Seminars in Oncology Nursing最新文献_第4页

What is the Lived Experience of People Affected by Cancer, Family Members, and Their Treatment Team Engaged in Patient Initiated Follow-Up and Preferences in Cancer Care: A Qualitative Systematic Review 癌症患者、家庭成员及其治疗团队参与患者主动随访和癌症护理偏好的生活经历：一项定性系统回顾。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152041

Catherine Paterson , Minh Chau , Murray R. Turner , Charlotte Primeau

Objectives

This qualitative systematic review aimed to explore the lived experiences of people affected by cancer, their families, and health care professionals involved in patient-initiated follow-up (PIFU). It sought to understand how PIFU is experienced in practice and what factors support or hinder its use.

Methods

A qualitative systematic review was conducted using the Joanna Briggs Institute meta-aggregation approach. Six databases were searched in July 2025. Studies were included if they reported qualitative data on the experiences of PIFU in cancer care. The findings were synthesized into overall findings and reviewed by multiple authors. The review followed PRISMA guidelines and was registered with PROSPERO (CRD420251103470).

Results

Eight studies (all UK-based) were included, involving 120 cancer survivors, 63 health care professionals, and 3 family members. Four synthesized findings emerged: (1) PIFU empowers patients but requires risk-based and personalized implementation; (2) PIFU supports self-management, but disparities in education, support, and communication exist; (3) PIFU is valued for cost-efficiency, convenience, and emotional relief; and (4) some patients still require face-to-face reassurance. PIFU was considered more suitable after a period of adjustment post-treatment and less suited for patients with high anxiety, limited health literacy, culturally and linguistically diverse, or psychosocial vulnerabilities.

Conclusions

PIFU can be a valuable follow-up option when aligned with individual capability and support needs. Implementation must consider psychosocial readiness, access to care, and preferences for reassurance.

Implications for Nursing Practice

Cancer nurses play a key role in preparing patients for PIFU by providing tailored education, supporting self-management, assessing readiness, and offering ongoing support. A nurse-led, flexible approach can ensure that follow-up care is both safe and person-centered.

目的：本定性系统综述旨在探讨受癌症影响的人、他们的家人和参与患者主动随访（PIFU）的医疗保健专业人员的生活经历。它试图了解PIFU在实践中的经验，以及支持或阻碍其使用的因素。方法：采用乔安娜布里格斯研究所的meta-aggregation方法进行定性系统评价。在2025年7月检索了6个数据库。如果研究报告了PIFU在癌症治疗中的定性数据，则纳入研究。这些发现被综合成总体发现，并由多位作者进行综述。该审查遵循PRISMA指南，并在PROSPERO注册（CRD420251103470）。结果：纳入了8项研究（均以英国为基础），涉及120名癌症幸存者、63名卫生保健专业人员和3名家庭成员。综合研究发现：(1)PIFU赋予患者权力，但需要基于风险和个性化的实施；(2) PIFU支持自我管理，但在教育、支持和沟通方面存在差距；(3) PIFU因成本效益、便利性和情绪缓解而受到重视；(4)一些患者仍然需要面对面的安慰。PIFU被认为更适合治疗后一段时间的调整，而不太适合高度焦虑、卫生知识有限、文化和语言多样化或心理社会脆弱性的患者。结论：当与个人能力和支持需求相一致时，PIFU可以是一个有价值的后续选择。实施必须考虑心理社会准备、获得护理的机会和对保证的偏好。对护理实践的启示：癌症护士通过提供量身定制的教育、支持自我管理、评估准备情况和提供持续支持，在为PIFU患者做好准备方面发挥着关键作用。护士主导的灵活方法可确保后续护理既安全又以人为本。

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引用次数: 0

How the Caring Life-Course Theory Can Enhance the Central Role of Communication Across the Cancer Care Continuum 关怀生命过程理论如何在癌症护理连续体中加强沟通的核心作用。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152019

Rebecca Feo , Alison Kitson , Catherine Paterson

引用次数: 0

Post-Traumatic Growth Characteristics and Influencing Factors in Japanese Patients with Postoperative Head and Neck Cancer: A Cross-Sectional Study 日本头颈癌术后患者创伤后生长特征及其影响因素：一项横断面研究

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152055

Hiroko Kokufu , Manami Miyauchi , Mami Fukushige , Yorihisa Orita , Hideki Nakayama

Purpose

Post-traumatic growth (PTG) refers to the positive changes experienced after a serious life crisis or traumatic event. However, studies on PTG in patients with head and neck cancer in Japan remain limited. Therefore, this study aimed to elucidate the characteristics of PTG and its influencing factors in Japanese patients with head and neck cancer who underwent surgery.

Methods

This study was conducted using a cross-sectional research design with self-administered questionnaires. The study included 76 adult patients with head and neck cancer who were being treated at a university hospital in a regional city in Japan, and who had undergone surgery between 6 months and 10 years previously. The questionnaire included the Japanese version of the PTGI-J, degree of psychological shock, coping strategies, and level of social support. Data analysis involved univariate and multivariate analyses, with PTGI-J scores as dependent variables.

Results

The average total score on the PTGI-J among patients with postoperative head and neck cancer was 50.2 (standard deviation = 17.2). Multiple regression analysis indicated that living with children and emotion-focused coping were significant predictors of increased PTGI-J scores. Emotion-focused coping showed the strongest positive correlation with the PTGI-J total score and all subscales.

Conclusions

Among Japanese patients following head and neck cancer surgery, emotion-focused coping and living with family members, particularly children, were suggested to play a significant role in promoting PTG.

Implications for Nursing Practice

As an intervention to promote PTG, it is important for nurses and other healthcare staff to provide supportive engagement that helps patients express and control their emotions. Furthermore, while providing appropriate information, it is necessary to strengthen relationships with the child-centered family and primary support system.

目的：创伤后成长（PTG）是指在经历严重的生活危机或创伤性事件后所经历的积极变化。然而，关于PTG在日本头颈癌患者中的研究仍然有限。因此，本研究旨在阐明日本头颈癌手术患者PTG的特点及其影响因素。方法：本研究采用自填问卷的横断面研究设计。该研究包括76名成年头颈癌患者，他们在日本一个地区城市的大学医院接受治疗，并在6个月至10年前接受过手术。问卷内容包括日文PTGI-J量表、心理冲击程度、应对策略、社会支持水平。数据分析包括单变量和多变量分析，以PTGI-J评分为因变量。结果：头颈癌术后患者PTGI-J总分平均为50.2分（标准差为17.2）。多元回归分析表明，与儿童一起生活和以情绪为中心的应对是PTGI-J评分升高的显著预测因素。情绪聚焦应对与PTGI-J总分及各分量表的正相关最强。结论：在日本头颈癌术后患者中，以情绪为中心的应对和与家庭成员（尤其是儿童）生活在促进PTG中起着重要作用。护理实践的启示：作为促进PTG的干预措施，护士和其他医护人员提供支持性参与，帮助患者表达和控制他们的情绪是很重要的。此外，在提供适当资料的同时，必须加强与以儿童为中心的家庭和初级支助系统的关系。

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引用次数: 0

Refining Electronic Patient-Reported Outcomes in Immuno-Oncology: Reflections on the IePRO Model of Care. 改进免疫肿瘤学患者报告的电子结果：对IePRO护理模式的反思。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152059

Parth Aphale, Shashank Dokania, Himanshu Shekhar

引用次数: 0

Applying the Caring Life-Course Theory to Explore Prostate Cancer Survivors’ Care Needs, Care Trajectories, And Self-Care Behaviors: A Qualitative Study 应用关怀生命历程理论探讨前列腺癌幸存者的照护需求、照护轨迹与自我照护行为：一项质性研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152017

Michael T. Lawless , Maria Alejandra Pinero de Plaza , Carla Thamm , Alison Kitson , Catherine Paterson

Objectives

This study applied the Caring Life-Course Theory to explore how men treated for localized prostate cancer with radical prostatectomy experience, interpret, and respond to their care needs pre- and postsurgery. The study aimed to examine how their self-care behaviors are shaped over time by individual, relational, and systemic factors.

Methods

Longitudinal semi-structured interviews were conducted with six participants at two time points: one week before and 12 weeks postsurgery. Secondary thematic analysis was conducted using the Caring Life-Course Theory as a guiding framework, with a focus on identifying care needs, care trajectories, and self-care behaviors across pre- and post-treatment periods.

Results

Participants engaged in self-care largely out of necessity, often without structured guidance or follow-up. Care needs were biographical and relational as well as physical, but these dimensions were rarely addressed in formal care planning. Masculine norms influenced help-seeking while access to informal support networks were critical in framing recovery experiences.

Conclusions

The Caring Life-Course Theory provides a valuable lens for understanding how self-care behaviors and care trajectories unfold over time in men with prostate cancer. Survivorship care should more intentionally and consistently assess self-care capability and capacity, elicit biographical information, and engage informal support networks.

Implications for Nursing Practice

Nurses are well-positioned to lead biographically and relationally informed survivorship care planning. Expanding access to specialist cancer nurses or patient navigators, integrating structured self-care assessments, biographical inquiry, and social network mapping, as well as fostering multidisciplinary coordination, can improve the delivery and personalization of survivorship care.

目的：本研究应用生命历程关怀理论探讨男性根治性前列腺癌患者术前、术后护理需求的体验、解释及回应。该研究旨在研究他们的自我护理行为是如何随着时间的推移受到个人、关系和系统因素的影响。方法：在术前1周和术后12周两个时间点对6名参与者进行纵向半结构化访谈。以关怀生命历程理论为指导框架，对治疗前后的护理需求、护理轨迹和自我护理行为进行二次专题分析。结果：参与者从事自我护理很大程度上是出于需要，往往没有结构化的指导或随访。护理需求是传记和关系以及身体，但这些方面很少在正式的护理计划中得到解决。男性规范影响寻求帮助，而获得非正式支持网络对构建康复经验至关重要。结论：关爱生命历程理论为理解前列腺癌患者的自我护理行为和护理轨迹如何随时间发展提供了有价值的视角。幸存者护理应该更加有意和一致地评估自我护理的能力和能力，获取传记信息，并参与非正式的支持网络。对护理实践的启示：护士很好地定位于领导传记和关系知情的幸存者护理计划。扩大对癌症专科护士或患者导路员的访问，整合结构化的自我护理评估、传记询问和社会网络映射，以及促进多学科协调，可以改善生存护理的提供和个性化。

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引用次数: 0

The Australian Cancer Plan through a Caring Life Course Lens: Moving from Cancer to Care by Placing the Person at the Center of Care 通过关爱生命历程镜头的澳大利亚癌症计划：通过将人置于关爱中心从癌症转移到关爱。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152020

Elise Button , Angela Rong Yang Zhang , Carla Thamm , Raymond J. Chan , Andreas Charalambous , Carolyn Ee , Greg Merlo , Gemma McErlean , Benjamin O. Anderson , Alison L. Kitson

Objective

We propose the Caring Life Course Theory (CLCT) as a lens that can inform and enrich national cancer policy and clinical practice. The purpose of this discussion paper is to highlight how a CLCT lens can inform the implementation of a national cancer control plan, using sections of the Australian Cancer Plan as examples—Optimal Care Pathways and the Australian Comprehensive Cancer Network.

Methods

This discussion paper presents novel suggestions by drawing on CLCT concepts—care biographies, care networks, and self-care. Contrasting “current state” and “future state” vignettes are described to demonstrate how CLCT can help cancer policy move from cancer to care. Based on a robust theoretical lens, recommendations for policy and practice have been made at the micro, meso, and macro levels, with reflection on the nurses’ role, and application to other national cancer control plans.

Results

Optimal care pathways should include holistic assessments that incorporate broader histories at key clinical time points. The Australian Comprehensive Care Network should consider the holistic needs of people affected by cancer, and harness innovative approaches for how these needs can be met in a networked approach. In addition to clinical considerations, understanding of an individual’s care biography, care network, and self-care can inform the delivery of high-quality cancer care. Implementation of these aspects of care will be led by nurses, supported by a multidisciplinary team.

Conclusions

A CLCT lens can help support implementation of the aspirational person-centered objectives described in the ACP. The potential exists for application of the CLCT approach to other national cancer control plans, including those in low-resource settings.

Implications for Nursing Practice

Nurses play a vital role in leading the implementation of person-centered dimensions of cancer control plans and core aspects of the CLCT approach.

目的：我们提出关爱生命历程理论（CLCT）作为一个透镜，可以为国家癌症政策和临床实践提供信息和丰富。本讨论文件的目的是强调CLCT镜头如何为国家癌症控制计划的实施提供信息，以澳大利亚癌症计划的部分为例-最佳护理途径和澳大利亚综合癌症网络。方法：本讨论论文通过借鉴CLCT的概念——护理传记、护理网络和自我护理，提出新颖的建议。对比“当前状态”和“未来状态”的小插曲描述了CLCT如何帮助癌症政策从癌症转向护理。基于强大的理论视角，在微观、中观和宏观层面提出了政策和实践建议，反思了护士的作用，并将其应用于其他国家癌症控制计划。结果：最佳护理路径应包括在关键临床时间点纳入更广泛病史的整体评估。澳大利亚综合护理网络应考虑癌症患者的整体需求，并利用创新方法以网络方式满足这些需求。除了临床考虑外，了解个人的护理经历、护理网络和自我护理可以为提供高质量的癌症护理提供信息。这些护理方面的实施将由护士领导，并得到多学科小组的支持。结论：CLCT镜头可以帮助支持ACP中描述的以人为本的理想目标的实施。存在将CLCT方法应用于其他国家癌症控制计划的潜力，包括那些资源匮乏的国家。对护理实践的启示：护士在领导实施以人为本的癌症控制计划和CLCT方法的核心方面发挥着至关重要的作用。

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引用次数: 0

Enabling Personalized Needs-Based Cancer Patient Navigation Using a Caring Life-Course Approach 使用关怀生命历程方法实现基于个性化需求的癌症患者导航。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152021

Carla Thamm , Oluwaseyifunmi Andi Agbejule , Elise Button , Michael T. Lawless , Catherine Paterson , Candice Oster , Svetlana Bogomolova , Jacqueline L. Bender , Imogen Ramsey , Fiona Crawford-Williams , Carolyn Ee , Raymond J. Chan

Objectives

Evidence suggests that patient navigation can help address ongoing barriers to accessing timely, appropriate, and quality cancer care. Patient navigation interventions include education, logistical, social, and emotional support, facilitating referrals, care coordination, patient advocacy, and enabling self-management. We propose that a person-centered approach to cancer patient navigation could be strengthened by the Caring Life-Course Theory (CLCT).

Methods

This discussion paper draws on relevant evidence, policy, and theory to propose a way of considering patient navigation service provision reflective of personal biographies, lived experiences, social networks, and broader structural, community, and healthcare contexts.

Results

A CLCT-informed, personalized, needs-based patient navigation program in cancer care would facilitate a wider range of patient-centered choices and optimize self-management and self-care by integrating biographical inquiry and care networks, thus improving the delivery and personalization of navigation services. Enhanced technology should be used to support a dynamic approach to patient navigation and develop biographically informed assessment tools and care plans that triage patients to different levels of navigation according to patient needs, self-care abilities, and capacity.

Conclusions

We propose that a person-centered, needs-based approach to patient navigation can be informed by the CLCT, taking into consideration the holistic needs of people affected by cancer and developing approaches to optimize self-management and self-care in relation to these needs.

Implications for Nursing Practice

Cancer nurses, as holistic care providers, are well-positioned to lead the development and delivery of biographically and social network-informed navigation needs, assessments, and structured patient navigation services.

目的：有证据表明，患者导航可以帮助解决获得及时、适当和高质量癌症治疗的持续障碍。患者导航干预措施包括教育、后勤、社会和情感支持、促进转诊、护理协调、患者宣传和实现自我管理。我们建议通过关怀生命历程理论（CLCT）来加强以人为本的癌症患者导航方法。方法：本讨论论文借鉴相关证据、政策和理论，提出一种考虑患者导航服务提供的方法，该方法反映了个人传记、生活经历、社会网络以及更广泛的结构、社区和医疗保健背景。结果：一个基于clct的、个性化的、基于需求的癌症患者导航项目将通过整合传记查询和护理网络，促进更广泛的以患者为中心的选择，优化自我管理和自我护理，从而改善导航服务的提供和个性化。应该使用增强的技术来支持患者导航的动态方法，并开发传记信息评估工具和护理计划，根据患者的需求、自我护理能力和能力将患者分类到不同的导航级别。结论：我们建议，CLCT可以为患者导航提供以人为本、以需求为基础的方法，考虑到癌症患者的整体需求，并根据这些需求开发优化自我管理和自我护理的方法。对护理实践的启示：癌症护士，作为整体护理提供者，有能力领导发展和提供传记和社会网络信息导航需求，评估和结构化的患者导航服务。

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引用次数: 0

Effectiveness of Simulation-Based Interventions in Improving Clinical Competencies of Pediatric Oncology Nursing: A Systematic Review 基于模拟的干预措施在提高儿科肿瘤护理临床能力方面的有效性：一项系统综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.soncn.2025.152052

Eyşan Hanzade Savaş , Aslı Akdeniz Kudubeş , Remziye Semerci , Münevver Erkul , Sevil Özkan , Fatma Taş Arslan

Background

Pediatric oncology nursing involves complex clinical and emotional care, yet many nurses feel unprepared for its demands. Simulation-based education offers experiential training to enhance clinical skills and emotional readiness. This systematic review aims to evaluate the effectiveness of simulation-based educational interventions in enhancing the clinical competencies of pediatric oncology nurses.

Methods

A comprehensive search was conducted in six databases: PubMed, Web of Science, Cochrane, MEDLINE, CINAHL, and Scopus. The inclusion criteria comprised empirical studies involving simulation-based training targeting pediatric oncology care competencies. The study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Methodological quality was assessed using the Standardized Quality Assessment Criteria.

Results

Eight studies published between 2007 and 2024 were included in the review. Simulation-based interventions improved nurses’ confidence, self-efficacy, communication, and adherence to chemotherapy safety protocols. High-fidelity simulations were the most frequently used method. Hybrid simulations incorporating storytelling and video feedback promoted team-based learning and empathy. Most studies demonstrated moderate to high methodological quality.

Conclusion

Simulation-based education enhances clinical competencies in pediatric oncology nursing, particularly in preparing nurses for oncologic emergencies, procedural pain, and end-of-life care. Despite promising results, methodological heterogeneity and the predominance of short-term outcome evaluations limit the generalizability of findings. Standardized simulation frameworks and long-term assessments are recommended to strengthen evidence-based nursing education.

Implication to practice

Simulation-based education enhances core competencies in pediatric oncology nursing and should be integrated into education. Standardized frameworks and longitudinal evaluations can strengthen its evidence-based practice.

背景：小儿肿瘤护理涉及复杂的临床和情感护理，但许多护士对其需求感到措手不及。以模拟为基础的教育提供了经验培训，以提高临床技能和情感准备。本系统综述旨在评估基于模拟的教育干预在提高儿科肿瘤学护士临床能力方面的有效性。方法：综合检索PubMed、Web of Science、Cochrane、MEDLINE、CINAHL、Scopus 6个数据库。纳入标准包括实证研究，包括以儿童肿瘤护理能力为目标的基于模拟的培训。本研究遵循系统评价和元分析的首选报告项目。采用标准化质量评估标准评估方法学质量。结果：2007年至2024年间发表的8项研究被纳入综述。基于模拟的干预措施提高了护士的信心、自我效能、沟通和对化疗安全方案的依从性。高保真度模拟是最常用的方法。结合讲故事和视频反馈的混合模拟促进了基于团队的学习和同理心。大多数研究显示出中等到高的方法学质量。结论：以模拟为基础的教育提高了儿童肿瘤护理的临床能力，特别是在准备护士应对肿瘤急症、程序性疼痛和临终关怀方面。尽管结果令人鼓舞，但方法的异质性和短期结果评估的优势限制了研究结果的普遍性。建议采用标准化的模拟框架和长期评估来加强循证护理教育。对实践的启示：以模拟为基础的教育提高了儿童肿瘤护理的核心能力，应纳入教育。标准化框架和纵向评价可以加强其循证实践。

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引用次数: 0

Health Literacy, Self-Management and Patient-Reported Outcomes in Prostate Cancer Survivors: A Mixed Methods Systematic Review. 前列腺癌幸存者的健康素养、自我管理和患者报告的结果：一项混合方法的系统评价。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-11-28 DOI: 10.1016/j.soncn.2025.152056

Sarah Sheehan, Leticia Bernués-Caudillo, Aoife de Brún, Amanda Drury

Objectives: To systematically review the literature to identify the influence of health literacy on self-management behaviours and patient-reported outcomes of individuals with prostate cancer.

Methods: A mixed methods systematic was review was conducted in accordance with the Joanna Briggs Institute methodology for systematic reviews. This review is reported according to PRISMA 2020 statement. Six electronic databases (Medline, CINAHL, PsycInfo, Web of Science, Embase, Scopus) were searched in December 2023 using the key terms "prostate cancer" and "health literacy."

Results: Ten articles describing nine studies were included. The findings indicate that, among those living with a prostate cancer diagnosis, there is a significant association between low health literacy and poorer self-management behaviours and patient-reported outcomes, including poorer quality of life, greater fear of progression and treatment regret. Among the included studies, there was high variability in how low health literacy was measured, evaluated and reported, limiting the ability to draw robust comparisons between the levels of health literacy across the included studies.

Conclusions: This review establishes a relationship between low health literacy and a range of health outcomes for prostate cancer survivors. Further research is needed to consolidate this evidence using validated, comprehensive health literacy measures consistently across studies.

Implications for nursing practice: Cancer nurses have a critical role in supporting access, interpretation and utilisation of health information in the self-management of cancer-related effects. Cancer nurses should use universal precautions when communicating with those living with prostate cancer, assuming that anyone may have health literacy difficulties and adjust communication accordingly. Additionally, cancer nurses should also aim to embed information regarding self-management behaviours in routine care for this population.

目的：系统地回顾文献，以确定健康素养对前列腺癌患者自我管理行为和患者报告结果的影响。方法：按照Joanna Briggs研究所的系统评价方法，采用混合方法进行系统评价。本综述根据PRISMA 2020声明进行报告。6个电子数据库（Medline， CINAHL, PsycInfo, Web of Science, Embase, Scopus）于2023年12月以“前列腺癌”和“健康素养”为关键词进行检索。结果：纳入了10篇文章，描述了9项研究。研究结果表明，在诊断为前列腺癌的患者中，低健康素养与较差的自我管理行为和患者报告的结果（包括较差的生活质量、更大的进展恐惧和治疗后悔）之间存在显著关联。在纳入的研究中，衡量、评估和报告低卫生素养的方式存在很大差异，限制了在纳入的研究中对卫生素养水平进行有力比较的能力。结论：本综述建立了低健康素养与前列腺癌幸存者一系列健康结果之间的关系。需要进一步的研究来巩固这一证据，在所有研究中始终如一地使用经过验证的全面卫生素养措施。对护理实践的影响：癌症护士在癌症相关影响的自我管理中支持获取、解释和利用健康信息方面发挥着关键作用。癌症护士在与前列腺癌患者交流时应采取普遍预防措施，假设任何人都可能有健康知识障碍，并相应地调整沟通。此外，癌症护士还应致力于将有关自我管理行为的信息嵌入到对这一人群的日常护理中。

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引用次数: 0

The Influence of Illness Perception on Dyadic Coping in Patients with Cancer and Their Spouses: A Cross-Sectional Study. 疾病知觉对癌症患者及其配偶二元应对的影响：一项横断面研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-11-25 DOI: 10.1016/j.soncn.2025.152058

Peng Liu, Zihan Li, Ankang Liu, Yishang Zhuo, Qinyang Wu, Yingying Cheng, Qiaohong Yang

Objectives: Positive dyadic coping helps cancer couples address health challenges, and illness perception is closely linked to coping strategy choices. Prior research predominantly examined individual-level associations. Our study aims to explore the interactive associations between illness perception, its dissimilarities, and dyadic coping in cancer couples.

Methods: We recruited 263 cancer couples from hospitals (November 2022 and December 2023) using convenience sampling. Participants completed the Dyadic Coping Inventory and the Brief Illness Perception Questionnaire. We applied the Actor-Partner Interdependence Model and constructed the Dyadic Dissimilarity Model using AMOS 24.0.

Results: Patients with cancer and their spouses exhibited a moderate degree of dyadic coping. Patients' dyadic coping showed actor effects with cognitive representations (β = -0.194, P = .016) and partner effects with emotional representations (β = 0.173, P = .023), as well as with illness comprehensibility (β = -0.264, P = .001). Spouses' dyadic coping exhibited actor effects with cognitive representations (β = -0.198, P = .007) and illness comprehensibility (β = -0.287, P = .001), and a partner effect with emotional representations (β = 0.206, P = .01). Dyadic coping correlated significantly with dissimilarities in cognitive representations and illness comprehensibility.

Conclusions: Dyadic coping correlates with both individuals' and their partners' illness perceptions, and couples' dissimilarity in illness perception also impacts dyadic coping.

Implications for nursing practice: Healthcare professionals should adopt dyadic assessments to identify dissimilarities in illness perceptions between cancer patients and their spouses. Developing targeted interventions to align cognitive representations and facilitate shared illness comprehensibility is crucial, which can enhances dyadic coping.

目的：积极的二元应对有助于癌症夫妇应对健康挑战，疾病感知与应对策略选择密切相关。先前的研究主要考察个人水平的关联。本研究旨在探讨癌症夫妇的疾病感知、疾病感知差异与二元应对之间的互动关系。方法：采用方便抽样的方法，于2022年11月至2023年12月从医院抽取263对癌症夫妇。参与者完成了二元应对量表和简短疾病感知问卷。运用行动者-合作伙伴相互依赖模型，利用AMOS 24.0构建二元不相似性模型。结果：癌症患者及其配偶表现出中等程度的二元应对。患者二元应对表现为认知表征的行为人效应（β = -0.194, P = 0.016）、情绪表征的伴侣效应（β = 0.173, P = 0.023）和疾病可理解性效应（β = -0.264, P = 0.001）。配偶二元应对表现出认知表征的行为人效应（β = -0.198, P = .007）和疾病可理解性（β = -0.287, P = .001）和情绪表征的伴侣效应（β = 0.206, P = .01）。二元应对与认知表征和疾病可理解性差异显著相关。结论：二元应对与个体及其伴侣的疾病知觉相关，夫妻疾病知觉差异对二元应对也有影响。对护理实践的启示：医疗保健专业人员应该采用二元评估来识别癌症患者及其配偶之间疾病认知的差异。制定有针对性的干预措施以协调认知表征并促进共同疾病的可理解性至关重要，这可以增强二元应对。

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