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Instruments for Assessing Family Functioning in Adults Patients with Cancer: A Systematic Review of Measurement Properties 成人癌症患者家庭功能评估工具:测量特性的系统回顾。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151729
Cristina Alfaro-Diaz , Nuria Esandi , Anne Møller Clausen , Navidad Canga-Armayor , María Pueyo-Garrigues , Karin B. Dieperink

Objectives

To identify instruments for assessing family functioning in adults patients with cancer and summarize their psychometric properties.

Methods

Psychometric systematic literature review was conducted to June 2023 using four databases: PubMed, CINAHL, Psych INFO, and Web of Science. The psychometric properties of the instruments and the methodological quality of the studies were evaluated using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to rate the best available evidence.

Results

Forty-four studies reporting 13 instruments were included. The instruments measured varied attributes of family functioning and the dimensions were heterogeneous. The Cancer Communication Assessment Tool for Patients and Families (CCAT-PF) was rated the highest in terms of both methodological rigor and instrument quality. However, the Family Adaptability and Cohesion Evaluation Scale (FACES) and the Ice-Expressive Family Functioning Questionnaire (ICE-EFFQ) offer a more comprehensive measure of family functioning, since they assess multiple dimensions of family functioning and demonstrate high-quality measurement properties.

Conclusions

Instruments to assess family functioning were heterogeneous and exhibited limited reliability and validity. The FACES and the ICE-EFFQ seem to be the most suitable measures for adult cancer patients and their families. Future research should aim to refine the content of existing instruments and rigorously assess their psychometric properties.

Implications for Nursing Practice

Given the profound impact of cancer on family functioning, the initial step in crafting effective interventions is providing valid and reliable instruments to measure the impact of these interventions. This paper could assist nursing professionals in making informed decisions regarding the most suitable instrument for assessing family functioning in adults patients living with life-threatening illness as is the case with cancer.
目的确定评估成年癌症患者家庭功能的工具,并总结其心理测量特性:使用四个数据库进行心理测量系统文献综述(截至 2023 年 6 月):PubMed、CINAHL、Psych INFO 和 Web of Science。采用基于共识的健康测量工具选择标准(COSMIN)检查表对工具的心理测量特性和研究的方法学质量进行了评估。采用建议、评估、发展和评价分级法(GRADE)对现有最佳证据进行评级:结果:共纳入了 44 项研究,报告了 13 种工具。这些工具测量了家庭功能的不同属性,其维度也不尽相同。癌症患者及家属沟通评估工具(CCAT-PF)在方法严谨性和工具质量方面都被评为最高。然而,家庭适应性和凝聚力评估量表(FACES)和冰-表达式家庭功能问卷(ICE-EFFQ)能更全面地评估家庭功能,因为它们能评估家庭功能的多个维度,并显示出高质量的测量特性:评估家庭功能的工具多种多样,可靠性和有效性有限。FACES和ICE-EFFQ似乎是最适合成年癌症患者及其家庭的测量工具。未来的研究应旨在完善现有工具的内容,并严格评估其心理测量特性:鉴于癌症对家庭功能的深远影响,制定有效干预措施的第一步就是提供有效可靠的工具来衡量这些干预措施的影响。本文可帮助护理专业人员做出明智的决定,选择最合适的工具来评估癌症等危及生命疾病的成年患者的家庭功能。
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引用次数: 0
Supporting People Treated with Immune Checkpoint Inhibitors: A Qualitative Study Exploring Oncology Healthcare Professionals’ Experiences 为接受免疫检查点抑制剂治疗的患者提供支持:一项探索肿瘤学医护人员经验的定性研究。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151745
Tessa Watts , Stephen Jennings , Sally Anstey , Dominic Roche

Objectives

Immune checkpoint inhibitors have recently developed successfully in treatment for several advanced cancers, including advanced renal cancer, where options have previously been limited. However, while some are able to tolerate these treatments, others may experience unpredictable and sometimes severe immune-related adverse events. Oncology health care professionals have vital roles in optimizing safety and supporting positive outcomes for people receiving these treatments. This study aimed to better understand these professionals’ experiences of supporting people receiving immune checkpoint inhibitors.

Methods

A qualitative exploratory methodology was adopted using semi-structured interviews with 18 purposively sampled senior oncology health professionals, including 12 nurses, who had experience caring for people being treated with checkpoint inhibitors. Data were collected between June and September 2020, transcribed verbatim, and analyzed using reflexive thematic analysis.

Results

The analysis identified three main themes: First, participants were positive about the potential benefits that checkpoint inhibitors afforded patients, balanced against challenges associated with ambiguities of the treatments and potential impact on existing workloads. Secondly, participants identified the importance of proactive patient monitoring for early detection and reporting of adverse events. Participants highlighted potential challenges if these events went undetected, particularly in the context of the expectation for patient recognition and prompt reporting. Finally, participants identified the need for continual enhancement of health professionals' knowledge and understanding of immunotherapy, supported by the prioritizing of formal immunotherapy education.

Conclusions

Whilst immune checkpoint inhibitors offer the possibility for improved disease outcomes, this is balanced against uncertainties regarding potentially unpredictable, often complex, adverse treatment events. This study shows that nurses have vital roles in supporting people receiving these treatments.

Implications for Nursing Practice

Effective care and treatment management for people receiving checkpoint inhibitors require nurses' support through their expert knowledge of immunotherapy and their skills for appropriate coordination and organization of cross-boundary care.
目的:免疫检查点抑制剂最近在治疗包括晚期肾癌在内的几种晚期癌症方面取得了成功,而在这些癌症的治疗中,以前的选择一直很有限。然而,虽然有些人能够耐受这些治疗,但其他人可能会出现不可预知的、有时甚至是严重的免疫相关不良事件。肿瘤医护人员在优化安全性和支持接受这些治疗的患者取得积极疗效方面发挥着至关重要的作用。本研究旨在更好地了解这些专业人员为接受免疫检查点抑制剂治疗的患者提供支持的经验:本研究采用定性探索方法,通过半结构式访谈有目的性地抽取了 18 名资深肿瘤医护人员,其中包括 12 名护士,他们都有护理接受检查点抑制剂治疗者的经验。数据收集时间为 2020 年 6 月至 9 月,逐字记录,并采用反思性主题分析法进行分析:分析确定了三大主题:首先,与会者对检查点抑制剂给患者带来的潜在益处持肯定态度,但同时也面临治疗方法不明确以及对现有工作量的潜在影响等挑战。其次,与会者指出了对患者进行主动监测以及早发现和报告不良事件的重要性。与会者强调,如果这些事件未被发现,特别是在期望患者识别和及时报告的情况下,可能会面临挑战。最后,与会者认为有必要继续加强医疗专业人员对免疫疗法的认识和理解,并优先开展正规的免疫疗法教育:尽管免疫检查点抑制剂为改善疾病治疗效果提供了可能,但这与潜在的、不可预测的、往往是复杂的不良治疗事件的不确定性相抵消。这项研究表明,护士在为接受这些治疗的患者提供支持方面发挥着重要作用:对护理实践的启示:对接受检查点抑制剂治疗的患者进行有效的护理和治疗管理需要护士的支持,她们需要掌握免疫疗法的专业知识以及适当协调和组织跨界护理的技能。
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引用次数: 0
Preparing the ground for bespoke nursing training in advanced renal cell carcinoma care (RCC4Nurses): An international prospective study 为晚期肾细胞癌护理的定制护理培训(RCC4Nurses)奠定基础:一项国际前瞻性研究。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151749
Celia Diez De Los Rios de la Serna , Constantina Papadopoulou , Amanda Drury , Wendy Oldenmenger , Theresa Wiseman , Daniel Kelly , Grigorios Kotronoulas

Objectives

Nurses require specialist knowledge and skills to effectively support an increasing population of people affected by advanced renal cell cancer (aRCC). RCC4Nurses was a three-phase project that aimed to develop bespoke training in aRCC for nurses in Europe. Phase 1 examined pre-existing educational programs in kidney cancer, then developed a curriculum of core education topics in aRCC care to suit generalist and specialist nurses’ education needs.

Methods

Phase 1 employed a prospective design that involved two parts. Part 1 was a scoping review of educational programs developed for multidisciplinary health professionals in kidney cancer/RCC. Findings of Part 1 formed the basis for Part 2, which was a three-round Delphi study that involved experts by personal experience or profession in aRCC, who rated the importance of a range of education topics and education methods for inclusion in the developing RCC4Nurses.

Results

The scoping review identified eight education programs via two published reports and six online resources. Existing programs had limitations in accessibility, recency and target professional groups; none of them was developed specifically for nurses. Program content was primarily focused on diagnostic, treatment and management procedures in kidney cancer. Fourteen educational topics were derived from the review and evaluated during Round 1 of the Delphi by 47 experts. By Round 3, 17 topics had iteratively reached consensus for inclusion within RCC4Nurses. Experts showed preference to problem-solving and clinical-scenario learning methods, but not reflective practice learning.

Conclusions

Given the dearth of up-to-date, evidence-based training for nurses in aRCC, we have prepared the ground to develop a bespoke training course in this area of practice.

Implications for Nursing Practice

The RCC4Nurses project will offer accessible, state-of-the-art education to registered nurses in Europe to help enhance nursing competency in aRCC and enhance the standard of care provided to people affected by aRCC.
目标:护士需要具备专业知识和技能,才能为越来越多的晚期肾细胞癌(aRCC)患者提供有效支持。RCC4Nurses是一个分三个阶段进行的项目,旨在为欧洲的护士开发定制的aRCC培训。第一阶段研究了现有的肾癌教育计划,然后开发了 aRCC 护理核心教育主题课程,以满足全科和专科护士的教育需求:第一阶段采用前瞻性设计,包括两个部分。第一部分是对为肾癌/RCC 多学科医疗专业人员开发的教育项目进行范围界定。第 1 部分的研究结果为第 2 部分的研究奠定了基础,第 2 部分是一项三轮德尔菲研究,由具有肾癌/红斑狼疮专业经验或职业的专家参与,他们对一系列教育主题和教育方法的重要性进行评分,以便纳入正在开发的 RCC4Nurses 中:范围界定审查通过两份出版报告和六份在线资源确定了八项教育计划。现有计划在可及性、重复性和目标专业群体方面存在局限性;没有一个计划是专门为护士开发的。课程内容主要侧重于肾癌的诊断、治疗和管理程序。在第一轮德尔菲法中,47 位专家对审查得出的 14 个教育主题进行了评估。到第 3 轮时,17 个主题反复达成共识,将纳入 RCC4Nurses。专家们倾向于问题解决和临床情景学习方法,但不倾向于反思性实践学习:结论:鉴于缺乏对护士进行以证据为基础的急性心肌梗死最新培训,我们已为开发这一实践领域的定制培训课程做好了准备:RCC4Nurses 项目将为欧洲的注册护士提供便捷、先进的教育,帮助他们提高 aRCC 方面的护理能力,并提高为 aRCC 患者提供护理的标准。
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引用次数: 0
The Effectiveness of Web-Based Dyadic Interventions on Depression, Psychological Distress, Stress, and Quality of Life Among Persons With Cancer and Informal Caregivers: A Meta-Analysis 基于网络的伴侣式干预对癌症患者和非正式照顾者的抑郁、心理困扰、压力和生活质量的影响:一项 Meta 分析。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151752
Xiaopu Shi , Hongbo Zhang , Gaokai Li , Qianhua Wang

Objective

To assess the impact of web-based dyadic interventions on depression, distress, stress, and quality of life among persons with cancer and their informal caregivers.

Methods

A systematic literature search was conducted in PubMed, EMBASE, MEDLINE, PsycINFO, the Cochrane Library, CNKI, and Wanfang Data for articles in English or Chinese through August 2023. The methodological quality of the studies was assessed using the Cochrane Risk of Bias tool and the Methodological Index for Nonrandomized Studies. Data were analyzed using RevMan 5.4.

Results

The meta-analysis included 9 articles with 1,030 participants, consisting of 5 randomized controlled trials and 4 quasi-experimental trials. Significant improvements were observed in the quality of life for persons with cancer, particularly in physical (SMD = 0.32, 95% CI [0.10, 0.54], P = .004) and functional (SMD = 0.28, 95% CI [0.06, 0.50], P = .01) well-being. For informal caregivers, interventions significantly reduced depression (SMD = −0.58, 95% CI [−1.06, −0.10], P = .02), distress (SMD = −0.39, 95% CI [−0.76, −0.03], P = .03), and stress (SMD = −0.62, 95% CI [−1.04, −0.21], P = .003).

Conclusion

Web-based dyadic interventions significantly enhance the physical and functional well-being of persons with cancer and reduce depression, distress, and stress among their informal caregivers.

Implications for Nursing Practice

The study underscores the importance of dyadic interventions in offering comprehensive support. Personalized, web-based dyadic interventions show promise for tailored, holistic care in the future.
目的评估以网络为基础的干群干预对癌症患者及其非正式照顾者的抑郁、痛苦、压力和生活质量的影响:方法:在 PubMed、EMBASE、MEDLINE、PsycINFO、Cochrane 图书馆、CNKI 和万方数据中对截至 2023 年 8 月的英文或中文文章进行了系统性文献检索。研究的方法学质量采用 Cochrane 偏倚风险工具和非随机研究方法学指数进行评估。数据使用RevMan 5.4进行分析:荟萃分析包括 9 篇文章,1,030 名参与者,其中包括 5 项随机对照试验和 4 项准实验试验。研究发现,癌症患者的生活质量明显改善,尤其是身体(SMD = 0.32,95% CI [0.10,0.54],P = .004)和功能(SMD = 0.28,95% CI [0.06,0.50],P = .01)方面。对于非正式照顾者,干预措施显著降低了抑郁(SMD = -0.58,95% CI [-1.06,-0.10],P = .02)、痛苦(SMD = -0.39,95% CI [-0.76,-0.03],P = .03)和压力(SMD = -0.62,95% CI [-1.04,-0.21],P = .003):结论:基于网络的干群干预能显著提高癌症患者的身体和功能健康水平,减少其非正式护理人员的抑郁、痛苦和压力:这项研究强调了在提供全面支持过程中进行干式干预的重要性。个性化、基于网络的干式干预为未来提供量身定制的整体护理带来了希望。
{"title":"The Effectiveness of Web-Based Dyadic Interventions on Depression, Psychological Distress, Stress, and Quality of Life Among Persons With Cancer and Informal Caregivers: A Meta-Analysis","authors":"Xiaopu Shi ,&nbsp;Hongbo Zhang ,&nbsp;Gaokai Li ,&nbsp;Qianhua Wang","doi":"10.1016/j.soncn.2024.151752","DOIUrl":"10.1016/j.soncn.2024.151752","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the impact of web-based dyadic interventions on depression, distress, stress, and quality of life among persons with cancer and their informal caregivers.</div></div><div><h3>Methods</h3><div>A systematic literature search was conducted in PubMed, EMBASE, MEDLINE, PsycINFO, the Cochrane Library, CNKI, and Wanfang Data for articles in English or Chinese through August 2023. The methodological quality of the studies was assessed using the Cochrane Risk of Bias tool and the Methodological Index for Nonrandomized Studies. Data were analyzed using RevMan 5.4.</div></div><div><h3>Results</h3><div>The meta-analysis included 9 articles with 1,030 participants, consisting of 5 randomized controlled trials and 4 quasi-experimental trials. Significant improvements were observed in the quality of life for persons with cancer, particularly in physical (SMD = 0.32, 95% CI [0.10, 0.54], <em>P</em> = .004) and functional (SMD = 0.28, 95% CI [0.06, 0.50], <em>P</em> = .01) well-being. For informal caregivers, interventions significantly reduced depression (SMD = −0.58, 95% CI [−1.06, −0.10], <em>P</em> = .02), distress (SMD = −0.39, 95% CI [−0.76, −0.03], <em>P</em> = .03), and stress (SMD = −0.62, 95% CI [−1.04, −0.21], <em>P</em> = .003).</div></div><div><h3>Conclusion</h3><div>Web-based dyadic interventions significantly enhance the physical and functional well-being of persons with cancer and reduce depression, distress, and stress among their informal caregivers.</div></div><div><h3>Implications for Nursing Practice</h3><div>The study underscores the importance of dyadic interventions in offering comprehensive support. Personalized, web-based dyadic interventions show promise for tailored, holistic care in the future.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151752"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Technology on Physical Activity Levels of Childhood Cancer Survivors: A Systematic Review 科技对儿童癌症幸存者体育活动水平的影响:系统回顾
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151757
Aylin Akca Sumengen , Eysan Hanzade Savas , Ayse Ay , İlcim Ercan Koyuncu , Munevver Erkul , Remziye Semerci

Objectives

Childhood cancer survivors often experience long-term health challenges like muscle weakness and obesity. Physical activity is essential for alleviating these effects, and technological interventions are being recommended to promote physical activity. This systematic review aimed to evaluate technological interventions' impact on childhood cancer survivors' PA levels.

Methods

The systematic review followed PRISMA guidelines and included studies published until May 2024 from various databases. The Joanna Briggs Institute critical appraisal tools were used to assess study quality. The study was registered in PROSPERO under registration number CRD42024564857.

Results

A total of nine studies were included in the review: four were randomized controlled trials (RCT), three were feasibility studies, and two were pilot studies. These studies, involving a total of 417 childhood cancer survivors, utilized a wide range of technological interventions. Six of the studies were of good quality, while three were of fair quality. Three studies used mobile apps, two used web-based platforms, two utilized m-health solutions, one incorporated a video game, and one employed a telehealth application. The results revealed that two-thirds of the mobile applications were ineffective in enhancing physical activity. In contrast, one of the m-health applications proved to be effective. Additionally, web-based platforms, telehealth applications, and video games demonstrated effectiveness in increasing physical activity.

Conclusions

Technological interventions show promise for improving physical activity among childhood cancer survivors, with six studies demonstrating significant benefits. More research is needed to identify effective strategies and optimize intervention designs, focusing on long-term outcomes.

Implications for Nursing Practice

This systematic review assesses technology-based interventions aimed at promoting physical activity in childhood cancer survivors. The findings emphasize the potential and variability of digital tools, underscoring the necessity for additional research to refine intervention strategies and facilitate long-term physical activity among this group.
目标:儿童癌症幸存者通常会面临长期的健康挑战,如肌肉无力和肥胖。体育锻炼对于减轻这些影响至关重要,因此建议采用技术干预措施来促进体育锻炼。本系统性综述旨在评估技术干预对儿童癌症幸存者体育锻炼水平的影响:该系统性综述遵循 PRISMA 指南,纳入了截至 2024 年 5 月从各种数据库中发表的研究。乔安娜-布里格斯研究所(Joanna Briggs Institute)的关键评估工具用于评估研究质量。该研究已在 PROSPERO 注册,注册号为 CRD42024564857:共有九项研究被纳入综述:四项是随机对照试验(RCT),三项是可行性研究,两项是试点研究。这些研究共涉及 417 名儿童癌症幸存者,采用了多种技术干预措施。其中六项研究质量良好,三项质量一般。三项研究使用了移动应用程序,两项研究使用了网络平台,两项研究使用了移动医疗解决方案,一项研究结合了视频游戏,还有一项研究使用了远程医疗应用程序。研究结果表明,三分之二的移动应用程序在加强体育锻炼方面效果不佳。相比之下,有一个移动保健应用程序被证明是有效的。此外,基于网络的平台、远程保健应用和视频游戏在增加体育锻炼方面也显示出了有效性:结论:技术干预有望改善儿童癌症幸存者的体育锻炼,其中六项研究显示了显著的益处。需要开展更多的研究,以确定有效的策略并优化干预设计,重点关注长期结果:本系统综述评估了旨在促进儿童癌症幸存者体育锻炼的技术干预措施。研究结果强调了数字工具的潜力和可变性,强调有必要开展更多研究,以完善干预策略,促进这一群体的长期体育锻炼。
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引用次数: 0
The Effect of Virtual Reality Distraction and Fatigue Training on Anxiety and Fatigue Levels in Children with Cancer: A Randomized Controlled Study 虚拟现实分散注意力和疲劳训练对癌症患儿焦虑和疲劳水平的影响:随机对照研究
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151725
Gülçin Özalp Gerçeker , Murat Bektaş , Ayşe Önal , Aslı Akdeniz Kudubeş , Refik Emre Çeçen

Objectives

This randomized controlled trial evaluated the effect of virtual reality (VR) distraction and fatigue training on anxiety and fatigue in children with cancer.

Methods

The sample of this parallel design randomized controlled trial consisted of 41 children aged 7 to 16 who were receiving chemotherapy treatment in the pediatric hematology and oncology wards of a university hospital. Data was collected with the Child Anxiety Scale-State, Child Fatigue Scale-24-Hours, and Visual Fatigue Scale in both groups before and during the first three days of chemotherapy treatment. All children admitted to the clinic during chemotherapy received fatigue education. On the first, second, and third days of chemotherapy treatment, children in the study group underwent a 15-minute VR distraction intervention following stratified randomization. Repeated measures analysis of variance was used to compare scale scores by group, time, and group-time interaction.

Results

Of the patients, 63.4% were male, and 39% had neuroblastoma. There was no difference between the groups in terms of diagnosis, age, duration of diagnosis, chemotherapy, or hemoglobin levels. A statistically significant difference was found between the mean scores of the anxiety and fatigue scores in the intervention and control groups in terms of group, time, and group-time interaction.

Conclusion

Applying VR distraction on the first, second, and third days of chemotherapy treatment was found to be useful in lowering anxiety and fatigue levels in addition to fatigue training.

Implications for Nursing Practice

Virtual reality distraction is an effective method for reducing anxiety and fatigue in this population.
目的:本随机对照试验评估了虚拟现实(VR)分散注意力和疲劳训练对癌症儿童焦虑和疲劳的影响:这项随机对照试验评估了虚拟现实(VR)分散注意力和疲劳训练对癌症患儿焦虑和疲劳的影响:这项平行设计随机对照试验的样本包括 41 名 7 至 16 岁的儿童,他们正在一所大学医院的儿科血液和肿瘤病房接受化疗。在化疗前和化疗的前三天,两组儿童均使用儿童焦虑量表-状态、儿童疲劳量表-24 小时和视觉疲劳量表收集数据。所有在化疗期间入院的儿童都接受了疲劳教育。在化疗的第一天、第二天和第三天,研究组的儿童按照分层随机法接受了 15 分钟的 VR 转移注意力干预。重复测量方差分析用于比较不同组别、时间和组别-时间交互作用的量表得分:患者中有 63.4% 为男性,39% 患有神经母细胞瘤。各组之间在诊断、年龄、诊断持续时间、化疗或血红蛋白水平方面没有差异。干预组和对照组的焦虑和疲劳评分均值在组别、时间和组别-时间交互作用方面存在统计学差异:结论:在化疗的第一天、第二天和第三天应用虚拟现实分散注意力,除了疲劳训练外,还能有效降低焦虑和疲劳水平:对护理实践的启示:虚拟现实分散注意力是减轻该人群焦虑和疲劳的有效方法。
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引用次数: 0
Living with Kidney Cancer: How My Diagnosis Changed My Life 与肾癌共存:我的诊断如何改变了我的生活。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151748
Phil Richards MBE
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引用次数: 0
Development of a Scale to Assess Cancer Attitude in the Community 开发社区癌症态度评估量表。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151728
Neşe Uysal , Filiz Ünal Toprak

Aim

The aim of this study was to develop the Cancer Attitude Scale (CAS) and to evaluate its psychometric properties.

Methods

The study was conducted in a mixed-methods study. The preliminary version of the CAS was created by developing an item pool, and qualitative interviews. The items’ content validity ratio was calculated to assess content validity. Construct validity was assessed using exploratory factor analysis and confirmatory factor analysis. Internal consistency and test-retest methods were used to determine the reliability of the scale. The Cancer Information Burden Scale was used to evaluate the convergent validity of the scale. Three hundred twenty-five healthy individuals selected by convenience sampling method were included in this study.

Results

The CAS sub-dimensions were determined as cancer diagnosis, cancer prevention, stigmatization of individuals with cancer, and personal empowerment after cancer. The content validity of the 22-item scale was 0.94 and four factors explaining 56% of the variance. The model fit indices were χ2/df = 1.968, RMSEA = 0.055, SRMR = 0.085, and GFI = 0.904. . Cronbach's α and test-retest reliability coefficients of the total scale are 0.76 and 0.936, respectively. The CAS and Cancer Information Overload Scale showed acceptable convergent validity (r = 0.435, P < .001).

Conclusions

The Cancer Attitude Scale is a valid and reliable tool that can be applied to assess the attitudes of individuals in the community toward cancer in a multidimensional way.

Implications for Practice

Nurses play crucial roles in society, including enhancing cancer awareness, delivering counseling services, and providing health education. Cancer nursing should plan cancer awareness training in line with individuals’ attitudes toward cancer and encourage positive attitudes that increase participation in screening programs.
目的:本研究旨在编制癌症态度量表(CAS),并评估其心理测量特性:本研究采用混合方法进行。通过建立项目库和定性访谈创建了 CAS 的初步版本。为评估内容效度,计算了项目的内容效度比。结构效度采用探索性因子分析和确认性因子分析进行评估。采用内部一致性和重测法确定量表的可靠性。癌症信息负担量表用于评估量表的收敛效度。本研究采用便利抽样法选取了 325 名健康人:CAS的子维度被确定为癌症诊断、癌症预防、癌症患者的污名化和癌症后的个人赋权。22 项量表的内容效度为 0.94,四个因子解释了 56% 的方差。模型拟合指数为χ2/df = 1.968,RMSEA = 0.055,SRMR = 0.085,GFI = 0.904。.总量表的 Cronbach's α 和测试-再测信度系数分别为 0.76 和 0.936。癌症态度量表和癌症信息超载量表显示了可接受的收敛效度(r = 0.435,P < .001):癌症态度量表是一种有效、可靠的工具,可用于多维度评估社区中个人对癌症的态度:护士在社会中扮演着重要角色,包括提高癌症意识、提供咨询服务和健康教育。癌症护理应根据个人对癌症的态度来规划癌症意识培训,并鼓励积极的态度,从而提高筛查项目的参与度。
{"title":"Development of a Scale to Assess Cancer Attitude in the Community","authors":"Neşe Uysal ,&nbsp;Filiz Ünal Toprak","doi":"10.1016/j.soncn.2024.151728","DOIUrl":"10.1016/j.soncn.2024.151728","url":null,"abstract":"<div><h3>Aim</h3><div>The aim of this study was to develop the Cancer Attitude Scale (CAS) and to evaluate its psychometric properties.</div></div><div><h3>Methods</h3><div>The study was conducted in a mixed-methods study. The preliminary version of the CAS was created by developing an item pool, and qualitative interviews. The items’ content validity ratio was calculated to assess content validity. Construct validity was assessed using exploratory factor analysis and confirmatory factor analysis. Internal consistency and test-retest methods were used to determine the reliability of the scale. The Cancer Information Burden Scale was used to evaluate the convergent validity of the scale. Three hundred twenty-five healthy individuals selected by convenience sampling method were included in this study.</div></div><div><h3>Results</h3><div>The CAS sub-dimensions were determined as cancer diagnosis, cancer prevention, stigmatization of individuals with cancer, and personal empowerment after cancer. The content validity of the 22-item scale was 0.94 and four factors explaining 56% of the variance. The model fit indices were χ<sup>2</sup>/df = 1.968, RMSEA = 0.055, SRMR = 0.085, and GFI = 0.904. . Cronbach's α and test-retest reliability coefficients of the total scale are 0.76 and 0.936, respectively. The CAS and Cancer Information Overload Scale showed acceptable convergent validity (r = 0.435, <em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>The Cancer Attitude Scale is a valid and reliable tool that can be applied to assess the attitudes of individuals in the community toward cancer in a multidimensional way.</div></div><div><h3>Implications for Practice</h3><div>Nurses play crucial roles in society, including enhancing cancer awareness, delivering counseling services, and providing health education. Cancer nursing should plan cancer awareness training in line with individuals’ attitudes toward cancer and encourage positive attitudes that increase participation in screening programs.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"40 6","pages":"Article 151728"},"PeriodicalIF":2.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Barriers and Facilitators to Return to Work for Kidney Cancer Survivors: A 6-Month Longitudinal Study 评估肾癌幸存者重返工作岗位的障碍和促进因素:为期 6 个月的纵向研究。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151744
Xiaoping Chen , Shuhong Chen , Guolong Chen , Xiyuan Liu , Huiming Lu , Man Xu , Mengxiao Jiang

Objectives

This study aimed to investigate the factors that impact the readiness and success of kidney cancer survivors returning to work, providing insights for healthcare professionals, employers, and policymakers.

Methods

A prospective longitudinal study was conducted at Sun Yat-sen University Cancer Center from April 2022 to June 2023. The study enrolled 282 kidney cancer survivors aged 18 to 60 who completed three surveys at 1, 3, and 6 months postsurgery. Data collection involved telephone interviews and self-administered questionnaires, capturing sociodemographic information, medical history, and employment status, while follow-up assessments tracked return-to-work readiness. The scales used for analysis included the Generalized Anxiety Disorder Scale, the Patient Health Questionnaire, the Return-to-Work Self-Efficacy Questionnaire, the Perceived Social Support Scale, and the Brief Fatigue Inventory. Generalized Estimation Equations were applied to identify significant factors, with both single-factor and multivariate analyses performed to pinpoint the most critical variables.

Results

Return-to-work rates at 1, 3, and 6 months postsurgery were 26.9%, 59.9%, and 76.2%, respectively. Higher levels of anxiety, lower self-efficacy, older age, and greater fatigue were associated with reduced return-to-work rates. Physically demanding jobs posed more barriers compared to nonmanual roles. Significant factors identified in multivariate analysis included anxiety, self-efficacy, fatigue, and the nature of the patient's work.

Conclusion

Psychological, physical, and job-related factors play a crucial role in determining whether kidney cancer survivors can successfully return to work. Tailored support and flexible work arrangements could help kidney cancer survivors reintegrate into the workforce, leading to better long-term outcomes.

Implication for Nursing Practice

Nursing professionals can play a vital role in assessing and supporting kidney cancer survivors during their recovery process by addressing both psychological and physical factors. Incorporating return-to-work readiness into postoperative care plans, offering mental health support, and liaising with employers to create flexible working conditions could enhance the reintegration of survivors into the workforce.
研究目的本研究旨在调查影响肾癌幸存者重返工作岗位的准备程度和成功率的因素,为医护人员、雇主和政策制定者提供启示:中山大学肿瘤防治中心于 2022 年 4 月至 2023 年 6 月开展了一项前瞻性纵向研究。该研究共招募了 282 名年龄在 18 岁至 60 岁之间的肾癌幸存者,他们分别在术后 1 个月、3 个月和 6 个月时填写了三份调查问卷。数据收集包括电话访谈和自填问卷,收集社会人口学信息、病史和就业状况,而后续评估则跟踪重返工作岗位的准备情况。用于分析的量表包括广泛焦虑症量表、患者健康问卷、重返工作岗位自我效能问卷、感知社会支持量表和简易疲劳量表。应用广义估计方程确定重要因素,并进行单因素和多变量分析,以确定最关键的变量:结果:术后 1、3 和 6 个月的复工率分别为 26.9%、59.9% 和 76.2%。焦虑程度越高、自我效能感越低、年龄越大、疲劳程度越重,重返工作岗位的比率就越低。与非体力性工作相比,体力要求高的工作会造成更多障碍。多变量分析中发现的重要因素包括焦虑、自我效能感、疲劳和患者的工作性质:结论:心理、身体和工作相关因素在决定肾癌幸存者能否成功重返工作岗位方面起着至关重要的作用。有针对性的支持和灵活的工作安排可帮助肾癌幸存者重返工作岗位,从而获得更好的长期疗效:对护理实践的启示:护理专业人员在评估和支持肾癌幸存者的康复过程中,可以通过解决心理和生理因素发挥重要作用。将重返工作岗位的准备工作纳入术后护理计划,提供心理健康支持,并与雇主联系以创造灵活的工作条件,这些都能促进幸存者重返职场。
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引用次数: 0
Development and Psychometric Testing of the Efficacy Perception Scale for Suicide Risk Management for Oncology Nurses 肿瘤科护士自杀风险管理效能感知量表的开发与心理测试肿瘤科护士自杀风险管理效能感知量表》。
IF 2.3 4区 医学 Q1 NURSING Pub Date : 2024-12-01 DOI: 10.1016/j.soncn.2024.151740
Sevda Öztürk, Duygu Hiçdurmaz

Objectives

Oncology patients are one of the groups with high suicide risk and it is emphasized that oncology nurses' suicide risk management knowledge and skills are insufficient. Several studies have underlined the need to create training programs specifically for oncology nurses to increase their level of awareness, knowledge, skill, and efficacy in recognizing and managing suicide risk. A valid and reliable scale is required to assess the efficacy of suicide risk management for oncology nurses. This study aimed to develop the Efficacy Perception Scale for Suicide Risk Management for Oncology Nurses and evaluate its psychometric properties.

Methods

This methodological study was conducted in two stages. In the first stage, the authors conducted a literature review and qualitative study and examined other efficacy scales to generate items. In the second stage, the validity and reliability of the 26 items were determined. The scale content was validated based on feedback from 10 experts. Exploratory analysis of the scale was conducted with the data of 234 oncology nurses. Internal consistency and 2-week test-retest stability measured reliability.

Results

The scale's items met the required level of content validity (content validity rate = 0,62), were found to be understandable by 15 nurse (face validity), and all 26 items were retained in the item pool. The exploratory factor analysis extracted a unifactorial solution for the scale. The value of Cronbach's alpha for the scale was 0.96, and the inter-class reliability coefficient was 0.92.

Conclusion

The scale is a valid and reliable scale that might be used to assess the efficacy perception of oncology nurses for suicide risk management.

Implications for Nursing Practice

The assessment of oncology nurses' perceptions of efficacy in suicide risk management may enable the identification of training needs and the development of the content of suicide prevention trainings in parallel with the needs of nurses.
目的:肿瘤患者是自杀风险较高的群体之一,人们强调肿瘤科护士的自杀风险管理知识和技能不足。一些研究强调,有必要专门为肿瘤科护士制定培训计划,以提高她们在识别和管理自杀风险方面的意识、知识、技能和效率水平。需要一个有效可靠的量表来评估肿瘤科护士自杀风险管理的有效性。本研究旨在开发肿瘤科护士自杀风险管理效能认知量表,并评估其心理测量学特性:本方法研究分两个阶段进行。在第一阶段,作者进行了文献综述和定性研究,并研究了其他效能量表以生成项目。在第二阶段,确定了 26 个项目的有效性和可靠性。根据 10 位专家的反馈,对量表内容进行了验证。利用 234 名肿瘤科护士的数据对量表进行了探索性分析。内部一致性和 2 周重复测试稳定性测量了信度:结果:量表的项目符合所要求的内容效度水平(内容效度率=0.62),15 名护士可以理解(面效度),所有 26 个项目都保留在项目库中。探索性因子分析为量表提取了一个单因子解。量表的 Cronbach's alpha 值为 0.96,类间信度系数为 0.92:该量表有效可靠,可用于评估肿瘤科护士对自杀风险管理的效能感:对护理实践的启示:通过评估肿瘤科护士对自杀风险管理的效能感,可以确定培训需求,并根据护士的需求制定自杀预防培训的内容。
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引用次数: 0
期刊
Seminars in Oncology Nursing
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