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Advanced Practice Nurses and Their Roles in Swiss Cancer Care: A Cross-Sectional Study 高级实践护士及其在瑞士癌症护理中的作用:横断面研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151626
Franziska Geese , Denise Bryant-Lukosius , Sandra Zwakhalen , Sabine Hahn

Objectives

To examine the advanced practice nurse workforce in Swiss cancer care and how their roles are being implemented (eg, role structures, processes) to achieve optimal outcomes for patients and their families, care organizations, and the broader health care system.

Methods

A cross-sectional study was conducted. The sample included master-prepared advanced practice nurses in cancer care, who completed an online questionnaire from December 2021 to January 2022. Thirty-nine items assessed structures (eg, role characteristics, utilization), processes (eg, role activities, interventions), and perceived outcomes (eg, for patients, the health care system) of advanced practice nurses in Swiss cancer care. Data from closed questions were analyzed using descriptive statistics. Data from open-ended questions were organized and summarized into categories related to domains of advanced practice nursing and its reported frequency by the advanced practice nurses.

Results

The participating advanced practice nurses (n = 53), worked in half of the 26 Swiss cantons. Interventions were identified within nine categories, of which most were targeted to patients and their families (n = 7), followed by health care professionals (n = 2). Perceived positive outcomes were patient symptom management, length of hospital stay, and health care costs. Participants felt less confident in cancer care (eg, autonomous practice) and reported 15 professional development needs (eg, medical interventions, teaching).

Conclusions

This study provides a comprehensive examination of 53 advanced practice nurses, detailing the characteristics of their roles and utilization across various jurisdictions and health care settings. The results highlight the diverse dimensions of advanced practice nursing and its potential to enhance cancer services and outcomes in Switzerland. Opportunities for role development support and expansion are identified.

Implications for Nursing Practice

More systematic health human resource planning is needed to expand the deployment of advanced practice nurses across jurisdictions, practice settings, and more diverse patient populations. Role development needs show the desire for specialized educational preparation in cancer care.

目的:研究瑞士癌症护理领域的高级执业护士队伍,以及如何发挥他们的作用(如角色结构、流程),为患者及其家属、护理机构和更广泛的医疗保健系统实现最佳治疗效果。我们开展了一项横断面研究。研究样本包括 2021 年 12 月至 2022 年 1 月期间完成在线问卷调查的癌症护理领域硕士预科高级执业护士。39 个项目评估了瑞士癌症护理中高级实习护士的结构(如角色特征、使用情况)、流程(如角色活动、干预措施)和感知结果(如对患者、医疗保健系统)。封闭式问题的数据采用描述性统计进行分析。对开放式问题的数据进行了整理和归纳,归纳为与高级实践护理领域相关的类别以及高级实践护士报告的频率。参与调查的高级实习护士(n = 53)在瑞士 26 个州中的一半州工作。干预措施分为九类,其中大部分针对患者及其家属(7 人),其次是医护人员(2 人)。他们所认为的积极成果包括患者症状控制、住院时间和医疗费用。参与者对癌症护理(如自主实践)信心不足,并报告了 15 项专业发展需求(如医疗干预、教学)。本研究对 53 名高级实习护士进行了全面考察,详细介绍了她们在不同辖区和医疗机构中的角色特点和使用情况。研究结果凸显了高级实践护理的不同层面及其在提高瑞士癌症服务和治疗效果方面的潜力。研究还发现了支持和扩展角色发展的机会。需要进行更系统的卫生人力资源规划,以扩大高级实践护士在不同辖区、不同实践环境和更多样化患者群体中的部署。角色发展需求表明了人们对癌症护理专业教育准备的渴望。
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引用次数: 0
Advanced Practice Nursing and CAR-T Cell Therapy: Opportunities, Challenges and Future Directions 高级实践护理与 CAR-T 细胞疗法:机遇、挑战和未来方向。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151628
Daniel Kisielewski , Matthias Naegele

Objectives

Chimeric antigen receptor (CAR)-T cell therapy is a new treatment for patients with myeloma and other B cell malignancies where advanced practice nurses (APN) can make a great contribution. The aim of this review is to identify key aspects of current literature relevant to APNs working with this population.

Methods

Discussion of selected peer-reviewed literature and best practice guidelines found through electronic database searches (CINAHL, MEDLINE).

Results

Although few APN roles in CAR-T cell therapy have been published to date, recent research suggests that the APN is central to the care of these patients. They are essential for continuity of care and navigation through the treatment process, providing an important and consistent point of contact for patients’ and carers’ anxieties and uncertainties. APNs play a central role in symptom management, as they constantly incorporate new experience and scientific findings into the refinement of existing protocols. The continuum of care extends far beyond the inpatient stay and addresses symptoms that may persist long after cytokine release syndrome and neurotoxicity have resolved. The APN may therefore make a relevant contribution to patients’ health-related quality of life, given its likely correlation with the dynamics and intensity of treatment-related symptoms. The APN also takes on a leadership role in the treatment team.

Conclusions

APNs use all core competencies to sustainably support and empower patients and caregivers. This is achieved through counseling and education, in addition to identifying, developing, and implementing evidence-based symptom management. They play pivotal roles in introducing new CAR-T cell products, educating teams, and advancing their role through APN networks. Finally, APNs are integral members of multiprofessional teams, supporting colleagues in ethically challenging patient situations.

Implications for Nursing Practice

APNs in the field of CAR-T cell therapy make an important contribution to the continuous care of patients, caregivers, and treatment teams.

目的 嵌合抗原受体(CAR)-T 细胞疗法是骨髓瘤和其他 B 细胞恶性肿瘤患者的一种新疗法,高级执业护士(APN)可以在这方面做出巨大贡献。本综述的目的是确定当前文献中与从事该人群工作的高级执业护士相关的主要方面。方法讨论通过电子数据库搜索(CINAHL、MEDLINE)找到的部分同行评审文献和最佳实践指南。结果虽然迄今为止发表的高级执业护士在 CAR-T 细胞疗法中的作用很少,但最近的研究表明,高级执业护士在这些患者的护理中起着核心作用。他们对治疗过程中的连续性护理和导航至关重要,为患者和护理人员的焦虑和不确定性提供了一个重要而一致的接触点。全科护士在症状管理方面发挥着核心作用,他们不断将新的经验和科学发现融入到现有方案的改进中。持续护理的范围远远超出住院时间,并能解决细胞因子释放综合征和神经毒性缓解后可能长期存在的症状。因此,鉴于与治疗相关症状的动态和强度可能存在关联,全科护士可能会对患者与健康相关的生活质量做出相关贡献。全科护士还在治疗团队中发挥领导作用。结论全科护士利用所有核心能力为患者和护理人员提供可持续的支持并赋予他们权力。除了识别、开发和实施循证症状管理外,他们还通过咨询和教育来实现这一目标。他们在引进 CAR-T 细胞新产品、教育团队以及通过全科护士网络提升自身角色方面发挥着关键作用。最后,全科护士是多专业团队中不可或缺的成员,在病人面临伦理挑战的情况下为同事提供支持。对护理实践的启示全科护士在 CAR-T 细胞疗法领域为病人、护理人员和治疗团队的持续护理做出了重要贡献。
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引用次数: 0
Cancer Screening and Prevention in the Transgender and Gender Diverse Population: Considerations and Strategies for Advanced Practice Nurses 变性和性别多元化人群的癌症筛查和预防:高级执业护士的考虑因素和策略》。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151630
Erin Ziegler , Toni Slotnes-O'Brien , Micah D.J. Peters

Objectives

This discussion paper presents recent evidence regarding cancer screening and prevention among the transgender and gender diverse (TGD) community and highlights where and how advanced practice nurses (APNs), particularly those in primary care, can better contribute to closing the gap between healthcare disparities between TGD and cisgendered populations.

Methods

Relevant publications on the topic and professional guidelines and evidence have formed the basis for this discussion paper.

Results

TGD individuals are a vulnerable population with unique needs. They remain at risk of cancer and might be at greater risk of developing some cancers compared to cisgendered people but are underscreened. Barriers to gender-affirming care need to be addressed to improve access to prevention and screening services and improve the cancer care experiences and outcomes of TGD people.

Conclusion

APNs can work in collaboration with TGD individuals and the healthcare system to improve access to culturally safe cancer screening and more effective prevention of cancer and poor cancer outcomes.

Implications for Nursing Practice

APNs have the potential to improve access to cancer screening for TGD people by increasing their understanding of the needs of the population, providing culturally safe care, and advocating for more preventative care and cancer screening. With greater knowledge and understanding of the needs and preferences of TGD people both broadly and in relation to cancer screening and prevention, targeted interventions and care approaches can be implemented. APNs should also aim to conduct evaluations and research into cancer prevention and screening to build the currently limited evidence base and nursing knowledge in this important field.

目的本讨论稿介绍了有关变性和性别多元化(TGD)群体癌症筛查和预防的最新证据,并强调了高级执业护士(APNs),尤其是初级护理人员,在哪些方面以及如何更好地帮助缩小变性和性别多元化人群与顺性别人群在医疗保健方面的差距。结果变性和性别多元化人群是具有独特需求的弱势群体。他们仍有患癌的风险,而且与顺性别人群相比,他们患某些癌症的风险可能更高,但却未得到充分筛查。护理实践的启示护理人员可以通过增加对TGD人群需求的了解、提供文化上安全的护理以及倡导更多的预防性护理和癌症筛查,来改善TGD人群接受癌症筛查的机会。在更广泛地了解和理解 TGD 患者的需求和偏好以及与癌症筛查和预防相关的需求和偏好后,就可以实施有针对性的干预措施和护理方法。全科护士还应致力于对癌症预防和筛查进行评估和研究,以便在这一重要领域建立目前有限的证据基础和护理知识。
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引用次数: 0
Exploring Central and Bridge Symptoms in Patients with Lung Cancer: A Network Analysis 探索肺癌患者的中心症状和桥接症状:网络分析
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151651
Yuanyuan Luo , Jiahui Luo , Qing Su , Zhihui Yang , Jingxia Miao , Lili Zhang

Objectives

This study aimed to identify symptom clusters in lung cancer patients undergoing chemotherapy and the central and bridge symptoms within each symptom cluster.

Methods

In this cross-sectional study, 1,255 patients with lung cancer were recruited through convenience sampling at Nanfang Hospital. Patient symptom burden was assessed using the M.D. Anderson Symptom Inventory (MDASI) and the Lung Cancer module of the MDASI (MDASI-LC). Symptom clusters were identified using the Walktrap algorithm, and central and bridge symptoms in the symptom clusters were identified by network analysis.

Results

The patients included 818 (65.18%) males and 437 (34.82%) females with a mean age of 56.56 ± 11.78 years. Four symptom clusters were identified: fatigue, gastrointestinal, psychoneurological and respiratory. Their central symptoms were fatigue, vomiting, distress and hemoptysis, respectively, and their bridge symptoms were pain, vomiting, dry mouth and shortness of breath.

Conclusions

Lung cancer symptoms show certain strong correlations with each other, resulting in symptom clusters. Central symptoms may influence other symptoms within a symptom cluster, and bridge symptoms might impact the density of the symptom network. This study identified central and bridge symptoms in lung cancer patients undergoing chemotherapy. Targeting these symptoms with interventions for symptom clusters could make symptom management more precise and effective.

Implications for Nursing Practice

In clinical settings, the burden of symptom clusters may be reduced by intervening against the central symptoms of these symptom clusters. Alternatively, if the objective is to diminish the connections between different symptom clusters and holistically alleviate the overall burden, interventions focused on bridge symptoms may be employed.

研究目的本研究旨在确定接受化疗的肺癌患者的症状群,以及每个症状群中的中心症状和桥接症状:在这项横断面研究中,南方医院通过便利抽样招募了 1,255 名肺癌患者。采用M.D. Anderson症状量表(MDASI)和MDASI肺癌模块(MDASI-LC)评估患者的症状负担。使用 Walktrap 算法确定症状群,并通过网络分析确定症状群中的中心症状和桥接症状:患者包括 818 名男性(65.18%)和 437 名女性(34.82%),平均年龄为 56.56 ± 11.78 岁。确定了四个症状群:疲劳、胃肠道、精神神经系统和呼吸系统。其中心症状分别为疲劳、呕吐、窘迫和咯血,桥接症状为疼痛、呕吐、口干和气短:结论:肺癌症状之间存在一定的强相关性,从而形成症状群。中心症状可能会影响症状群中的其他症状,而桥接症状可能会影响症状网络的密度。本研究确定了接受化疗的肺癌患者的中心症状和桥接症状。针对这些症状采取症状群干预措施,可使症状管理更精确、更有效:对护理实践的启示:在临床环境中,可通过干预症状群的中心症状来减轻症状群的负担。另外,如果目标是减少不同症状群之间的联系,从整体上减轻总体负担,则可采用以桥接症状为重点的干预措施。
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引用次数: 0
Teaching-Learning Programs to Prevent and Control Infections Related to Long-Term Central Venous Access Device in Cancer Patients: A Systematic Review 预防和控制癌症患者长期中心静脉通路设备相关感染的教学计划:系统回顾。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151650
Leticia Genova Vieira , Guilherme Schneider , Amanda Salles Margatho , Fernanda Titareli Merizio Martins Braga , Christiane Inocêncio Vasques , Tom Møller , Elaine Barros Ferreira , Renata Cristina de Campos Pereira Silveira

Objectives

To evaluate the effectiveness of teaching-learning programs for cancer patients and/or their caregivers or family in preventing and controlling infections associated with long-term central venous access devices.

Data Sources

This systematic review used the CINAHL, Cochrane Library, EMBASE, LILACS, and MEDLINE via PubMed portal, Scopus, and Web of Science. Google Scholar was used for the gray literature search. The included studies were analyzed, and the obtained data were qualitatively synthesized. The risk of bias was assessed using Cochrane tools: RoB 2 and ROBINS-I. The certainty of the evidence was evaluated using the GRADE. The review protocol was registered in PROSPERO (CRD42021267530).

Conclusion

The teaching-learning programs were implemented through theoretical-practical and theoretical dimensions in five and two studies, respectively. The risk of bias in the studies was low, moderate, severe, and high in one, three, two, and one of them, respectively. The certainty was very low. Teaching-learning programs on central venous access devices care for cancer patients and/or their caregivers or families could be effective in reducing infection rates.

Implications for Nursing Practice

This systematic review addressed the teaching-learning programs for preventing and controlling infections associated with long-term central venous access devices. We identified that the most programs were effective in reducing the infection rates. The results may influence the clinical practice of oncology nurses, and consequently, the educational strategies and methods provided not only to these patients but for caregivers and families.

目的评估针对癌症患者和/或其护理人员或家属的教学计划在预防和控制与长期中心静脉通路装置相关的感染方面的有效性:本系统综述通过 PubMed 门户网站、Scopus 和 Web of Science 使用了 CINAHL、Cochrane Library、EMBASE、LILACS 和 MEDLINE。Google Scholar 用于灰色文献检索。对纳入的研究进行分析,并对获得的数据进行定性综合。使用 Cochrane 工具评估了偏倚风险:RoB 2 和 ROBINS-I。证据的确定性采用 GRADE 进行评估。综述方案已在 PROSPERO(CRD42021267530)上注册:五项研究和两项研究分别从理论-实践和理论两个维度实施了教学计划。这些研究的偏倚风险分别为低、中、严重和高,分别有 1 项、3 项、2 项和 1 项。确定性非常低。针对癌症患者和/或其护理人员或家属的中心静脉通路装置护理教学计划可有效降低感染率:本系统综述探讨了预防和控制与长期中心静脉通路装置相关的感染的教学计划。我们发现大多数计划都能有效降低感染率。这些结果可能会影响肿瘤科护士的临床实践,进而影响不仅为这些患者,而且为护理人员和家属提供的教育策略和方法。
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引用次数: 0
Hereditary Cancer Syndrome Carriers: Feeling Left in the Corner 遗传性癌症综合征携带者:感觉被遗弃在角落里
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151624
Celia Diez de los Rios de la Serna , Maria Teresa Lluch-Canut , Maria Paz Fernández-Ortega

Objectives

There is limited evidence on health promotion interventions in people with hereditary cancer syndromes or on their main sources of support and information. This study aimed to understand these patients’ experiences and needs, including their information needs, their views on prevention and mental health, and the support they want from nurses.

Methods

This qualitative study included 22 people (8 previvors and 14 survivors) with hereditary breast and ovarian syndrome or Lynch syndrome from 10 European countries. Participants underwent individual semi-structured interviews, which were recorded and transcribed for reflexive thematic analysis. The patient and public involvement panel provided input on study design and thematic analysis.

Results

Patient experiences were similar regardless of the country and access to testing and screening. Participants reported receiving little information on the importance of health behaviors for cancer risk and expressed their wish to be followed by cancer professionals. They felt compelled to seek support and information from the internet and patient groups. The main themes identified were: (unmet) informational and support needs, seeing life in a different way, and limitations of health care providers.

Conclusions

People with hereditary cancer syndromes need professionals to be involved in their long-term management and to provide reliable information. As genomics are increasingly integrated in oncology, the need for professionals to support these populations will increase.

Implications for Nursing Practice

Nurses are crucial for promoting self-management and advocating for patient decision-making; however, they need skills and knowledge to do so. There is a need for nurses to get more involved in understanding hereditary cancer syndromes and an opportunity to take the lead in the care of these people.

目的有关遗传性癌症综合征患者的健康促进干预措施或他们的主要支持和信息来源的证据有限。本研究旨在了解这些患者的经历和需求,包括他们对信息的需求、他们对预防和心理健康的看法以及他们希望从护士那里获得的支持。方法本定性研究包括来自 10 个欧洲国家的 22 名遗传性乳腺和卵巢综合征或林奇综合征患者(8 名预后者和 14 名幸存者)。参与者接受了个人半结构化访谈,访谈进行了录音和转录,以便进行反思性专题分析。患者和公众参与小组为研究设计和主题分析提供了意见。参与者报告称,他们几乎没有获得关于健康行为对癌症风险的重要性的信息,并表示希望癌症专业人士能够关注他们。他们认为必须从互联网和患者团体中寻求支持和信息。确定的主要主题有(结论遗传性癌症综合征患者需要专业人员参与他们的长期管理并提供可靠的信息。随着基因组学越来越多地融入肿瘤学,对专业人员为这些人群提供支持的需求将会增加。对护理实践的启示护士在促进自我管理和倡导患者决策方面至关重要;但是,她们需要技能和知识才能做到这一点。护士需要更多地了解遗传性癌症综合征,并有机会在这些人群的护理中发挥主导作用。
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引用次数: 0
A Pilot Study of a Family Management Program for Parents of Children with Acute Lymphoblastic Leukemia 针对急性淋巴细胞白血病患儿家长的家庭管理项目试点研究。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151648
Wachareekorn Aungkaprasatchai , Nujjaree Chaimongkol , Pornpat Hengudomsub , Verna L. Hendricks-Ferguson

Objectives

The aim of this completed pilot study was to evaluate the feasibility of implementing a family management program (FMP) for parents of children with acute lymphoblastic leukemia (ALL).

Data Sources

A convenience sample of 11 parents of preschool-aged children with ALL were recruited from an ambulatory chemotherapy-care clinic at a tertiary hospital in Thailand. Participants received three FMP sessions over 3 weeks. The FMP is based on two established family programs (ie, FMP-style framework and building on family strengths) and reviewed literature. The following measures were used to evaluate parents’ responses at baseline, postintervention, and follow-up: Family Management Measure, Beach-Center Family Quality-of-Life Scale, and Pediatric Quality of Life Inventory. Data were analyzed using one-way repeated-measures analysis of variance.

Conclusion

The study results provide promising evidence that the FMP is feasible and improves family management and quality of life for parents of enrolled children with ALL.

Implications for Nursing Practice

Educating pediatric oncology nurses and other healthcare professionals to replicate the FMP may help to provide better family management, and child quality of life support to future parents and other family members of young children diagnosed with ALL. This support should focus on educating parents about the potential effects of caring for a child with ALL on the family and fostering positive relationships within the family and offering guidance on effective family communications and decision-making processes.

目标:这项已完成的试点研究旨在评估针对急性淋巴细胞白血病(ALL)患儿家长实施家庭管理计划(FMP)的可行性:这项已完成的试点研究旨在评估针对急性淋巴细胞白血病(ALL)患儿家长实施家庭管理计划(FMP)的可行性:数据来源:研究人员从泰国一家三甲医院的非住院化疗护理门诊招募了 11 名学龄前急性淋巴细胞白血病患儿的家长。参与者在3周内接受了3次FMP治疗。FMP是基于两个成熟的家庭项目(即FMP风格框架和建立在家庭力量基础上)和文献综述而设计的。评估家长在基线、干预后和随访中的反应时使用了以下测量方法:家庭管理测量法、Beach-Center 家庭生活质量量表和儿科生活质量量表。数据采用单向重复测量方差分析法进行分析:研究结果提供了很好的证据,证明FMP是可行的,并能改善入组 ALL患儿家长的家庭管理和生活质量:对护理实践的启示:教育儿科肿瘤护士和其他医疗保健专业人员复制FMP,有助于为未来确诊为ALL患儿的父母和其他家庭成员提供更好的家庭管理和儿童生活质量支持。这种支持的重点应该是让家长了解照顾ALL患儿对家庭的潜在影响,培养家庭内部的积极关系,并就有效的家庭沟通和决策过程提供指导。
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引用次数: 0
Multidimensional Model of Energy in Patients With Cancer 癌症患者能量多维模型
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151644
David Ayangba Asakitogum , Jerry John Nutor , Rachel Pozzar , Marilyn Hammer , Sarah Alismail , Kord M. Kober , Christine Miaskowski

Objectives

Evidence suggests that energy is a distinct symptom from fatigue in patients with cancer. The purpose of this paper is to present the Multidimensional Model of Energy in Patients with Cancer (MMEPC) that is based on emerging evidence and to make recommendations for clinical practice and future research.

Methods

The literature was reviewed to determine various factors associated with variations in energy in patients with cancer. In addition, some of the emerging evidence in the model is supported by studies of energy in the general population and in patients with other chronic conditions.

Results

Based on a review of the literature, specific concepts in the MMEPC include: person factors, clinical factors, cancer-related factors, biological factors, factors associated with energy balance, and co-occurring symptoms. The evidence to support the association between each of these factors and variations in energy levels in patients with cancer is described and synthesized.

Conclusion

This article provides emerging evidence on factors that influence variations in energy levels in patients with cancer. While the fundamental biobehavioral and biologic mechanisms that underlie variations in energy levels are not well understood, the model can be used to design pre-clinical and clinical studies of energy in patients with cancer. In addition, while emerging evidence supports the hypothesis that fatigue and energy are distinct symptoms, additional research on common and distinct risk factors and underlying mechanisms is warranted to be able to develop and test precision interventions for one or both symptoms.

Implications for Nursing Practice

The risk factors (eg, being female, sleep quality) associated with variations in energy levels in patients with cancer identified in this paper have important clinical implications. Clinicians can use the identified risk factors to guide their assessments; identify high-risk patients with decrements in energy decrement; and develop targeted energy conservation interventions for the patients.

目的:有证据表明,癌症患者的能量是一种不同于疲劳的症状。本文旨在介绍基于新兴证据的癌症患者能量多维模型(MMEPC),并为临床实践和未来研究提出建议:方法:我们查阅了相关文献,以确定与癌症患者能量变化相关的各种因素。此外,模型中的一些新证据还得到了对普通人群和其他慢性病患者能量研究的支持:根据文献综述,MMEPC 的具体概念包括:个人因素、临床因素、癌症相关因素、生物因素、与能量平衡相关的因素以及并发症状。本文描述并综合了支持这些因素与癌症患者能量水平变化之间关联的证据:本文就影响癌症患者能量水平变化的因素提供了新的证据。虽然人们对能量水平变化的基本生物行为和生物机制还不十分清楚,但该模型可用于设计癌症患者能量的临床前和临床研究。此外,虽然新出现的证据支持疲劳和能量是不同症状的假设,但还需要对共同和不同的风险因素及潜在机制进行更多研究,以便能够针对一种或两种症状开发和测试精确的干预措施:本文指出的与癌症患者精力水平变化相关的风险因素(如女性、睡眠质量)具有重要的临床意义。临床医生可以利用所发现的风险因素来指导他们的评估;识别能量下降的高危患者;并为患者制定有针对性的能量保护干预措施。
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引用次数: 0
Innovative Cancer Follow-Up with Telehealth: A New Method for Oncology Nurses 利用远程医疗进行创新性癌症随访:肿瘤科护士的新方法。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151649
Elif Donmez , Bulent Kilic , Zeynep Dulger , Turkan Ozdas

Objectives

Telenavigation (TN) is an innovative cancer follow-up method for oncology nurses. Little is known about the effectiveness of tele-navigation on cancer patients. This study investigated the opinions of healthcare providers (HCPs) and colorectal cancer patients’ experience regarding patient follow-up with TN.

Data Sources

This is a phenomenological qualitative study. Semistructured interviews were conducted with fifteen patients and eight healthcare providers. Participants were selected by purposive sampling. Data were collected from March to October 2022 and analyzed by thematic content analysis.

Conclusion

Six themes emerged that described the experiences of TN: (1) beneficial; (2) psychological state; (3) level of knowledge, (4) technology, (5) health care system, and (6) recommendations. Patients and HCPs found TN practice helpful and reassuring and they recommended expanding these practices within the health system. As a result of the research, the TN program is described as beneficial to patients and healthcare providers.

Implications for Nursing Practice

The TN follow-up is a beneficial implication for colorectal cancer patients undergoing treatment, and it deserves to be more widely deployed. It brings reassurance regarding psychological, reliable data access, and home follow-up. Patients and HCPs reported positive views on telephone follow-up. There is a recommendation that the innovative follow-up technique should be disseminated to the healthcare system and that cancer nurses should be more familiar with this method.

目的:远程导航(TN)是为肿瘤科护士提供的一种创新的癌症随访方法。人们对远程导航对癌症患者的效果知之甚少。本研究调查了医疗服务提供者(HCPs)的意见以及结直肠癌患者使用 TN 随访的经验:这是一项现象学定性研究。对 15 名患者和 8 名医疗服务提供者进行了半结构化访谈。参与者是通过有目的抽样选出的。数据收集时间为 2022 年 3 月至 10 月,采用主题内容分析法对数据进行分析:描述 TN 体验的六个主题是:(1)有益;(2)心理状态;(3)知识水平;(4)技术;(5)医疗保健系统;(6)建议。患者和医疗保健人员认为 TN 实践很有帮助,让人放心,他们建议在医疗系统内推广这些实践。研究结果表明,TN 项目对患者和医疗服务提供者都是有益的:TN随访对正在接受治疗的结直肠癌患者有益,值得更广泛地推广。它为患者带来了心理安慰、可靠的数据访问和家庭随访。患者和医疗保健人员对电话随访持积极态度。建议向医疗系统推广这种创新的随访技术,并让癌症护士更加熟悉这种方法。
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引用次数: 0
Reliability and Validity of the Arabic Version of the Short Form Supportive Care Needs Survey Questionnaire (SCNS-SF34-A) 阿拉伯语版支持性护理需求调查简表(SCNS-SF34-A)的可靠性和有效性。
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2024-06-01 DOI: 10.1016/j.soncn.2024.151646
Hanan Abdelrahman , Mohammad Al Qadire , Hamada Zehry

Objective

This study aimed to assess the psychometric properties of the Arabic version of the Supportive Care Needs Survey Short Form 34 (SCNS-SF34-A) among heterogonous group of cancer patients.

Method

This was a multicenter, prospective, descriptive-correlational survey that included 297 cancer patients recruited from two hospitals. The tool construct validity, internal consistency, and test-retest reliability were evaluated.

Results

The participants comprised 60.6% females, with ages ranging from 18 to 82 years. The majority were married (71.7%) and had mainly breast cancer (28.3%). Exploratory factor analysis supported a four-factor structure that are: health system information and patient support domain, psychological domain, physical and daily living domain, and sexuality domain. This tool explained 64.2% of the variance. The SCNS-SF34-A demonstrated excellent internal consistency for the whole scale (Cronbach's alpha = 0.954) and high test-retest reliability (ICC = 0.954) for the subscales (Cronbach's alpha ranged from 0.82 to 0.95 and ICC ranged from 0.950 to 0.960.

Conclusion

SCNS-SF34-A exhibits robust psychometric properties and holds promise for enhancing cancer care in the Arab world, contributing to a more tailored and effective approach to addressing patients' supportive care needs. The four-factor structure aligns with international studies, emphasizing the nuanced nature of variations. Further validation in diverse Arabic-speaking populations and the exploration of additional forms of validity are recommended.

Implications for Nursing Practice

The SCNS-SF34-A presents a reliable, culturally adapted, and sensitive assessment tool for the diverse supportive care needs of cancer patients in Oman and the Arab world. It contributes to the improvement of the quality of cancer care and patient-centered approach in clinical practice.

研究目的本研究旨在评估阿拉伯语版支持性护理需求调查简表 34(SCNS-SF34-A)在不同癌症患者群体中的心理测量特性:这是一项多中心、前瞻性、描述性相关调查,包括从两家医院招募的 297 名癌症患者。对该工具的建构效度、内部一致性和重测可靠性进行了评估:参与者中女性占 60.6%,年龄从 18 岁到 82 岁不等。大多数人已婚(71.7%),主要患有乳腺癌(28.3%)。探索性因素分析支持四因素结构,即:医疗系统信息和患者支持领域、心理领域、身体和日常生活领域以及性生活领域。该工具解释了 64.2% 的方差。SCNS-SF34-A 整个量表的内部一致性极佳(Cronbach's alpha = 0.954),各分量表的测试-再测可靠性也很高(ICC = 0.954)(Cronbach's alpha 为 0.82 至 0.95,ICC 为 0.950 至 0.960):SCNS-SF34-A具有强大的心理测量特性,有望加强阿拉伯世界的癌症护理工作,有助于采用更有针对性、更有效的方法来满足患者的支持性护理需求。四因素结构与国际研究一致,强调了差异的细微差别。建议在讲阿拉伯语的不同人群中进行进一步验证,并探索其他形式的有效性:SCNS-SF34-A 为阿曼和阿拉伯世界癌症患者的不同支持性护理需求提供了一种可靠的、适应不同文化且敏感的评估工具。它有助于在临床实践中提高癌症护理质量和以患者为中心的方法。
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引用次数: 0
期刊
Seminars in Oncology Nursing
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