Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Fear of cancer recurrence in patients with early-stage non-small cell lung cancer: A latent profile analysis","authors":"Man Liu ,&nbsp;Lu Liu ,&nbsp;Zhuoheng Lv ,&nbsp;Qingpeng Zeng,&nbsp;Jun Zhao","doi":"10.1016/j.apjon.2025.100663","DOIUrl":"10.1016/j.apjon.2025.100663","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify latent profiles of fear of cancer recurrence (FCR) among patients with early-stage non-small cell lung cancer (NSCLC) and examine the associated factors.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted with 677 patients with early-stage NSCLC who underwent surgical treatment at a tier-three cancer hospital in Beijing between January 2022 and August 2023. Data collection included demographic variables and assessments using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Herth Hope Index (HHI), and Social Support Rating Scale (SSRS). Latent profile analysis was employed to classify FCR levels and identify influencing factors.</div></div><div><h3>Results</h3><div>Three distinct FCR profiles emerged: “low FCR” (27.6%), “moderate FCR” (66.2%), and “high FCR” (6.2%). Independent risk factors for moderate FCR included individuals aged 36–60 years (odds ratio [OR] ​= ​1.871, 95% confidence interval [CI] 1.208–2.899) and a household income below 5000 yuan (OR ​= ​1.86, 95% CI 1.059–3.267). Protective factors for moderate FCR included lower levels of education (OR ​= ​0.505, 95% CI 0.283–0.902), religious beliefs (OR ​= ​0.355, 95% CI 0.152–0.833), and smoking (OR ​= ​0.461, 95% CI 0.284–0.747). High FCR was strongly associated with being 36–60 years old, lower HHI scores (OR ​= ​11.055, 95% CI 4.441–27.522), and poor social support (OR ​= ​3.392, 95% CI 1.385–8.308).</div></div><div><h3>Conclusions</h3><div>FCR among patients with early-stage NSCLC can be categorized into distinct profiles, with specific demographic and psychosocial factors influencing severity. Tailored nursing interventions addressing varying FCR levels are critical to improving patient care and psychological well-being.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100663"},"PeriodicalIF":2.4,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578360","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 a lymphedema prevention program for patients with breast cancer: A randomized controlled trial based on the Protection Motivation Theory and Information-Motivation-Behavioral Skills Model","authors":"Yuan Wang ,&nbsp;Ling Tong ,&nbsp;Shan Wang ,&nbsp;Weifeng Shi ,&nbsp;Dewu Xu","doi":"10.1016/j.apjon.2025.100667","DOIUrl":"10.1016/j.apjon.2025.100667","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to evaluate the effectiveness of a lymphedema prevention program based on the Protection Motivation Theory and Information-Motivation-Behavioral Skills Model (PMT-IMB) in patients with breast cancer.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted at a tertiary hospital, enrolling 95 patients treated between December 2022 and June 2023. Participants were randomly assigned to either the control group (<em>n</em> ​= ​47), receiving standard nursing care, or the intervention group (<em>n</em> ​= ​48), receiving a PMT-IMB-based lymphedema prevention program. The intervention was delivered in hospital settings, with follow-up via WeChat and phone after discharge. Outcomes were assessed using the Lymphedema Risk-Reduction Behavior Checklist (LRRB), Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, upper limb circumference measurements, and self-lymphatic drainage records at baseline, 1 month, 3 months, and 6 months post-intervention.</div></div><div><h3>Results</h3><div>The intervention group demonstrated significantly higher lymphedema prevention behavior scores than the control group after the intervention. Upper limb dysfunction scores improved significantly in the intervention group compared to the control group at three and six months. In the control group, upper limb circumference gradually increased over time, with a significant difference observed at six months. Compliance with self-lymphatic drainage was also significantly better in the intervention group.</div></div><div><h3>Conclusions</h3><div>The PMT-IMB-based nursing intervention effectively enhances preventive behaviors, reduces lymphedema incidence, improves upper limb function, and increases patient adherence. These findings provide valuable insights for optimizing nursing strategies in lymphedema prevention.</div></div><div><h3>Trial registration</h3><div>http://www.chictr.org.cn, ChiCTR2300070705.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100667"},"PeriodicalIF":2.4,"publicationDate":"2025-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143535107","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":"Effects of non-pharmacological interventions on sexual health in patients with breast cancer: A network meta-analysis","authors":"Yan Liu ,&nbsp;Yinhua Wang ,&nbsp;Li Yao ,&nbsp;Qinqin Li ,&nbsp;Tingrui Wang ,&nbsp;Hong Li ,&nbsp;Jiajia Yin ,&nbsp;Tingshu Wang","doi":"10.1016/j.apjon.2025.100662","DOIUrl":"10.1016/j.apjon.2025.100662","url":null,"abstract":"<div><h3>Objective</h3><div>This review systematically identifies and synthesizes evidence to examine the impact of non-pharmacological interventions on the sexual health of patients with breast cancer through a meta-analysis approach.</div></div><div><h3>Methods</h3><div>From establishment to December 2, 2024, eight electronic databases including PubMed, Embase, Web of Science, Cochrane, CNKI, VIP, Wanfang and Biomedical Literature Service System were searched. The inclusion criteria comprised randomized controlled trials (RCTs) of non-drug interventions, controlled clinical trials and quasi-experimental studies. Two researchers independently conducted the literature screening, data extraction, and quality assessment of the included studies by employing the Cochrane quality evaluation manual. The two researchers conducted independent literature screening, data extraction, and quality assessment of the included studies using the Cochrane Manual 5.1.0 recommended RCT risk assessment tool for bias. Meta-analysis was conducted using RevMan5.3 and R studio GEMTC package. The inconsistency test model is employed to evaluate the overall inconsistency. If <em>P</em> ​&gt; ​0.05, the consistency model will be employed for data analysis.</div></div><div><h3>Results</h3><div>A total of 2451 titles and abstracts were retrieved, resulting in the inclusion of 19 articles, covering 19 non-pharmacological intervention methods. The overall risk of bias analysis indicated lower risk in 3 studies and some concerns in 16 studies. The meta-analysis findings indicate that non-pharmacological interventions were associated with improved sexual health outcomes for patients with breast cancer, when compared to standard care practices. The top five non-drug interventions, ranked by effect size, were Stress management consulting [<em>SMD</em> ​= ​−2.03, <em>95% CI</em> (−3.96, −0.05), <em>P</em> ​&lt; ​0.001], Cluster nursing [<em>SMD</em> ​= ​−1.44, <em>95% CI</em> (−3.48, 0.62), <em>P</em> ​&lt; ​0.001], Sexual counseling based on the PLISSIT model [<em>SMD</em> ​= ​−1.26, <em>95% CI</em> (−2.96, 0.40), <em>P</em> ​&lt; ​0.001], sexual psychological counseling [<em>SMD</em> ​= ​−0.98, <em>95% CI</em> (−3.01, 1.03), <em>P</em> ​&lt; ​0.001], and sex education [<em>SMD</em> ​= ​−0.91, <em>95% CI</em> (−2.63, 0.66), <em>P</em> ​&lt; ​0.001]. Cumulative ranking probability analysis indicated that stress management was the most effective non-pharmacological intervention for improving the sexual quality of life in patients with breast cancer.</div></div><div><h3>Conclusions</h3><div>In conclusion, Stress management consulting is recommended as the primary intervention for enhancing the sexual health in patients with breast cancer, emphasizing the need for tailored clinical nursing practices. However, further high-quality randomized controlled trials are necessary to validate these findings.</div></div><div><h3>Systematic review registration</h3><div>CRD42023475462.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100662"},"PeriodicalIF":2.4,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454824","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 associated with immune-related severe adverse events in patients with cancer: A scoping review","authors":"Zhenzhen Su ,&nbsp;Liyan Zhang ,&nbsp;Xuemin Lian ,&nbsp;Yixuan Wang","doi":"10.1016/j.apjon.2025.100661","DOIUrl":"10.1016/j.apjon.2025.100661","url":null,"abstract":"<div><h3>Objective</h3><div>Increasing reports of immune-related severe adverse events (ir-SAEs) among patients with cancer treated with immune checkpoint inhibitors (ICIs) have raised significant concerns regarding patient safety. Although considerable research has addressed immune-related adverse events (irAEs), the risk factors specifically associated with ir-SAEs remain less well defined. This study aims to identify and synthesize the risk factors contributing to ir-SAEs in patients with cancer.</div></div><div><h3>Methods</h3><div>Adhering to the Joanna Briggs Institute scoping review guidelines, we conducted a comprehensive literature search across multiple databases including PubMed, Embase, Web of Science, ProQuest Dissertations and Theses, Clinical Trials, China Biomedical Literature Database, CNKI, Wanfang Database, and VIP Database. Studies published from the inception of each database up to 28 January 2024 were considered. Two independent reviewers screened the literature and extracted the relevant data.</div></div><div><h3>Results</h3><div>A total of 41 studies were included, comprising 20 retrospective case-control studies, 9 retrospective cohort studies, 8 prospective cohort studies, and 4 meta-analyses. The analysis identified three primary categories of risk factors: demographic factors, disease-related factors, and laboratory examination-related factors.</div></div><div><h3>Conclusions</h3><div>A diverse range of risk factors is associated with ir-SAEs in patients with cancer. Enhancing the education of clinical oncology nurses regarding these risk factors may facilitate early identification and management of high-risk groups, thereby improving patient safety. Given the observed inconsistencies among studies, further research is warranted to elucidate risk factors with high predictive value for ir-SAEs.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100661"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445700","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 social support on body image during chemotherapy in patients with breast cancer: The chain mediating role of depression and self-efficacy","authors":"Xiaoyan Yu ,&nbsp;Qingmei Huang ,&nbsp;Yang Yang ,&nbsp;Ling Wang ,&nbsp;Fulei Wu ,&nbsp;Yuanqi Ding ,&nbsp;Xuqian Zong ,&nbsp;Anni Wang ,&nbsp;Changrong Yuan","doi":"10.1016/j.apjon.2025.100664","DOIUrl":"10.1016/j.apjon.2025.100664","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the mediating roles of depression and self-efficacy in the relationship between social support and body image in patients with breast cancer during chemotherapy.</div></div><div><h3>Methods</h3><div>A convenience sampling method was employed to survey 647 breast cancer chemotherapy patients. The survey included validated scales assessing social support, depression, self-efficacy, and body image. The chain mediation model was established using Mplus 8.3 software.</div></div><div><h3>Results</h3><div>Social support was negatively correlated with depression (<em>P</em> &lt; 0.001) and poor body image (<em>P</em> &lt; 0.001) and positively correlated with self-efficacy (<em>P</em> &lt; 0.001). Social support indirectly affected body image through three mediating pathways: depression (<em>β</em> = −0.084, <em>P</em> &lt; 0.001), self-efficacy (<em>β</em> = −0.060, <em>P</em> &lt; 0.01), and the depression-self-efficacy pathway (<em>β</em> = −0.058, <em>P</em> &lt; 0.001). The indirect effect accounted for 55.96% of the total effect.</div></div><div><h3>Conclusions</h3><div>The results support our hypothesis. Enhancing social support, alleviating depression, and improving self-efficacy through psychological interventions are recommended to improve body image in breast cancer patients during chemotherapy.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100664"},"PeriodicalIF":2.4,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New year greetings from the Editor-in-Chief of the Asia–Pacific Journal of Oncology Nursing","authors":"Winnie K.W. So","doi":"10.1016/j.apjon.2025.100660","DOIUrl":"10.1016/j.apjon.2025.100660","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100660"},"PeriodicalIF":2.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143548637","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":"Enhancing research quality through defined and consistent terminology","authors":"Negin Dorri","doi":"10.1016/j.apjon.2025.100659","DOIUrl":"10.1016/j.apjon.2025.100659","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100659"},"PeriodicalIF":2.4,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379100","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":"Correlation between cancer cachexia and psychosocial impact in older patients with advanced lung cancer undergoing chemotherapy","authors":"Rika Sato ,&nbsp;Tateaki Naito ,&nbsp;Haruyasu Murakami ,&nbsp;Shota Omori ,&nbsp;Haruki Kobayashi ,&nbsp;Akira Ono ,&nbsp;Nobuaki Mamesaya ,&nbsp;Kazushige Wakuda ,&nbsp;Ryo Ko ,&nbsp;Hirotsugu Kenmotsu ,&nbsp;Sakiko Aso ,&nbsp;Miho Hasaba ,&nbsp;Keita Mori ,&nbsp;Toshiaki Takahashi ,&nbsp;Naoko Hayashi","doi":"10.1016/j.apjon.2025.100658","DOIUrl":"10.1016/j.apjon.2025.100658","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the association of cancer cachexia with psychosocial impact, nutrition impact symptoms (NIS), and geriatric assessment in older patients newly diagnosed with advanced lung cancer undergoing chemotherapy.</div></div><div><h3>Methods</h3><div>Older patients with advanced lung cancer scheduled to receive first-line chemotherapy between August 2021 and February 2022 were enrolled. Cachexia was diagnosed according to the International Consensus. NIS and psychosocial impacts were assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaires (EORTC QLQ) C30, CAX24, and the Eating-Related Distress Questionnaire (ERD). Non-parametric tests evaluated the association between cachexia and its impacts. Patients with cachexia who consented to be interviewed were asked about their experiences with diet and weight changes. Three authors reviewed the interview data to ensure the analysis's veracity.</div></div><div><h3>Results</h3><div>Twenty-one of the 31 participants (68%) had cachexia at baseline. The cachexia group showed significantly greater severity of Food Aversion (<em>P</em> ​= ​0.035), Eating and Weight Loss Worry (<em>P</em> ​&lt; ​0.001), and Loss of Control (<em>P</em> ​= ​0.005) compared to the non-cachexia group. There were no significant differences in the ERD and geriatric assessment (all <em>P</em> ​&gt; ​0.05). The interview revealed that patients with cachexia perceived diet and weight changes early on and tried to manage their symptoms by themselves.</div></div><div><h3>Conclusions</h3><div>Cancer cachexia showed an association with NIS and psychosocial impacts. Older patients with advanced lung cancer scheduled to receive first-line chemotherapy should undergo a comprehensive assessment of cancer cachexia, including its potential physical and psychological impacts.</div></div><div><h3>Trial registration</h3><div>The trial registration number was UMIN 000053843.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100658"},"PeriodicalIF":2.4,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143512151","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":"Health-related quality of life and related factors among esophageal cancer survivors after esophagectomy in the 6-month postoperative period: A multicenter cross-sectional study in north China","authors":"Yingtao Meng ,&nbsp;Ruitong Gao ,&nbsp;Hailing Yang ,&nbsp;Fang Zhang ,&nbsp;Meimei Shang ,&nbsp;Yuping Liu ,&nbsp;Lingjuan Li ,&nbsp;Lu Chen ,&nbsp;Xia Zhong ,&nbsp;Hongmei Lu","doi":"10.1016/j.apjon.2025.100655","DOIUrl":"10.1016/j.apjon.2025.100655","url":null,"abstract":"<div><h3>Objective</h3><div>Esophagectomy is a primary curable treatment and a highly challenging procedure for esophageal cancer (EC) survivors. EC survivors experience various unmet needs. This study is aimed to assess unmet needs, health-related quality of life (HRQOL), and psychological distress of postoperative EC survivors.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study was conducted between December 2023 and March 2024 across 28 hospitals in northern China. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire, Hospital Anxiety and Depression Scale, and Supportive Care Need Survey - Short Form 34 were utilized to assess the HRQOL, anxiety, depression, and unmet needs.</div></div><div><h3>Results</h3><div>A total of 357 postoperative EC survivors were recruited, with a mean age of 63.42 years. Approximately 14.6% exhibited borderline anxiety, and 17.9% showed borderline depression. Unmet needs were highest in health information and patient care domains. HRQOL was lower in global health, social, and physical functions post-surgery. Fatigue, appetite loss, insomnia, and financial difficulties were common. Dysphagia, dry mouth, reflux, and choking negatively impacted HRQOL. Multivariable regression analysis indicated that anxiety and depression levels were higher, and HRQOL was lower in those one week to six months post-surgery compared to one-week post-surgery.</div></div><div><h3>Conclusions</h3><div>EC survivors experience significant psychological distress and reduced HRQOL up to six months post-surgery. Dysphagia and unmet needs are prevalent. Compared to immediate post-surgery, EC survivors experienced higher levels of anxiety and depression, and lower level of HRQOL in six months. Future research should focus on developing individualized care strategies to provide optimal support.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100655"},"PeriodicalIF":2.4,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487990","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":"Assessing cancer-related fatigue: Validation of the Korean version of the cancer fatigue scale among cancer survivors","authors":"Haneul Lee ,&nbsp;Eun Young Park ,&nbsp;Kwang-Hi Park","doi":"10.1016/j.apjon.2025.100657","DOIUrl":"10.1016/j.apjon.2025.100657","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to validate the Korean version of the Cancer Fatigue Scale (CFS-K) as a reliable tool for assessing cancer-related fatigue (CRF) for cancer survivors.</div></div><div><h3>Methods</h3><div>A total of 208 cancer survivors who completed active treatment participated in evaluating the reliability, construct validity, and factor structure of the CFS-K through confirmatory factor analysis (CFA). Correlations with the Functional Assessment of Chronic Illness Therapy-Fatigue (FACT-F) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) scales were analyzed to assess construct validity.</div></div><div><h3>Results</h3><div>The CFS-K demonstrated strong psychometric properties, with high internal consistency (Cronbach’s <em>α</em> ​= ​0.875) and CFA validated a three-factor structure (physical, cognitive, and affective fatigue) with acceptable model fit indices (normed χ² ​= ​2.62, CFI ​= ​0.899, TLI ​= ​0.878, RMSEA ​= ​0.088, SRMR ​= ​0.069). The standardized factor loadings for all items exceeded 0.5. Construct validity was confirmed through strong correlations with FACT-F (<em>r</em> ​= ​0.43–0.73) and significant correlations with EORTC QLQ-C30 subscales. Cancer survivors reported significantly higher fatigue levels across all subscales than controls.</div></div><div><h3>Conclusions</h3><div>The CFS-K is a reliable and valid tool for assessing multidimensional CRF in cancer survivors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100657"},"PeriodicalIF":2.4,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379101","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}