Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Multivariable prediction of returning to work among early-onset colorectal cancer survivors in China: A two-year follow-up","authors":"Xiaojun Chen ,&nbsp;Mengjiao Zhong ,&nbsp;Chunyan Chen ,&nbsp;Lingyao Huang ,&nbsp;Kun Zhang ,&nbsp;Xiaodan Wu","doi":"10.1016/j.apjon.2024.100637","DOIUrl":"10.1016/j.apjon.2024.100637","url":null,"abstract":"<div><h3>Objective</h3><div>The number of early-onset colorectal cancer survivors (EOCRCs) is increasing. The primary aim of rehabilitation after battling cancer is to enable patients to return to work, as they constitute a significant contributor to societal productivity. A predictive model was developed to identify priority populations requiring intervention and refine responses to increase their capacity to return to work after undergoing treatment for EOCRC.</div></div><div><h3>Methods</h3><div>The baseline information was collected before patients were discharged at the end of their treatment course. The data of patients who returned to work were collected at 1 and 2 years after discharge. A predictive variable model was developed via binary logistic regression. The TRIPOD checklist was used.</div></div><div><h3>Results</h3><div>At 1 year, 64.7% of the EOCRC survivors had returned to work. Male sex, education, return to work self efficacy, re-entry readiness and social support increased the possibility of returning to work; higher levels of self-perceived fatigue and lower levels of family care decreased the possibility of returning to work within the 1-year model. At 2 years, 72.8% of the EOCRC survivors had returned to work. In the 2-year model, education, self-transcendence, return to work self efficacy, re-entry readiness and occupational environment increased the possibility of returning to work; self-perceived fatigue and psychosocial adjustment decreased the possibility of returning to work.</div></div><div><h3>Conclusions</h3><div>The results of this study can guide early assessment and intervention for EOCRC survivors, to facilitate their return to work.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100637"},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178463","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":"Disparities in cancer-related financial toxicity across economically diverse provinces in China: A multi-center cross-sectional study","authors":"Binbin Xu ,&nbsp;Winnie K.W. So ,&nbsp;Kai Chow Choi ,&nbsp;Yu Huang ,&nbsp;Mei Liu ,&nbsp;Lanxiang Qiu ,&nbsp;Jianghong Tan ,&nbsp;Hua Tao ,&nbsp;Keli Yan ,&nbsp;Fei Yang","doi":"10.1016/j.apjon.2024.100636","DOIUrl":"10.1016/j.apjon.2024.100636","url":null,"abstract":"<div><h3>Objective</h3><div>China’s diverse economic landscape across its regions may contribute to disparities in cancer-related financial toxicity (FT), but empirical evidence is lacking. This study examined regional disparities in cancer-related FT across economically diverse provinces in China.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among adult patients with cancer from six tertiary and six secondary hospitals across three Chinese provinces with varying economic statuses (high-, middle-, and low-income). FT was assessed using the COmprehensive Score for financial Toxicity (COST). Hierarchical regression analysis was employed to compare FT among participants from different economic regions, controlling for 13 patient-level sociodemographic and clinical risk factors.</div></div><div><h3>Results</h3><div>From February to October 2022, 1208 participants completed the survey (response rate ​= ​97.3%). Mean COST scores were 21.99 ​± ​6.37 (high-income), 20.38 ​± ​8.01 (middle-income), and 19.20 ​± ​5.14 (low-income), showing significant differences (<em>P</em> ​&lt; ​0.001), with lower scores indicating more severe FT. After adjusting for covariates, regional economic level was significantly associated with FT, with more severe FT in middle- (B: −1.515; 95% CI: −2.250, −0.780) and low-income regions (B: −2.159; 95% CI: −2.899, −1.418) than in high-income regions.</div></div><div><h3>Conclusions</h3><div>This study reveals significant disparities in cancer-related FT across economically diverse provinces in China. The findings underscore the need for targeted policies and interventions to improve health equity in cancer care, with a focus on not neglecting middle-income regions. Oncology nurses are expected to enhance awareness of FT management, voice the needs of patients, and advocate for policy reforms to address these disparities.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100636"},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999177","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":"Perspectives on advanced care planning of adolescent and young adult cancer patients, families, and healthcare providers: A qualitative study based on the health belief model","authors":"Tingting Lv,&nbsp;Huilin Zhang,&nbsp;Xia Xie,&nbsp;Huan Yuan,&nbsp;Yuting Huang,&nbsp;Ying Zou","doi":"10.1016/j.apjon.2024.100635","DOIUrl":"10.1016/j.apjon.2024.100635","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescents and young adults (AYAs) cancer patients face higher long-term and late-stage risks, so advance care planning (ACP) is an important way for them to participate autonomously in healthcare decision-making. However, in Chinese culture, discussing ACP with AYAs is challengeable due to their role as their family's hope, contributing to insufficient attention to this group in cancer care. This study aimed to explore the perceptions of AYA patients, their families, and healthcare providers about ACP based on the health belief model.</div></div><div><h3>Methods</h3><div>This study was a qualitative descriptive research using a phenomenological approach. 7 AYA patients and their 7 family members, as well as 8 healthcare providers from Hunan Province, China, underwent three focus group interviews. In addition, 15 AYA patients were recruited for semi-structured interviews, with data saturation being achieved. NVivo Pro 12.0 software was used for data management, and thematic analysis method was used for data analysis.</div></div><div><h3>Results</h3><div>Six main themes emerged from the data: perceived severity, perceived susceptibility, perceived benefits, perceived barriers, perceived self-efficacy, and action cues. These themes highlight how AYA cancer patients, their families, and healthcare providers perceive the threats of cancer, the potential advantages of engaging in ACP, the challenges they were facing, and the supportive actions needed to facilitate ACP discussions.</div></div><div><h3>Conclusions</h3><div>ACP can enhance patient autonomy, alleviate anxiety, improve family communication, and optimize resource utilization. However, promoting ACP in China need overcome cultural barriers, enhance education, and provide strong family and social support to encourage more active participation among young patients.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100635"},"PeriodicalIF":2.4,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11714373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943369","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":"A nature-immersive virtual reality intervention to support hospice family caregivers: Qualitative findings from a pilot study","authors":"Arienne Patano ,&nbsp;Mohammed Alanazi ,&nbsp;Rebecca Lehto ,&nbsp;Dawn Goldstein ,&nbsp;Gwen Wyatt","doi":"10.1016/j.apjon.2024.100616","DOIUrl":"10.1016/j.apjon.2024.100616","url":null,"abstract":"<div><h3>Objective</h3><div>Family caregivers (FCGs) of cancer patients who are in hospice experience psychological challenges and poor quality of life (QOL) as a consequence of caregiving demands and anticipatory loss. Supportive interventions are needed. Exposure to nature offers a source of relaxation; however, FCGs are often homebound and have limited opportunities for respite. Technology-mediated nature experiences delivered via virtual reality (VR) may be an alternative. The purpose was to explore the perspectives of hospice FCGs who completed a nature-immersive VR intervention for the enhancement of their emotional health and QOL.</div></div><div><h3>Methods</h3><div>Nine scenes, including a tropical beach, green meadow, underwater ocean, and red savanna, were offered. Participants were asked to select one scene to view for a minimum of 10 minutes for five consecutive days at home. Semi-structured interviews were conducted via videoconferencing software and audio-taped, then transcribed, coded, and analyzed using content analysis.</div></div><div><h3>Results</h3><div>Nine participants (aged 33–76 years old) were interviewed. Two content categories included 1) feasibility and 2) acceptability. Participants reported ease-of-use and denied encountering difficulties. Scenes were relaxing and calming, providing mindfulness and escapism elements. Participants enjoyed the interactive, multisensory experience, offering views of wildlife and nature sounds. Two reported motion sickness and eye strain with longer use. Suggestions included extending the study duration and the option to explore other scenes.</div></div><div><h3>Conclusions</h3><div>Findings provide preliminary evidence for the efficacy of a nature-based VR intervention. Larger, diverse samples, with group randomization, are warranted. Technology-mediated nature experiences offer support for the emotional health and QOL of hospice FCGs.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100616"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930509","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":"Calling time on the traffic cop model of oncology nursing: Creating a new research agenda for nurse-led supportive cancer care","authors":"Sarah H. Kagan","doi":"10.1016/j.apjon.2024.100619","DOIUrl":"10.1016/j.apjon.2024.100619","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100619"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880947","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":"Interrelation between dyadic coping and psychological resilience among cervical cancer couples in Northwest China: An Actor-Partner interdependence model","authors":"Tianruixue Zhang ,&nbsp;Ping Yan ,&nbsp;Zhisheng Huang ,&nbsp;Li Liu ,&nbsp;Yanhui Zhou ,&nbsp;Yuqiao Xiao ,&nbsp;Guiyuan Ma ,&nbsp;Zixuan Liu ,&nbsp;Jia Xu ,&nbsp;Can Gu","doi":"10.1016/j.apjon.2024.100615","DOIUrl":"10.1016/j.apjon.2024.100615","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore how dyadic coping (DC) influences the psychological resilience (PR) levels of patients with cervical cancer (CC) and their spouses.</div></div><div><h3>Methods</h3><div>From April to June 2024, this cross-sectional study involved 177 dyads of patients with CC and their spouses from the gynecology and oncology wards of two tertiary hospitals in Xinjiang. Data were collected through questionnaires on demographic information, clinical characteristics, the Resilience Scale, and the Dyadic Coping Inventory, all of which were self-report measures. The results were thoroughly analyzed utilizing the Actor-Partner Interdependence Mediation Model.</div></div><div><h3>Results</h3><div>The patients had a mean age of 49.94 ​± ​8.05 years (range: 26–64), with the majority being at stage II of CC. Their spouses had a mean age of 51.90 ​± ​8.02 years (range: 27–65). DC scores averaged 105.50 ​± ​23.98 for patients and 103.34 ​± ​22.26 for spouses, while PR scores were 63.51 ​± ​19.68 for patients and 67.44 ​± ​18.97 for spouses. Positive DC, which significantly correlated with higher levels of PR, was observed in patients with CC and their spouses (<em>r</em> ​= ​0.285, <em>P</em> ​&lt; ​0.01; <em>r</em> ​= ​0.697, <em>P</em> ​&lt; ​0.01). Conversely, a negative DC was associated with a lower PR (<em>r</em> ​= ​−0.187, −0.390; <em>P</em> ​&lt; ​0.01). Positive DC by patients with CC and their spouses equally improves both partners' PR. In contrast, negative DC by patients with CC and their spouses affects only their own PR.</div></div><div><h3>Conclusions</h3><div>Patients with CC and their spouses' PR is significantly influenced by both partners' DC behaviors. When both partners used positive coping strategies, their PR increased. Conversely, negative DC behaviors affected only patients' PR, possibly because of self-concealment and communication barriers, which may explain the lack of a reciprocal impact. Nurses should identify couples at risk for negative DC and implement resilience interventions to encourage both partners' engagement in positive coping.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100615"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880950","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":"Social isolation, perceived social support, and type D personality among gastrointestinal cancer survivors in China: A mediating model analysis","authors":"Yuqiu Zhao ,&nbsp;Yeming Xu ,&nbsp;Tianxiu Wang ,&nbsp;Mingbo Hua ,&nbsp;Shantanu Baral ,&nbsp;Qiannan Sun ,&nbsp;Daorong Wang","doi":"10.1016/j.apjon.2024.100617","DOIUrl":"10.1016/j.apjon.2024.100617","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the mediating effect of social isolation between perceived social support and type D personality in gastrointestinal cancer survivors based on the WHITE heuristic cognitive-behavioral model of emotion cognition theory.</div></div><div><h3>Methods</h3><div>The study utilized a convenience sampling method to recruit 183 survivors of gastrointestinal cancer who were undergoing chemoradiotherapy. SPSS 26.0 was used to analyze the correlation among social isolation, perceived social support, and type D personality. Additionally, SmartPLS 3.0 was utilized to analyze the mediating role of social isolation in the relationships between perceived social support and type D personality.</div></div><div><h3>Results</h3><div>The study found that gastrointestinal cancer survivors scored 60.58 ​± ​10.94 for perceived social support, 36.25 ​± ​4.71 for social isolation, and 26.26 ​± ​5.84 for type D personality. We discovered that perceived social support has a negative correlation with social isolation and type D personality (<em>r</em> ​= ​−0.593, −0.396, both <em>P</em> ​&lt; ​0.001), while social isolation was positively correlated with type D personality (<em>r</em> ​= ​0.564, <em>P</em> ​&lt; ​0.001). The association between type D personality and perceived social support was partially mediated by social isolation (VAF ​= ​59.67%).</div></div><div><h3>Conclusions</h3><div>The association between type D personality and perceived social support is mediated by social isolation in gastrointestinal cancer survivors undergoing chemoradiotherapy. Clinical staff should prioritize evaluating social isolation among these survivors to enhance social support and potentially reduce the prevalence of type D personality traits.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100617"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743709","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 ,&nbsp;Margaret Barton-Burke ,&nbsp;Venice Anthony ,&nbsp;Charlie White ,&nbsp;Zhigang Zhang ,&nbsp;Andrea Smith ,&nbsp;Mark Robson","doi":"10.1016/j.apjon.2024.100604","DOIUrl":"10.1016/j.apjon.2024.100604","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>Forty-three females initiating treatment with palbociclib participated in a two-armed prospective randomized clinical trial. Participants were randomized into the control (<em>n</em> = 21) and intervention groups (<em>n</em> = 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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span>; ID: NCT04216576.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100604"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","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":"Latent profiles of problem-solving skills and their association with depressive symptoms in parents of children with cancer: A cross-sectional study","authors":"Tianji Zhou ,&nbsp;Yuanhui Luo ,&nbsp;Wenjin Xiong ,&nbsp;Zhenyu Meng ,&nbsp;Nancy Xiaonan Yu ,&nbsp;Jingping Zhang","doi":"10.1016/j.apjon.2024.100633","DOIUrl":"10.1016/j.apjon.2024.100633","url":null,"abstract":"<div><h3>Objective</h3><div>Depressive symptoms are prevalent among parents of children with cancer, significantly impacting their well-being. Problem-solving skills, strongly linked to depressive symptoms, offer a promising avenue for intervention. This study aimed to identify latent profiles of parental problem-solving skills and evaluate differences in depressive symptoms across these profiles.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 318 parents of children with cancer in mainland China. Self-reported data on demographics, problem-solving skills, and depressive symptoms were collected. Latent profile analysis was used to classify parental problem-solving skills into distinct profiles, and multiple logistic regression identified predictors of profile membership.</div></div><div><h3>Results</h3><div>Three profiles of problem-solving skills were identified: (1) problem-oriented and constructive (<em>n</em> ​= ​94, 29.6%), (2) impulsivity-oriented and irrational (<em>n</em> ​= ​76, 23.9%), and (3) emotion-oriented and avoidant (<em>n</em> ​= ​148, 46.5%). Parents with higher education, greater income, and urban residency were more likely to belong to the problem-oriented group. Fathers predominated in the impulsivity-oriented group, while mothers were more represented in the emotion-oriented group. Significant differences in depressive symptoms were observed across profiles, with the problem-oriented group reporting the lowest levels.</div></div><div><h3>Conclusions</h3><div>This study highlights the heterogeneity of problem-solving skills among parents of children with cancer and underscores the need for tailored interventions. Addressing specific characteristics of each profile can improve parental well-being and provide targeted support for this vulnerable population.</div></div><div><h3>Trial registration</h3><div>ChiCTR2300071828.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100633"},"PeriodicalIF":2.4,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11699806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930512","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":"Coping flexibility and associated factors after gastrectomy in patients with gastric cancer: A cross-sectional multisite study","authors":"Miwako Eto ,&nbsp;Sena Yamamoto ,&nbsp;Ryohei Kawabata ,&nbsp;Tamon Miyanaga ,&nbsp;Noriko Iga ,&nbsp;Aoi Yoshino ,&nbsp;Hiroshi Yamada ,&nbsp;Yoko Nishitani ,&nbsp;Mami Matsunaga ,&nbsp;Harue Arao","doi":"10.1016/j.apjon.2024.100627","DOIUrl":"10.1016/j.apjon.2024.100627","url":null,"abstract":"<div><h3>Objective</h3><div>To elucidate the current state of coping flexibility and associated factors in gastric cancer patients after gastrectomy.</div></div><div><h3>Methods</h3><div>A cross-sectional multisite study was conducted with 142 patients with gastric cancer who completed questionnaires on coping flexibility, postgastrectomy dysfunction, health literacy, and perceived social support. Coping flexibility was measured using the Coping Flexibility Scale-Revised, which includes three subscales: Abandonment Coping (i.e., abandoning ineffective coping strategies), Re-Coping (i.e., assessing the process of developing and implementing alternative coping strategies), and Meta-Coping (i.e., monitoring coping flexibility process). Higher scores indicate greater coping flexibility. Descriptive statistics and univariable and multivariable logistic analyses were conducted to examine factors associated with coping flexibility.</div></div><div><h3>Results</h3><div>The mean age of the participants was 72.6 (± 10.5) years. Limited activity due to decreased food consumption was associated with lower scores for Abandonment Coping (odds ratio [OR]: 0.4; <em>P</em> ​= ​0.03; 95% confidence interval [CI], 0.2–0.9) and Re-Coping (OR: 0.3; <em>P</em> ​= ​0.003; 95% CI, 0.1–0.6). Higher levels of communicative health literacy were associated with higher Abandonment Coping scores (OR: 1.1; <em>P</em> ​= ​0.04; 95% CI, 1.0–1.3), and higher levels of critical health literacy were associated with higher Re-Coping scores (OR: 1.2; <em>P</em> ​= ​0.03; 95% CI, 1.0–1.3).</div></div><div><h3>Conclusions</h3><div>Limited activity due to decreased food consumption and limited coping flexibility were significantly associated. Health literacy had an important role in facilitating coping flexibility. Nursing support may be crucial in evaluating coping strategies and developing alternatives based on new information.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100627"},"PeriodicalIF":2.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11730258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982437","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}