Asia-Pacific Journal of Oncology Nursing最新文献

{"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":"2025-12-23","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":"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":"2025-12-23","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}

{"title":"Improvements of an oral anti-cancer drug safety management program for patients with cancer","authors":"Hong Yang ,&nbsp;Hong Zhang ,&nbsp;Jingjuan Zhou ,&nbsp;Hongli Li ,&nbsp;Renxiu Guo ,&nbsp;Hong Zhang ,&nbsp;Miaoning You ,&nbsp;Liyan Zhang ,&nbsp;Wanrong Liu ,&nbsp;Yuhan Lu","doi":"10.1016/j.apjon.2025.100833","DOIUrl":"10.1016/j.apjon.2025.100833","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the impact of an oral anti - cancer drug safety management program on nurses and patients.</div></div><div><h3>Methods</h3><div>This study was a hospital-level quality-improvement evaluation (pre–post, quasi-experimental design) and was not registered as a clinical trial. It was conducted from August 2024 to December 2024 in a tertiary hospital in Beijing. The program comprised three stages: preparation, training, implementation and supervision. It included tiered training for nurses based on established nursing standards, standardized health education checklists for patients, and continuous support through virtual and in-person clinic visit. Associated improvements were evaluated using self-designed questionnaires. Data were collected from nurses before training and 2 months after program implementation, and from patients before and 1 month after education. Descriptive statistics and non-parametric paired sample tests were used for analysis.</div></div><div><h3>Results</h3><div>A total of 632 nurses participated in the program, of which 381 nurses completed both evaluations. The knowledge and behavior scores of nurses regarding on correct medication administration, protection against drug exposure, and early management of adverse reactions improved significantly (<em>P</em> &lt; 0.001). The full-score rates for knowledge and behavior increased from 71.82% and 71.55% to92.65% and 94.49%, respectively (<em>Z</em> = −11.462, −13.104, respectively; both <em>P</em> &lt; 0.001). A total of 643 patients received guidance, of which 384 patients completed both evaluations. The knowledge and behavior scores of patients also improved significantly (<em>P</em> &lt; 0.001), with the full-score rates increasing from 59.46% and 68.29% to78.62% and 85.11%, respectively (<em>Z</em> = −11.473, −12.415, respectively; both <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Meaningful improvements were achieved through enhancements to the oral anti-cancer drug safety management program. Standardized training and structured implementation enabled nurses to provide evidence-based patient guidance, thereby enhancing patients' knowledge and skills in safe medication management.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100833"},"PeriodicalIF":2.8,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145973881","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":"Bridging symptoms linking postoperative symptom clusters seven days after esophagectomy: A multicenter network analysis of 418 patients with esophageal cancer","authors":"Yanni Qin ,&nbsp;Jing Chen ,&nbsp;Ying Li ,&nbsp;Ranran Qin ,&nbsp;Shuwen Li","doi":"10.1016/j.apjon.2025.100830","DOIUrl":"10.1016/j.apjon.2025.100830","url":null,"abstract":"<div><h3>Objective</h3><div>To identify symptom clusters and key bridging symptoms among patients with esophageal cancer on postoperative day 7 after esophagectomy, and to examine sociodemographic correlates of these bridging symptoms.</div></div><div><h3>Methods</h3><div>This multicenter, cross-sectional study was conducted in three tertiary hospitals in Hefei, Anhui Province, China, between January 2024 and January 2025. A total of 418 patients with esophageal cancer completed the 28-item Convalescent Symptom Assessment Scale for Esophagectomy Patients (CSAS-EC) on postoperative day 7. Exploratory factor analysis (EFA) was used to identify symptom clusters. Symptom networks were estimated using the EBICglasso model (qgraph/bootnet), and bridge centrality indices (bridge strength and bridge expected influence) were calculated using the networktools package to identify bridging symptoms. Network stability was assessed using 1000 bootstrap samples. Independent-samples t-tests and one-way ANOVA were applied to explore associations between bridging symptom severity and sociodemographic characteristics.</div></div><div><h3>Results</h3><div>Four distinct symptom clusters were identified: psychological, surgery-related, life-disturbance, and local symptoms. Network analysis revealed that disturbed sleep (bridge strength = 0.690), incisional pain (0.587), and limited mobility (0.537) were the top three bridging symptoms linking different clusters. The stability of bridge centrality indices was robust (CS-cor = 0.672 for both bridge strength and bridge expected influence). The severity of these key symptoms differed significantly according to age, sex, place of residence, and caregiver status (all <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Disturbed sleep, incisional pain and limited mobility act as key bridging symptoms linking distinct symptom clusters in patients with Esophageal cancer seven days after esophagectomy. Prioritizing interventions that address these symptoms may interrupt inter-cluster symptom propagation and improve efficiency of postoperative symptom management.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100830"},"PeriodicalIF":2.8,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145838852","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":"Empowering oncology nurses: The transformative power of mentorship in cancer care","authors":"Sultan Kav","doi":"10.1016/j.apjon.2025.100831","DOIUrl":"10.1016/j.apjon.2025.100831","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100831"},"PeriodicalIF":2.8,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145838855","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":"Disease-related communication difficulties and dyadic coping among patients with breast cancer and their spouses: An actor–partner interdependence model","authors":"Lingling Yang ,&nbsp;Xi Zhang ,&nbsp;Meina Yang ,&nbsp;Liping Zhang ,&nbsp;Rong Wang ,&nbsp;Ting Wang","doi":"10.1016/j.apjon.2025.100829","DOIUrl":"10.1016/j.apjon.2025.100829","url":null,"abstract":"<div><h3>Objective</h3><div>To examine the association between disease communication problems and dyadic coping in patients with breast cancer and their spouses.</div></div><div><h3>Methods</h3><div>Dyadic coping and disease communication problems were assessed using the General Data Questionnaire, Chinese version of the Dyadic Coping Inventory, and the Cancer-Related Communication Problems within Couples Scale. Actor–partner interaction between dyadic coping and disease communication problems was modeled.</div></div><div><h3>Results</h3><div>The mean disease communication problems scores were 7.08 ± 2.86 for patients and 7.07 ± 2.87 for spouses. Significant differences were observed between patients and spouses in the emotional support, treatment-specific issues, and protective buffering dimensions of disease communication problems (<em>P</em> &lt; 0.05). The mean dyadic coping scores were 118.67 ± 13.16 for patients and 117.82 ± 12.86 for spouses. Patients reported significantly higher negative coping scores than their spouses (<em>P</em> &lt; 0.01). Disease communication problems in patients and spouses were significantly negatively correlated with self- and partner-dyadic coping scores (<em>r</em> = −0.360 to −0.433, <em>P</em> &lt; 0.01). Disease communication problems of patients and spouses were negatively affected by self and partner positive dyadic coping, while positively influencing negative dyadic coping.</div></div><div><h3>Conclusions</h3><div>Dyadic coping levels in couples are interactively influenced by their own communication problems and their partner's communication problems. A couple-centered disease communication strategy should be established to improve psychological and social adaptation among spouses. Such an approach may strengthen collaborative coping, deepen relational intimacy, enhance support efficacy, and provide a stronger psychosocial foundation for disease management.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100829"},"PeriodicalIF":2.8,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145882134","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":"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":"2025-12-04","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":"A longitudinal study of supportive care needs among Chinese parents of children with acute lymphoblastic leukemia","authors":"Jingting Wang ,&nbsp;Zhuting Zheng ,&nbsp;Tian Jin ,&nbsp;Yingwen Wang ,&nbsp;Huifang Wu ,&nbsp;Qi Yang ,&nbsp;Linyu Ma ,&nbsp;Wen Zhang ,&nbsp;Changrong Yuan","doi":"10.1016/j.apjon.2025.100827","DOIUrl":"10.1016/j.apjon.2025.100827","url":null,"abstract":"<div><h3>Objective</h3><div>To determine parents' supportive care needs trajectories over the first 8 months following their children's diagnosis and identify the predictors of these trajectories.</div></div><div><h3>Methods</h3><div>Overall, 100/112 Chinese parents of children newly diagnosed with ALL were recruited. The parents' supportive care needs were tracked at four key time points when the needs were most likely to change: post-diagnosis, induction remission phase, consolidation therapy phase, and post-acute treatment. Latent class growth modeling (LCGM) or growth mixture model (GMM) was used to identify trajectories within each of six needs domains of supportive care needs. Logistic regression was used to identify factors predicting trajectory patterns.</div></div><div><h3>Results</h3><div>Overall, parents' supportive care needs peaked immediately after diagnosis, declined throughout treatment, and stabilized between the consolidation and post-acute stages. Notably, the trajectories of each domain varied across parent subgroups. Three health care and informational needs trajectories, two daily care and communication needs trajectories, two psychological and spiritual needs trajectories, two medical service needs trajectories, three economic needs trajectories, and two emotional needs trajectories were identified. The class membership was significantly associated with parents' education level, employment status, the family's residency area, average monthly household income, type of medical payment, daily caregiving time, age of child, single child, parents' self-efficacy, and caregiving ability (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>This study identified the dynamic evolution and distinct trajectories of parents’ supportive care needs, along with their key predictors. The findings provide a solid foundation for developing stage- and population-specific interventions, offering practical guidance for optimizing family-centered care and informing supportive policy formulation in pediatric oncology settings.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"13 ","pages":"Article 100827"},"PeriodicalIF":2.8,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145838853","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":"2025-12-02","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":"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":"2025-12-02","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}