Seminars in Oncology Nursing最新文献_第6页

Methods of Teaching Nurses Intravenous Systemic Anticancer Therapy Administration: A Scoping Review 对护士静脉全身抗癌治疗管理的教学方法进行综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151953

Michelle O’Dowd , Siobhan O’Dowd , Geraldine Austin , Orlaith Hernon , Caitríona Duggan , Peter J Carr

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

Implications for Nursing Practice

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.

目的：静脉（IV）全身抗癌治疗（SACT）的安全管理是一项专业而复杂的技能，因为可能暴露于化学毒性药物。在每年接受SACT静脉注射的数百万人中，无意中暴露可能会对患者和护士造成伤害。确定文献的范围和差距，在教学这种临床治疗是必不可少的。本综述的目的是确定已发表的关于向护士传授静脉注射SACT安全管理的教育方法的文献。方法：我们进行了jbi指导的范围审查。在一位研究馆员的协助下，我们检索了CINAHL、Embase （OVID）、Medline （OVID）、SCOPUS和谷歌Scholar，寻找灰色文献。我们纳入了2010-2023年间发表的英语研究，这些研究检查或报道了教护士安全静脉注射SACT的方法。使用模式、进展、差距、实践证据和研究建议（PAGER）框架对提取的数据进行叙述。结果：在检索到的6820项研究中，筛选了3725项，得出222篇全文综述，其中20篇纳入数据提取。出现了四种模式：教育和培训方法、跨学科合作、全球差异以及缺乏长期跟踪和重新验证所采用的教育策略。教学方法多种多样，从传统的讲座和临床实践到模拟、虚拟现实和智能手机应用。然而，研究，特别是在欧洲，是有限的，没有在文献中引用欧洲的研究。结论：基于模拟的IV SACT培训缺乏随机对照试验，这为改善肿瘤护理教育和全球循证实践提供了机会。对护理实践的影响：需要更多的介入研究，包括元分析和新兴技术的研究，如模拟和人工智能，以提高患者和提供者的安全。这种研究可以通过弥合临床实践和技能培训之间的差距来加强患者安全。

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引用次数: 0

Strength in shared experiences: A meta-synthesis of qualitative studies on peer support in haematologic cancer 分享经验的力量：血液学癌症同伴支持定性研究的综合。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151961

Merve Gozde Sezgin, Hicran Bektas

Objectives

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.

Methods

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.

Results

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.

Conclusion

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.

Implications for Nursing Practice

Peer support programs provide emotional resilience and practical guidance by alleviating fear, uncertainty, and loneliness among patients with haematologic cancer. The integration of structured peer support interventions into clinical practice may enhance the psychosocial outcomes of patients, promote empowerment, and support long-term survivorship.

目的：同伴支持可以改善血液学癌症患者的病情和治疗过程。本荟萃综合旨在系统地综合和解释关于患者在整个疾病轨迹中如何经历同伴支持的定性证据。方法：本研究采用Thomas和Harden的专题综合方法，采用系统的定性综合设计。检索截止到2025年2月的Web of Science、EBSCOhost/CINAHL Complete、MEDLINE、Cochrane Library、ProQuest、PubMed、Scopus、ScienceDirect和施普林格Link数据库。使用乔安娜布里格斯研究所定性研究关键评估清单对符合条件的研究进行评估。结果：2003年至2024年间发表的8项定性研究，包括来自4个国家的129名参与者。分析产生了4个分析主题：心理赋权、情感支持、提供信息和指导，以及重建恢复过程。结论：本综合研究提示同伴支持在提高血液病癌症患者的情绪和心理健康方面起着重要作用。同伴互动有助于减少恐惧、不确定性和孤独感，同时增强适应力，培养实用的应对策略，培养社区意识和希望。对护理实践的启示：同伴支持项目通过减轻血液学癌症患者的恐惧、不确定性和孤独感，提供情感弹性和实践指导。将结构化的同伴支持干预纳入临床实践可以提高患者的心理社会结果，促进赋权，并支持长期生存。

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引用次数: 0

Beyond the Pandemic: A Cross-Sectional Study of Hematology Cancer Patients’ Unmet Needs and Experiences of Cancer Care in Ireland and the UK 超越大流行：血液学癌症患者未满足的需求和癌症护理经验在爱尔兰和英国的横断面研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151957

Vanessa Boland , Liz O’Connell , Orlaith Cormican , Karen Campbell , Maura Dowling , Amanda Drury

Objectives

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.

Methods

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.

Results

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.

Conclusions

People with hematological cancers in Ireland and the UK continue to experience distress despite moderate resilience, indicating the lasting impact of the pandemic.

Implications for Nursing Practice

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.

目的：血液学癌症发病率的上升、新的治疗方法和生存率的提高突出了了解大流行后患者需求的必要性。这项研究探讨了随着COVID-19限制的解除，爱尔兰和英国受血液病癌症影响的个人的经历。方法：从2023年3月至2024年3月进行了一项横断面描述性调查，使用了痛苦、恢复力和未满足需求的有效测量。患有血液病的成年人是通过爱尔兰和英国的癌症组织和网络在线招募的。定量数据采用描述性和推断性统计进行分析，定性数据采用专题分析。结果：92人完成调查。排在前几位的未满足需求与疲劳、对外表的担忧以及管理他人对回归“正常”的期望有关。许多人在几年后仍然感受到大流行的影响。在未满足的需求方面，不同国家之间的差异很小，参与者报告的痛苦程度较低，适应力中等。对文本回复的主题分析确定了三个关键主题：“心理影响和自我护理方法”，“引导癌症护理服务的变化”和“寻求社会支持”，反映了血液病癌症患者和患者生活的复杂性。结论：爱尔兰和英国的血液癌患者尽管有适度的恢复能力，但仍继续经历痛苦，这表明大流行的持久影响。对护理实践的影响：围绕疲劳，外观和社会期望的持续未满足需求仍然存在。确定的主题强调了支持性干预的必要性，重点是心理应对策略、癌症护理提供的连续性和社会支持，以提高血液病患者和非血液病患者的福祉。

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引用次数: 0

Twenty Years of Nurse-Led Research in Hemato-Oncology: A Mapping Review 二十年来护士主导的血液肿瘤学研究：绘图回顾。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151958

Maura Dowling , Orlaith Hernon , Vanessa Boland , Ciara Nic Giolla Chomhaill , Teresa Meenaghan , Sarah Connolly , Fidelma Hackett , Caroline McCaughey , Barry Quinn , Tracy King , Bethany Maynard , Stavroula Chante , Geraldine Walpole , Orlaith Cormican , Karen Campbell

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.

Implications for Nursing Practice

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.

目的：护士主导的血液肿瘤学研究是多种多样的，但其性质和程度是未知的。本综述旨在确定和绘制20年来（2004-2024年）护士主导的血液肿瘤学研究，以突出研究不足的差距，描述方法和主题趋势，并允许在地理区域之间进行比较。方法：根据系统评价和荟萃分析的首选报告项目，范围审查（PRISMA-ScR）清单进行制图审查。系统检索了5个数据库：Medline （Ovid）、CINAHL （EBSCOhost）、Embase （Elsevier）、ProQuest和Scopus （Elsevier）。在网络平台covid - ence上进行独立筛选和数据提取。结果：共纳入1,916个来源(n = 1,618篇期刊出版物；N = 262篇已发表的会议摘要；N = 36篇博士论文)。最常见的方法为非实验法（60.5%），其次为定性法（19.2%）、实验法（12.5%）、证据综合法（6.3%）和混合法（1.5%）。大多数研究是由在美国工作的护士进行的，其次是中国、土耳其、加拿大、澳大利亚和伊朗的护士。儿童、青少年和年轻人的研究占纳入研究的42.4%。在造血干细胞移植环境中进行了大量的研究。结论：由护士领导的血液肿瘤学研究的数量正在上升，尤其是在美国。所进行的大多数研究都采用了描述性定量方法。需要更多的介入性研究，为科学知识做出有意义的贡献，从而提高整个疾病轨迹中受血癌影响的个体的护理质量。对护理实践的影响：为了支持更多护士主导的介入研究，需要在指导、保护研究时间、跨学科合作、结构化临床学术职位和资助途径方面进行战略投资。

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引用次数: 0

Psychosocial Distress Among Cancer Patients: A Concept Analysis 癌症患者的心理社会困扰：概念分析。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.152014

Jingyue Xie , Lu Cui , Qianqian Du , Ni Zhang , Xiaoxuan Wang , Chen Yuan , Xiaodan Wu , Meifen Zhang

Objective

To evaluate the literature to clarify the concept of psychosocial distress and to conceptualize it in cancer patients.

Methods

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.

Results

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.

Conclusions

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.

Implications for Nursing Practice

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.

目的：对文献进行评价，以澄清心理社会困扰的概念，并对癌症患者的心理社会困扰进行概念化。方法：采用Walker和Avant概念分析方法。利用PRISMA 2020报告清单，在PubMed、EMBASE、Cochrane Library、Web of Science和PsycINFO中检索了从成立到2024年3月发表的研究。通过手动审查相关研究的参考文献列表，纳入了其他研究。在最初的检索中，共有5941项研究被确定，36篇文章最终被纳入进一步的分析和综合。结果：确定了癌症患者心理社会困扰的四个特征：角色功能障碍、消极自我认知、日常生活中断和不愉快情绪。心理社会困扰的前因是癌症相关的压力和无法应对。其后果被确定为负面的健康相关行为和不健康的结果。结论：癌症患者心理社会困扰的四个特征为医疗保健提供者提供了一个比现有工具更全面的评估和识别框架，而现有工具通常只关注焦虑和抑郁。它将帮助研究人员和保健提供者理解这一概念，指导开发适当的评估工具和设计有针对性的心理社会干预措施。对护理实践的启示：透过厘清概念，本研究可增进卫生专业人员对心理社会困扰本质的了解，并提高他们定期评估和管理个体心理社会困扰的意识。

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引用次数: 0

Effectiveness of Physical Exercise on Hematopoietic Stem Cell Transplantation: An Umbrella Review 体育锻炼对造血干细胞移植的有效性：综述。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151956

Menghua Ye , Yan Xu , Ting Liu , Yang Qiu , Xiaopei Mao , Xiaolan Zhang , Binlian Yao , Min Xu

Objectives

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).

Study Design

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.

Results

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.

Conclusions

Physical exercise benefits HSCT patients by improving quality of life and reducing fatigue. Evidence quality is moderate to critically low, requiring cautious interpretation.

Implications for Nursing Practice

Physical exercise helps to reduce fatigue, improving quality of life, and should be included in the standard of care for patients undergoing HSCT.

目的：系统评价和综合现有的关于体育锻炼是否能有效改善造血干细胞移植（HSCT）患者预后的证据。研究设计：截至2024年3月，共采用10个数据库进行系统综述检索。采用评估系统评价的测量工具II （AMSTAR-II）声明和建议分级评估、发展和评价系统对证据进行评估、总结和分级。研究重复是通过校正覆盖面积来测量的。结果：纳入10篇文献，证据水平和整体方法学质量较差，其中8篇文献方法学质量极低，2篇文献方法学质量较低。然后，我们评估了41个主要结局指标的证据质量；结果，17、14和10个证据分别被评为中度、低质量和极低质量。结论：体育锻炼可以改善HSCT患者的生活质量和减轻疲劳。证据质量为中等至极低，需要谨慎解释。对护理实践的启示：体育锻炼有助于减轻疲劳，提高生活质量，应纳入HSCT患者的护理标准。

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引用次数: 0

Factors Associated with Immune Effector Cell-Associated Neurotoxicity Syndrome in Adults with Hematological Malignancies Undergoing Chimeric Antigen Receptor T-Cell Therapy: A Systematic Review 接受嵌合抗原受体t细胞治疗的成人恶性血液病患者免疫效应细胞相关神经毒性综合征相关因素：系统综述

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151944

Silvia Belloni , Chiara Giacon , Arianna Magon , Daniele Girardi , Marco Alfredo Arcidiacono , Greta Ghizzardi , Gianluca Conte , Rosario Caruso , Cristina Arrigoni

Objectives

We systematically appraised studies investigating factors associated with ICANS development after CAR-T cell therapies in adults with hematological malignancies and estimated ICANS prevalence.

Method

We conducted a systematic review (SR) in 4 databases following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for studies published from 2010 to December 2024. We estimated ICANS prevalence with exact binomial and score test-based 95% confidence intervals. We applied the Freeman-Tukey double arcsine transformation to stabilize variances within random-effects models using the Metaprop command in Stata.

Results

Sixteen studies (14 retrospective, n = 135, and 2 prospective, n = 300) were included in this SR. The sample comprised adults with various hematological malignancies who received anti-CD19 anti-BCMA. Some clinical factors seem to be associated with ICANS incidence and severity. In retrospective studies, the pooled prevalence was 41% (95% CI: 31%-51%) for all grades of ICANS and 20% (95% CI: 13%-28%) for grade ≥3 ICANS. In prospective studies, the pooled prevalence was 51% (95% CI: 45%-56%).

Conclusions

Approximately half of hematological patients undergoing CAR T therapy develop ICANS. Although some factors may contribute to the development of ICANS, limited studies and samples, the retrospective nature of the majority of studies, and the discordance among the results preclude certain risk factors conclusions.

Implications for Nursing Practice

Nurses play a pivotal role in post-treatment monitoring in the early detection and management of ICANS, given their direct and continuous patient interaction. Increasing nurses’ awareness of potential risk factors for ICANS can enhance their vigilance and effectiveness in managing this condition.

目的：我们系统地评估了研究CAR-T细胞治疗后成人血液恶性肿瘤患者ICANS发展相关因素的研究，并估计了ICANS的患病率。方法：我们按照PRISMA （Preferred Reporting Items for systematic Reviews and meta - analysis）指南对2010年至2024年12月发表的4个数据库进行了系统评价（SR）。我们用精确的二项和基于分数测试的95%置信区间估计ICANS的患病率。我们使用Stata中的Metaprop命令应用Freeman-Tukey双反正弦变换来稳定随机效应模型中的方差。结果：本研究纳入了16项研究（14项回顾性研究，n = 135,2项前瞻性研究，n = 300）。样本包括患有各种血液恶性肿瘤的成年人，他们接受了抗cd19抗bcma治疗。一些临床因素似乎与ICANS的发病率和严重程度有关。在回顾性研究中，所有级别ICANS的总患病率为41% (95% CI: 31%-51%)，≥3级ICANS的总患病率为20% （95% CI: 13%-28%）。在前瞻性研究中，总患病率为51% （95% CI: 45%-56%）。结论：大约一半接受CAR - T治疗的血液病患者会发生ICANS。虽然某些因素可能有助于ICANS的发展，但有限的研究和样本，大多数研究的回顾性性质以及结果之间的不一致性排除了某些风险因素的结论。对护理实践的启示：护士在ICANS的早期发现和管理的治疗后监测中发挥关键作用，因为他们直接和持续的患者互动。提高护士对ICANS潜在危险因素的认识可以提高他们对这种情况的警惕性和有效性。

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引用次数: 0

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151999

Lucy P. Andersen , Ryan J. Quinn , Heather Difilippo , Alfred L. Garfall , David L. Porter , Salimah H. Meghani , Jie Deng

Context

Caregivers are essential in the care of CAR T-cell patients, especially immediately before and after CAR T-cell therapy. However, the long-term CAR T-cell therapy caregiving implications are understudied.

Objectives

We aimed to characterize long-term caregiver health-related quality of life (HRQoL) and caregiving burden and understand the relationship between long-term caregiving burden and patient-reported HRQoL, cognitive function, and symptom burden.

Methods

This cross-sectional study included patients (≥18 years of age) who had received CAR T-cell therapy for B-cell lymphoma or multiple myeloma in the past one to five years and were in remission. Participating patients identified their current caregiver or the individual who was their caregiver at the time of infusion. Patients completed a survey with measures of HRQoL, cognitive function and symptom burden, while caregivers completed measures of HRQoL and caregiving burden. Linear regression was used to identify predictors of caregiving burden.

Results

In total, 58 patients and 31 caregivers participated. Caregiver HRQoL was similar to population norms, and 26% of caregivers reported mild to moderate caregiving burden. Caregiver age, and patient mental HRQoL, cognitive function, and symptom burden were significantly associated with caregiving burden in bivariate analyses (P < .05). Caregiver age was a significant predictor of caregiving burden in the linear regression analysis.

Conclusion

Caregivers of patients in sustained remission 1 to 5 years after CAR T-cell therapy report good HRQoL and minimal caregiving burden. However, clinicians should be aware that younger caregivers and caregivers of patients with worse symptom burden, cognitive function and HRQoL may experience increased caregiving burden.

背景：护理人员在CAR - t细胞患者的护理中是必不可少的，特别是在CAR - t细胞治疗前后。然而，CAR -t细胞疗法对长期护理的影响尚未得到充分研究。目的：我们旨在描述长期护理者健康相关生活质量（HRQoL）和护理负担的特征，并了解长期护理负担与患者报告的HRQoL、认知功能和症状负担之间的关系。方法：这项横断面研究纳入了在过去1至5年内接受过b细胞淋巴瘤或多发性骨髓瘤CAR - t细胞治疗并处于缓解期的患者（≥18岁）。参与研究的患者确定了他们目前的护理人员或在输液时是他们的护理人员的个人。患者完成HRQoL、认知功能和症状负担的测量，护理者完成HRQoL和护理负担的测量。采用线性回归方法确定护理负担的预测因子。结果：共有58名患者和31名护理人员参与。照护者的HRQoL与人群标准相似，26%的照护者报告有轻度至中度的照护负担。双变量分析显示，照顾者年龄、患者精神HRQoL、认知功能和症状负担与照顾负担显著相关（P < 0.05）。在线性回归分析中，照顾者年龄是照顾负担的显著预测因子。结论：CAR - t细胞治疗后1 - 5年持续缓解患者的护理人员报告了良好的HRQoL和最小的护理负担。然而，临床医生应该意识到，年轻的护理人员和症状负担、认知功能和HRQoL较差的患者的护理人员可能会增加护理负担。

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引用次数: 0

Mapping the Future of Haemato-Oncology Nursing 绘制血液肿瘤学护理的未来。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151987

Karen Campbell, Maura Dowling

引用次数: 0

Assessment of Survivor Concerns Scale for Gynecological Cancer: Turkish Validity and Reliability Study 妇科癌症幸存者关注量表的评估：土耳其效度和信度研究。

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing

Pub Date : 2025-10-01 DOI: 10.1016/j.soncn.2025.151954

Gonul Kurt , Hamide Arslan Tarus , Neriman Yükseltürk Şimşek

Objectives

This study aimed to adapt the Assessment of Survivor Concern Scale to Turkish and test its validity and reliability in gynecological cancer survivors.

Methods

This methodological study was conducted with 76 gynecological cancer survivors. During the adaptation phase of the Assessment of Survivor Concern Scale, the scale was first translated into Turkish and then culturally adapted. Next, the construct validity of the scale was evaluated by confirmatory factor analysis. The reliability of the scale was tested using Cronbach's alpha internal consistency coefficient, item-total score correlation coefficients, and intraclass correlation coefficients.

Results

It was determined that the Assessment of Survivor Concern Scale consisted of five items and two subscales. In the confirmatory factor analysis, the fit index values of the scale showed a good fit in general. The Cronbach’s alpha internal consistency coefficient of the scale was found to be 0.83, its intraclass correlation coefficients of the scale were above 0.70, and its item-total score correlation coefficients varied between 0.53 and 0.72.

Conclusion

The Turkish version of the Assessment of Survivor Concern Scale is a valid and reliable instrument for assessing the worry levels of gynecological cancer survivors.

Implications for Nursing Practice

Assessment of Survivor Concern Scale can help assess worry levels in survivors of gynecological cancers. This makes it possible to identify survivors with high worry levels and provide them with personalized counseling and psychosocial support.

目的：本研究旨在将《幸存者关注评估量表》改编为土耳其语，并检验其在妇科癌症幸存者中的效度和信度。方法：对76例妇科癌症幸存者进行方法学研究。在《幸存者关注量表评估》的适应阶段，首先将量表翻译成土耳其语，然后进行文化适应。其次，采用验证性因子分析评估量表的构念效度。采用Cronbach's alpha内部一致性系数、项目总分相关系数和类内相关系数检验量表的信度。结果：确定《幸存者关怀评估量表》由5个条目和2个分量表组成。在验证性因子分析中，量表的拟合指标值总体上具有较好的拟合性。量表的Cronbach's alpha内部一致性系数为0.83，量表的类内相关系数均在0.70以上，量表的项目总分相关系数在0.53 ~ 0.72之间。结论：土耳其版幸存者担忧量表是评估妇科癌症幸存者担忧程度的有效可靠的工具。对护理实践的启示：幸存者关注量表的评估可以帮助评估妇科癌症幸存者的担忧水平。这使得识别高焦虑程度的幸存者成为可能，并为他们提供个性化的咨询和社会心理支持。

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