Seminars in Oncology Nursing最新文献_第4页

The Use of Novel Instrumented Socks to Detect Changes in Daily Life Mobility During an Exercise Intervention in Prostate Cancer Survivors Treated with Androgen Deprivation Therapy 使用新型仪器袜检测接受雄激素剥夺疗法的前列腺癌幸存者在运动干预期间日常生活活动能力的变化。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151658

Objectives

To describe changes in daily life mobility in prostate cancer survivors treated with androgen deprivation therapy (ADT) after a 6-month exercise intervention using novel instrumented socks and to identify characteristics of participants who exhibited changes in daily life mobility.

Methods

A subset of participants in a fall prevention exercise trial completed objective tests and patient-reported surveys of physical functioning, and wore instrumented socks for up to 7 days to measure daily life mobility. Changes in cadence, double support proportion, and pitch angle of the foot at toe-off were selected as measures of daily life mobility previously found to be different in men exposed to ADT for prostate cancer versus controls. Daily life mobility was compared from baseline to 6 months using paired t-tests. Characteristics of responders who improved their daily life mobility were compared to nonresponders using two-sample t-tests, Chi-squared proportion tests, or Fisher's Exact Tests.

Results

Our sample included 35 prostate cancer survivors (mean age 71.6 ± 7.8 years). Mean cadence, double support proportion, and pitch angle at toe-off did not change significantly over 6 months of exercise, but 14 participants (40%) improved in at least two of three daily life mobility measures (“responders”). Responders were characterized by lower physical functioning, lower cadence in daily life, fewer comorbidities, and better social and mental/emotional functioning.

Conclusions

Certain daily life mobility measures potentially impacted by ADT could be measured with instrumented socks and improved by exercise. Men who start with lower physical functioning and better social and mental/emotional functioning appear most likely to benefit, possibly because they have more to gain from exercise and are able to engage in a 6-month intervention.

Implications for Nursing Practice

Technology-based approaches could provide nurses with an objective measure of daily life mobility for patients with chronic illness and detect who is responding to rehabilitation.

目的描述接受雄激素剥夺疗法（ADT）治疗的前列腺癌幸存者在使用新型仪器袜进行为期6个月的运动干预后日常生活活动能力的变化，并确定日常生活活动能力发生变化的参与者的特征：方法：参加预防跌倒运动试验的一部分参与者完成了客观测试和患者报告的身体功能调查，并穿了长达7天的带仪器的袜子来测量日常生活中的活动能力。在测量日常生活活动能力时，我们选择了步频、双支撑比例和脚尖着地时脚尖的俯仰角度的变化，这些指标以前曾被发现在因前列腺癌接受 ADT 治疗的男性与对照组中存在差异。采用配对t检验比较了从基线到6个月的日常生活活动能力。使用双样本t检验、卡方比例检验或费雪精确检验比较日常生活活动能力得到改善的应答者与未应答者的特征：我们的样本包括 35 名前列腺癌幸存者（平均年龄为 71.6 ± 7.8 岁）。在6个月的锻炼过程中，平均步频、双支撑比例和脚尖起立时的俯仰角度没有发生显著变化，但14名参与者（40%）在三项日常生活活动能力测量中至少有两项得到改善（"应答者"）。应答者的特点是身体机能较低、日常生活中的步幅较小、合并症较少以及社交和心理/情感机能较好：结论：某些可能受 ADT 影响的日常生活活动能力可以通过仪器袜子进行测量，并通过锻炼得到改善。开始时身体功能较差、社会和心理/情感功能较好的男性似乎最有可能从中受益，这可能是因为他们能从锻炼中获得更多益处，并能参与为期 6 个月的干预：护理实践的启示：基于技术的方法可为护士提供一种衡量慢性病患者日常生活活动能力的客观指标，并检测出哪些患者对康复治疗有反应。

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引用次数: 0

Assistive Devices for Addressing Mobility Impairments Linked to Cancer and Cancer Treatment: An Expert Perspective 用于解决与癌症和癌症治疗相关的行动障碍的辅助设备：专家视角。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151683

Objectives

Cancer survivors often experience mobility impairments that negatively impact their ability to engage in everyday activities. Healthcare providers working with patients in the continuum of cancer care play essential roles in identifying and addressing mobility impairments. The objective of this article is to present common assistive devices valuable in managing cancer and cancer treatment-related mobility impairments.

Methods

Peer-reviewed scientific publications and expert opinions.

Results

This article highlights assistive devices commonly used in various settings of cancer care and describes how they address different impairments faced by cancer survivors. The information presented can potentially serve as a resource when training clinical staff (eg, oncology nursing staff) on device provision across all settings. The information can also be useful for patients and caregivers to learn about potential functional impairments linked to cancer and treatments and assistive devices that can be useful to improve patients’ functional capacity and reduce caregiver burden.

Conclusion

It is essential to involve different team members to identify and select the most appropriate assistive devices that match the patient's functional needs and physical capacity and to train them in device use so they can safely carry out their daily routine.

Implications for Nursing Practice

Oncology nurses are one of the first providers to identify mobility impairments in cancer patients. This article will help increase their knowledge in common assistive devices valuable for addressing various mobility impairments associated with cancer and treatments. With additional training on device provision, oncology nurses will be more empowered to collaborate with rehabilitation to identify potential mobility impairments, initiate device provision, and encourage their patients to work with therapy services. Ultimately this could reduce injuries linked to mobility impairments and improve the patient's functional independence and overall quality of life.

目标：癌症幸存者经常会出现行动障碍，这对他们参与日常活动的能力产生了负面影响。为患者提供持续癌症护理的医疗服务提供者在识别和解决行动障碍方面发挥着至关重要的作用。本文旨在介绍常见的辅助设备，这些设备在管理癌症和癌症治疗相关的行动障碍方面具有重要价值：方法：同行评审的科学出版物和专家意见：本文重点介绍了各种癌症护理环境中常用的辅助器具，并介绍了这些器具如何解决癌症幸存者面临的不同障碍。所提供的信息可作为培训临床人员（如肿瘤护理人员）在各种环境中提供辅助设备的资源。这些信息也有助于患者和护理人员了解与癌症和治疗相关的潜在功能障碍，以及有助于提高患者功能能力和减轻护理人员负担的辅助设备：有必要让不同的团队成员参与进来，根据患者的功能需求和体能确定和选择最合适的辅助设备，并对他们进行设备使用培训，以便他们能够安全地完成日常工作：肿瘤科护士是最早发现癌症患者行动障碍的医护人员之一。这篇文章将有助于增加她们对常见辅助器具的了解，这些器具对于解决与癌症和治疗相关的各种行动障碍问题很有价值。通过提供更多辅助器具方面的培训，肿瘤科护士将更有能力与康复科合作，识别潜在的行动障碍、主动提供辅助器具并鼓励患者配合治疗服务。最终，这将减少与行动障碍相关的伤害，提高患者的功能独立性和整体生活质量。

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引用次数: 0

Enhancing Mobility and Well-Being in Older Adults with Cancer 增强老年癌症患者的行动能力和幸福感。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151674

Objective

To analyze mobility challenges in older adult with cancer.

Methods

Data from previous literature was extracted and analyzed pertaining to the topic of interest.

Results

Mobility issues for the older adult with cancer are multi-factorial and are impacted by age-related changes, comorbidities, cancer itself, and cancer treatment.

Conclusions

Proven benefits have been suggested with mobility assessments, exercise and dietary interventions, and cancer rehabilitation programs however further research is needed to define integration and utilization of programs, facilitation of cancer survivors returning to work, inclusion of socially disadvantaged patients, program compliance, economic aspects, and caregiver involvement to improve quality of life across the cancer continuum.

Implications for Nursing Practice

Oncology nurses are in a key role to impact the care of the older adult with cancer with mobility through patient assessment of mobility function, facilitation of patient referrals for supportive services and cancer rehabilitation and execution of nurse-led intervention programs.

目的分析老年癌症患者的行动障碍：方法：从以往的文献中提取数据，并对相关主题进行分析：癌症老年人的行动能力问题是多因素的，受到年龄变化、合并症、癌症本身和癌症治疗的影响：然而，还需要进一步的研究来确定项目的整合和利用、促进癌症幸存者重返工作岗位、将社会处境不利的患者纳入其中、项目的依从性、经济方面以及护理人员的参与，以提高癌症患者的生活质量：对护理实践的启示：通过对患者的行动功能进行评估、促进患者转诊以获得支持性服务和癌症康复服务，以及实施由护士主导的干预计划，肿瘤科护士在为患有癌症且行动不便的老年人提供护理服务方面发挥着关键作用。

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引用次数: 0

Deconditioning in Hospitalized Patients with Cancer 住院癌症患者的体质下降。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151676

Objectives

Provide an overview of hospital-associated deconditioning in hospitalized patients with cancer, including risk factors and trajectory of deconditioning. Discuss interdisciplinary roles in preventing deconditioning, best practices, and oncology nursing implications.

Methods

A literature search was conducted in PubMed and on Google Scholar using search terms Hospital*, Mobility, Immobility, Deconditioning, Cancer, and Oncology. Peer-reviewed research studies, review articles, and websites of professional organizations were reviewed to provide an overview on mobility concerns in hospitalized patients with cancer.

Results

Thirty-eight references were included in this overview of hospital-associated deconditioning (HAD) in patients with cancer. HAD is a widespread phenomenon with grave consequences. Patients with cancer are particularly vulnerable to HAD due to their cancer diagnosis and treatment effects. Physical activity in hospitalized patients is one of the most important practices to prevent HAD and is achieved through standardized mobility assessment and interdisciplinary collaboration.

Conclusions

Promoting mobility in hospitalized patients with cancer is essential to prevent the complications of HAD.

Implications for Nursing Practice

Nurses are leaders of the interdisciplinary approach to enhance inpatient mobility. As they are most often at the bedside, nurses assess patients’ level of mobility, recognize risk factors for HAD, and implement safe mobility interventions. Nurses experience barriers to promoting mobility including workforce shortages, high workloads, and competing priorities.

目标：概述住院癌症患者中与医院相关的机能减退，包括风险因素和机能减退的轨迹。讨论跨学科在预防失调中的作用、最佳实践以及肿瘤护理的意义：在 PubMed 和 Google Scholar 上进行文献检索，使用的检索词包括医院*、移动性、不移动性、衰竭、癌症和肿瘤学。对同行评议的研究报告、评论文章和专业组织的网站进行了审查，以提供有关住院癌症患者行动不便问题的概述：本综述共收录了 38 篇关于癌症患者住院相关机能减退（HAD）的参考文献。HAD 是一种普遍现象，后果严重。由于癌症诊断和治疗效果，癌症患者尤其容易出现 HAD。住院患者的体育锻炼是预防HAD的最重要措施之一，可通过标准化的活动能力评估和跨学科合作来实现：结论：促进住院癌症患者的行动能力对于预防 HAD 的并发症至关重要：护士是提高住院患者行动能力的跨学科方法的领导者。由于护士通常都在床边，因此她们可以评估患者的行动能力水平，识别导致 HAD 的风险因素，并实施安全的行动能力干预措施。护士在促进行动能力方面会遇到各种障碍，包括劳动力短缺、工作量大以及优先事项相互竞争。

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引用次数: 0

Enhancing Mobility in Oncology: Evidence-Based Practices Across the Care Continuum 增强肿瘤患者的行动能力：基于证据的持续护理实践》。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151677

Objectives

Provide an overview of research-derived insights aimed at elucidating best practices for enhancing mobility in patients with cancer throughout the entirety of the care continuum. Highlighting the value of a multidisciplinary approach involving various healthcare professionals to optimize mobility outcomes for patients with cancer and the benefits of different approaches.

Methods

A literature search was conducted in PubMed/Medline, CINAHL, Scopus, Embase, and on Google Scholar using search terms, mobility, exercise, cancer, nurs*, physical activity, pre-habilitation, rehabilitation, best practices. Systematic reviews, meta-analyses, peer reviewed research studies, exercise, and physical activity recommendations were reviewed to provide a comprehensive overview of strategies aimed at enhancing mobility in patients with cancer.

Results

Twenty-nine references were included in this overview of enhancing mobility in patients with cancer across the care continuum.

Conclusions

Evidence-based strategies prioritize enhancing mobility for patients with cancer, aiming to boost physical functioning and overall quality of life. Healthcare providers should consider each patient's unique needs and limitations when implementing these evidence-based approaches, emphasizing a multidisciplinary approach involving oncologists, surgeons, nurses, physical therapists, occupational therapists, and other professionals to ensure comprehensive and personalized care focused on improving mobility.

Implications for Nursing Practice

Nurses advocate for incorporating exercise into cancer care plans throughout the entire treatment journey, collaborating with healthcare team members to tailor programs to individual patient needs. Working together as an interdisciplinary team, nurses help develop an overall care plan that emphasizes exercise as an important aspect of cancer care, using their expertise to create customized exercise routines to encourage and motivate patients to participate in physical activity.

目标：概述研究得出的见解，旨在阐明在整个护理过程中提高癌症患者行动能力的最佳实践。强调不同医护人员参与的多学科方法对优化癌症患者行动能力结果的价值，以及不同方法的益处：在PubMed/Medline、CINAHL、Scopus、Embase和Google Scholar上进行了文献检索，使用的检索词包括：行动能力、运动、癌症、护理*、体育活动、康复前、康复、最佳实践。对系统综述、荟萃分析、同行评审研究、运动和体育锻炼建议进行了审查，以全面了解旨在增强癌症患者活动能力的策略：结果：本综述共收录了29篇关于在整个护理过程中提高癌症患者活动能力的参考文献：基于证据的策略优先考虑增强癌症患者的行动能力，旨在提高患者的身体机能和整体生活质量。医疗服务提供者在实施这些循证方法时应考虑每位患者的独特需求和局限性，强调肿瘤学家、外科医生、护士、理疗师、职业治疗师和其他专业人员参与的多学科方法，以确保提供以改善行动能力为重点的全面、个性化护理：护士提倡在整个治疗过程中将运动纳入癌症护理计划，并与医疗团队成员合作，根据患者的不同需求制定相应的计划。作为一个跨学科团队，护士可以帮助制定整体护理计划，强调运动是癌症护理的一个重要方面，并利用其专业知识制定个性化的运动程序，鼓励和激励患者参加体育锻炼。

{"title":"Enhancing Mobility in Oncology: Evidence-Based Practices Across the Care Continuum","authors":"","doi":"10.1016/j.soncn.2024.151677","DOIUrl":"10.1016/j.soncn.2024.151677","url":null,"abstract":"<div><h3>Objectives</h3><p>Provide an overview of research-derived insights aimed at elucidating best practices for enhancing mobility in patients with cancer throughout the entirety of the care continuum. Highlighting the value of a multidisciplinary approach involving various healthcare professionals to optimize mobility outcomes for patients with cancer and the benefits of different approaches.</p></div><div><h3>Methods</h3><p><span>A literature search was conducted in PubMed/Medline, CINAHL<span>, Scopus, </span></span>Embase<span>, and on Google Scholar using search terms, mobility, exercise, cancer, nurs*, physical activity, pre-habilitation, rehabilitation, best practices. Systematic reviews, meta-analyses, peer reviewed research studies, exercise, and physical activity recommendations were reviewed to provide a comprehensive overview of strategies aimed at enhancing mobility in patients with cancer.</span></p></div><div><h3>Results</h3><p>Twenty-nine references were included in this overview of enhancing mobility in patients with cancer across the care continuum.</p></div><div><h3>Conclusions</h3><p>Evidence-based strategies prioritize enhancing mobility for patients with cancer, aiming to boost physical functioning and overall quality of life<span>. Healthcare providers should consider each patient's unique needs and limitations when implementing these evidence-based approaches, emphasizing a multidisciplinary approach involving oncologists, surgeons, nurses, physical therapists, occupational therapists, and other professionals to ensure comprehensive and personalized care focused on improving mobility.</span></p></div><div><h3>Implications for Nursing Practice</h3><p>Nurses advocate for incorporating exercise into cancer care plans throughout the entire treatment journey, collaborating with healthcare team members to tailor programs to individual patient needs. Working together as an interdisciplinary team, nurses help develop an overall care plan that emphasizes exercise as an important aspect of cancer care, using their expertise to create customized exercise routines to encourage and motivate patients to participate in physical activity.</p></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141629232","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

The Power of Movement: Enhancing Mobility in Cancer Care 运动的力量：增强癌症护理中的移动能力。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151691

引用次数: 0

Care Needs, Challenges, and Experiences of Sexual and Gender Minority Cancer Survivors in Taiwan: Findings from a Qualitative Study 台湾少数性与性别癌症幸存者的护理需求、挑战与经验：定性研究结果。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151694

Objectives

This study aimed to explore the care needs, challenges, and experiences of cancer care among sexual and gender minority (SGM) cancer survivors in Taiwan.

Methods

Semi-structured interviews were conducted face-to-face or telephonically with 30 SGM cancer survivors in Taiwan. Data were analyzed using the socio-ecological model and the constant comparative technique. The study used the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines.

Results

The needs, challenges, and experiences of cancer care among SGM cancer survivors were categorized and presented according to the level of the social-ecological model: (1) intrapersonal level: physical and psychological impacts and changes in outlook on life after cancer diagnosis and treatment; (2) interpersonal level: informal social support resources and challenges for developing intimate relationships; (3) community level: formal social support resources and lack of SGM support groups; and (4) societal and policy level: positive and negative experiences with oncology healthcare providers (HCPs), sexual orientation disclosure, and lack of an SGM-friendly environment.

Conclusions

Multilevel care needs and challenges in cancer care among SGM cancer survivors were identified. Oncology HCPs should be aware of and assess SGM cancer survivors’ psychosexual issues and psychological status and provide suitable care resources to individuals. Moreover, training courses on culturally competent cancer care and information on SGM-related health policies (including same-sex marriage) should be provided to oncology HCPs to improve their sensitivity, knowledge, and skills to provide suitable care for SGM cancer survivors.

Implications for Nursing practice

The study findings can be used to design and develop training courses for culturally competent cancer care for oncology HCPs to improve the quality of care and reduce cancer care disparities among SGM cancer patients.

研究目的本研究旨在探讨台湾性与性别少数（SGM）癌症幸存者的护理需求、挑战和癌症护理经验：方法：对 30 名台湾的性与性别少数（SGM）癌症幸存者进行了面对面或电话的半结构化访谈。采用社会生态模型和恒定比较技术对数据进行分析。研究采用了定性研究报告综合标准（COREQ）指南：结果：根据社会生态模型的层次，对上海通用汽车癌症幸存者的癌症护理需求、挑战和经验进行了分类和表述：(1) 人际层次：癌症诊断和治疗后的生理和心理影响以及人生观的改变；(2) 人际层次：非正式的社会支持资源和发展的挑战：非正式的社会支持资源和发展亲密关系的挑战；(3) 社区层面：正式的社会支持资源和缺乏 SGM 支持团体；(4) 社会和政策层面：与肿瘤医疗保健提供者（HCPs）的正面和负面经历、性取向披露和缺乏对 SGM 友好的环境。结论发现了 SGM 癌症幸存者在癌症护理方面的多层次护理需求和挑战。肿瘤科医护人员应了解和评估 SGM 癌症幸存者的性心理问题和心理状况，并为他们提供合适的护理资源。此外，还应为肿瘤科保健人员提供符合文化要求的癌症护理培训课程，以及与 SGM 相关的卫生政策（包括同性婚姻）信息，以提高他们的敏感性、知识和技能，为 SGM 癌症幸存者提供合适的护理：研究结果可用于为肿瘤科保健人员设计和开发具有文化胜任力的癌症护理培训课程，以提高护理质量并减少 SGM 癌症患者的癌症护理差异。

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引用次数: 0

Improving Distress Screening for People with Prostate Cancer: Evaluation of an E-Learning Course to Increase Healthcare Professionals’ Knowledge 改善前列腺癌患者的压力筛查：评估电子学习课程以增加医疗保健专业人员的知识。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151656

Objectives

Psychological distress can occur following diagnosis and treatment for prostate cancer, compromising psychosocial wellbeing. Improved recognition and management of distress by healthcare professionals can enhance clinical practice and promote evidence-based prostate cancer care. This paper explores the effectiveness and feasibility of the online Distress Screening for Prostate Cancer course, designed to improve healthcare professionals’ understanding of screening for prostate cancer-related distress. It aims to evaluate whether this e-learning course increases learners’ knowledge of distress screening for prostate cancer.

Methods

Healthcare professionals were invited to enroll in the online course and complete optional evaluation questions. The pretest posttest design identified changes in learners’ knowledge about distress screening for people with prostate cancer, including prevalence, risk factors, assessment and management strategies for distress (n = 149). Learners also rated satisfaction in a cross-sectional survey (n = 116). Most respondents were nurses, including Prostate Cancer Specialist Nurses.

Results

Learners’ knowledge of distress screening was higher after course completion. Improvement between pre- and posttest results was statistically significant for four of ten items, including risk of prostate cancer-related distress, and suicidality, and the purpose of distress screening. Learners reported high satisfaction with course content, structure, engagement, relevance, and approach. They particularly valued the narrative-based approach and interactivity. Small numbers encountered technological problems and some offered suggestions to improve learner feedback.

Conclusions

The course improved healthcare professionals’ knowledge of distress among people affected by prostate cancer. Learners found the e-learning format feasible and acceptable.

Implications for Nursing Practice

Deeper understanding of the psychological implications of diagnosis and treatment of prostate cancer can help healthcare professionals respond to and manage distress among men and their families, and provide supportive care to improve health-related quality of life. Access to an online course can offer effective, feasible education on distress screening.

目的：前列腺癌诊断和治疗后可能会产生心理困扰，影响社会心理健康。提高医护人员对心理困扰的识别和处理能力，可以加强临床实践，促进循证前列腺癌护理。本文探讨了在线前列腺癌困扰筛查课程的有效性和可行性，该课程旨在提高医护人员对前列腺癌相关困扰筛查的认识。方法：邀请医护人员注册在线课程并完成可选的评估问题。通过前测后测设计，确定了学习者对前列腺癌患者窘迫感筛查知识的变化，包括窘迫感的流行率、风险因素、评估和管理策略（n = 149）。学员还在横向调查中对满意度进行了评分（n = 116）。大多数受访者是护士，包括前列腺癌专科护士：结果：完成课程后，学员对窘迫筛查的了解程度更高。在 10 个项目中，有 4 个项目（包括前列腺癌相关窘迫症和自杀的风险以及窘迫症筛查的目的）的前后测试结果差异具有统计学意义。学员对课程内容、结构、参与度、相关性和方法的满意度很高。他们尤其看重基于叙事的方法和互动性。少数学员遇到了技术问题，一些学员提出了改进学员反馈的建议：该课程提高了医护人员对前列腺癌患者痛苦的认识。学员认为电子学习形式可行且可接受：对护理实践的启示：深入了解前列腺癌诊断和治疗的心理影响有助于医护人员应对和处理男性及其家人的痛苦，并提供支持性护理以改善与健康相关的生活质量。在线课程可以提供有效、可行的困扰筛查教育。

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引用次数: 0

Complication Rates of Peripherally Inserted Central Catheters in Oncologic Versus Non-Oncologic Patients 肿瘤患者与非肿瘤患者外周置入中心导管的并发症发生率。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151681

Objectives

Peripherally inserted central catheters are commonly used in cancer patients and provide vascular access for the administration of chemotherapy, antibiotics, or parenteral nutrition. Besides many advantages, they represent a source of possible complications such as catheter related blood stream infection, catheter occlusion, or thrombosis. In this study, the catheter-related complication rate between oncologic and non-oncologic patients was compared.

Methods

This retrospective cohort-study included 411 patients who underwent their first catheter placement at the Vienna General Hospital—Medical University of Vienna from January 2013 to June 2018. Patient demographics and catheter-related parameters were collected and statistically analyzed using a competing risk model.

Results

Mean catheter dwell time was 27.75 days. The overall complication rate was 7.54% (2.72 per 1000 catheter days). Underlying malignant disease (hazard ratio: 0.351, 95% confidence interval [CI]: 0.133-0.929, P = .035) and chemotherapy administration (hazard ratio: 2.837, 95% CI: 1.088-7.394, P = .033) were significantly associated with the occurrence of any kind of complication. Catheter related blood stream infection was observed among 11 (2.68%) patients and again significantly associated with chemotherapy administration (hazard ratio: 4.545, 95% CI: 1.178-17.539; P = .028). Thrombosis was found in 7 (1.70%) patients and occlusion in 13 (3.16%) cases.

Conclusions and implications for nursing practice

Choice of venous access is an interdisciplinary decision with emphasis on patient participation. In oncologic patients, our data suggests that the benefits of peripherally inserted central catheters regarding costs, invasiveness, and accessibility might be outweighed by the higher rate of complications associated with the device. This becomes even more important in a community care setting, where standardized handling procedures and patient education play a pivotal role in device safety.

目的：外周置入中心导管常用于癌症患者，为化疗、抗生素或肠外营养的给药提供血管通路。外周置入中心导管除了具有许多优点外，还可能引起一些并发症，如导管相关血流感染、导管闭塞或血栓形成。本研究比较了肿瘤患者和非肿瘤患者导管相关并发症的发生率：这项回顾性队列研究纳入了 2013 年 1 月至 2018 年 6 月期间在维也纳总医院-维也纳医科大学接受首次导管置入手术的 411 名患者。研究收集了患者的人口统计学特征和导管相关参数，并使用竞争风险模型进行了统计分析：导管平均停留时间为 27.75 天。总并发症发生率为 7.54%（每 1000 个导管天 2.72 例）。潜在恶性疾病（危险比：0.351，95% 置信区间[CI]：0.133-0.929，P = .035）和化疗用药（危险比：2.837，95% 置信区间[CI]：1.088-7.394，P = .033）与各种并发症的发生显著相关。11例（2.68%）患者出现导管相关血流感染，同样与化疗用药密切相关（危险比：4.545，95% CI：1.178-17.539；P = .028）。7例（1.70%）患者出现血栓形成，13例（3.16%）出现闭塞：结论和对护理实践的启示：静脉通路的选择是一个跨学科的决定，重点在于患者的参与。在肿瘤患者中，我们的数据表明，外周置入中心导管在成本、侵入性和可及性方面的优势可能会被其较高的并发症发生率所抵消。在社区护理环境中，这一点变得更加重要，因为在社区护理环境中，标准化处理程序和患者教育对设备安全起着至关重要的作用。

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引用次数: 0

Mobility Assessment Instruments 行动能力评估工具。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2024-08-01 DOI: 10.1016/j.soncn.2024.151660

Objectives

Review commonly used mobility assessment instruments and discuss their use in multidisciplinary research and clinical practice.

Methods

Data sources include peer-reviewed articles sourced in electronic databases (PubMed, CINAHL), government websites, national, and international best practice guidelines to describe frequently used mobility assessment instruments.

Results

Numerous clinician-, observer-, patient-reported, and performance outcome instruments and evidence-based implementation program resources exist, though these vary in their intended purpose and setting. Wearable and ambient sensors provide new opportunities to collect passive, objective physical activity data and observe changes in mobility across settings.

Conclusions

Selection among multiple assessment tools requires consideration of the available evidence for use in the desired population, the outcomes of interest, whether use is feasible for the setting, and the strength of validity and reliability data for the tool.

Implications for Nursing Practice

Nurses, especially in the inpatient setting, are typically in most frequent contact with patients and are well-positioned to assess mobility and ensure that safe, progressive mobility care plans are in place. Development of an organization-wide mobility culture requires a systematic, multidisciplinary approach and long-term commitment.

目的：回顾常用的活动能力评估工具，并讨论其在多学科研究和临床实践中的应用：回顾常用的行动能力评估工具，并讨论其在多学科研究和临床实践中的应用：数据来源包括电子数据库（PubMed、CINAHL）、政府网站、国家和国际最佳实践指南中的同行评议文章，以描述常用的行动能力评估工具：结果：临床医生、观察者、患者报告和表现结果工具以及循证实施计划资源不计其数，但其预期目的和环境各不相同。可穿戴式传感器和环境传感器为收集被动、客观的身体活动数据以及观察不同环境下活动能力的变化提供了新的机会：从多种评估工具中进行选择，需要考虑在目标人群中使用的现有证据、相关结果、在环境中使用是否可行，以及工具的有效性和可靠性数据的强度：护士，尤其是住院环境中的护士，通常与患者的接触最为频繁，因此有能力对患者的行动能力进行评估，并确保制定安全、循序渐进的行动能力护理计划。发展全机构的行动文化需要系统的、多学科的方法和长期的承诺。

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