-drug combination was 25 minutes vs. 16 minutes (36% reduction in exposure time) for those who received the newer four-drug combination (9 minutes less anesthesia) (<em>P</em> &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>The use of a combined dilating drop that incorporated Tropicamide 1%, Phenylephrine 2.5%, Proparacaine 0.5% and Ketorolac 0.5% significantly shortened the time for exams under anesthesia for children with retinoblastoma because the pupil remained dilated after anesthesia induction with Sevoflurane. Using this combined drop, children will receive 5–10 hours less anesthesia during their treatment for retinoblastoma and staff will have more than 150 hours of fewer exposure to anesthetic gasses. In addition, far fewer drops are necessary pre-anesthesia, minimizing trauma to the children and families.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001653/pdfft?md5=bb560522586aa9eb111dbc733186e5ad&pid=1-s2.0-S2347562524001653-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141607766","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":"Exploring the role of complementary therapy in enhancing quality of life for cancer survivors: A nursing perspective","authors":"Kazuko Onishi","doi":"10.1016/j.apjon.2024.100541","DOIUrl":"10.1016/j.apjon.2024.100541","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S234756252400163X/pdfft?md5=1fe85d8c7fd052bfd41b309cddee15aa&pid=1-s2.0-S234756252400163X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728584","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":"Review of the microbiome and metabolic pathways associated with psychoneurological symptoms in children with cancer","authors":"Caitlin I. Webster ,&nbsp;Janice S. Withycombe ,&nbsp;Jessica Sheth Bhutada ,&nbsp;Jinbing Bai","doi":"10.1016/j.apjon.2024.100535","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100535","url":null,"abstract":"<div><p>Children with cancer often endure a range of psychoneurological symptoms (PNS), including pain, fatigue, cognitive impairment, anxiety, depressive symptoms, and sleep disturbance. Despite their prevalence, the underlying pathophysiology of PNS remains unclear. Hypotheses suggest an interplay between the gut microbiome and the functional metabolome, given the immune, neurological, and inflammatory influences these processes exert. This mini-review aims to provide a synopsis of the literature that examines the relationship between microbiome–metabolome pathways and PNS in children with cancer, drawing insights from the adult population when applicable. While there is limited microbiome research in the pediatric population, promising results in adult cancer patients include an association between lower microbial diversity and compositional changes, including decreased abundance of the beneficial microbes <em>Fusicatenibacter</em>, <em>Ruminococcus</em>, and <em>Odoribacter</em>, and more PNS. In pediatric patients, associations between peptide, tryptophan, carnitine shuttle, and gut microbial metabolism pathways and PNS outcomes were found. Utilizing multi-omics methods that combine microbiome and metabolome analyses provide insights into the functional capacity of microbiomes and their associated microbial metabolites. In children with cancer receiving chemotherapy, increased abundances of <em>Intestinibacter</em> and <em>Megasphaera</em> correlated with six metabolic pathways, notably carnitine shuttle and tryptophan metabolism. Interventions that target the underlying microbiome–metabolome pathway may be effective in reducing PNS, including the use of pre- and probiotics, fecal microbiome transplantation, dietary modifications, and increased physical activity. Future multi-omics research is needed to corroborate the associations between the microbiome, metabolome, and PNS outcomes in the pediatric oncology population.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001574/pdfft?md5=7d8d9548249fb2b31e5a4ce943153726&pid=1-s2.0-S2347562524001574-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141607765","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":"Hit the ground running: Starting to manage personnel and budgets as a new nurse scholar","authors":"Alex J. Fauer,&nbsp;Ryne Wilson","doi":"10.1016/j.apjon.2024.100533","DOIUrl":"10.1016/j.apjon.2024.100533","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001550/pdfft?md5=78eeb7b596b44ca10d2ebaf0ffba1116&pid=1-s2.0-S2347562524001550-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141415478","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":"Risk factors for enhanced recovery after surgery failure in patients undergoing lung cancer resection with concomitant cardiovascular disease: A single-center retrospective study","authors":"Lili Sun ,&nbsp;Yutong Lu ,&nbsp;Yanfang Zhang ,&nbsp;Chan Jin ,&nbsp;Zhenwei Yuan ,&nbsp;Renhua Xu","doi":"10.1016/j.apjon.2024.100532","DOIUrl":"10.1016/j.apjon.2024.100532","url":null,"abstract":"<div><h3>Objective</h3><p>Enhanced recovery after surgery (ERAS) has been widely used in patients with lung cancer, and its effectiveness has been confirmed; however, some lung cancers with poor clinical outcomes lead to ERAS failure after radical resection. This study aimed to analyze risk factors associated with ERAS failure after radical resection in patients with lung cancer and concomitant cardiovascular disease.</p></div><div><h3>Methods</h3><p>In total, 198 patients who underwent ERAS following radical lung cancer surgery for concomitant cardiovascular disease between January 2022 and September 2023 were enrolled in this retrospective study. The patients were categorized into two groups based on the definition of ERAS failure: ERAS success group (<em>n</em> = 152) and ERAS failure group (<em>n</em> = 46). Univariate and multivariate analyses were performed to investigate the risk factors of ERAS failure.</p></div><div><h3>Results</h3><p>Univariate analysis showed that gender, tumor location, operation time, estimated blood loss (EBL), suction drainage, and total cholesterol were associated with ERAS failure. Multivariate analysis showed that operation time (odds ratio [OR] = 1.015; <em>P</em> = 0.011) and suction drainage (OR = 3.343; <em>P</em> = 0.008) were independent risk factors for ERAS failure.</p></div><div><h3>Conclusions</h3><p>Operation time and suction drainage were independent risk factors for ERAS failure after radical resection of combined cardiovascular lung cancer. Therefore, improving surgical efficiency and postoperative chest drain management are important for successful ERAS.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001549/pdfft?md5=063fbfa261452ed9b0f2f314a6e1119a&pid=1-s2.0-S2347562524001549-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141396552","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":"Remembering the deep friendship between professor Judith Johnson and the nursing team of Tianjin Medical University Cancer Institute and Hospital","authors":"Aomei Shen,&nbsp;Tingting Ma,&nbsp;Wanmin Qiang","doi":"10.1016/j.apjon.2024.100531","DOIUrl":"10.1016/j.apjon.2024.100531","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001537/pdfft?md5=2ea9187d88458f6dd1258c2ac378d465&pid=1-s2.0-S2347562524001537-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141274585","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":"Nursing care for chimeric antigen receptor T cell therapy survivors: A literature review","authors":"Mercedes Montoro-Lorite,&nbsp;Cristina Moreno,&nbsp;Carla Ramos,&nbsp;María Teresa Solano,&nbsp;Silvia Lahoz,&nbsp;Carolina Bonilla-Serrano,&nbsp;Ariadna Domènech,&nbsp;Pilar Ayora","doi":"10.1016/j.apjon.2024.100495","DOIUrl":"10.1016/j.apjon.2024.100495","url":null,"abstract":"<div><p>Chimeric antigen receptor T cell (CAR-T) therapy is an immunotherapy that involves genetically modifying the patient's own T cells to express a chimeric antigen receptor, enabling them to recognize and destroy cancer cells. This treatment has revolutionized the prognosis and management of hematological malignancies, leading to a significant increase in long-term survivors. However, there is limited evidence regarding late sequelae and post-treatment care due to the recent emergence of this therapy. The rapid advancement of CAR-T therapies has created opportunities for advanced practice nurses to play a crucial role in coordinating care, providing education, and ensuring the ongoing well-being of survivors. This article provides an overview of the physical, psychosocial, and financial challenges faced by long-term survivors of CAR-T therapy and proposes a comprehensive nursing care plan to address these issues.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S234756252400115X/pdfft?md5=5de5ad9a32479facbbb20894a544f7d8&pid=1-s2.0-S234756252400115X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140774689","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":"Experiences and preferences of truth-telling in families of children with cancer: A phenomenological study","authors":"Yen-Gan Chiou ,&nbsp;Shih-Ying Chen ,&nbsp;Li-Min Wu ,&nbsp;Yea-Ing Lotus Shyu ,&nbsp;Yi-Chien Chiang ,&nbsp;Chih-Cheng Hsiao ,&nbsp;Hui-Chuan Wu ,&nbsp;Woung-Ru Tang","doi":"10.1016/j.apjon.2024.100500","DOIUrl":"10.1016/j.apjon.2024.100500","url":null,"abstract":"<div><h3>Objective</h3><p>The delivery of bad news is an unpleasant but necessary medical procedure. However, few studies have addressed the experiences and preferences of the families of school-aged children with cancer when they are informed of the children's condition. This study aimed to explore families of school-age children with cancer for their preferences and experiences of truth-telling.</p></div><div><h3>Methods</h3><p>This descriptive phenomenological qualitative research was conducted using focus group interviews and semistructured interview guidelines were adopted for in-depth interviews. Fifteen families participated in the study. The data were analyzed using Colaizzi's analysis. Data were collected from August 2019 to May 2020.</p></div><div><h3>Results</h3><p>The study identified two major themes: “caught in a dilemma” and “kind and comprehensive team support.” The first major theme focused on families' experiences with cancer truth-telling. Three sub-themes emerged: (1) cultural aspects of cancer disclosure, (2) decision-making regarding informing pediatric patients about their illness, and (3) content of disclosure after weighing the pros and cons. The second major theme, which revealed families’ preferences for delivering bad news, was classified into three sub-themes: (1) have integrity, (2) be realistic, and (3) be supportive.</p></div><div><h3>Conclusions</h3><p>This study underscores the dilemma encountered by the families of children with cancer after disclosure and their inclination toward receiving comprehensive information and continuous support. Health care personnel must improve their truth-telling ability in order to better address the needs of such families and to provide continuous support throughout the truth-telling process.</p></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2347562524001227/pdfft?md5=e9a477d1789d825858d8f193f6c0959c&pid=1-s2.0-S2347562524001227-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035885","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}