Seminars in Oncology Nursing最新文献

{"title":"Poorer Quality of Life Outcomes Are Associated with Higher Levels of Stress, Lower Levels of Resilience, and Poorer Adjustment to Cancer in Outpatients Receiving Chemotherapy","authors":"Jung Ae Kim ,&nbsp;Astrid Block ,&nbsp;Sueann Mark ,&nbsp;Bruce A. Cooper ,&nbsp;Steven M. Paul ,&nbsp;Frances Cartwright ,&nbsp;Marilyn J. Hammer ,&nbsp;Yvette P. Conley ,&nbsp;Jon D. Levine ,&nbsp;Christine Miaskowski","doi":"10.1016/j.soncn.2025.152015","DOIUrl":"10.1016/j.soncn.2025.152015","url":null,"abstract":"<div><h3>Objectives</h3><div>The purposes were to identify subgroups of patients (n = 1324) with distinct quality of life (QOL) profiles and evaluate for differences among these subgroups in demographic and clinical characteristics, as well as levels of global, cancer-related, and cumulative life stress; resilience; and mental adjustment to cancer.</div></div><div><h3>Methods</h3><div>Prior to their second or third cycle of chemotherapy, patients completed a demographic questionnaire, measures of stress (Perceived Stress Scale, global stress), Impact of Event Scale-Revised (IES-R, cancer-related distress), Life Stressor Checklist-Revised (LSC-R, cumulative life stress); resilience (Connor-Davidson Resilience Scale [CDRS]), and mental adjustment (Mental Adjustment to Cancer Scale [MAC]). In addition, they completed the Multidimensional QOL Scale–Patient Version six times over two cycles of chemotherapy. Latent profile analysis was used to identify the distinct QOL profiles. Parametric and nonparametric tests were used to evaluate for differences in risk factors among the QOL profiles.</div></div><div><h3>Results</h3><div>Three distinct QOL profiles were identified (Low, 26.9%; Moderate, 44.7%; and High, 28.4%). Compared to the High QOL class, the other two classes were younger and more likely to be female and had a higher comorbidity burden and lower functional status. Differences among the QOL classes in PSS, IES-R, and LSC-R scores followed a similar pattern (Low &gt; Moderate &gt; High). Differences were found among the QOL classes in CDRS (Low &lt; Moderate &lt; High) and MAC (Low &gt; Moderate &gt; High) scores.</div></div><div><h3>Conclusions</h3><div>This study is the first to describe interindividual variability in QOL outcomes among patients receiving chemotherapy. Levels of cancer-related stress reported by Low and Moderate QOL classes suggest that these patients meet the diagnostic criteria for posttraumatic stress and have levels of resilience below the normative score for the general population.</div></div><div><h3>Implications for Nursing Practice</h3><div>Given that stress and resilience are modifiable risk factors, this information can be used by clinicians to design tailored interventions to improve patients’ QOL.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 152015"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056240","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}

{"title":"The Experience of Patients with Cancer and Their Informal Caregivers Related to Adoptive Cell Therapy: A Qualitative Systematic Review","authors":"Nina Canova ,&nbsp;Kylie Teggart ,&nbsp;Alexia Cavin-Trombert ,&nbsp;Manuela Eicher ,&nbsp;Francesca Bosisio ,&nbsp;Sara Colomer-Lahiguera","doi":"10.1016/j.soncn.2025.151912","DOIUrl":"10.1016/j.soncn.2025.151912","url":null,"abstract":"<div><h3>Objectives</h3><div>Adoptive cell therapy (ACT) is a growing personalized immuno-oncology approach, delivered both in standard of care (SOC) and clinical trial (CT) settings. Understanding patient and informal caregivers (ICs) experiences is crucial to optimizing care. This qualitative systematic review explores the ACT experience across three elements: actors (patients and ICs), settings (CT and SOC), and phases of the care continuum.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across Medline, Embase, CINAHL, APA PsycInfo, Cochrane, Web of Science, ProQuest Dissertations &amp; Theses, and Google Scholar up to May 8, 2024. Studies were appraised using the JBI Critical Appraisal Checklist for Qualitative Research, with data extracted and synthesized using a meta-aggregation approach. <em>MAXQDA</em> was used to generate co-occurrence networks between key elements and inductively derived codes. A comparative sentiment analysis highlighted emotional differences between CT and SOC settings.</div></div><div><h3>Results</h3><div>Nineteen qualitative studies were included, capturing experiences of patients (n = 19) and ICs (n = 7) receiving chimeric antigen receptor T cell (n = 17) and tumor-infiltrating lymphocyte (n = 2) therapy in CT (n = 13) and SOC (n = 9) settings. Findings revealed phase-specific challenges across physical, cognitive, psychological, emotional, social, financial, professional, communication, and informational domains. These challenges originate from ACT-related toxicities, care pathway complexity, and the novel nature of the therapy.</div></div><div><h3>Conclusions</h3><div>This review identifies the key challenges faced by patients and ICs throughout the ACT care pathway, emphasizing the need for tailored interventions based on the phase and setting, as well as improved support systems.</div></div><div><h3>Implications for nursing practices</h3><div>Recommended strategies include developing decision support tools, establishing caregiver support programs, and implementing navigation services to enhance patient and ICs experiences.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151912"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144210229","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}

{"title":"Development and Validation of a Patient-Reported Outcome Measure to Assess the Impact of Steroids in the Treatment of Myeloma: The Steroid Symptom Questionnaire–Multiple Myeloma","authors":"Tracy King ,&nbsp;Louise Acret ,&nbsp;Claudia Rutherford ,&nbsp;Margaret-Ann Tait ,&nbsp;Jacqueline Jagger ,&nbsp;Julija Sipavicius ,&nbsp;Georgia McCaughan ,&nbsp;Douglas Joshua ,&nbsp;Kate White","doi":"10.1016/j.soncn.2025.151943","DOIUrl":"10.1016/j.soncn.2025.151943","url":null,"abstract":"<div><h3>Objectives</h3><div>Steroids routinely used in the treatment of multiple myeloma<span> (MM) are associated with adverse effects<span> affecting health-related quality of life (HRQoL). No assessment tool existed to measure the impact of steroids in this population. We developed and psychometrically evaluated the Steroid Symptom Questionnaire–Multiple Myeloma (SSQ-MM).</span></span></div></div><div><h3>Methods</h3><div>A conceptual framework for steroid-related PROs was developed through a systematic review<span><span> and qualitative interviews. An existing tool was adapted and pretested with patients (n = 5), carers (n = 3), and clinicians (n = 9) for relevance and face validity. In field test 1, the draft-SSQ-MM was administered to 70 patients. Items were chosen based on item-level analysis for acceptability. In Field Test 2, the </span>psychometric<span> properties of the final SSQ-MM were assessed in 140 patients as part of a multicenter study. The SSQ-MM was administered alongside the EORTC QLQ-C30 and MY20, with the SSQ-MM administered again 1 week later.</span></span></div></div><div><h3>Results</h3><div><span>The SSQ-MM contains 20 items. Stability reliability was supported (ICC = 0.846), and item-total correlations ranged between 0.266 and 0.677, excluding hiccups and blood glucose, which were retained due to clinical relevance. </span>Exploratory factor analysis<span> supported a total score and four multi-item subscales with acceptable internal consistency (α = 0.64 to 0.82). We found evidence of convergent and divergent validity between scales measuring similar and dissimilar constructs on QLQ-C30. The SSQ-MM total score was able to differentiate between patient groups clinically known to differ.</span></div></div><div><h3>Conclusions</h3><div>The SSQ-MM provides a validated PROM for use in research and clinical settings to assess the impact of steroids and identify those who may benefit from dose reduction to improve PROs, including HRQoL.</div></div><div><h3>Implications for Nursing Practice</h3><div>Integrating assessment of steroid adverse effects<span> using the SSQ-MM into routine nursing care can help direct timely interventions or referrals to assist patients better manage the emotional and behavioural effects of steroids. Dose optimisation may reduce steroid effects and improve HRQoL.</span></div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151943"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555736","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}

{"title":"Finding the Right Time to Discuss Advance Care Planning with Myeloma Patients and Their Carers: An Opportunity for Nursing","authors":"Emma Matthews ,&nbsp;Kate Montague-Hellen ,&nbsp;Joanne Bird","doi":"10.1016/j.soncn.2025.151913","DOIUrl":"10.1016/j.soncn.2025.151913","url":null,"abstract":"<div><h3>Purpose</h3><div>People with multiple myeloma are living longer with an incurable disease due to improved treatments. Despite advance care planning (ACP) and palliative care’s focus on improving symptom management and quality of life, there remains a perception among patients and clinicians that palliative care is only for end-of-life care, leading to uncertainty around when to introduce these conversations. This study examines the lived experiences of myeloma patients and their carers, exploring their views as to when and how they would like to commence meaningful conversations around palliative and end-of-life care.</div></div><div><h3>Methods</h3><div>Semistructured online interviews were conducted with multiple myeloma patients and their carers (N = 15). Verbatim transcriptions were analyzed using inductive thematic analysis.</div></div><div><h3>Results</h3><div>From 10 patient and 5 carer interviews, three themes were identified: responsibility, receptivity, and resources. ACP had either not been discussed or <em>would</em> not have been discussed had the patient or carer themself not initiated the discussion. Responsibility for initiating ACP conversations rested with both health care professionals and patients. There was no one, “right time” to do this, though diagnosis should be avoided. Conversations depended on resources, whether human, organizational, community, or charities, to facilitate effective ACP.</div></div><div><h3>Conclusions</h3><div>ACP conversations with myeloma patients are often delayed. Patients and carers believe it is the responsibility of health care professionals to initiate them at the right time. A period of adjustment is required after diagnosis, but there is no single “right time,” reflecting the heterogeneity of individual needs.</div></div><div><h3>Implications for Nursing Practice</h3><div>Nurses across all settings should be open and receptive to ACP conversations at all points along the myeloma trajectory. Nurses should normalize the initiation of ACP conversations early in the disease trajectory to promote, and remove barriers to, integrated palliative care. Hematology nurses should work collaboratively with palliative care nurses to support early symptom management for myeloma patients.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151913"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765788","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}

{"title":"Methods of Teaching Nurses Intravenous Systemic Anticancer Therapy Administration: A Scoping Review","authors":"Michelle O’Dowd ,&nbsp;Siobhan O’Dowd ,&nbsp;Geraldine Austin ,&nbsp;Orlaith Hernon ,&nbsp;Caitríona Duggan ,&nbsp;Peter J Carr","doi":"10.1016/j.soncn.2025.151953","DOIUrl":"10.1016/j.soncn.2025.151953","url":null,"abstract":"<div><h3>Objectives</h3><div>The safe administration of intravenous (IV) systemic anticancer therapy (SACT) is a specialized and complex skill due to potential exposure to chemotoxic agents. Inadvertent exposure among millions receiving IV SACT annually may harm both patients and nurses. Identifying the literature's scope and gaps in teaching this clinical treatment is essential. The objective of this scoping review was to identify published literature on educational methods for teaching nurses the safe administration of IV SACT.</div></div><div><h3>Methods</h3><div>We conducted a JBI-guided scoping review. With a research librarian's assistance, we searched CINAHL, Embase (OVID), Medline (OVID), SCOPUS, and Google Scholar for grey literature. We included studies published between 2010-2023, in the English language, that examined or reported methods of teaching nurses to administer IV SACT safely. Extracted data was presented narratively using the patterns, advances, gaps, evidence for practice and research recommendations (PAGER) framework.</div></div><div><h3>Results</h3><div>Of 6,820 studies retrieved, 3,725 were screened, resulting in 222 full-text reviews with 20 included for data extraction. Four patterns emerged: education and training methods, interdisciplinary collaboration, global differences, and lack of long-term follow-up and re-validation of educational strategies employed. Teaching methods vary from traditional lectures and clinical practice to simulation, virtual reality, and smartphone applications. However, research, particularly in Europe, is limited, with no European studies cited in the literature.</div></div><div><h3>Conclusions</h3><div>The absence of randomized controlled trials on simulation-based IV SACT training presents an opportunity to improve oncology nursing education and inform evidence-based practice globally.</div></div><div><h3>Implications for Nursing Practice</h3><div>More interventional research is required, including meta-analyses and studies on emerging technologies such as simulation and artificial intelligence, to improve patient and provider safety. Such research could enhance patient safety by bridging the gap between clinical practice and skills training.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151953"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765789","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}

{"title":"Strength in shared experiences: A meta-synthesis of qualitative studies on peer support in haematologic cancer","authors":"Merve Gozde Sezgin,&nbsp;Hicran Bektas","doi":"10.1016/j.soncn.2025.151961","DOIUrl":"10.1016/j.soncn.2025.151961","url":null,"abstract":"<div><h3>Objectives</h3><div>Peer support can improve the disease and treatment processes of patients with haematologic cancer. This meta-synthesis aimed to systematically synthesize and interpret the qualitative evidence on how patients experience peer support throughout their illness trajectory.</div></div><div><h3>Methods</h3><div>This study employed a systematic qualitative meta-synthesis design, using the thematic synthesis approach described by Thomas and Harden. The databases Web of Science, EBSCOhost/CINAHL Complete, MEDLINE, Cochrane Library, ProQuest, PubMed, Scopus, ScienceDirect, and Springer Link were searched up to February 2025. Eligible studies were appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research.</div></div><div><h3>Results</h3><div>Eight qualitative studies published between 2003 and 2024, with 129 participants across 4 countries, were included. The analysis yielded 4 analytical themes: psychological empowerment, emotional support, provision of information and guidance, and reconstruction of the recovery process.</div></div><div><h3>Conclusion</h3><div>This meta-synthesis suggests that peer support plays an important role in enhancing the emotional and psychological well-being of patients with haematologic cancer. Peer interactions help reduce fear, uncertainty, and loneliness while strengthening resilience, fostering practical coping strategies, and cultivating a sense of community and hope.</div></div><div><h3>Implications for Nursing Practice</h3><div>Peer support programs provide emotional resilience and practical guidance by alleviating fear, uncertainty, and loneliness among patients with haematologic cancer<strong>.</strong> The integration of structured peer support interventions into clinical practice may enhance the psychosocial outcomes of patients, promote empowerment, and support long-term survivorship.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151961"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812667","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}

{"title":"Beyond the Pandemic: A Cross-Sectional Study of Hematology Cancer Patients’ Unmet Needs and Experiences of Cancer Care in Ireland and the UK","authors":"Vanessa Boland ,&nbsp;Liz O’Connell ,&nbsp;Orlaith Cormican ,&nbsp;Karen Campbell ,&nbsp;Maura Dowling ,&nbsp;Amanda Drury","doi":"10.1016/j.soncn.2025.151957","DOIUrl":"10.1016/j.soncn.2025.151957","url":null,"abstract":"<div><h3>Objectives</h3><div>The rising incidence of hematological cancers, novel treatments, and increased survivorship highlight the need to understand patient needs postpandemic. This study explored the experiences of individuals affected by hematological cancers in Ireland and the UK as COVID-19 restrictions lifted.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive survey was conducted from March 2023 to March 2024 using validated measures of distress, resilience, and unmet needs. Adults with hematological cancers were recruited online through cancer organizations and networks across Ireland and the UK. Quantitative data were analyzed using descriptive and inferential statistics, and qualitative data through thematic analysis.</div></div><div><h3>Results</h3><div>Ninety-two individuals completed the survey. The top unmet needs were related to tiredness, concerns about appearance, and managing others’ expectations to return to “normal.” Many continued to feel the pandemic’s impact years later. Minimal differences in unmet needs were observed between countries, with participants reporting low distress and moderately high resilience. Thematic analysis of text responses identified three key themes: “psychological impact and self-care methods,” “navigating changing cancer care delivery,” and “sourcing social support,” reflecting the complexities of living with and beyond hematological cancers.</div></div><div><h3>Conclusions</h3><div>People with hematological cancers in Ireland and the UK continue to experience distress despite moderate resilience, indicating the lasting impact of the pandemic.</div></div><div><h3>Implications for Nursing Practice</h3><div>Persistent unmet needs around fatigue, appearance, and societal expectations remain. The identified themes underscore the need for supportive interventions focusing on psychological coping strategies, continuity in cancer care delivery, and social support to enhance the well-being of individuals living with and beyond hematological cancers.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151957"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838579","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}

{"title":"Twenty Years of Nurse-Led Research in Hemato-Oncology: A Mapping Review","authors":"Maura Dowling ,&nbsp;Orlaith Hernon ,&nbsp;Vanessa Boland ,&nbsp;Ciara Nic Giolla Chomhaill ,&nbsp;Teresa Meenaghan ,&nbsp;Sarah Connolly ,&nbsp;Fidelma Hackett ,&nbsp;Caroline McCaughey ,&nbsp;Barry Quinn ,&nbsp;Tracy King ,&nbsp;Bethany Maynard ,&nbsp;Stavroula Chante ,&nbsp;Geraldine Walpole ,&nbsp;Orlaith Cormican ,&nbsp;Karen Campbell","doi":"10.1016/j.soncn.2025.151958","DOIUrl":"10.1016/j.soncn.2025.151958","url":null,"abstract":"<div><h3>Objectives</h3><div>Nurse-led research in hemato-oncology is diverse, but its nature and extent are unknown. This review aimed to identify and map nurse-led research in hemato-oncology over 20 years (2004-2024) to highlight under-researched gaps, describe methodological and topic trends, and allow comparison between geographical regions.</div></div><div><h3>Methods</h3><div>A mapping review was undertaken following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, Scoping Review (PRISMA-ScR) checklist. Five databases were systematically searched: Medline (Ovid), CINAHL (EBSCOhost), Embase (Elsevier), ProQuest, and Scopus (Elsevier). Independent screening and data extraction were undertaken on the web-based platform Covidence.</div></div><div><h3>Results</h3><div>A total of 1,916 sources were included (n = 1,618 journal publications; n = 262 published conference abstracts; n = 36 doctoral dissertations). The most common methodology was non-experimental (60.5%), followed by qualitative (19.2%), experimental (12.5%), evidence syntheses (6.3%), and mixed methods (1.5%). Most of the studies were undertaken by nurses working in the USA, followed by nurses in China, Türkiye, Canada, Australia and Iran. Studies in pediatric, adolescent, and young adult settings represented 42.4% of the included studies. A high number of studies undertaken in hematopoietic stem cell transplant settings were found.</div></div><div><h3>Conclusions</h3><div>The number of research studies led by nurses in hemato-oncology settings, particularly in the USA, is upward. Most of the research undertaken has adopted a descriptive quantitative methodology. More interventional research is needed to contribute meaningfully to scientific knowledge that enhances the quality of care for individuals affected by blood cancer across the disease trajectory.</div></div><div><h3>Implications for Nursing Practice</h3><div>To support more nurse-led interventional research, strategic investment in mentorship, protected research time, interdisciplinary collaboration, structured clinical-academic posts, and funding pathways is needed.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151958"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859919","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}

{"title":"Psychosocial Distress Among Cancer Patients: A Concept Analysis","authors":"Jingyue Xie ,&nbsp;Lu Cui ,&nbsp;Qianqian Du ,&nbsp;Ni Zhang ,&nbsp;Xiaoxuan Wang ,&nbsp;Chen Yuan ,&nbsp;Xiaodan Wu ,&nbsp;Meifen Zhang","doi":"10.1016/j.soncn.2025.152014","DOIUrl":"10.1016/j.soncn.2025.152014","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the literature to clarify the concept of psychosocial distress and to conceptualize it in cancer patients.</div></div><div><h3>Methods</h3><div>The Walker and Avant concept analysis approach was applied for this review. A comprehensive search of studies published from inception to March 2024 was searched in PubMed, EMBASE, Cochrane Library, Web of Science, and PsycINFO, utilizing the PRISMA 2020 reporting checklist. Additional studies were included by manually reviewing the reference lists from relevant research. A total of 5,941 studies were identified in the initial search, and 36 articles were ultimately included for further analysis and synthesis.</div></div><div><h3>Results</h3><div>Four attributes of psychosocial distress in terms of cancer were identified: role dysfunction, negative self-perception, disrupted daily life, and unpleasant emotion. Antecedents of psychosocial distress were cancer-related stress and the inability to cope. The consequences were identified as negative health-related behaviors and unhealthy outcomes.</div></div><div><h3>Conclusions</h3><div>The four identified attributes of psychosocial distress in cancer patients provide healthcare providers with a more comprehensive framework for assessment and recognition than existing instruments, which often focus only on anxiety and depression. It will aid researchers and healthcare providers in understanding the concept, guiding the development of suitable assessment instruments and the design of targeted psychosocial interventions.</div></div><div><h3>Implications for Nursing Practice</h3><div>Through clarifying the concept, this study may enhance health professional's understanding of the nature of psychosocial distress and improve their awareness of periodically assessing and managing individuals’ psychosocial distress.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 152014"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144994095","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}

{"title":"Effectiveness of Physical Exercise on Hematopoietic Stem Cell Transplantation: An Umbrella Review","authors":"Menghua Ye ,&nbsp;Yan Xu ,&nbsp;Ting Liu ,&nbsp;Yang Qiu ,&nbsp;Xiaopei Mao ,&nbsp;Xiaolan Zhang ,&nbsp;Binlian Yao ,&nbsp;Min Xu","doi":"10.1016/j.soncn.2025.151956","DOIUrl":"10.1016/j.soncn.2025.151956","url":null,"abstract":"<div><h3>Objectives</h3><div>To systematically evaluate and synthesize the available evidence regarding whether physical exercise is effective on improving outcomes in patients undergoing hematopoietic stem cell transplantation (HSCT).</div></div><div><h3>Study Design</h3><div>There were altogether 10 databases adopted for retrieving systematic reviews till March 2024. The Measurement Tool to Assess Systematic Reviews II (AMSTAR-II) statement and the Grading of Recommendations Assessment, Development and Evaluation system were employed for assessing, summarizing, and grading the evidence. Study duplication was measured by the corrected covered area.</div></div><div><h3>Results</h3><div>There were 10 studies enrolled, and they had poor level of evidence and overall methodological quality, among which, eight had extremely low methodological quality, whereas two reviews had low methodological quality. We then assessed the evidence quality of 41 primary outcome measures; as a result, 17, 14, and 10 pieces of evidence were rated as moderate, low, and critically low quality separately.</div></div><div><h3>Conclusions</h3><div>Physical exercise benefits HSCT patients by improving quality of life and reducing fatigue. Evidence quality is moderate to critically low, requiring cautious interpretation.</div></div><div><h3>Implications for Nursing Practice</h3><div>Physical exercise helps to reduce fatigue, improving quality of life, and should be included in the standard of care for patients undergoing HSCT.</div></div>","PeriodicalId":54253,"journal":{"name":"Seminars in Oncology Nursing","volume":"41 5","pages":"Article 151956"},"PeriodicalIF":2.3,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796059","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}