Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Barriers to implementation of preoperative urostomy site marking in nurse-physician cooperation: A qualitative study based on the Theoretical Domains Framework","authors":"Xiaotian Zhang ,&nbsp;Jianfei Ye ,&nbsp;Xiaolong Li ,&nbsp;Xueqian Ma ,&nbsp;Dong Pang ,&nbsp;Haihong Zhang ,&nbsp;Rui Shi ,&nbsp;Jing Liu ,&nbsp;Lei Zhang ,&nbsp;Jia Wang ,&nbsp;Xiaojun Jia ,&nbsp;Jianying Chen ,&nbsp;Haifang Zhang ,&nbsp;Liyan Cui ,&nbsp;Chunxia Liu","doi":"10.1016/j.apjon.2024.100634","DOIUrl":"10.1016/j.apjon.2024.100634","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to understand the barriers to nurse-physician collaboration in implementing preoperative stoma site marking using qualitative research methods following Theoretical Domain Framework.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study using semi-structured interviews was conducted from March to June 2023 in the urology departments of nine tertiary hospitals in China. Twelve urologists and eight enterostomal therapists (ETs) were recruited using purposive sampling. Audio recordings were transcribed verbatim and data were analyzed using content analysis.</div></div><div><h3>Results</h3><div>Five themes were identified in the study: shortage of manpower and stoma care products, lack of standard and regulations, lack of motivation and intention, inconsistency of expectation on consequences, and difficulties in cooperation.</div></div><div><h3>Conclusion</h3><div>This study indicated that the barriers to implementation of preoperative urostomy localization among urologists and ETs. Institutions, resources, clear career plans, and performance feedback can increase motivation and intention. In addition, the lack of cooperation between urologists and ETs is a key factor for poor urostomy localization implementation, which calls for effective and equal communication between doctors and nurses.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100634"},"PeriodicalIF":2.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386312","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":"Network analysis of fatigue symptoms in Chinese patients with advanced cancer","authors":"Huixiu Hu ,&nbsp;Yajie Zhao ,&nbsp;Huanhuan Luo ,&nbsp;Yuqing Hao ,&nbsp;Pei Wang ,&nbsp;Lijuan Yu ,&nbsp;Chao Sun","doi":"10.1016/j.apjon.2024.100641","DOIUrl":"10.1016/j.apjon.2024.100641","url":null,"abstract":"<div><h3>Objective</h3><div>This study was aimed at investigating the network structures of fatigue symptoms in patients with advanced cancer, with a focus on identifying the central symptom—an aspect crucial for targeted and effective fatigue symptom management.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, patients with advanced cancer were recruited from the cancer treatment center of a tertiary hospital in China between January and December of 2022. Symptom occurrence and severity were assessed with the Cancer Fatigue Scale. Network analysis was conducted to explore the network structure and identify the core fatigue symptoms.</div></div><div><h3>Results</h3><div>The study included 416 patients with advanced cancer. Lack of energy (2.25 ​± ​1.24), lack of interest in anything (2.20 ​± ​1.22), and lack of self-encouragement (2.03 ​± ​1.25) were the most severe fatigue symptoms and belonged to the affective fatigue dimension. In the overall network, reluctance (<em>r</em>_<em>s</em> ​= ​5.622), a heavy and tired body (<em>r</em>_<em>s</em> ​= ​5.424), and tiring easily (<em>r</em>_<em>s</em> ​= ​5.319) had the highest strength values. All these core symptoms were classified within the physical fatigue dimension and remained stable before and after adjustment for covariates.</div></div><div><h3>Conclusions</h3><div>This study identified reluctance, a heavy and tired body, and tiring easily as the core fatigue symptoms in patients with advanced cancer, thus providing valuable insight to help clinical nurses formulate more effective symptom management strategies. Future interventions could assess the efficacy of targeting the central symptom cluster in alleviating other symptoms and patient burden.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100641"},"PeriodicalIF":2.4,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063442","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":"Evidence summary on management strategies for gastroesophageal reflux symptoms in patients following esophageal cancer surgery","authors":"Yuqing Zhao ,&nbsp;Yaxin Fu ,&nbsp;Wei Zhang ,&nbsp;Shengjiang Zhao ,&nbsp;Huixia Li","doi":"10.1016/j.apjon.2024.100639","DOIUrl":"10.1016/j.apjon.2024.100639","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to summarize evidence-based strategies for the self-management of gastroesophageal reflux symptoms (GERS) at home among patients who have undergone esophageal cancer surgery, providing practical references for clinical practice.</div></div><div><h3>Methods</h3><div>A systematic evidence summary was conducted based on the reporting standards of the Fudan University Center for Evidence-based Nursing. Literature was retrieved from international and Chinese databases, including guidelines, expert consensus, systematic reviews, and original studies. The search covered the period from the inception of the databases to June 30, 2024. Two independent reviewers appraised the quality of evidence and synthesized recommendations across six domains: reflux symptoms, assessment, treatment, health education, follow-up, and outcome indicators.</div></div><div><h3>Results</h3><div>A total of 25 high-quality studies were included, comprising 10 guidelines, 10 expert consensus documents, two systematic reviews, and three original studies. Thirty-four evidence items were synthesized, emphasizing a combination of pharmacological treatments, lifestyle modifications, and health education to improve self-management outcomes.</div></div><div><h3>Conclusions</h3><div>This evidence synthesis highlights effective strategies for home-based self-management of GERS after esophageal cancer surgery. Future research should focus on culturally tailored interventions and large-scale studies to further enhance the applicability and reliability of these findings.</div></div><div><h3>Trial registration</h3><div>This study was registered at the Fudan University Center for Evidence-Based Nursing (Registration No. ES202446701).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100639"},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationship between illness perception, self-transcendence, and demoralization in patients with lung cancer: A latent profile and mediation analysis","authors":"Chunyan He ,&nbsp;Shuhui Liu ,&nbsp;Xiaoping Ding ,&nbsp;Yinying Zhang ,&nbsp;Jie Hu ,&nbsp;Feng Yu ,&nbsp;Deying Hu","doi":"10.1016/j.apjon.2024.100638","DOIUrl":"10.1016/j.apjon.2024.100638","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization.</div></div><div><h3>Methods</h3><div>A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0.</div></div><div><h3>Results</h3><div>Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE ​= ​1.56, 95% CI ​= ​14.71, 20.86) and high versus low illness perception groups (SE ​= ​1.71, 95% CI ​= ​35.44, 42.71).</div></div><div><h3>Conclusions</h3><div>Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100638"},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999179","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":"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}