Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Development and implementation of a supportive care model for cancer patients in the last days of life: A hospital-based program","authors":"Xiaoting Hou ,&nbsp;Renxiu Guo ,&nbsp;Wenhua Yu ,&nbsp;Ling Yuan ,&nbsp;Guoxia Chen ,&nbsp;Xiaoxiao Ma ,&nbsp;Yujie Zhou ,&nbsp;Xue Zhang ,&nbsp;Li Liu ,&nbsp;Yunhua Wang ,&nbsp;Yuhan Lu","doi":"10.1016/j.apjon.2025.100828","DOIUrl":"10.1016/j.apjon.2025.100828","url":null,"abstract":"<div><h3>Objective</h3><div>The quality of end-of-life care for cancer patients in China remains unsatisfactory, particularly during their last days and hours, highlighting an urgent need for improvement. This study is aimed to develop and implement a hospital-based quality improvement (QI) program to provide supportive care for terminally ill cancer patients, with the goal of improving the quality of death of cancer patients and family satisfaction.</div></div><div><h3>Methods</h3><div>This QI program primarily included three phases: developing evidence-based practice standards and related materials; conducting stratified training and providing the bundled supportive care strategies; and implementing quality supervision. The supportive care provided to terminally ill cancer patients and their families consists 30 bundled strategies divided into 5 parts: recognition and confirmation that the person may enter the last few days of life, end-of-life communication, patient-centered supportive care, family-centered supportive care and bereavement support for the family. The quality of death of cancer patients was assessed from the perspective of charge nurses and family members using the Good Death Inventory (GDI), and family satisfaction was evaluated using the Family Satisfaction with Advanced Cancer Care-2 (FAMCARE-2) scale.</div></div><div><h3>Results</h3><div>One hundred and fourteen patients from five hospitals located in Beijing, Nanjing, and Kunming were provided the supportive care between May 2023 to August 2024, and 112 (98.2%) nurses and 103 (90.4%) families completed the follow-up evaluation. The total GDI score, which ranges from 54 to 378 with higher score indicating a better quality of death, was recorded as 299.81 ± 53.70 from the perspectives of nurses and 310.76 ± 49.55 from family members. The FAMCARE-2 score ranging from 17 to 85 with higher scores indicating greater satisfaction was 80.52 ± 8.75, with scores for symptom control, information support, family support, and patient psychological support at 23.73 ± 2.80, 18.87 ± 2.25, 18.94 ± 2.35, and 18.98 ± 1.95, respectively.</div></div><div><h3>Conclusions</h3><div>This study systematically implemented supportive care strategies tailored to the needs of patients and their families at the end of life through a hospital-based program and achieving satisfactory outcomes. The systematic approach and innovation of the program are worthy of further promotion.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100828"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145882133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty profiles and symptomatic radiation pneumonitis in patients with lung cancer undergoing radiotherapy: A latent class analysis","authors":"Jiang Zhang ,&nbsp;Xijuan Zhao ,&nbsp;Song Li ,&nbsp;Jiawei Liao ,&nbsp;Lu Xu ,&nbsp;Yanyan Fei ,&nbsp;Jiang Wu ,&nbsp;Qiongyao Guan","doi":"10.1016/j.apjon.2025.100840","DOIUrl":"10.1016/j.apjon.2025.100840","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to identify distinct frailty subtypes and their influencing factors, and to further explore the relationship between these frailty characteristics and the occurrence of symptomatic radiation pneumonitis (SRP) in patients with lung cancer undergoing radiotherapy.</div></div><div><h3>Methods</h3><div>The Observational study was conducted among 204 patients with lung cancer undergoing radical radiotherapy. Frailty was assessed via the Fried Frailty Phenotype, and nutritional risk was evaluated by the Nutrition Risk Screening 2002 (NRS-2002). Radiation pneumonitis (RP) was graded by the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 in conjunction with chest CT results. Radiotherapy parameters, including total radiation dose, treatment technique, bilateral lung mean dose (Dmean, Gy), and bilateral lung V20 (%), were collected. Latent class analysis (LCA) was performed to identify potential frailty subgroups. Multinomial logistic regression was conducted to determine factors associated with frailty classes, and binary logistic regression was subsequently used to assess the relationship between frailty class and the incidence of SRP in patients with lung cancer.</div></div><div><h3>Results</h3><div>LCA identified three distinct frailty subgroups: prefrailty (C1, 37.3%), frail physical activity decline (C2, 31.9%), and severe-frail core-strength decline (C3, 30.9%) group. Radiotherapy sessions, nutritional risk, and age were the main factors influencing frailty classification. The incidence of SRP in group C3 (68.3%) was significantly higher than that in group C2 (47.7%) and group C1 (19.7%) (<em>P</em> &lt; 0.001). The risk of SRP was 3.71 times higher in C2 and 8.84 times higher in C3 as compared to C1.</div></div><div><h3>Conclusions</h3><div>Frailty among patients with lung cancer undergoing radiotherapy exhibit marked frailty heterogeneity. Those with severe frailty, particularly characterized by core strength and physical function decline, strongly associated with increased SRP risk. These findings indicating the importance of individualized nursing assessments and early, targeted interventions to prevent and mitigate frailty progression and SRP occurrence.</div></div><div><h3>Trial registration</h3><div>National Clinical Trial Registry (ChiCTR2400081213).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100840"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing psychological distress in women with breast cancer: A systematic review of intervention trends in the past decade","authors":"Haejeong An ,&nbsp;Yoonjung Kim","doi":"10.1016/j.apjon.2025.100826","DOIUrl":"10.1016/j.apjon.2025.100826","url":null,"abstract":"<div><h3>Objective</h3><div>The rising incidence and survival rates of breast cancer have increased the number of breast cancer survivors (BCSs) experiencing psychological distress that often overlaps with anxiety, depression, and fear of recurrence. Many existing interventions neglect the unique psychosocial contexts of BCSs, and unclear definitions of distress hinder consistent assessment and management. This systematic review evaluated recent interventions targeting psychological distress in BCSs and offers evidence-based insights.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, six databases were searched for randomized controlled trials on distress interventions for BCSs published between 2014 and July 2025. Study quality was evaluated using Cochrane's RoB 2 tool, and data on intervention characteristics, outcomes, and measurement instruments were extracted.</div></div><div><h3>Results</h3><div>Fourteen randomized control trials involving 2447 BCSs were included. Among them, 8 (57%) report significant reductions, with six showing immediate post-intervention effects and two demonstrating effects only at follow-up (effect sizes ranged from small to large, Cohen's d = 0.44–1.54). Effective interventions included mindfulness-based approaches, virtual reality-integrated psychotherapy, and cognitive-behavioral therapy combined with hypnosis. In contrast, cognitive-focused interventions lacking experiential components and minimally structured digital programs showed non-significant results.</div></div><div><h3>Conclusions</h3><div>Effective distress management requires multimodal, theory-based interventions delivered by trained professionals, rather than cognitive-focused or minimally structured approaches. Future interventions should incorporate standardized distress assessment tools and clearly articulated theoretical frameworks, focusing on younger survivors, who remain significantly underrepresented. Although digital platforms enhance accessibility, their effectiveness depends on evidence-based content and structured implementation. Strengthening these elements will improve both the comparability and overall effectiveness of interventions for BCSs.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100826"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145801807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The burdens, coping strategies, and unmet needs of family caregivers of Chinese patients with lymphoma receiving commercial CAR-T-cell therapy: A qualitative study","authors":"Xijun Lin ,&nbsp;Jiali Liu ,&nbsp;Jianwen Chen ,&nbsp;Jiamin Tang,&nbsp;Zhicong Huang,&nbsp;Ye Wang,&nbsp;Simei Shi","doi":"10.1016/j.apjon.2025.100850","DOIUrl":"10.1016/j.apjon.2025.100850","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to describe the caregiving experiences, coping strategies, and unmet health care needs of family caregivers supporting Chinese patients with large B-cell lymphoma receiving commercial chimeric antigen receptor T-cell therapy.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design was adopted. Semistructured interviews were conducted with 19 primary family caregivers at a university-affiliated cancer centre in southern China. Data were analysed using Braun and Clarke's thematic analysis framework.</div></div><div><h3>Results</h3><div>Three themes were identified: (1) overwhelming caregiving burden, including financial strain, emotional distress, and role conflict; (2) caregivers' patient-centred coping strategies, including familial financial sacrifice, emotional suppression to protect the patient, and reprioritizing work and personal life for care; and (3) unmet caregiver support needs, including navigating therapy costs without systemic support, gaps in caregiver education and care coordination, and caregivers' emotional support being overlooked in care systems.</div></div><div><h3>Conclusions</h3><div>Family caregivers of patients receiving this therapy in China experience significant challenges, which are often managed through culturally influenced coping strategies amid limited formal support. A caregiver-inclusive approach (including financial reforms, tailored caregiver education, increased care coordination, and psychosocial services) is essential to support the well-being of family caregivers and optimize treatment outcomes amid evolving oncology trends in China.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100850"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146073777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported outcomes with a personalized follow-up program after lung cancer resection: A single-center randomized controlled trial","authors":"Yiqing Luo ,&nbsp;Yuna Cheng ,&nbsp;Zuodong Song ,&nbsp;Hui Chen ,&nbsp;Yinping Bo ,&nbsp;Haobo Shixing","doi":"10.1016/j.apjon.2025.100844","DOIUrl":"10.1016/j.apjon.2025.100844","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to determine the impact of PROM with a personalized follow-up program on the evaluation of quality of life and self-management for patients after lung cancer resection.</div></div><div><h3>Methods</h3><div>Given a formal power calculation a total of 240 patients with lung cancer. Participants were randomly assigned to either the experimental or the control groups. Patients in the experimental group received a personalized follow-up program of patient-reported outcomes. The control group received only the telephone follow-up. Baseline data (T0) were collected before the intervention (on the day of discharge), and quality of life, self-efficacy, and compliance were measured at 2 weeks (T1), 4 weeks (T2), and 4 months (T3) post-discharge.</div></div><div><h3>Results</h3><div>The difference in quality of life between the experimental and control groups was significant (Wald χ² = 5.204, <em>P</em> = 0.023), with the experimental group showing significantly better quality of life at T2 compared to the control group (<em>t</em> = 2.515, <em>P</em> = 0.013). Both groups showed improvements in quality of life at all post-test time points (Wald χ² = 574.167, <em>P</em> &lt; 0.001), and the interaction between group and time was not statistically significant (Wald χ² = 2.354, <em>P</em> = 0.308). Regarding self-management efficacy, Generalized Estimating Equations results indicated a significant difference between the experimental and control groups (Wald χ² = 6.573, <em>P</em> = 0.010), with the experimental group showing significantly higher self-management efficacy at T2 and T3 compared to the control group (<em>t</em> = 3.024, <em>P</em> = 0.003; <em>t</em> = 2.214, <em>P</em> = 0.028). No significant differences were observed at T0 and T1. Both groups showed improvements in self-management efficacy at all post-test time points (Wald χ² = 301.390, <em>P</em> &lt; 0.001), and the interaction between group and time was not statistically significant (Wald χ² = 3.971, <em>P</em> = 0.137).</div></div><div><h3>Conclusions</h3><div>For patients after lung cancer surgery, the program has optimized the evaluation of postoperative quality of life and self-management efficacy.</div></div><div><h3>Trial registration</h3><div>Chinese Clinical Trial Registry (NCT06483295).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100844"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Latent profiles and influencing factors of sense of coherence in patients with advanced cancer: A cross-sectional study","authors":"Yongqi Huang ,&nbsp;Huimin Xiong ,&nbsp;Xia Tian ,&nbsp;Jinjia Lai ,&nbsp;Liqun Zhou ,&nbsp;Lili Chen ,&nbsp;Wenli Xiao","doi":"10.1016/j.apjon.2025.100848","DOIUrl":"10.1016/j.apjon.2025.100848","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to identify the latent profiles of sense of coherence (SOC) in patients with advanced cancer and explore its influencing factors encompassing sociodemographic and clinical characteristics, and generalized resistance resources (GRRs).</div></div><div><h3>Methods</h3><div>A cross-sectional study of 262 patients with advanced cancer was conducted by convenience sampling in Guangzhou, China, from September 2023 to July 2024. Data were collected including sociodemographic and clinical characteristics, SOC-13, Revised Life Orientation Test (LOT-R), Rosenberg Self-Esteem Scale (RSES), Inner Peace State Scale (IPSS), Gratitude Questionnaire-6 (GQ-6), and Social Support Rating Scale (SSRS). Statistical analysis was performed using latent profile analysis (LPA) and multivariate logistic regression analysis.</div></div><div><h3>Results</h3><div>Three latent profiles of SOC were identified: low SOC and low comprehensibility group (29.01%), moderate SOC and high meaningfulness group (40.08%), and high SOC and high manageability group (30.91%). This study found that SOC was impacted by self-perceived severity of the disease and GRRs including optimism, self-esteem, and inner peace (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>SOC in patients with advanced cancer exhibited different characteristics. Enhancing positive disease perception and GRRs including optimism, self-esteem, and inner peace may be effective strategies for improving their SOC. Healthcare professionals can formulate strategies such as tailored health education, symptom management, and positive psychological interventions to enhance SOC in patients with advanced cancer.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100848"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stigma experiences among young and middle-aged testicular cancer survivors in China: A phenomenological study","authors":"Yu Zhao ,&nbsp;Dan Li ,&nbsp;Meng Zhang ,&nbsp;Wei Yan ,&nbsp;Hong Shen ,&nbsp;Miaomiao Xu ,&nbsp;Yuxin Liu","doi":"10.1016/j.apjon.2025.100825","DOIUrl":"10.1016/j.apjon.2025.100825","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the lived experiences and core structures of stigma among young and middle-aged Chinese testicular cancer (TC) survivors using a phenomenological approach.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological study was conducted with 15 TC survivors aged 18–45 years, purposively recruited from a tertiary hospital in Beijing. In-depth semi-structured interviews were conducted, with data collection continuing until thematic saturation was reached. All interviews were audio-recorded, transcribed verbatim, and analyzed using Colaizzi's seven-step method to extract significant statements, formulate meanings, and generate themes.</div></div><div><h3>Results</h3><div>Four overarching themes and 11 subthemes emerged, situated within a social–ecological framework. (1) Internalized and Embodied Stigma (Individual Level): Shame-driven self-blame, hypervigilance toward bodily changes, and intergenerational transmission of stigma. (2) Relational Diplomacy and “Face” Management (Interpersonal Level): The ambivalence of family secrecy, strategic management of social capital, and contraction of social networks. (3) System-Driven Stigma (Community/Institutional Level): Cultural moralization of illness, clinical interactions inadvertently reinforcing stigma, and structural discrimination or neglect. (4) Confucian Ideology of the Body (Societal/Cultural Level): Moral weight of perceived lineage disruption and cultural expectations of bodily integrity.</div></div><div><h3>Conclusions</h3><div>Stigma among young and middle-aged Chinese TC survivors is pervasive and shaped by the interplay of biological vulnerability, Confucian moral values, and institutional structures. A comprehensive, culturally grounded, multi-level stigma-reduction strategy—spanning the individual, family, community, and health care system—is urgently needed to support psychosocial adaptation and improve survivorship outcomes.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100825"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145838854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between postoperative urinary incontinence severity and anxiety in patients with prostate cancer: A chain mediation analysis of ehealth literacy and pelvic floor muscle training adherence","authors":"Qiuxia Qin,&nbsp;Juan Liu,&nbsp;Duo Zhang,&nbsp;Yuming Zhang,&nbsp;Xiaoqin Xie,&nbsp;Fan Yang,&nbsp;Lihong Huang,&nbsp;Xiaoqin Chen","doi":"10.1016/j.apjon.2025.100842","DOIUrl":"10.1016/j.apjon.2025.100842","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to examine the chain mediating roles of eHealth literacy and pelvic floor muscle training (PFMT) adherence in the association between urinary incontinence (UI) severity and anxiety.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted using convenience sampling to recruit 240 patients with prostate cancer one month after surgery. Validated instruments were used to assess PFMT adherence (PFMT Adherence Scale), eHealth literacy (eHEALS), UI severity (International Consultation on Incontinence Questionnaire-Short Form), and anxiety (Generalized Anxiety Disorder-7). Structural equation modeling (SEM) was performed using AMOS 24.0 to evaluate direct and indirect effects. Mediation effects were tested using bias-corrected bootstrap analyses with 5000 resamples and 95% CI.</div></div><div><h3>Results</h3><div>At one month postoperatively, 45.05% of patients experienced anxiety, 60.40% reported moderate-to-severe urinary incontinence, and 71.78% demonstrated low eHealth literacy. High adherence to PFMT was observed in only 36.63% of participants. UI severity was indirectly associated with anxiety through three pathways: eHealth literacy (<em>β</em> = 0.154, <em>P</em> &lt; 0.01), PFMT adherence (<em>β</em> = −0.047, <em>P</em> &lt; 0.05), and a sequential pathway involving both eHealth literacy and PFMT adherence (<em>β</em> = 0.038, <em>P</em> &lt; 0.01). eHealth literacy accounted for 22.3% of the total effect, PFMT adherence for 6.8%, and their combined chain mediation effect for 5.5%.</div></div><div><h3>Conclusions</h3><div>Urinary incontinence severity one month after prostate cancer surgery is a significant predictor of anxiety, exerting both direct and indirect effects. eHealth literacy and PFMT adherence function as important psychological and behavioral mediators, together explaining 34.6% of the total effect. Interventions aimed at enhancing eHealth literacy and promoting structured pelvic floor muscle training may help reduce postoperative anxiety and support recovery in this population.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100842"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants of patient delay and its association with quality of life among young women with breast cancer in China: A cross-sectional study","authors":"Yueyang Peng ,&nbsp;Jun Ma ,&nbsp;Li Liu ,&nbsp;Jinnan Xiao ,&nbsp;Can Gu","doi":"10.1016/j.apjon.2025.100846","DOIUrl":"10.1016/j.apjon.2025.100846","url":null,"abstract":"<div><h3>Objective</h3><div>The incidence of breast cancer in young women (&lt; 40 years old) has been increasing in recent years. Patient delay is significant to disease prognosis, thus early diagnosis and prompt effective therapy represent the key elements in controlling breast cancer. This study aimed to identify determinants of patient delay and assess the association of patient delay with quality of life (QoL).</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 286 young patients with breast cancer from October, 2022 to March, 2023 at four tertiary hospitals in Hunan province, China with the guidance of Andersen Behavioral Model of Health Services Utilization. Determinants of patient delay were identified using binary logistic regression analysis. The association between patient delay and QoL was analyzed using linear regression.</div></div><div><h3>Results</h3><div>A total of 106 (37.06%) young patients with breast cancer had experienced patient delay, indicating that more than one in three women faced this critical barrier to timely care. Patients who lived in countryside (odd ratio [OR] 3.676, 95% confidence interval [CI] 1.468–9.206), had an initial outpatient consultation to other department (OR 3.910, 95% CI 1.439–10.624), waited &gt; 7-day for initial outpatient consultation (OR 11.350, 95% CI 3.450–37.345) were more likely to experience patient delay. Detecting disease at routine physical examination (OR 0.208, 95% CI 0.045–0.967), having higher critical health literacy (OR 0.676, 95% CI 0.506–0.904), and having more friend support (OR 0.921, 95% CI 0.855–0.993), patients were less likely to experience patient delay. Patient delay was negatively correlated with QoL including overall FACT-B (<em>t</em> = −2.443, <em>P</em> = 0.015), physical well-being (<em>t</em> = −3.526, <em>P &lt;</em> 0.001), functional well-being (<em>t</em> = −2.077, <em>P</em> = 0.039), and additional concerns (<em>t</em> = −1.974, <em>P</em> = 0.049).</div></div><div><h3>Conclusions</h3><div>Waiting time for initial outpatient consultation &gt; 7-day was the strongest determinant of patient delay among young women with breast cancer. Other significant factors included rural residence and initial consultation in non-specialist departments, while higher health literacy, friend support, and detection via physical examination were protective. Patient delay was significantly associated with poorer QoL, particularly in the domains of physical well-being, functional well-being, and additional concerns. These findings underscore the need for interventions targeting health care access to reduce patient delay and improve patient health outcomes.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100846"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146073955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation and psychometric validation of the Turkish version of the motivation for healing scale in patients with cancer","authors":"Özkan Uğuz ,&nbsp;Gülseren Keskin","doi":"10.1016/j.apjon.2025.100841","DOIUrl":"10.1016/j.apjon.2025.100841","url":null,"abstract":"<div><h3>Objective</h3><div>The Motivation for Healing Scale (MHS) is a valid and reliable instrument for assessing the motivation for healing in patients with cancer. This methodological study aimed to translate the MHS into Turkish and evaluate the validity and reliability of the Turkish version (T-MHS).</div></div><div><h3>Methods</h3><div>The study sample consisted of 320 oncology patients selected using convenience sampling method. The T-MHS was assessed for face, content, construct, and convergent validity, as well as internal consistency and test-retest reliability. Face validity was evaluated by patients, content validity was evaluated using the Content Validity Index (CVI), and construct validity was evaluated using Confirmatory Factor Analysis (CFA). Convergent validity was examined by correlating the T-MHS scores with illness uncertainty and hope. Reliability was determined using Cronbach's alpha and test-retest method. Statistical analyses were performed using IBM SPSS Statistics (version 30.0) and AMOS (version 26.0).</div></div><div><h3>Results</h3><div>The mean patient age was 52.99 ± 13.50 years. The T-MHS demonstrated strong content validity (CVI = 0.98) and high internal consistency (Cronbach's <em>α</em> = 0.87). Test-retest analysis confirmed good stability over time. CFA supported the original five-factor structure and showed excellent model fit. Convergent validity was confirmed by a positive correlation with hope (<em>r</em> = 0.57, <em>P</em> &lt; 0.001) and a negative correlation with illness uncertainty (<em>r</em> = −0.62, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The T-MHS is a reliable and valid instrument for the clinical assessment of patients with cancer and for research aimed at interventions that enhance motivation for healing in this population.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100841"},"PeriodicalIF":2.8,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}