Asia-Pacific Journal of Oncology Nursing最新文献

{"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}

{"title":"Latent profile analysis of spousal information concealment in patients with cancer: A cross-sectional study","authors":"Yue Zhang ,&nbsp;Kaili Zhu ,&nbsp;Siyu Li ,&nbsp;Xiaoqing Wang ,&nbsp;Rui Xu ,&nbsp;Yiqin Cao ,&nbsp;Hongfang Ye ,&nbsp;Peibei Duan","doi":"10.1016/j.apjon.2024.100626","DOIUrl":"10.1016/j.apjon.2024.100626","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate spousal information concealment in patients with cancer and analyse its influencing factors.</div></div><div><h3>Methods</h3><div>Between April and July 2024, 371 spouses of patients with cancer were surveyed using the Demographic and Clinical Characteristics Questionnaire, the Information Concealment Scale for Caregivers, Fear of Progression Questionnaires for Partners, and the Medical Coping Modes Questionnaire. Influencing factors were analysed using latent profile analysis.</div></div><div><h3>Results</h3><div>Based on the degree of information concealment, spouses of patients with cancer were categorised into three subgroups: the low concealment - low control (19.14%), medium concealment (50.40%), and high concealment - high dissimulation group (30.46%). Multivariate logistic regression analysis revealed that sex, age, educational level, disease stage, fear of disease progression, and medical coping modes were the influencing factors of the information concealment subgroups (<em>P</em>＜0.05).</div></div><div><h3>Conclusions</h3><div>Information concealment among spouses of patients with cancer has individualized characteristics. Analysing the demographics, disease features, and psychological conditions of spouses in different information concealment subgroups can help medical staff formulate more targeted and personalized interventions and reduce the degree of information concealment among patients' spouses.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100626"},"PeriodicalIF":2.4,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885219","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":"Frequency of ischemic cardiac events in patients receiving long-term multikinase inhibitor: A report of three cases","authors":"Nao Muraoka ,&nbsp;Takuya Oyakawa ,&nbsp;Ayano Fujita ,&nbsp;Kei Iida ,&nbsp;Tomoya Yokota ,&nbsp;Hirotsugu Kenmotsu","doi":"10.1016/j.apjon.2024.100624","DOIUrl":"10.1016/j.apjon.2024.100624","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the incidence and characteristics of ischemic cardiac events, specifically major adverse cardiac events (MACE), in patients undergoing long-term treatment with multikinase inhibitors (MKIs) such as lenvatinib and sorafenib.</div></div><div><h3>Methods</h3><div>A single-center retrospective analysis was conducted on 41 patients treated with lenvatinib or sorafenib for more than one year at our institution from 2015 to 2022. Patient records were reviewed to collect data on demographics, cancer type, cardiovascular risk factors, MKI treatment duration, and MACE incidence. MACE events, defined as acute heart failure, fatal arrhythmia, acute myocardial infarction, and coronary revascularization, were analyzed to determine potential correlations with MKI therapy.</div></div><div><h3>Results</h3><div>Among the 41 patients, three (7.3%) developed MACE, presenting as acute heart failure, fatal arrhythmia, and acute myocardial infarction, all associated with significant coronary artery stenosis. Notably, none of these patients had a prior history of cardiovascular disease. Despite variations in clinical presentation, all cases suggested a link between long-term MKI administration and accelerated coronary atherosclerosis. Factors involved in atherosclerosis were significantly older and tended to be more hypertensive in the non-MACE group.</div></div><div><h3>Conclusions</h3><div>Long-term MKI therapy may increase the risk of severe ischemic cardiac events, likely due to accelerated atherosclerosis. Clinicians and oncology nurses should monitor patients closely for early signs of angina, especially in an outpatient setting, to prevent acute cardiac events. Further large-scale studies are warranted to establish a clearer causal relationship between MKI therapy and cardiovascular risks.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100624"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876033","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":"Effective management of cervical anastomotic leakage post-esophageal cancer surgery using negative pressure wound therapy with saline instillation: A case report","authors":"Mengxiao Jiang ,&nbsp;Wenguang Liang ,&nbsp;Xiaoping Chen ,&nbsp;Yonglan Ge ,&nbsp;Yanyan Fang ,&nbsp;Huiting Zhang ,&nbsp;Rongrong Jiang ,&nbsp;Baojia Luo","doi":"10.1016/j.apjon.2024.100623","DOIUrl":"10.1016/j.apjon.2024.100623","url":null,"abstract":"<div><div>Cervical anastomotic leakage (AL) is a severe complication following esophageal cancer surgery, leading to significant morbidity and risk of mortality. This case report describes the successful application of negative pressure wound therapy with instillation (NPWTi) in managing AL after esophageal surgery. A 61-year-old patient developed an anastomotic leak on postoperative day 7, accompanied by persistent neck pain and leakage of nutritional fluids. Treatment involved a dual-tube NPWTi system with continuous saline instillation to clean and prevent infection, maintain wound moisture, and promote tissue granulation. Within 15 days, the leakage was substantially controlled, and a barium swallow test confirmed complete closure by day 20. This case suggests NPWTi as a promising and less invasive approach to managing AL post-esophagectomy, warranting further research on its clinical efficacy and safety.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100623"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880961","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":"Relationship between severe radiodermatitis and skin barrier functions in patients with head and neck cancer: A prospective observational study","authors":"Nao Miyamae ,&nbsp;Kazuhiro Ogai ,&nbsp;Mao Kunimitsu ,&nbsp;Masayuki Fujiwara ,&nbsp;Makoto Nagai ,&nbsp;Shigefumi Okamoto ,&nbsp;Mayumi Okuwa ,&nbsp;Makoto Oe","doi":"10.1016/j.apjon.2024.100625","DOIUrl":"10.1016/j.apjon.2024.100625","url":null,"abstract":"<div><h3>Objective</h3><div>Severe radiodermatitis with erosion is a painful condition that affects quality of life; therefore, developing methods for its prevention is an urgent issue. Therefore, this study aimed to determine the morphological characteristics of the development and healing processes of severe radiodermatitis in patients with head and neck cancer and to explore the association between skin barrier function and development of severe radiodermatitis.</div></div><div><h3>Methods</h3><div>In this prospective observational study, the cervical regions of patients with head and neck cancer who underwent radiotherapy at a university hospital from October 2022 to March 2023 were photographed, and morphological characteristics of the development and healing process of severe radiodermatitis were extracted using the qualitative sketch method. Skin barrier function, including skin microbiota and dermal echogenicity, was investigated before initiating radiotherapy, and its relationship with radiodermatitis was examined using the Mann–Whitney <em>U</em> test or Fisher's exact probability test.</div></div><div><h3>Results</h3><div>Nine patients were followed for a median of 61 (range 55–87) days with a total of 88 observations. The morphological characteristics of severe radiodermatitis were “localized erosion–epithelialization” and “widespread erosion–crusting,” and compared to non-severe radiodermatitis, with low levels of <em>Staphylococcus aureus</em> (<em>P</em> ​= ​0.024), <em>Staphylococcus hominis</em> (<em>P</em> ​= ​0.024), and reduced dermal echogenicity (<em>P</em> ​= ​0.036). Furthermore, the “widespread erosion–crusting” was associated with a subepidermal low echogenic band.</div></div><div><h3>Conclusions</h3><div>To prevent severe radiodermatitis, in addition to moisturizing the irradiated area and protecting it from mechanical irritation, improving skin barrier function before radiotherapy initiation may be effective.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100625"},"PeriodicalIF":2.4,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a dyadic mindfulness self-compassion intervention for patients with lung cancer and their family caregivers: A multi-method study","authors":"Juan Li ,&nbsp;Tianji Zhou ,&nbsp;Chan Li ,&nbsp;Jie Zou ,&nbsp;Jie Zhang ,&nbsp;Bo Yuan ,&nbsp;Jingping Zhang","doi":"10.1016/j.apjon.2024.100622","DOIUrl":"10.1016/j.apjon.2024.100622","url":null,"abstract":"<div><h3>Objective</h3><div>Lung cancer and its prolonged treatment are profoundly unsettling for patients and their family caregivers, and developing dyadic measures to alleviate their negative affectivity is pivotal. This study aimed to develop a complex intervention to alleviate dyadic psychological stress among patients with lung cancer and their family caregivers.</div></div><div><h3>Methods</h3><div>A stepwise multi-method study was conducted following the Medical Research Council framework. Three phases were adopted, namely: (1) a preparation phase, a systematic review was conducted to identify the evidence base, (2) a development phase, empirical data from a quantitative study and a qualitative study were integrated to identify effective components, and (3) a modification phase, an online Delphi survey was carried out to refine the intervention.</div></div><div><h3>Results</h3><div>The dyadic Mindfulness Self-Compassion intervention developed in this study consists of six weekly sessions. The key components of the intervention include: (1) getting along with cancer (introductory session targets illness perception), (2) practising mindful awareness (core session for mindfulness), (3) defining dyadic relationships and introducing self-compassion (core session for self-compassion), (4) promoting dyadic communication (maintenance session targets communication skills), (5) promoting dyadic coping (maintenance session targets coping skills), and (6) a summary session reviewing the rewards and challenges of dyadic adaptation named embracing the future.</div></div><div><h3>Conclusions</h3><div>An evidence-based, theory-driven, and culturally appropriate dyadic Mindfulness Self-Compassion intervention was developed for patients with lung cancer and their family caregivers. Future studies are warranted to pilot and evaluate the usability, feasibility, acceptability, satisfaction, and effectiveness of this complex intervention.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrial.gov</span><svg><path></path></svg></span> NCT04795700.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100622"},"PeriodicalIF":2.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142876031","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":"Feasibility and preliminary efficacy of a systematic transaction model-guided dyadic coping nursing intervention for patients with breast cancer and their spousal caregivers: A pilot study","authors":"Yuan Wang ,&nbsp;Jiajia Zhang ,&nbsp;Shan Wang ,&nbsp;Yibo Wu ,&nbsp;Ling Hang ,&nbsp;Yuming Hua ,&nbsp;Weifeng Shi","doi":"10.1016/j.apjon.2024.100621","DOIUrl":"10.1016/j.apjon.2024.100621","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to assess the feasibility, acceptability, and preliminary efficacy of a Systematic Transaction Model (STM)-guided dyadic coping nursing intervention for patients with breast cancer and their spouses.</div></div><div><h3>Methods</h3><div>A single-arm, pre-test/post-test pilot study was conducted at a tertiary hospital in Wuxi, China, recruiting 28 breast cancer patient–caregiver pairs. Each dyad participated in six hybrid intervention sessions. Paired t-tests were used to evaluate pre- and post-intervention changes, and effect sizes were calculated. Feasibility was assessed by recruitment and retention rates, acceptability via the Client Satisfaction Questionnaire-8 (CSQ-8), and preliminary efficacy through measures of body image, dyadic coping, post-traumatic growth, and marital satisfaction.</div></div><div><h3>Results</h3><div>All 28 dyads completed the intervention. Patients showed small-to-moderate improvements in body image, post-traumatic growth, dyadic coping, and marital satisfaction (<em>d</em> ​= ​0.4–0.5, <em>P</em> ​≤ ​0.022), with clinically meaningful changes observed in 39%–68% of patients. Spousal caregivers also demonstrated improvements in post-traumatic growth, dyadic coping, and marital satisfaction (<em>d</em> ​= ​0.3–0.6, <em>P</em> ​≤ ​0.033), with 36%–46% showing clinically important differences.</div></div><div><h3>Conclusions</h3><div>This pilot study supports the feasibility and initial efficacy of an STM-guided dyadic coping intervention, which may benefit breast cancer patients and their spouses as a unit. Further large-scale trials are recommended to validate these findings.</div></div><div><h3>Trial registration</h3><div>China Clinical Trial Registry (ChiCTR2400083416).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100621"},"PeriodicalIF":2.4,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880888","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":"Pelvic floor muscle training for the prevention and management of low anterior resection syndrome in patients with rectal cancer: An evidence-based summary","authors":"Meirong Hong ,&nbsp;Wei Yu ,&nbsp;Yating Gao ,&nbsp;Bei Pei ,&nbsp;Ji Chen ,&nbsp;Yan Lou","doi":"10.1016/j.apjon.2024.100620","DOIUrl":"10.1016/j.apjon.2024.100620","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to summarize the best available evidence on the effectiveness of pelvic floor muscle training (PFMT) in preventing and managing low anterior resection syndrome (LARS) among patients with rectal cancer, with the goal of enhancing quality of care.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across databases, including BMJ Best Practice, UpToDate, WHO, GIN, UK NICE, NGC, SIGN, RNAO, NCCN, JBI Library, Cochrane Library, CINAHL, Web of Science, Embase, OVID, PubMed, Chinese Wanfang, CNKI, SinoMed, and VIP, covering publications from inception through June 30, 2024. We targeted clinical decisions, guidelines, evidence summaries, expert consensus statements, systematic reviews, and randomized controlled trials related to PFMT for LARS in patients with rectal cancer. Two independent reviewers assessed the quality of the literature and extracted key findings.</div></div><div><h3>Results</h3><div>A total of 15 articles were included, yielding 21 pieces of evidence across six core areas: multidisciplinary management, bowel function risk screening and assessment, the purpose and target population for PFMT, pre-exercise instructions, exercise regimens, and exercise feedback.</div></div><div><h3>Conclusions</h3><div>The summarized 21 recommendations provide guidance for integrating PFMT into care plans for patients with rectal cancer and LARS. However, given that evidence originates from diverse clinical settings, considerations such as the local health care environment should be evaluated before implementation. Future research should focus on optimizing PFMT regimens to improve bowel function outcomes in patients with rectal cancer, refining exercise protocols, and gathering further data to enhance clinical application.</div></div><div><h3>Systematic review registration</h3><div>Registered with the Fudan University Centre for Evidence-Based Nursing, registration number ES20245385.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100620"},"PeriodicalIF":2.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757559","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":"Interprofessional collaborative practice: The model for cancer care","authors":"Brenda Nevidjon","doi":"10.1016/j.apjon.2024.100618","DOIUrl":"10.1016/j.apjon.2024.100618","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100618"},"PeriodicalIF":2.4,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698886","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":"Spontaneous migration of a peripherally inserted central catheter into the azygos vein and accidental transection during thoracic surgery: A case report","authors":"Changmin Mao ,&nbsp;Yuying Shi ,&nbsp;Meixiang Wang ,&nbsp;Qian Zhao ,&nbsp;Min Ding ,&nbsp;Ping Zhu ,&nbsp;Wenjie Xia ,&nbsp;Liuliu Zhang","doi":"10.1016/j.apjon.2024.100614","DOIUrl":"10.1016/j.apjon.2024.100614","url":null,"abstract":"<div><div>This case report presents an incident of spontaneous migration of a peripherally inserted central catheter (PICC) into the azygos vein, leading to accidental transection during surgery. A patient with esophageal cancer had a PICC placed in the left upper arm one day prior to surgery, with the catheter tip confirmed by intracavitary electrocardiogram (IC-ECG) and anterior/lateral chest X-ray imaging. However, during the surgery, the PICC was unintentionally cut when the surgeon isolated and clamped the azygos vein. The surgical team removed the catheter and re-sutured the azygos vein remnant, introducing avoidable risks. This report analyzes the spontaneous migration of the PICC to the azygos vein and explores possible contributing factors to this incident.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100614"},"PeriodicalIF":2.4,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698796","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}