Oncology nursing forum最新文献

Objectives: To determine whether bright white light therapy (BWLT) would improve symptoms, including fatigue, anxiety, depression, distress, and sleep disturbance, for hospitalized patients with acute leukemia.

Sample & setting: 74 patients were accrued from a 24-bed acute leukemia unit at a cancer hospital in the midwestern United States.

Methods & variables: A nonblinded, randomized controlled clinical trial was designed to compare a control group to a group who received BWLT for 30 minutes each morning. Five survey tools were provided to all participants at baseline; at weeks 1, 2, and 3; at the time of discharge; and at one month postdischarge.

Results: Statistical significance was identified at weeks 1, 2, and 3, with the BWLT group reporting less anxiety, sleep disturbance, and fatigue at week 2. There was little difference between the two groups with their distress and depression. Patients who received BWLT completed an acceptability survey; only 11 participants said they planned to use BWLT in the future, and an average score of 8.5 (on a 1-10 rating scale, with higher scores indicating greater acceptability) was reported for ease of use.

Implications for nursing: Based on the results of this study, it may be useful for nurses to offer BWLT to hospitalized patients with acute leukemia.

To commemorate ONS's 50th anniversary in 2025, throughout the year, we will be reprinting seminal editorials written by former editors of the Oncology Nursing Forum and the Clinical Journal of Oncology Nursing that have had.

Problem identification: In Malawi, the cervical cancer death rate is eight times that of the global rate. Cervical cancer is preventable by vaccination, screening, and early treatment. The purpose of this study was to identify the prevalence of cervical cancer screening and factors associated with screening uptake among women in Malawi using Whittemore and Knafl's integrative methodologic review framework.

Literature search: A comprehensive literature search was conducted in MEDLINE®, Scopus®, Academic Search Complete, CINAHL®, and Google Scholar™ databases.

Data evaluation: 12 studies met the inclusion criteria, and quality was assessed using the Mixed-Methods Appraisal Tool, version 2018. Themes were categorized within the situation-specific theory components.

Synthesis: The screening rate ranged from 1.74% to 47%. Access to healthcare services factors and individual, sociocultural, and sociodemographic factors were associated with screening uptake.

Implications for research: The identified gaps in cervical cancer prevention in Malawi can serve as evidence to develop nursing intervention strategies to promote screening and treatment uptake in the country.

Objectives: To investigate nursing staff perceptions of financial toxicity (FT), its causes, and their role in mitigating it, as well as their prior training in addressing financial concerns.

Sample & setting: 535 RNs, advanced practice providers, and ancillary staff at an urban comprehensive cancer center.

Methods & variables: Respondents completed an online survey, adapted from prior work with physicians, as part of a quality improvement effort.

Results: Most respondents (76%) felt (a) they should play an active role in interventions to minimize FT and (b) they should be aware of a patient's risk of FT. A greater proportion of advanced practice providers felt they should play an active role in interventions compared to RNs (chi-square = 4.1, p = 0.04). Most respondents reported receiving no training on costs of care (87%) or how to have cost conversations (91%). Recommendations for mitigation included offering telehealth visits and changing follow-up intervals.

Implications for nursing: Nursing staff, including RNs and advanced practice providers, want to play an active role in preventing and mitigating FT but often feel they do not have the training to do so. Future efforts should focus on FT education for nursing staff.

Objectives: To evaluate the prevalence of sexual dysfunction and sexual distress among male and female patients with lymphoma during cancer treatment.

Sample & setting: A sample of 20 patients with lymphoma was recruited from the Malignant Hematology Department of a National Cancer Institute-designated comprehensive cancer center to participate in this study.

Methods & variables: This study was one part of a pilot mixed-methods study and used a quantitative-descriptive, cross-sectional design. Data on sexual dysfunction and sexual distress were collected using four validated self-report questionnaires and analyzed using descriptive and inferential statistics.

Results: Sexual dysfunction (n = 9 of 14 among male versus all female participants) and sexual distress (n = 6 of 14 among male versus n = 4 of 6 among female participants) were prevalent among patients with lymphoma undergoing cancer treatment.

Implications for nursing: Sexual function should be routinely assessed during every visit. In addition, sexual health should be integrated in survivorship care plans.

Objectives: To explore the trajectories of chemotherapy-induced peripheral neuropathy (CIPN) in lymphoma survivors and assess subdomains of CIPN in this population.

Sample & setting: 80 newly diagnosed lymphoma survivors treated with R-CHOP were enrolled.

Methods & variables: CIPN was assessed before chemotherapy (T1), after the first chemotherapy cycle (T2), after the fourth chemotherapy cycle (T3), after the completion of chemotherapy (T4), and 10 weeks post-treatment (T5). CIPN was measured using the Total Neuropathy Score clinical version and the MD Anderson Symptom Inventory.

Results: Patients were categorized into high and low CIPN groups based on CIPN changes over time. The high CIPN group was older and experienced significantly more severe sensory peripheral neuropathy from T1 to T5, with the most severe symptoms observed at T4, followed by T3 and T5.

Implications for nursing: Healthcare providers should closely monitor older patients, those with pretreatment peripheral neuropathy symptoms, and those exhibiting pronounced sensory neuropathy during treatment to provide timely and effective symptom management, reducing the impact of CIPN.

To commemorate ONS's 50th anniversary in 2025, throughout the year, we will be reprinting seminal editorials written by former editors of the Oncology Nursing Forum and the Clinical Journal of Oncology Nursing that have had.

Purpose: To explore the experiences and unmet clinical needs of patients with cancer during the COVID-19 pandemic.

Participants & setting: The authors recruited patients with cancer who received cancer-directed therapy in March 2020 at a National Cancer Institute-designated comprehensive cancer center. Interviews with patients were conducted between June 2021 and January 2023.

Methodologic approach: In this deductive-inductive descriptive qualitative investigation, participants completed a one-time 45-minute semistructured telephone interview via Zoom.

Findings: The qualitative analysis revealed (a) a myriad of psychological stressors, (b) bolstered human connectedness, (c) disruptions to daily life, (d) clinical support and education from healthcare teams, and (e) looking ahead to postpandemic life. Participants experienced changes in health behaviors and material hardships but highlighted support from family, friends, and healthcare teams.

Implications for nursing: The cohort of patients experienced significant distress and disruptions to their lives during the COVID-19 pandemic. Interventions implemented during an unanticipated event such as a pandemic need to be developed and tested to support patients with cancer.

Problem identification: This systematic review and meta-analysis assessed the state of the science to determine relationships among adult patient- and family member-perceived family resilience, individual resilience and perceived family resilience, and perceived family resilience and psychosocial outcomes.

Literature search: PubMed®, CINAHL®, PsycINFO®, Sociological Abstracts, and Cochrane Library databases were searched. Random effects models were performed to calculate pooled effect sizes, and meta-analyses were conducted.

Data evaluation: Two authors assessed risk of bias using the Appraisal tool for Cross-Sectional Studies and the Mixed Methods Appraisal Tool. Study heterogeneity was assessed using Cochran's Q test and the I2 statistic. Publication bias was evaluated.

Synthesis: Patient-perceived family resilience and family member-perceived family resilience were positively correlated. Family resilience was positively related to patient and family member individual resilience. Higher family resilience was associated with patients' reduced symptom burden and perceived stress and improved affect and quality of life, and family members' reduced caregiver burden and stress and higher social support and quality of life.

Implications for nursing: Investigations employing a longitudinal design are needed to understand any causal relationships between family resilience and psychosocial outcomes for the dyad.

Objectives: To examine the feasibility of high-frequency sampling of symptoms and gather preliminary data on whether daily exercise behavior is related to daily symptom fluctuations.

Sample & setting: Seven patients with cancer started a 12-week daily home-based walking and resistance exercise program during chemotherapy.

Methods & variables: Each day, patients rated pain, numbness/tingling, anxiety, and depression; resistance band exercise duration and perceived exertion; and steps for 12 weeks, as well as their pain at pre-, mid-, and postintervention.

Results: Overall, daily symptom ratings showed an expected large variation. Participants took more steps on and after days with less pain; performed more minutes of resistance exercises on days with less pain, numbness/tingling, and anxiety; and reported greater exertion on days with more pain and anxiety.

Implications for nursing: It is feasible to collect daily symptom measures throughout an exercise intervention during chemotherapy. Oncology nurses can help support exercise behavior by offering interventions to reduce interfering symptoms and by promoting helpful beliefs about symptoms.