Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Latent profile analysis of emotional inhibition in older adults with gastrointestinal tumors: A cross-sectional study","authors":"Kaili Zhu ,&nbsp;Zhangrong Guo ,&nbsp;Yue Zhang ,&nbsp;Siyu Li ,&nbsp;Xiaoqing Wang ,&nbsp;Rui Xu ,&nbsp;Peibei Duan","doi":"10.1016/j.apjon.2025.100677","DOIUrl":"10.1016/j.apjon.2025.100677","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the current status of emotional inhibition in older adults with gastrointestinal tumors and to analyse its influencing factors.</div></div><div><h3>Methods</h3><div>From September to November 2024, 362 older adults with gastrointestinal tumors completed a self-designed questionnaire on demographic and clinical characteristics, an emotional inhibition scale, a self–esteem scale, and a multidimensional scale of perceived social support. Latent profile analysis was used to classify emotional inhibition in the participants, and multiple logistic regression was used to analyse the factors influencing each subgroup.</div></div><div><h3>Results</h3><div>Based on the level of emotional inhibition, older adults with gastrointestinal cancer were divided into three subgroups: “low emotional inhibition-active disclosure\" (40.0%), “medium emotional inhibition\" (41.2%), and “high emotional inhibition-disguise feelings group\" (18.8%). The multivariate logistic regression analysis showed that sex, living conditions, disease stage, self-esteem level, and perceived social support were factors influencing participants’ emotional inhibition (<em>P</em> ​&lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Emotional inhibition levels vary among older adults with gastrointestinal cancer. Medical staff should consider the characteristics, self-esteem, and perceived social support of the patients. Additionally, more targeted interventions, such as cognitive-behavioural group therapy or mindfulness-based cognitive therapy, should be developed to reduce patients’ emotional inhibition.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100677"},"PeriodicalIF":2.4,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619727","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 practices in palliative sedation across respiratory medicine wards and palliative care units in Japan: A cross-sectional study","authors":"Chihiro Yamashita ,&nbsp;Shoko Ando ,&nbsp;Ayumi Sugimura","doi":"10.1016/j.apjon.2025.100675","DOIUrl":"10.1016/j.apjon.2025.100675","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to quantitatively assess nursing practices related to palliative sedation (PS) among nurses in respiratory medicine wards (RMWs) and palliative care units (PCUs) and to identify factors influencing these practices.</div></div><div><h3>Methods</h3><div>A nationwide cross-sectional survey was conducted among nurses in 25 RMWs and 35 PCUs in Japan. A total of 430 nurses (171 from RMWs and 259 from PCUs) completed self-administered questionnaires. Exploratory factor analysis identified key components of PS-related nursing practices, and multiple regression analysis examined influencing factors.</div></div><div><h3>Results</h3><div>Five key components of PS-related nursing practices were identified: collaboration with experts, assessment and alleviation of suffering, decision-making support, psychological support for families, and evaluation of PS appropriateness and effectiveness. The total PS nursing practice score was significantly lower in RMW nurses (60.6 ± 11.2) than in PCU nurses (68.3 ± 10.6, <em>P</em> &lt; 0.0001). Multiple regression analysis showed that opportunities to discuss bioethics (β = –0.22, <em>P</em> &lt; 0.001), attitudes toward caring for dying patients (FATCOD-B-J, β = 0.22, <em>P</em> &lt; 0.05), collaborative practice with physicians (CPS, β = 0.39, <em>P</em> &lt; 0.001), and opportunities for joint conferences with palliative care teams (β = –0.23, <em>P</em> &lt; 0.001) were significant influencing factors.</div></div><div><h3>Conclusions</h3><div>To enhance PS-related nursing practices in RMWs, efforts should focus on improving nurses' ethical decision-making abilities, fostering interdisciplinary collaboration, and reducing the psychological burden associated with end-of-life care.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100675"},"PeriodicalIF":2.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143601373","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":"Psychological distress in newly diagnosed patients with gastrointestinal cancer: A scoping review","authors":"Ji Yea Lee ,&nbsp;Soomin Hong","doi":"10.1016/j.apjon.2025.100672","DOIUrl":"10.1016/j.apjon.2025.100672","url":null,"abstract":"<div><h3>Objective</h3><div>A cancer diagnosis often triggers significant emotional and psychological challenges, underscoring the importance of addressing psychological distress. While psychological distress in patients with gastrointestinal (GI) cancer has been widely studied, less attention has been focused on those who are newly diagnosed. This scoping review aims to map the existing literature on psychological distress in newly diagnosed patients with GI cancer.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following the framework outlined by Arksey and O'Malley. The last search was carried out on September 23, 2024, across PubMed, CINAHL, EMBASE, Scopus, and PsychINFO for literature published between January 2013 and September 2024. The search terms included \"newly diagnosed,\" \"distress,\" \"patients,\" and \"gastrointestinal cancer.\" A meta-analysis was conducted using the R package to synthesize the prevalence of psychological distress across studies, with a random-effects model applied to account for heterogeneity.</div></div><div><h3>Results</h3><div>Fifteen studies were included in the analysis, revealing an average prevalence of psychological distress of 28.1% (99% CI: 181.84, 433.39). Psychological distress was most prevalent during the diagnostic phase and gradually decreased over time. Factors such as older age, advanced cancer stage, poor performance status, and a lack of social support contributed to increased psychological distress. Additionally, only 20% of the studies were intervention-based.</div></div><div><h3>Conclusions</h3><div>Approximately one-third of newly diagnosed patients with GI cancer may experience psychological distress. Early identification and intervention to address this distress before treatment initiation are crucial for improving patient outcomes.</div></div><div><h3>Systematic review registration</h3><div><span><span>osf.io/n2796</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100672"},"PeriodicalIF":2.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562712","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":"Impact of informed consent quality on illness uncertainty among patients with cancer in clinical trials: A cross-sectional study","authors":"Sihan Kang ,&nbsp;Jie Zhang ,&nbsp;Dong Pang ,&nbsp;Hong Yang ,&nbsp;Xiaohong Liu ,&nbsp;Renxiu Guo ,&nbsp;Yuhan Lu","doi":"10.1016/j.apjon.2025.100673","DOIUrl":"10.1016/j.apjon.2025.100673","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the level of illness uncertainty and the quality of informed consent among patients with cancer participating in clinical trials and explore their interrelationship.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted with 265 patients with cancer recruited from a tertiary hospital in Beijing, China, from April to November 2023. Participants completed a questionnaire encompassing demographic details, the Mishel Uncertainty in Illness Scale, and the Quality of Informed Consent Questionnaire. Descriptive statistics, correlation analyses, and multiple regression analyses were performed to assess the data.</div></div><div><h3>Results</h3><div>The mean illness uncertainty score was 40.63 ​± ​10.12, reflecting a moderately low level of uncertainty, with “Ambiguity” scoring the highest among its dimensions. The mean score for informed consent quality was 3.30 ​± ​1.20, indicating a moderate level of understanding, with notable gaps in elements such as alternatives and confidentiality. A significant negative correlation was found between the “Foreseeable risks or discomforts” element of informed consent and overall illness uncertainty (<em>P</em> ​&lt; ​0.05). Regression analysis revealed that factors such as clinical trial phase, primary caregiver relationship, and health insurance model significantly influenced illness uncertainty and its dimensions.</div></div><div><h3>Conclusions</h3><div>Enhancing the quality of informed consent can effectively reduce illness uncertainty among patients with cancer in clinical trials. Greater emphasis should be placed on clear communication of risks and discomforts and patient-centered interventions to mitigate psychological stress.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100673"},"PeriodicalIF":2.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619726","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":"Effectiveness of health promotion interventions to increase faecal occult blood test uptake rates among older adults with an average-risk of colorectal cancer: A systematic review and meta-analysis","authors":"Winnie SK. Kwan,&nbsp;Kai-Chow Choi,&nbsp;Dorothy NS. Chan","doi":"10.1016/j.apjon.2025.100670","DOIUrl":"10.1016/j.apjon.2025.100670","url":null,"abstract":"<div><h3>Objective</h3><div>This review aims to examine the effectiveness of interventions in increasing faecal occult blood test (FOBT) uptake rates among older adults with an average-risk of colorectal cancer (CRC) and to identify essential components of such interventions based on current evidence.</div></div><div><h3>Methods</h3><div>Five databases were included in a systematic literature search for studies reporting randomized controlled trials (RCT) and interventions aimed at increasing FOBT uptake rates among average-risk individuals aged 50–75. Review Manager 5.4.1 was used for conducting meta-analyses and subgroup analyses.</div></div><div><h3>Results</h3><div>A meta-analysis of the 20 included studies demonstrated that health promotion interventions led to significant increases in FOBT uptake rates (odds ratio [OR] ​= ​1.55, 95% confidence interval (CI) ​= ​1.30–1.85; <em>I</em>² ​= ​95%). Provision of information, mailing of FOBT outreach, and reminders were identified as core components of promotion interventions to increase FOBT uptake rates. Among the different significant reminder strategies, a digital message (via text) plus telephone calls (automated and navigator-initiated) had a larger effect size than a telephone call alone. In addition, there was no significant evidence that financial incentives were associated with FOBT uptake. Most studies included a diverse mixture of components, but only a few studies utilized theoretical framework-based interventions.</div></div><div><h3>Conclusions</h3><div>Future studies with rigorous methodologies are warranted to examine the effectiveness and understand the mechanisms of theoretical framework-based multi-component educational programmes aimed at increasing FOBT uptake rates.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD42024520859.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100670"},"PeriodicalIF":2.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143594160","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":"Comparative effectiveness of pharmacological and non-pharmacological interventions for dyspnea management in advanced cancer: A systematic review and network meta-analysis","authors":"An Thuy Vo ,&nbsp;Kim-Ngan Thi Ta ,&nbsp;Kai-Jen Chuang","doi":"10.1016/j.apjon.2025.100671","DOIUrl":"10.1016/j.apjon.2025.100671","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate and rank the effectiveness of pharmacological and non-pharmacological interventions for managing dyspnea severity, anxiety, exercise capacity, and health-related quality of life (HRQoL) in patients with advanced cancer.</div></div><div><h3>Methods</h3><div>A comprehensive search of PUBMED, HINARI, CENTRAL, and ResearchGate was conducted to identify randomized controlled trials (RCTs) published up to March 2024. Network meta-analysis was performed to compare interventions, calculating mean differences (MD) and standardized mean differences (SMD) with 95% confidence intervals (CI). P-scores were used to rank the interventions. Risk of bias was assessed using the Cochrane tool, and the quality of evidence (QOE) was evaluated using the GRADE framework.</div></div><div><h3>Results</h3><div>A total of 42 RCTs, encompassing 3,832 patients, were included in the analysis. Among the evaluated interventions, high-flow nasal cannula (HFNC) demonstrated the most significant improvement in dyspnea relief (SMD = −1.91; 95% CI: −3.32 to −0.49; QOE: moderate), followed by acupressure/reflexology (SMD = −1.04; 95% CI: −2.02 to −0.06; QOE: very low). Activity rehabilitation was the only intervention that significantly reduced anxiety compared to the control group (SMD = −0.64; 95% CI: −0.97 to −0.32; QOE: very low). While all interventions showed trends of improving exercise capacity, none reached statistical significance. Notably, acupressure/reflexology significantly enhanced HRQoL (SMD = 1.55; 95% CI: 0.22 to 2.88; QOE: moderate).</div></div><div><h3>Conclusions</h3><div>Non-pharmacological interventions, particularly HFNC and acupressure/reflexology, were more effective than pharmacological approaches in improving dyspnea relief and HRQoL. However, the low quality of evidence underscores the need for high-quality, large-scale trials to confirm these findings and refine treatment strategies for dyspnea management in advanced cancer patients.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD42023479041.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100671"},"PeriodicalIF":2.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579505","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":"The development and preliminary evaluation of a financial navigation program among patients with breast cancer in China","authors":"Xiaoyi Yuan ,&nbsp;Liqin Chen ,&nbsp;Yanling Sun ,&nbsp;Yi Kuang ,&nbsp;Junyi Ruan ,&nbsp;Lichen Tang ,&nbsp;Jiajia Qiu ,&nbsp;Weijie Xing","doi":"10.1016/j.apjon.2025.100668","DOIUrl":"10.1016/j.apjon.2025.100668","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to develop a financial navigation program among patients with breast cancer in China and assess its feasibility, acceptability, and preliminary effects on cost-related health literacy and financial toxicity (FT).</div></div><div><h3>Methods</h3><div>The Medical Research Council (MRC) framework were adopted to guide the development of the financial navigation program, providing a structured approach to complex intervention development and evaluation. It consisted of three phases: evidence identification via a scoping review, intervention content modeling through qualitative study analysis, and outcome mapping based on social stress theory. The feasibility, acceptability and primary effectiveness were examined in a single-center, assessor-blinded pilot randomized controlled trial with 26 recruited patients.</div></div><div><h3>Results</h3><div>The financial navigation program consists of needs assessment, cost-related health education, resource/service referral and personalized counseling. The consent rate and a 1-month attrition rate for the feasibility study of the intervention were 55.9% and 7.7%, respectively. Most (91.7%) participants were satisfied with the program and perceived benefits. The intervention significantly improved cost-related health literacy, although no statistically significant between-group difference in FT was observed.</div></div><div><h3>Conclusions</h3><div>The MRC framework serves as a useful scientific basis for developing financial navigation program with a culturally sensitive approach. The financial navigation program was feasible, acceptable, effective in improving cost-related health literacy and has the potential to enhance FT among patients with breast cancer in China.</div></div><div><h3>Trial registration</h3><div>ClinicalTrials.gov Identifier NCT06355440.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100668"},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535108","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":"The promising application of acupressure for management of cancer-related lymphedema: A scoping review","authors":"Aomei Shen ,&nbsp;Mingfang Li ,&nbsp;Hongting Ning ,&nbsp;Gyumin Han ,&nbsp;Giulia Castelli ,&nbsp;Wanmin Qiang ,&nbsp;Qian Lu ,&nbsp;Nada Lukkahatai","doi":"10.1016/j.apjon.2025.100669","DOIUrl":"10.1016/j.apjon.2025.100669","url":null,"abstract":"<div><h3>Objective</h3><div>Acupressure is widely used to effectively manage cancer-related symptoms; however, limited evidence has been seen on the application of acupressure in managing cancer-related lymphedema (CRL). This study aims to identify, describe, and map the current evidence that used acupressure for CRL prevention and management.</div></div><div><h3>Methods</h3><div>This review was conducted following Arksey and O’Malley’s methodology and Joanna Briggs Institute guidance for scoping reviews. A systematic search was performed in eight English databases and four Chinese databases from inception to Oct 20, 2023, and updated on July 20, 2024. Reference lists were hand-searched. Two independent reviewers performed study selection and data extraction. Disagreements were solved through discussion or consultation with a third reviewer. A narrative synthesis was performed to summarize and synthesize the findings.</div></div><div><h3>Results</h3><div>A total of 16 articles published from 2010 to 2023 were included. The majority of the studies (<em>n</em> ​= ​11) were from China. There were six randomized controlled trials (RCTs), four quasi-experimental studies, one retrospective cohort study, one qualitative study, three reviews, and one report. Nine studies examined acupressure, one employed tuina, and one utilized Transcutaneous Electrical Acupoint Stimulation. Neiguan (PC 6), Hegu (LI 4), Jianjing (GB 21), Quchi (LI 11), Chize (LU 5) were most commonly used acupoints. The dosage varied among studies. Acupressure was performed by trained nurses or patients. Acupressure showed improvements in lymphedema management, limb function, quality of life, and inflammatory factors.</div></div><div><h3>Conclusions</h3><div>The review concluded the effectiveness of acupressure in CRL prevention and treatment. Further rigorous research is recommended, particularly well-designed RCTs involving diverse populations.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100669"},"PeriodicalIF":2.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562710","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":"Self-care and associated factors of patients with permanent colostomies: A structural equation model","authors":"Longyan Bian ,&nbsp;Pornchai Jullamate ,&nbsp;Chanandchidadussadee Toonsiri ,&nbsp;Poonpong Suksawang","doi":"10.1016/j.apjon.2025.100666","DOIUrl":"10.1016/j.apjon.2025.100666","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the structural relationships between eHealth literacy, health-promoting behaviors, depression, disease stigma, self-efficacy and self-care in Chinese patients with permanent colostomies.</div></div><div><h3>Methods</h3><div>A cross-sectional multi-stage random sampling study was conducted between October 2022 and July 2023. The study involved 280 participants with permanent colostomies recruited from four general hospitals in Yancheng City, China. Data were collected using a questionnaire package to assess model variables, including health-promoting behaviors, eHealth literacy, depression, disease stigma, self-efficacy and self-care. Structural equation modeling was employed to analyze the data.</div></div><div><h3>Results</h3><div>The model explained 81.8% of the total variance. Health-promoting behaviors (<em>β</em> ​= ​0.41, <em>P</em> ​&lt; ​0.001), eHealth literacy (<em>β</em> ​= ​0.16, <em>P</em> ​&lt; ​0.001), and depression (<em>β</em> ​= ​−0.17, <em>P</em> ​&lt; ​0.001) influenced self-care directly. On the other hand, health-promoting behaviors, depression and disease stigma influenced self-care indirectly through self-efficacy mediation. The total, direct, and indirect effects of health-promoting behaviors and depression on self-care were 0.53 and −0.26, 0.41 and −0.17, and 0.12 and 0.09, respectively, in patients with colostomies.</div></div><div><h3>Conclusions</h3><div>This study highlights the importance of improving health-promoting behaviors, eHealth literacy, and self-efficacy in patients with colostomies. The study also suggests that reducing depression and disease stigma could enhance patients' self-care. Health care professionals can leverage these findings to develop appropriate programs to improve patients' self-care.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100666"},"PeriodicalIF":2.4,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562709","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":"The coping experiences in patients with hepatocellular carcinoma and their spouses following postoperative recurrence: A dyadic qualitative study","authors":"Xian Yue ,&nbsp;Yanhui Wang ,&nbsp;Ruishuang Zheng ,&nbsp;Laiyou Li","doi":"10.1016/j.apjon.2025.100665","DOIUrl":"10.1016/j.apjon.2025.100665","url":null,"abstract":"<div><h3>Objective</h3><div>Dyadic coping practices can vary depending on cultural contexts, socioeconomic factors, and the stages of the cancer journey. This study aimed to explore the dyadic coping experiences of hepatocellular carcinoma (HCC) patients and their spouses following postoperative recurrence in the Chinese cultural context, where cancer recurrence is frequently seen as a death sentence, and family-centered care is prioritized.</div></div><div><h3>Methods</h3><div>A descriptive qualitative research design was used, involving face-to-face, in-depth semi-structured interviews with 13 pairs of hepatocellular carcinoma patients and their spouses at a tertiary cancer hospital from July to October 2023. The interview guide was designed based on the Actor-Partner Interdependence Model (APIM) framework. Data were analyzed using thematic analysis, and the study adhered to the COnsolidated criteria for REporting Qualitative research (COREQ) checklist.</div></div><div><h3>Results</h3><div>Three themes were identified: (1) active coping strategies, (2) negative coping tendencies, and (3) the need for systematic coping support. The majority of couples perceived hepatocellular carcinoma recurrence as a death sentence, which prompted them—especially the spouses—to adopt proactive strategies, such as striving to seek advanced treatments and concealing unfavorable information. In contrast, patients, particularly those with a hereditary hepatocellular carcinoma background, often exhibited passivity, withdrawal, and contemplation of treatment abandonment. Spouses frequently felt overwhelmed and unable to alleviate their partners' anxiety about recurrence and death, particularly in the absence of support from health care professionals. They expressed a strong need for professional guidance and targeted interventions to address end-of-life concerns, emphasizing the need for increased financial support, empowerment through knowledge, and access to peer support networks.</div></div><div><h3>Conclusions</h3><div>This research emphasizes the importance of recognizing the interdependent coping experiences of recurrent HCC patients and their spouses. Health care professionals are encouraged to implement culturally sensitive, dyadic interventions that foster collaborative coping, address death-related anxiety, and empower couples in managing recurrence together, thereby enhancing their coping strategies and confidence.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100665"},"PeriodicalIF":2.4,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512124","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}