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How nurses face a new era of genomics medicine and precision health: Oncology nurse clinicians’ perspective 护士如何面对基因组医学和精准医疗的新时代?肿瘤科临床护士的视角
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-11 DOI: 10.1016/j.apjon.2024.100506
Suzanne So-Shan Mak, Martin Leong-Tat Chan
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引用次数: 0
Coping with family function changes: A qualitative study of couples facing advanced lung cancer 晚期肺癌患者夫妇应对家庭功能变化的经验:定性研究
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-10 DOI: 10.1016/j.apjon.2024.100504
Xiaoting Pan , Yingzi Yang , Xinxin Chen , Weichao Huang , Junyan Ye , Ying Huang , Yumei Li

Objective

This study aimed to explore the experiences of couples with advanced lung cancer in coping with changes in their family functioning.

Methods

This study included patients with advanced lung disease and their spouses who were hospitalized in a tertiary hospital in Shanghai, China. Data were collected through interviews that focused on three key areas: (1) patient coping, (2) spousal coping, and (3) dyadic coping. Semi-structured qualitative interviews were conducted in Chinese and analyzed using Braun-Clarke thematic analysis.

Results

A total of 15 couples participated in the study (12 male and 3 female patients). The average age of the patients was 63.73 years, and that of their partners was 63.20 years. Marriage duration ranged from 25 to 53 years. Three distinct themes emerged from the data: individual patient coping was expressed in four areas: struggle, acceptance of reality, cherishing the present and regaining hope, and rebuilding family life; spousal coping was expressed in three areas: acceptance and understanding of the patient, providing active support, and adjusting roles and sharing of family responsibilities; and dyadic coping was expressed in three areas: cognitive consistency of changes in family functioning, stress communication, and family adjustment and adaptation based on shared cognition. A relationship diagram of patients with advanced lung cancer and their spouses in coping with post-cancer changes in family functioning was constructed.

Conclusions

Post-cancer coping with changes in family functioning in couples with advanced lung cancer is a continuous developmental and gradual evolutionary process, and there is a close relationship between the two that influences each other. Early assistance for couples to form consistent cognition and communicate effectively with the stress caused by the disease can help improve the family functioning of both partners and, in turn, improve the quality of life of patients. Therefore, it is recommended that clinicians conduct family- or couple-centered intervention studies aimed at improving the post-cancer quality of life of patients with advanced lung cancer.

本研究旨在探讨晚期肺癌患者夫妇在应对家庭功能变化方面的经验。研究方法:研究对象包括在中国上海一家三甲医院住院治疗的晚期肺癌患者及其配偶。通过访谈收集数据,重点关注三个方面:(1) 患者应对;(2) 配偶应对;(3) 夫妇应对。半结构化定性访谈以中文进行,并采用布劳恩-克拉克主题分析法进行分析。患者的平均年龄为 63.73 岁,其伴侣的平均年龄为 63.20 岁。婚姻持续时间从 25 年到 53 年不等。数据中出现了三个不同的主题:患者个人的应对表现在四个方面:挣扎、接受现实、珍惜现在和重拾希望、重建家庭生活;配偶的应对表现在三个方面:接受和理解患者、提供积极支持、调整角色和分担家庭责任;夫妻双方的应对表现在三个方面:对家庭功能变化的认知一致性、压力沟通、基于共同认知的家庭调整和适应。构建了晚期肺癌患者及其配偶应对癌后家庭功能变化的关系图。及早帮助夫妻双方形成一致的认知,并与疾病带来的压力进行有效沟通,有助于改善夫妻双方的家庭功能,进而提高患者的生活质量。因此,建议临床医生开展以家庭或夫妇为中心的干预研究,旨在改善晚期肺癌患者的癌后生活质量。
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引用次数: 0
Co-creating cancer control strategies in a strained healthcare landscape 在紧张的医疗环境中共同制定癌症控制策略
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-08 DOI: 10.1016/j.apjon.2024.100505
David Makumi-Kinyanjui
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引用次数: 0
The association between neuropsychological impairment, self-perceived cognitive deficit, symptoms, and health related quality of life in newly diagnosed ovarian cancer patients 新诊断卵巢癌患者的神经心理障碍、自我认知缺陷、症状与健康相关生活质量之间的关系
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100447
Liying Wang , Yan Ding , Yi Zhang , Yaqiong Chen , Mei Xue , Xia Wang

Objective

To assess cognitive function in patients newly diagnosed with ovarian cancer (OC) before treatment and explore the relationship between neuropsychological impairment, self-perceived cognitive deficit, symptoms, and health-related quality of life in them.

Methods

From May 2021 to February 2022, 105 women newly diagnosed with OC were enrolled in the Cancer Center of Fudan University, Shanghai, China. Objective and subjective cognitive functions were assessed using the Montreal Cognitive Assessment (MoCA) scale and Perceptual Deficits Questionnaire (PDQ). Symptoms and quality of life were evaluated using the Memorial Symptom Assessment Scale (MSAS) and Functional Assessment of Cancer Therapy-Ovarian Cancer (FACT-O), respectively.

Results

This study included 105 newly diagnosed OC patients, with an average age of 49.73 (±8.48) years. Of these, 72.38% had impaired neuropsychological test scores, especially in delayed recall, abstraction, and visuospatial/executive function. Retrospective, and prospective memory were the most serious perceived deficits. The results of the MoCA test were not associated with PDQ (Rs = -0.180, P = 0.067) and significantly correlated with the distress index, physiological and total scores of the MSAS, and emotional well- being of the FACT-O. The PDQ positively correlated with all MSAS dimensions but not with the FACT-O.

Conclusion

The incidence of neuropsychological impairment in patients newly diagnosed with OC was high, with no association with self-perceived cognitive deficits. It is recommended that healthcare providers include cognitive impairment in symptom management in this population, who may benefit from early assessment, prevention, and intervention.

方法2021年5月至2022年2月,上海复旦大学附属肿瘤医院收治了105名新诊断为卵巢癌(OC)的女性患者。采用蒙特利尔认知评估量表(MoCA)和知觉缺陷问卷(PDQ)评估客观和主观认知功能。结果 本研究纳入了105例新诊断的OC患者,平均年龄为49.73(±8.48)岁。其中,72.38%的患者神经心理测试评分受损,尤其是在延迟回忆、抽象和视觉空间/执行功能方面。回顾性记忆和前瞻性记忆是最严重的感知缺陷。MoCA 测试结果与 PDQ 无关(Rs = -0.180,P = 0.067),但与痛苦指数、MSAS 生理和总分以及 FACT-O 的情绪健康显著相关。PDQ与MSAS的所有维度均呈正相关,但与FACT-O不相关。建议医疗服务提供者将认知障碍纳入这类人群的症状管理中,他们可能会从早期评估、预防和干预中获益。
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引用次数: 0
Factors associated with loneliness in middle-aged and older patients with breast cancer 与中老年乳腺癌患者孤独感相关的因素
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100444
Leni Merdawati , Hui-Chen Lin , Ya-Ching Wang , Kuan-Chia Lin , Hui-Chuan Huang

Objective

Loneliness is associated with adverse mental and physical health conditions and increased mortality. In this study, we identified significant factors associated with loneliness in middle-aged and older patients with breast cancer (BC).

Methods

For this cross-sectional study, we enrolled 200 patients (aged from 20 to 60 years) with BC from two hospitals in Indonesia through convenience sampling. Demographic characteristics, distress symptoms (Symptom Distress Scale), social support (Multidimensional Scale of Perceived Social Support), frailty (Groningen Frailty Indicator), and loneliness (UCLA Loneliness Scale, version 3) were measured. Multivariate logistic regression was performed to identify significant factors associated with loneliness in our cohort.

Results

Loneliness risk was negatively correlated with social support but positively correlated with unemployment and frailty. Thus, the patients received a high level of social support (odds ratio [OR]: 0.96; 95% confidence interval [CI]: 0.92–0.99) and had a low risk of severe loneliness. By contrast, patients who were unemployed (OR: 4.00; 95% CI: 1.65–9.66) and those who had frailty (OR: 5.79; 95% CI: 2.50–13.42) had an elevated risk of severe loneliness.

Conclusions

Unemployment, social support, and frailty may significantly influence the risk of loneliness in patients with BC. Early and regular assessments of loneliness should be integrated in the care of these patients. Suitable strategies aimed at increasing social support and mitigating frailty may benefit middle-aged and older patients with BC, particularly unemployed patients, by reducing their risk of loneliness.

孤独与不良的身心健康状况和死亡率增加有关。在这项研究中,我们确定了与中老年乳腺癌(BC)患者孤独感相关的重要因素。方法在这项横断面研究中,我们通过便利抽样从印度尼西亚的两家医院招募了 200 名 BC 患者(年龄在 20 岁至 60 岁之间)。研究人员测量了患者的人口统计学特征、痛苦症状(症状痛苦量表)、社会支持(感知社会支持多维量表)、虚弱程度(格罗宁根虚弱指标)和孤独感(加州大学洛杉矶分校孤独感量表第 3 版)。结果孤独风险与社会支持呈负相关,但与失业和虚弱呈正相关。因此,获得高水平社会支持的患者(几率比 [OR]:0.96;95% 置信区间 [CI]:0.92-0.99)患严重孤独症的风险较低。相比之下,失业患者(OR:4.00;95% 置信区间:1.65-9.66)和体弱患者(OR:5.79;95% 置信区间:2.50-13.42)的严重孤独风险较高。应将孤独感的早期和定期评估纳入对这些患者的护理中。旨在增加社会支持和减轻虚弱的适当策略可降低中老年 BC 患者(尤其是失业患者)的孤独感风险,从而使他们受益。
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引用次数: 0
Corrigendum to “Assessing pripherally inserted central catheter tip location in multiple postures: A case report” [Asia–Pacific J Oncol Nurs 10 (2023) 100238] 评估多种姿势下经鞘膜置入中心导管尖端位置:病例报告" [Asia-Pacific J Oncol Nurs 10 (2023) 100238]
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100434
Xining He , Shengzheng Wu , Fan Zhang , Wenhao Ge , Dudu Wu , Mei Chen , Keyan Li , Xiuyun Ren
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引用次数: 0
Corrigendum to “Investigating nurses' acceptance of patients' bring your own device implementation in a clinical setting: A pilot study” [Asia–Pacific J Oncol Nurs 10 (2023) 100195] 临床环境中护士对患者自带设备的接受程度调查:一项试点研究" [Asia-Pacific J Oncol Nurs 10 (2023) 100195] 的更正
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100437
Shuo-Chen Chien , Chun-You Chen , Chia-Hui Chien , Usman Iqbal , Hsuan-Chia Yang , Huei-Chia Hsueh , Shuen-Fu Weng , Wen-Shan Jian
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引用次数: 0
Enhancing practice: A path forward 加强实践:前进之路
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100445
Ayda Gan Nambayan
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引用次数: 0
Mobile health–delivered narrative intervention to increase cervical cancer screening among Malawian women living with HIV: A pilot randomized controlled trial 移动医疗提供叙事干预,以提高马拉维感染艾滋病毒妇女的宫颈癌筛查率:试点 RCT
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100448
Haeok Lee , Jasintha T. Mtengezo , Mary Sue Makin , Ling Shi , Address Malata , Joyce Fitzpatrick , Jonathan Ngoma , Lingling Zhang , Linda Larkey , Eileen Stuart-Shor , Yohannie Mlombe , Deogwoon Kim

Objective

This study aimed to develop and evaluate a mobile health (mHealth)-delivered, theory-guided, culturally tailored storytelling narrative (STN) intervention to increase cervical cancer screening among Malawian women living with human immunodeficiency virus (HIV).

Methods

This study involved two phases: Phase 1: development of a theory-guided and culturally adapted STN intervention and Phase 2: a pilot randomized controlled trial was conducted. Participants were randomly assigned to one of three arms: Arm 1: tablet-based video (mHealth) with STN (n = 60); Arm 2: mHealth with a video of nonnarrative educational materials (n = 59); and Arm 3: control group with only reading nonnarrative educational materials in person (n = 60). Cervical cancer screening was measured using visual inspection with acetic acid (VIA) uptakes by self-report and health passport record review at 2 and 6 months after intervention.

Results

Both arms 1 and 2 had nearly twice the rate of VIA uptakes than those in Arm 3 (51.0% and 50.0%, respectively, vs. 35.0%, P = 0.01) at 2 months follow-up, but there were no differences among groups from 2- to 6-month follow-ups. All groups demonstrated significant improvement of knowledge about risk factors, intention, and VIA uptakes.

Conclusions

The findings demonstrate the preliminary effectiveness of the intervention on cervical cancer screening behavior and the feasibility of the study regarding recruitment, retention, treatment fidelity, and acceptability of the single 30-min session. The feasibility and the preliminary results of the effectiveness of the proposed study indicate scaling up the STN intervention to a larger population of women to increase cervical cancer screening uptake to prevent deaths due to cervical cancer in Malawi.

本研究旨在开发和评估一种由移动医疗(mHealth)提供的、理论指导的、符合当地文化的故事叙述(STN)干预方法,以提高马拉维感染人类免疫缺陷病毒(HIV)妇女的宫颈癌筛查率:第 1 阶段:开发以理论为指导、适应文化背景的 STN 干预方法;第 2 阶段:进行试点随机对照试验。参与者被随机分配到三组中的一组:第 1 组:带有 STN 的平板电脑视频(mHealth)(n = 60);第 2 组:带有非叙述性教育材料视频的 mHealth(n = 59);第 3 组:只亲自阅读非叙述性教育材料的对照组(n = 60)。在干预后 2 个月和 6 个月,通过自我报告和健康护照记录审查,使用醋酸目视检查(VIA)测量宫颈癌筛查情况。结果在 2 个月的随访中,第 1 组和第 2 组的醋酸目视检查率几乎是第 3 组的两倍(分别为 51.0% 和 50.0% vs. 35.0%,P = 0.01),但在 2 至 6 个月的随访中,各组之间没有差异。结论:研究结果表明,该干预措施对宫颈癌筛查行为具有初步效果,而且在招募、保留、治疗忠诚度和单次 30 分钟疗程的可接受性方面具有可行性。这项拟议研究的可行性和初步有效性结果表明,应将 STN 干预措施推广到更多的妇女群体中,以提高宫颈癌筛查率,防止马拉维妇女死于宫颈癌。
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引用次数: 0
Benefit-finding profiles and comparison of caregiving ability among informal caregivers of patients with lung cancer: A latent profile analysis 肺癌患者非正规护理人员的受益发现特征和护理能力比较:潜在特征分析
IF 1.8 3区 医学 Q1 NURSING Pub Date : 2024-05-01 DOI: 10.1016/j.apjon.2024.100480
Xiaoyuan Lin , Ziqing Chen , Qi Zhao , Xiaozhou Zhou

Objective

This study aimed to explore the benefit finding (BF) profiles among informal caregivers of patients with lung cancer, identify demographic and disease characteristics, and analyze differences in caregiving ability between profiles.

Methods

This cross-sectional study utilized convenience sampling to select 272 informal caregivers of patients with lung cancer from a tertiary care hospital in Guangzhou, China. The research instruments used included the Demographic and Disease Characteristics Questionnaire, the revised version of the BF Scale, and the Chinese version of the Family Caregiver Task Inventory. Data analysis was performed using latent profile analysis, chi-square test, Fisher's exact probability test, Kruskal–Wallis test, and multivariate logistic regression.

Results

(1) BF can be divided into three profiles: “high benefit—family and personal growth” (Profile 1, 7.7%), “moderate benefit—unclear perception” (Profile 2, 44.9%), and “low benefit—coping ability deficient” (Profile 3, 47.4%). (2) Having a cocaregiver and a disease duration of 6–12 months were more likely to belong to Profile 1; caregivers of patients aged 40–60 years tended to belong to Profile 2; caregivers of older patients with disease duration > 12 months and clinical stage II or III were more likely to belong to Profile 3. (3) There were significant differences in the total score of caregiving ability and the scores of each dimension among the different BF profiles (P < 0.001), and the caregiving abilities of Profile 1 and Profile 2 were higher than those of Profile 3.

Conclusions

There was heterogeneity in BF among informal caregivers of patients with lung cancer. Healthcare professionals can identify the key profiles of lung-cancer caregivers based on characteristics such as age, clinical stage, disease duration, and cocaregiver status and enhance their caregiving ability through targeted nursing guidance.

目的 本研究旨在探讨肺癌患者非正规照顾者的获益发现(BF)特征,识别人口学和疾病特征,并分析不同特征之间照顾能力的差异。 方法 本横断面研究采用便利抽样法,从中国广州某三级甲等医院选取了272名肺癌患者的非正规照顾者。研究工具包括人口学和疾病特征问卷、修订版BF量表和中文版家庭照顾者任务量表。数据分析采用潜特征分析、卡方检验、费雪精确概率检验、Kruskal-Wallis检验和多元逻辑回归等方法:"高受益-家庭和个人成长"(特征 1,7.7%)、"中等受益-认知不清晰"(特征 2,44.9%)和 "低受益-应对能力不足"(特征 3,47.4%)。(2) 有共同照顾者且病程在 6-12 个月的患者更有可能属于特征 1;40-60 岁患者的照顾者倾向于属于特征 2;病程在 12 个月以上且临床分期为 II 或 III 期的老年患者的照顾者更有可能属于特征 3。(结论肺癌患者非正式照顾者的BF存在异质性。医护人员可根据肺癌护理人员的年龄、临床分期、病程和共同护理人状况等特征识别其关键特征,并通过有针对性的护理指导提高其护理能力。
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引用次数: 0
期刊
Asia-Pacific Journal of Oncology Nursing
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