Asia-Pacific Journal of Oncology Nursing最新文献

英文中文

Social isolation, perceived social support, and type D personality among gastrointestinal cancer survivors in China: A mediating model analysis

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-12-01 DOI: 10.1016/j.apjon.2024.100617

Yuqiu Zhao , Yeming Xu , Tianxiu Wang , Mingbo Hua , Shantanu Baral , Qiannan Sun , Daorong Wang

Objective

To explore the mediating effect of social isolation between perceived social support and type D personality in gastrointestinal cancer survivors based on the WHITE heuristic cognitive-behavioral model of emotion cognition theory.

Methods

The study utilized a convenience sampling method to recruit 183 survivors of gastrointestinal cancer who were undergoing chemoradiotherapy. SPSS 26.0 was used to analyze the correlation among social isolation, perceived social support, and type D personality. Additionally, SmartPLS 3.0 was utilized to analyze the mediating role of social isolation in the relationships between perceived social support and type D personality.

Results

The study found that gastrointestinal cancer survivors scored 60.58 ± 10.94 for perceived social support, 36.25 ± 4.71 for social isolation, and 26.26 ± 5.84 for type D personality. We discovered that perceived social support has a negative correlation with social isolation and type D personality (r = −0.593, −0.396, both P < 0.001), while social isolation was positively correlated with type D personality (r = 0.564, P < 0.001). The association between type D personality and perceived social support was partially mediated by social isolation (VAF = 59.67%).

Conclusions

The association between type D personality and perceived social support is mediated by social isolation in gastrointestinal cancer survivors undergoing chemoradiotherapy. Clinical staff should prioritize evaluating social isolation among these survivors to enhance social support and potentially reduce the prevalence of type D personality traits.

{"title":"Social isolation, perceived social support, and type D personality among gastrointestinal cancer survivors in China: A mediating model analysis","authors":"Yuqiu Zhao , Yeming Xu , Tianxiu Wang , Mingbo Hua , Shantanu Baral , Qiannan Sun , Daorong Wang","doi":"10.1016/j.apjon.2024.100617","DOIUrl":"10.1016/j.apjon.2024.100617","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the mediating effect of social isolation between perceived social support and type D personality in gastrointestinal cancer survivors based on the WHITE heuristic cognitive-behavioral model of emotion cognition theory.</div></div><div><h3>Methods</h3><div>The study utilized a convenience sampling method to recruit 183 survivors of gastrointestinal cancer who were undergoing chemoradiotherapy. SPSS 26.0 was used to analyze the correlation among social isolation, perceived social support, and type D personality. Additionally, SmartPLS 3.0 was utilized to analyze the mediating role of social isolation in the relationships between perceived social support and type D personality.</div></div><div><h3>Results</h3><div>The study found that gastrointestinal cancer survivors scored 60.58 ± 10.94 for perceived social support, 36.25 ± 4.71 for social isolation, and 26.26 ± 5.84 for type D personality. We discovered that perceived social support has a negative correlation with social isolation and type D personality (<em>r</em> = −0.593, −0.396, both <em>P</em> < 0.001), while social isolation was positively correlated with type D personality (<em>r</em> = 0.564, <em>P</em> < 0.001). The association between type D personality and perceived social support was partially mediated by social isolation (VAF = 59.67%).</div></div><div><h3>Conclusions</h3><div>The association between type D personality and perceived social support is mediated by social isolation in gastrointestinal cancer survivors undergoing chemoradiotherapy. Clinical staff should prioritize evaluating social isolation among these survivors to enhance social support and potentially reduce the prevalence of type D personality traits.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100617"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A nature-immersive virtual reality intervention to support hospice family caregivers: Qualitative findings from a pilot study.

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-20 eCollection Date: 2024-12-01 DOI: 10.1016/j.apjon.2024.100616

Arienne Patano, Mohammed Alanazi, Rebecca Lehto, Dawn Goldstein, Gwen Wyatt

Objective: Family caregivers (FCGs) of cancer patients who are in hospice experience psychological challenges and poor quality of life (QOL) as a consequence of caregiving demands and anticipatory loss. Supportive interventions are needed. Exposure to nature offers a source of relaxation; however, FCGs are often homebound and have limited opportunities for respite. Technology-mediated nature experiences delivered via virtual reality (VR) may be an alternative. The purpose was to explore the perspectives of hospice FCGs who completed a nature-immersive VR intervention for the enhancement of their emotional health and QOL.

Methods: Nine scenes, including a tropical beach, green meadow, underwater ocean, and red savanna, were offered. Participants were asked to select one scene to view for a minimum of 10 minutes for five consecutive days at home. Semi-structured interviews were conducted via videoconferencing software and audio-taped, then transcribed, coded, and analyzed using content analysis.

Results: Nine participants (aged 33-76 years old) were interviewed. Two content categories included 1) feasibility and 2) acceptability. Participants reported ease-of-use and denied encountering difficulties. Scenes were relaxing and calming, providing mindfulness and escapism elements. Participants enjoyed the interactive, multisensory experience, offering views of wildlife and nature sounds. Two reported motion sickness and eye strain with longer use. Suggestions included extending the study duration and the option to explore other scenes.

Conclusions: Findings provide preliminary evidence for the efficacy of a nature-based VR intervention. Larger, diverse samples, with group randomization, are warranted. Technology-mediated nature experiences offer support for the emotional health and QOL of hospice FCGs.

{"title":"A nature-immersive virtual reality intervention to support hospice family caregivers: Qualitative findings from a pilot study.","authors":"Arienne Patano, Mohammed Alanazi, Rebecca Lehto, Dawn Goldstein, Gwen Wyatt","doi":"10.1016/j.apjon.2024.100616","DOIUrl":"https://doi.org/10.1016/j.apjon.2024.100616","url":null,"abstract":"<p><strong>Objective: </strong>Family caregivers (FCGs) of cancer patients who are in hospice experience psychological challenges and poor quality of life (QOL) as a consequence of caregiving demands and anticipatory loss. Supportive interventions are needed. Exposure to nature offers a source of relaxation; however, FCGs are often homebound and have limited opportunities for respite. Technology-mediated nature experiences delivered via virtual reality (VR) may be an alternative. The purpose was to explore the perspectives of hospice FCGs who completed a nature-immersive VR intervention for the enhancement of their emotional health and QOL.</p><p><strong>Methods: </strong>Nine scenes, including a tropical beach, green meadow, underwater ocean, and red savanna, were offered. Participants were asked to select one scene to view for a minimum of 10 minutes for five consecutive days at home. Semi-structured interviews were conducted via videoconferencing software and audio-taped, then transcribed, coded, and analyzed using content analysis.</p><p><strong>Results: </strong>Nine participants (aged 33-76 years old) were interviewed. Two content categories included 1) feasibility and 2) acceptability. Participants reported ease-of-use and denied encountering difficulties. Scenes were relaxing and calming, providing mindfulness and escapism elements. Participants enjoyed the interactive, multisensory experience, offering views of wildlife and nature sounds. Two reported motion sickness and eye strain with longer use. Suggestions included extending the study duration and the option to explore other scenes.</p><p><strong>Conclusions: </strong>Findings provide preliminary evidence for the efficacy of a nature-based VR intervention. Larger, diverse samples, with group randomization, are warranted. Technology-mediated nature experiences offer support for the emotional health and QOL of hospice FCGs.</p>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"100616"},"PeriodicalIF":2.4,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interrelation between dyadic coping and psychological resilience among cervical cancer couples in Northwest China: An Actor-Partner interdependence model.

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-15 eCollection Date: 2024-12-01 DOI: 10.1016/j.apjon.2024.100615

Tianruixue Zhang, Ping Yan, Zhisheng Huang, Li Liu, Yanhui Zhou, Yuqiao Xiao, Guiyuan Ma, Zixuan Liu, Jia Xu, Can Gu

Objective: This study aimed to explore how dyadic coping (DC) influences the psychological resilience (PR) levels of patients with cervical cancer (CC) and their spouses.

Methods: From April to June 2024, this cross-sectional study involved 177 dyads of patients with CC and their spouses from the gynecology and oncology wards of two tertiary hospitals in Xinjiang. Data were collected through questionnaires on demographic information, clinical characteristics, the Resilience Scale, and the Dyadic Coping Inventory, all of which were self-report measures. The results were thoroughly analyzed utilizing the Actor-Partner Interdependence Mediation Model.

Results: The patients had a mean age of 49.94 ± 8.05 years (range: 26-64), with the majority being at stage II of CC. Their spouses had a mean age of 51.90 ± 8.02 years (range: 27-65). DC scores averaged 105.50 ± 23.98 for patients and 103.34 ± 22.26 for spouses, while PR scores were 63.51 ± 19.68 for patients and 67.44 ± 18.97 for spouses. Positive DC, which significantly correlated with higher levels of PR, was observed in patients with CC and their spouses (r = 0.285, P < 0.01; r = 0.697, P < 0.01). Conversely, a negative DC was associated with a lower PR (r = -0.187, -0.390; P < 0.01). Positive DC by patients with CC and their spouses equally improves both partners' PR. In contrast, negative DC by patients with CC and their spouses affects only their own PR.

Conclusions: Patients with CC and their spouses' PR is significantly influenced by both partners' DC behaviors. When both partners used positive coping strategies, their PR increased. Conversely, negative DC behaviors affected only patients' PR, possibly because of self-concealment and communication barriers, which may explain the lack of a reciprocal impact. Nurses should identify couples at risk for negative DC and implement resilience interventions to encourage both partners' engagement in positive coping.

{"title":"Interrelation between dyadic coping and psychological resilience among cervical cancer couples in Northwest China: An Actor-Partner interdependence model.","authors":"Tianruixue Zhang, Ping Yan, Zhisheng Huang, Li Liu, Yanhui Zhou, Yuqiao Xiao, Guiyuan Ma, Zixuan Liu, Jia Xu, Can Gu","doi":"10.1016/j.apjon.2024.100615","DOIUrl":"10.1016/j.apjon.2024.100615","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to explore how dyadic coping (DC) influences the psychological resilience (PR) levels of patients with cervical cancer (CC) and their spouses.</p><p><strong>Methods: </strong>From April to June 2024, this cross-sectional study involved 177 dyads of patients with CC and their spouses from the gynecology and oncology wards of two tertiary hospitals in Xinjiang. Data were collected through questionnaires on demographic information, clinical characteristics, the Resilience Scale, and the Dyadic Coping Inventory, all of which were self-report measures. The results were thoroughly analyzed utilizing the Actor-Partner Interdependence Mediation Model.</p><p><strong>Results: </strong>The patients had a mean age of 49.94 ± 8.05 years (range: 26-64), with the majority being at stage II of CC. Their spouses had a mean age of 51.90 ± 8.02 years (range: 27-65). DC scores averaged 105.50 ± 23.98 for patients and 103.34 ± 22.26 for spouses, while PR scores were 63.51 ± 19.68 for patients and 67.44 ± 18.97 for spouses. Positive DC, which significantly correlated with higher levels of PR, was observed in patients with CC and their spouses (<i>r</i> = 0.285, <i>P</i> < 0.01; <i>r</i> = 0.697, <i>P</i> < 0.01). Conversely, a negative DC was associated with a lower PR (<i>r</i> = -0.187, -0.390; <i>P</i> < 0.01). Positive DC by patients with CC and their spouses equally improves both partners' PR. In contrast, negative DC by patients with CC and their spouses affects only their own PR.</p><p><strong>Conclusions: </strong>Patients with CC and their spouses' PR is significantly influenced by both partners' DC behaviors. When both partners used positive coping strategies, their PR increased. Conversely, negative DC behaviors affected only patients' PR, possibly because of self-concealment and communication barriers, which may explain the lack of a reciprocal impact. Nurses should identify couples at risk for negative DC and implement resilience interventions to encourage both partners' engagement in positive coping.</p>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"100615"},"PeriodicalIF":2.4,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pelvic floor muscle training for the prevention and management of low anterior resection syndrome in patients with rectal cancer: An evidence-based summary

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-13 DOI: 10.1016/j.apjon.2024.100620

Meirong Hong , Wei Yu , Yating Gao , Bei Pei , Ji Chen , Yan Lou

Objective

This study aims to summarize the best available evidence on the effectiveness of pelvic floor muscle training (PFMT) in preventing and managing low anterior resection syndrome (LARS) among patients with rectal cancer, with the goal of enhancing quality of care.

Methods

A systematic search was conducted across databases, including BMJ Best Practice, UpToDate, WHO, GIN, UK NICE, NGC, SIGN, RNAO, NCCN, JBI Library, Cochrane Library, CINAHL, Web of Science, Embase, OVID, PubMed, Chinese Wanfang, CNKI, SinoMed, and VIP, covering publications from inception through June 30, 2024. We targeted clinical decisions, guidelines, evidence summaries, expert consensus statements, systematic reviews, and randomized controlled trials related to PFMT for LARS in patients with rectal cancer. Two independent reviewers assessed the quality of the literature and extracted key findings.

Results

A total of 15 articles were included, yielding 21 pieces of evidence across six core areas: multidisciplinary management, bowel function risk screening and assessment, the purpose and target population for PFMT, pre-exercise instructions, exercise regimens, and exercise feedback.

Conclusions

The summarized 21 recommendations provide guidance for integrating PFMT into care plans for patients with rectal cancer and LARS. However, given that evidence originates from diverse clinical settings, considerations such as the local health care environment should be evaluated before implementation. Future research should focus on optimizing PFMT regimens to improve bowel function outcomes in patients with rectal cancer, refining exercise protocols, and gathering further data to enhance clinical application.

Systematic review registration

Registered with the Fudan University Centre for Evidence-Based Nursing, registration number ES20245385.

{"title":"Pelvic floor muscle training for the prevention and management of low anterior resection syndrome in patients with rectal cancer: An evidence-based summary","authors":"Meirong Hong , Wei Yu , Yating Gao , Bei Pei , Ji Chen , Yan Lou","doi":"10.1016/j.apjon.2024.100620","DOIUrl":"10.1016/j.apjon.2024.100620","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to summarize the best available evidence on the effectiveness of pelvic floor muscle training (PFMT) in preventing and managing low anterior resection syndrome (LARS) among patients with rectal cancer, with the goal of enhancing quality of care.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across databases, including BMJ Best Practice, UpToDate, WHO, GIN, UK NICE, NGC, SIGN, RNAO, NCCN, JBI Library, Cochrane Library, CINAHL, Web of Science, Embase, OVID, PubMed, Chinese Wanfang, CNKI, SinoMed, and VIP, covering publications from inception through June 30, 2024. We targeted clinical decisions, guidelines, evidence summaries, expert consensus statements, systematic reviews, and randomized controlled trials related to PFMT for LARS in patients with rectal cancer. Two independent reviewers assessed the quality of the literature and extracted key findings.</div></div><div><h3>Results</h3><div>A total of 15 articles were included, yielding 21 pieces of evidence across six core areas: multidisciplinary management, bowel function risk screening and assessment, the purpose and target population for PFMT, pre-exercise instructions, exercise regimens, and exercise feedback.</div></div><div><h3>Conclusions</h3><div>The summarized 21 recommendations provide guidance for integrating PFMT into care plans for patients with rectal cancer and LARS. However, given that evidence originates from diverse clinical settings, considerations such as the local health care environment should be evaluated before implementation. Future research should focus on optimizing PFMT regimens to improve bowel function outcomes in patients with rectal cancer, refining exercise protocols, and gathering further data to enhance clinical application.</div></div><div><h3>Systematic review registration</h3><div>Registered with the Fudan University Centre for Evidence-Based Nursing, registration number ES20245385.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100620"},"PeriodicalIF":2.4,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142757559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Interprofessional collaborative practice: The model for cancer care 跨专业合作实践：癌症护理模式

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-12 DOI: 10.1016/j.apjon.2024.100618

Brenda Nevidjon

引用次数: 0

Calling time on the traffic cop model of oncology nursing: Creating a new research agenda for nurse-led supportive cancer care.

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-12 eCollection Date: 2024-12-01 DOI: 10.1016/j.apjon.2024.100619

Sarah H Kagan

引用次数: 0

Spontaneous migration of a peripherally inserted central catheter into the azygos vein and accidental transection during thoracic surgery: A case report 胸腔手术中外周置入中心导管自发移入颧静脉并意外横断：病例报告

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-07 DOI: 10.1016/j.apjon.2024.100614

Changmin Mao , Yuying Shi , Meixiang Wang , Qian Zhao , Min Ding , Ping Zhu , Wenjie Xia , Liuliu Zhang

This case report presents an incident of spontaneous migration of a peripherally inserted central catheter (PICC) into the azygos vein, leading to accidental transection during surgery. A patient with esophageal cancer had a PICC placed in the left upper arm one day prior to surgery, with the catheter tip confirmed by intracavitary electrocardiogram (IC-ECG) and anterior/lateral chest X-ray imaging. However, during the surgery, the PICC was unintentionally cut when the surgeon isolated and clamped the azygos vein. The surgical team removed the catheter and re-sutured the azygos vein remnant, introducing avoidable risks. This report analyzes the spontaneous migration of the PICC to the azygos vein and explores possible contributing factors to this incident.

本病例报告介绍了一起外周置入中心静脉导管（PICC）自发移入颧静脉，导致手术中意外横断的事件。一名食道癌患者在手术前一天在左上臂置入了一根 PICC，导管尖端经腔内心电图（IC-ECG）和前/侧胸部 X 光成像确认。然而，在手术过程中，外科医生在分离和钳夹颧静脉时无意中剪断了 PICC。手术团队拔出导管并重新缝合了颧静脉残余部分，带来了本可避免的风险。本报告分析了 PICC 自发迁移至苄达静脉的情况，并探讨了导致这一事件的可能因素。

引用次数: 0

Feasibility of a nurse-initiated brief cognitive behavioral strategy intervention program for symptom clusters experienced by patients with advanced non-small cell lung cancer 由护士发起的针对晚期非小细胞肺癌患者症状群的简短认知行为策略干预计划的可行性

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.apjon.2024.100600

Tamami Hamada , Hiroko Ishikawa , Margaret Quinn Rosenzweig , Naoki Nishimura , Jun Sakakibara-Konishi , Toshihiro Itoh

Objective

To assess the feasibility of a nurse-initiated brief cognitive behavioral strategy (CBS) intervention program targeting pain and fatigue symptoms among the pain and fatigue/anorexia symptom clusters experienced by patients with advanced non-small cell lung cancer (NSCLC).

Methods

In this single-group, pre-post test study, 15 NSCLC outpatients undergoing medical treatment participated. After providing informed consent, participants completed a baseline questionnaire and received a booklet detailing brief cognitive-behavioral techniques (e.g., relaxation, symptom-management strategies), exercise therapy, and related tools. Follow-up calls were made five times over a 10-week period to monitor adherence and assess symptom severity changes.

Results

Ten participants (66.7%) completed the program. For pain management, 86.7% of participants chose deep breathing as a relaxation technique, and 80.0% used exercise to alleviate fatigue. Median symptom severities decreased from baseline to week 10 as follows: pain (2.00 to 1.00), sadness (1.00 to 0.00), and anxiety (1.00 to 0.50).

Conclusions

The naurse-initiated brief CBS intervention program is feasible and clinically relevant for patients with advanced NSCLC undergoing standard treatment in Japan.

目的评估由护士发起的针对晚期非小细胞肺癌（NSCLC）患者疼痛和疲劳/厌食症状群中的疼痛和疲劳症状的简短认知行为策略（CBS）干预计划的可行性。方法在这项单组、前-后测试研究中，15 名正在接受治疗的 NSCLC 门诊患者参加了研究。在获得知情同意后，参与者填写了一份基线问卷，并收到了一本详细介绍简短认知行为技术（如放松、症状管理策略）、运动疗法和相关工具的小册子。在为期 10 周的时间里，我们共打了五次随访电话，以监测患者的坚持情况并评估症状严重程度的变化。在疼痛管理方面，86.7%的参与者选择了深呼吸作为放松技巧，80.0%的参与者通过运动来缓解疲劳。从基线到第 10 周，症状严重程度中位数下降情况如下：疼痛（2.00 降至 1.00）、悲伤（1.00 降至 0.00）和焦虑（1.00 降至 0.50）。

{"title":"Feasibility of a nurse-initiated brief cognitive behavioral strategy intervention program for symptom clusters experienced by patients with advanced non-small cell lung cancer","authors":"Tamami Hamada , Hiroko Ishikawa , Margaret Quinn Rosenzweig , Naoki Nishimura , Jun Sakakibara-Konishi , Toshihiro Itoh","doi":"10.1016/j.apjon.2024.100600","DOIUrl":"10.1016/j.apjon.2024.100600","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the feasibility of a nurse-initiated brief cognitive behavioral strategy (CBS) intervention program targeting pain and fatigue symptoms among the pain and fatigue/anorexia symptom clusters experienced by patients with advanced non-small cell lung cancer (NSCLC).</div></div><div><h3>Methods</h3><div>In this single-group, pre-post test study, 15 NSCLC outpatients undergoing medical treatment participated. After providing informed consent, participants completed a baseline questionnaire and received a booklet detailing brief cognitive-behavioral techniques (e.g., relaxation, symptom-management strategies), exercise therapy, and related tools. Follow-up calls were made five times over a 10-week period to monitor adherence and assess symptom severity changes.</div></div><div><h3>Results</h3><div>Ten participants (66.7%) completed the program. For pain management, 86.7% of participants chose deep breathing as a relaxation technique, and 80.0% used exercise to alleviate fatigue. Median symptom severities decreased from baseline to week 10 as follows: pain (2.00 to 1.00), sadness (1.00 to 0.00), and anxiety (1.00 to 0.50).</div></div><div><h3>Conclusions</h3><div>The naurse-initiated brief CBS intervention program is feasible and clinically relevant for patients with advanced NSCLC undergoing standard treatment in Japan.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 11","pages":"Article 100600"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relevance of surveillance manual for the early detection of immune checkpoint inhibitor-induced myocarditis: A case series 监测手册对早期发现免疫检查点抑制剂诱发的心肌炎的意义：病例系列

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.apjon.2024.100598

Takuya Oyakawa , Nao Muraoka , Kei Iida , Ayano Fujita , Koichi Yokoyama , Hiroshi Ishikawa , Haruyasu Murakami

Objective

The European Cardio-Oncology Guidelines recommend regular electrocardiography and troponin testing during immune checkpoint inhibitors (ICIs) treatment, but their efficacy for monitoring ICI treatment remains unclear. This study aimed to evaluate the effectiveness of a surveillance protocol for early detection of ICI-induced myocarditis.

Methods

Between May 2014 and May 2024, patients who began treatment with ICIs at our hospital and developed ICI-induced myocarditis were included in this study. We created a straightforward management flowchart for myocarditis. The protocol was based on monitoring troponin T levels. We confirmed the efficacy of our surveillance protocol using a case series of ICI-induced myocarditis.

Results

During the observation period, 3481 patients were newly started on ICIs at our hospital. Five patients were previously diagnosed with myocarditis, and five patients were diagnosed with myocarditis after the implementation of the surveillance protocol. The manual enabled the early detection of myocarditis, and the mortality rate for myocarditis at our hospital improved from 60% to 0%. The incidence of conduction system disorders significantly reduced from 100% to 0% (P < 0.01). After the surveillance protocol was initiated, there were no cases of myocarditis requiring immunosuppressive drugs beyond steroids.

Conclusions

This study confirmed the relevance of a troponin-based surveillance protocol for the early detection of ICI-induced myocarditis. The implementation of the surveillance protocol reduced mortality from myocarditis and significantly reduced serious complications of conduction system disorders. Although this study is a small case series of patients who developed myocarditis, we confirm the effectiveness of surveillance for myocarditis.

目的《欧洲心脏肿瘤指南》建议在免疫检查点抑制剂（ICIs）治疗期间定期进行心电图和肌钙蛋白检测，但其对ICI治疗的监测效果仍不明确。本研究旨在评估早期检测 ICI 诱导的心肌炎的监测方案的有效性。方法在 2014 年 5 月至 2024 年 5 月期间，纳入在我院开始接受 ICIs 治疗并出现 ICI 诱导的心肌炎的患者。我们为心肌炎制定了一个简单明了的管理流程图。该方案以监测肌钙蛋白 T 水平为基础。我们利用 ICI 诱导的心肌炎系列病例证实了我们的监测方案的有效性。结果在观察期间，我院有 3481 名患者新开始使用 ICI。在观察期间，我院新开始使用 ICIs 的患者有 3481 人，其中有 5 名患者曾被诊断为心肌炎，另有 5 名患者是在实施监测方案后被诊断为心肌炎的。该手册使心肌炎得以早期发现，我院心肌炎的死亡率从 60% 降至 0%。传导系统疾病的发病率从 100% 显著降至 0%（P < 0.01）。结论这项研究证实了基于肌钙蛋白的监测方案对于早期发现 ICI 引起的心肌炎具有重要意义。监测方案的实施降低了心肌炎的死亡率，并显著减少了传导系统疾病的严重并发症。虽然这项研究只是对发生心肌炎的患者进行的小型病例系列研究，但我们证实了监测心肌炎的有效性。

{"title":"Relevance of surveillance manual for the early detection of immune checkpoint inhibitor-induced myocarditis: A case series","authors":"Takuya Oyakawa , Nao Muraoka , Kei Iida , Ayano Fujita , Koichi Yokoyama , Hiroshi Ishikawa , Haruyasu Murakami","doi":"10.1016/j.apjon.2024.100598","DOIUrl":"10.1016/j.apjon.2024.100598","url":null,"abstract":"<div><h3>Objective</h3><div>The European Cardio-Oncology Guidelines recommend regular electrocardiography and troponin testing during immune checkpoint inhibitors (ICIs) treatment, but their efficacy for monitoring ICI treatment remains unclear. This study aimed to evaluate the effectiveness of a surveillance protocol for early detection of ICI-induced myocarditis.</div></div><div><h3>Methods</h3><div>Between May 2014 and May 2024, patients who began treatment with ICIs at our hospital and developed ICI-induced myocarditis were included in this study. We created a straightforward management flowchart for myocarditis. The protocol was based on monitoring troponin T levels. We confirmed the efficacy of our surveillance protocol using a case series of ICI-induced myocarditis.</div></div><div><h3>Results</h3><div>During the observation period, 3481 patients were newly started on ICIs at our hospital. Five patients were previously diagnosed with myocarditis, and five patients were diagnosed with myocarditis after the implementation of the surveillance protocol. The manual enabled the early detection of myocarditis, and the mortality rate for myocarditis at our hospital improved from 60% to 0%. The incidence of conduction system disorders significantly reduced from 100% to 0% (<em>P</em> < 0.01). After the surveillance protocol was initiated, there were no cases of myocarditis requiring immunosuppressive drugs beyond steroids.</div></div><div><h3>Conclusions</h3><div>This study confirmed the relevance of a troponin-based surveillance protocol for the early detection of ICI-induced myocarditis. The implementation of the surveillance protocol reduced mortality from myocarditis and significantly reduced serious complications of conduction system disorders. Although this study is a small case series of patients who developed myocarditis, we confirm the effectiveness of surveillance for myocarditis.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 11","pages":"Article 100598"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expert consensus on perioperative management for liver tumors treated with co-ablation system therapy 采用共消融系统疗法治疗肝脏肿瘤的围手术期管理专家共识

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2024-11-01 DOI: 10.1016/j.apjon.2024.100591

Jingjing He , Mengjie Shen , Xin Ye , Xiuhong Ren , Ke Chen , Jiangxu Zhang , Weijun Fan , Zhongmin Wang , Yin Xu

Co-ablation system therapy is currently in its early stages of application in tumor treatment in China. The associated protocols for perioperative management are not yet well-developed and suffer from a lack of corresponding guidelines or consensus. This study aims to improve the quality of clinical treatment and nursing care and to standardize perioperative management for patients with liver tumors undergoing co-ablation system therapy. The Committee of Ablation Therapy in Oncology, China Anti-Cancer Association, and the Committee of Interventional Perioperative, Interventional Physician Branch of the Chinese Medical Doctor Association organized medical and nursing experts in China. Based on the clinical practice of co-ablation system therapy in China and the relevant domestic literature, an expert consensus regarding perioperative management was developed. The expert consensus includes the key points of perioperative management, prevention and care of complications, discharge guidance, and follow-up management for patients who have undergone co-ablation system therapy of liver tumors. The consensus on the perioperative management of co-ablation system therapy for liver tumors has finally been formulated, providing a reference and application for medical personnel in relevant fields based on hospital and patient conditions in clinical work.

目前，共消融系统治疗在中国的肿瘤治疗中还处于早期应用阶段。相关的围手术期管理规范尚未完善，缺乏相应的指南或共识。本研究旨在提高临床治疗和护理质量，规范肝肿瘤联合消融系统治疗患者的围手术期管理。中国抗癌协会肿瘤消融治疗专业委员会和中国医师协会介入医师分会介入围手术期专业委员会组织国内医护专家进行了研究。根据中国共消融系统治疗的临床实践和国内相关文献，制定了围手术期管理的专家共识。专家共识包括肝肿瘤联合消融系统治疗患者的围手术期管理要点、并发症的预防和护理、出院指导和随访管理。最终形成了肝肿瘤联合消融系统治疗围手术期管理共识，为相关领域医务人员在临床工作中根据医院和患者情况提供参考和应用。

{"title":"Expert consensus on perioperative management for liver tumors treated with co-ablation system therapy","authors":"Jingjing He , Mengjie Shen , Xin Ye , Xiuhong Ren , Ke Chen , Jiangxu Zhang , Weijun Fan , Zhongmin Wang , Yin Xu","doi":"10.1016/j.apjon.2024.100591","DOIUrl":"10.1016/j.apjon.2024.100591","url":null,"abstract":"<div><div>Co-ablation system therapy is currently in its early stages of application in tumor treatment in China. The associated protocols for perioperative management are not yet well-developed and suffer from a lack of corresponding guidelines or consensus. This study aims to improve the quality of clinical treatment and nursing care and to standardize perioperative management for patients with liver tumors undergoing co-ablation system therapy. The Committee of Ablation Therapy in Oncology, China Anti-Cancer Association, and the Committee of Interventional Perioperative, Interventional Physician Branch of the Chinese Medical Doctor Association organized medical and nursing experts in China. Based on the clinical practice of co-ablation system therapy in China and the relevant domestic literature, an expert consensus regarding perioperative management was developed. The expert consensus includes the key points of perioperative management, prevention and care of complications, discharge guidance, and follow-up management for patients who have undergone co-ablation system therapy of liver tumors. The consensus on the perioperative management of co-ablation system therapy for liver tumors has finally been formulated, providing a reference and application for medical personnel in relevant fields based on hospital and patient conditions in clinical work.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 11","pages":"Article 100591"},"PeriodicalIF":2.4,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142661445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Asia-Pacific Journal of Oncology Nursing

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀