Cancer care research online最新文献

Background: Cancer, particularly during young adulthood, can alter one's perspective about the future, which may play a major role in one's ability to identify new life goals and challenge existing important life goals. Peace of mind (i.e., the ability to find harmony, reach deep down for comfort, and have confidence that things will be okay) may be particularly beneficial in the context of having a negative outlook on the future and goal navigation.

Objective: This study investigated relationships among future negative time perspective (FNTP), peace of mind, and goal navigation among young adults (YAs) with cancer.

Methods: YAs (N=56, M=34.8), recruited through cancer organizations and via the Pennsylvania Cancer Registry, completed measures of FNTP, peace of mind, and goal navigation.

Results: Controlling for relevant covariates, peace of mind moderated the relationship between FNTP and goal navigation (β=0.25, 95% CI: 0.01, 0.04). High FNTP was associated with lower goal navigation, particularly among those with low peace of mind.

Conclusions: The extent to which YAs adopt a FNTP contributes to declines in goal navigation. YAs with low peace of mind might be at heightened risk for the interference of FNTP in anticipating and planning for the future.

Implications for practice: Interventions and clinical care aimed at increasing peace of mind might be particularly helpful in facilitating goal navigation for YAs with negative outlooks for the future.

Foundational: This study contributes to a better understanding of the role of peace of mind on FNTP and navigating goals among YAs with cancer.

Background: During the COVID-19 pandemic, cancer survivors and care partners navigated social interactions amidst the uncertainties of cancer-related vulnerability and risk. Vaccination offered a new tool for self-management yet created potential for conflict within survivors' and care partners' social networks.

Objective: We examined cancer survivors' and care partners' perceptions of the impact of vaccine availability on social interactions.

Methods: In May 2021, survivor and care partner participants in a prospective study of social support network interactions (N=64) were invited to complete an online survey about COVID-19 vaccination and record an audio diary describing the impact of vaccine availability. Descriptive statistics summarized demographic data. Audio diaries were transcribed, inductively coded, and themes developed and narratively summarized.

Results: Twenty-seven participants (42.9%) completed the survey and n=21 (33.3%; n=8 caregivers, 38.1%, n=13 survivors, 61.9%) recorded diaries. Eighty percent (n=21) of the sample received the COVID-19 vaccine. Two themes illustrated the impact of COVID-19 vaccines within a cancer context: Providing hope and Reconnecting with life.

Conclusion: Vaccination decisions allowed many cancer survivors and partners to reengage with their social networks. With limited guidance, many relied on their own knowledge, values, and experiences to determine how to preserve their health.

Implications for practice: Utilizing a shared decision-making model, nurses can help families develop strategies that enact their values to promote long-term health. Nursing education and support can be further strengthened to create patient self-efficacy when navigating social interactions in the post-COVID era.

Foundational: This study addresses the need for improved self-management strategies for cancer survivors.