Canadian Oncology Nursing Journal最新文献

Background: Physical activity is important for individuals with cancer. Older adults with cancer (OACA) have been disproportionally vulnerable to both COVID-19 infection and its outcomes. This study investigated how the COVID-19 pandemic and associated restrictions affected physical activity in OACA in one Canadian province.

Method: An online cross-sectional survey was conducted. Quantitative data were analyzed using descriptive and inferential statistics, with SPSS^® Version 27. Answers to free-text questions were grouped, based on thematic categories.

Results: One hundred and fifteen OACA participated in this study; more than 46% reported lower levels of physical activity since the COVID-19 pandemic. Participants described increases in sedentary behaviour and reduced physical activity overall. They also described barriers to physical activity, and remained open to remotely delivered physical activity interventions.

Conclusion: The pandemic disrupted physical activity routines among OACA. Future efforts should include an acceleration of research related to remotely delivered interventions given older adults' growing acceptance of such technologies.

Objectives: This research with gastrointestinal cancer patients analyzed the expected outcomes of nursing interventions on a) patient adherence to treatment; b) patient satisfaction with nursing care; and c) health of body conditions such as lung function.

Methods: All patients (60 individuals) who underwent chemotherapy at The First Affiliated Hospital of Soochow University, Department of Traditional Chinese Medicine, were divided into two equal groups. Group 1 received planned care and Group 2 received evidence-based nursing interventions.

Results: The results showed that treatment adherence was higher in Group 2 than in the control group (p = 0.01). In addition, there was a higher rating by patients for the quality of nursing care (p = 0.01), as well as a higher score obtained for lung function (p = 0.01). Treatment adherence resulted in a decrease in the secondary infection rate in Group 2 (p = 0.05).

Conclusion: The results showed that quality nursing intervention is effective for lung function improvement, stress level reduction, treatment plans, and a reduction of secondary infections.

Objective: Contemporary cancer care approaches, such as value- and strengths-based health care, involve integrating patients' needs and preferences, as the cancer experience unfolds. Distinct cancer information-seeking behaviours among patients are increasingly found to influence patient-provider communication, treatment-related decision-making, health processes and outcomes, as well as patient satisfaction with cancer care services. My program of research has already documented diverse cancer information-seeking profiles (CISP) among patients. These profiles can easily be captured by a theory-driven and empirically sound self-report single-item measure presented herein.

Methods: Guided by Self-Evaluation Theory (SET) - which posits that individuals vary in their motivation to seek information about the self - quantitative work established that SET motives could be reproduced in health-related contexts (N = 600). Qualitative inquiry subsequently explored information-seeking among individuals with various cancer diagnoses. Based on this series of studies, a CIPS measure (containing a general question which prompts individuals to choose the most representative statement based on five descriptions of distinct informational profiles) was tested in a large sample of individuals with diverse cancers.

Results: In this latter sample (N = 2,142), patients were administered the CISP and the Ambulatory Oncology Patient Satisfaction Survey (AOPSS). The most frequently reported CISP was complementary (50.2%, i.e., search for cancer information that added to what patients already knew), followed by minimal (25.2%, i.e., no search for cancer information), then guarded (14.4%, i.e., avoiding negative and only seeking hopeful cancer information), peer-focused (6.4%, i.e., search for cancer information from similar others), and last, intense (3.8%, i.e., seeking as much cancer information as possible). These profiles were also differentially related to care satisfaction with intense profiles being the least satisfied across all cancer care domains.

Conclusions and practice implications: The CISP measure can readily assess patients' profiles in the search for (or avoidance of) information about their cancer so that more personalized interventions can be provided. Future research exploring how CISP evolves, as the cancer experience unfolds, is also worthy of further study.