Pub Date : 2024-12-17DOI: 10.1016/j.apjon.2024.100634
Xiaotian Zhang , Jianfei Ye , Xiaolong Li , Xueqian Ma , Dong Pang , Haihong Zhang , Rui Shi , Jing Liu , Lei Zhang , Jia Wang , Xiaojun Jia , Jianying Chen , Haifang Zhang , Liyan Cui , Chunxia Liu
Objective
This study aimed to understand the barriers to nurse-physician collaboration in implementing preoperative stoma site marking using qualitative research methods following Theoretical Domain Framework.
Methods
A qualitative descriptive study using semi-structured interviews was conducted from March to June 2023 in the urology departments of nine tertiary hospitals in China. Twelve urologists and eight enterostomal therapists (ETs) were recruited using purposive sampling. Audio recordings were transcribed verbatim and data were analyzed using content analysis.
Results
Five themes were identified in the study: shortage of manpower and stoma care products, lack of standard and regulations, lack of motivation and intention, inconsistency of expectation on consequences, and difficulties in cooperation.
Conclusion
This study indicated that the barriers to implementation of preoperative urostomy localization among urologists and ETs. Institutions, resources, clear career plans, and performance feedback can increase motivation and intention. In addition, the lack of cooperation between urologists and ETs is a key factor for poor urostomy localization implementation, which calls for effective and equal communication between doctors and nurses.
{"title":"Barriers to implementation of preoperative urostomy site marking in nurse-physician cooperation: A qualitative study based on the Theoretical Domains Framework","authors":"Xiaotian Zhang , Jianfei Ye , Xiaolong Li , Xueqian Ma , Dong Pang , Haihong Zhang , Rui Shi , Jing Liu , Lei Zhang , Jia Wang , Xiaojun Jia , Jianying Chen , Haifang Zhang , Liyan Cui , Chunxia Liu","doi":"10.1016/j.apjon.2024.100634","DOIUrl":"10.1016/j.apjon.2024.100634","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to understand the barriers to nurse-physician collaboration in implementing preoperative stoma site marking using qualitative research methods following Theoretical Domain Framework.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study using semi-structured interviews was conducted from March to June 2023 in the urology departments of nine tertiary hospitals in China. Twelve urologists and eight enterostomal therapists (ETs) were recruited using purposive sampling. Audio recordings were transcribed verbatim and data were analyzed using content analysis.</div></div><div><h3>Results</h3><div>Five themes were identified in the study: shortage of manpower and stoma care products, lack of standard and regulations, lack of motivation and intention, inconsistency of expectation on consequences, and difficulties in cooperation.</div></div><div><h3>Conclusion</h3><div>This study indicated that the barriers to implementation of preoperative urostomy localization among urologists and ETs. Institutions, resources, clear career plans, and performance feedback can increase motivation and intention. In addition, the lack of cooperation between urologists and ETs is a key factor for poor urostomy localization implementation, which calls for effective and equal communication between doctors and nurses.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100634"},"PeriodicalIF":2.4,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386312","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}
Pub Date : 2024-12-14DOI: 10.1016/j.apjon.2024.100641
Huixiu Hu , Yajie Zhao , Huanhuan Luo , Yuqing Hao , Pei Wang , Lijuan Yu , Chao Sun
Objective
This study was aimed at investigating the network structures of fatigue symptoms in patients with advanced cancer, with a focus on identifying the central symptom—an aspect crucial for targeted and effective fatigue symptom management.
Methods
In this cross-sectional study, patients with advanced cancer were recruited from the cancer treatment center of a tertiary hospital in China between January and December of 2022. Symptom occurrence and severity were assessed with the Cancer Fatigue Scale. Network analysis was conducted to explore the network structure and identify the core fatigue symptoms.
Results
The study included 416 patients with advanced cancer. Lack of energy (2.25 ± 1.24), lack of interest in anything (2.20 ± 1.22), and lack of self-encouragement (2.03 ± 1.25) were the most severe fatigue symptoms and belonged to the affective fatigue dimension. In the overall network, reluctance (rs = 5.622), a heavy and tired body (rs = 5.424), and tiring easily (rs = 5.319) had the highest strength values. All these core symptoms were classified within the physical fatigue dimension and remained stable before and after adjustment for covariates.
Conclusions
This study identified reluctance, a heavy and tired body, and tiring easily as the core fatigue symptoms in patients with advanced cancer, thus providing valuable insight to help clinical nurses formulate more effective symptom management strategies. Future interventions could assess the efficacy of targeting the central symptom cluster in alleviating other symptoms and patient burden.
{"title":"Network analysis of fatigue symptoms in Chinese patients with advanced cancer","authors":"Huixiu Hu , Yajie Zhao , Huanhuan Luo , Yuqing Hao , Pei Wang , Lijuan Yu , Chao Sun","doi":"10.1016/j.apjon.2024.100641","DOIUrl":"10.1016/j.apjon.2024.100641","url":null,"abstract":"<div><h3>Objective</h3><div>This study was aimed at investigating the network structures of fatigue symptoms in patients with advanced cancer, with a focus on identifying the central symptom—an aspect crucial for targeted and effective fatigue symptom management.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, patients with advanced cancer were recruited from the cancer treatment center of a tertiary hospital in China between January and December of 2022. Symptom occurrence and severity were assessed with the Cancer Fatigue Scale. Network analysis was conducted to explore the network structure and identify the core fatigue symptoms.</div></div><div><h3>Results</h3><div>The study included 416 patients with advanced cancer. Lack of energy (2.25 ± 1.24), lack of interest in anything (2.20 ± 1.22), and lack of self-encouragement (2.03 ± 1.25) were the most severe fatigue symptoms and belonged to the affective fatigue dimension. In the overall network, reluctance (<em>r</em><sub><em>s</em></sub> = 5.622), a heavy and tired body (<em>r</em><sub><em>s</em></sub> = 5.424), and tiring easily (<em>r</em><sub><em>s</em></sub> = 5.319) had the highest strength values. All these core symptoms were classified within the physical fatigue dimension and remained stable before and after adjustment for covariates.</div></div><div><h3>Conclusions</h3><div>This study identified reluctance, a heavy and tired body, and tiring easily as the core fatigue symptoms in patients with advanced cancer, thus providing valuable insight to help clinical nurses formulate more effective symptom management strategies. Future interventions could assess the efficacy of targeting the central symptom cluster in alleviating other symptoms and patient burden.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100641"},"PeriodicalIF":2.4,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11780119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143063442","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}
Pub Date : 2024-12-10DOI: 10.1016/j.apjon.2024.100639
Yuqing Zhao , Yaxin Fu , Wei Zhang , Shengjiang Zhao , Huixia Li
Objective
This study aimed to summarize evidence-based strategies for the self-management of gastroesophageal reflux symptoms (GERS) at home among patients who have undergone esophageal cancer surgery, providing practical references for clinical practice.
Methods
A systematic evidence summary was conducted based on the reporting standards of the Fudan University Center for Evidence-based Nursing. Literature was retrieved from international and Chinese databases, including guidelines, expert consensus, systematic reviews, and original studies. The search covered the period from the inception of the databases to June 30, 2024. Two independent reviewers appraised the quality of evidence and synthesized recommendations across six domains: reflux symptoms, assessment, treatment, health education, follow-up, and outcome indicators.
Results
A total of 25 high-quality studies were included, comprising 10 guidelines, 10 expert consensus documents, two systematic reviews, and three original studies. Thirty-four evidence items were synthesized, emphasizing a combination of pharmacological treatments, lifestyle modifications, and health education to improve self-management outcomes.
Conclusions
This evidence synthesis highlights effective strategies for home-based self-management of GERS after esophageal cancer surgery. Future research should focus on culturally tailored interventions and large-scale studies to further enhance the applicability and reliability of these findings.
Trial registration
This study was registered at the Fudan University Center for Evidence-Based Nursing (Registration No. ES202446701).
{"title":"Evidence summary on management strategies for gastroesophageal reflux symptoms in patients following esophageal cancer surgery","authors":"Yuqing Zhao , Yaxin Fu , Wei Zhang , Shengjiang Zhao , Huixia Li","doi":"10.1016/j.apjon.2024.100639","DOIUrl":"10.1016/j.apjon.2024.100639","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to summarize evidence-based strategies for the self-management of gastroesophageal reflux symptoms (GERS) at home among patients who have undergone esophageal cancer surgery, providing practical references for clinical practice.</div></div><div><h3>Methods</h3><div>A systematic evidence summary was conducted based on the reporting standards of the Fudan University Center for Evidence-based Nursing. Literature was retrieved from international and Chinese databases, including guidelines, expert consensus, systematic reviews, and original studies. The search covered the period from the inception of the databases to June 30, 2024. Two independent reviewers appraised the quality of evidence and synthesized recommendations across six domains: reflux symptoms, assessment, treatment, health education, follow-up, and outcome indicators.</div></div><div><h3>Results</h3><div>A total of 25 high-quality studies were included, comprising 10 guidelines, 10 expert consensus documents, two systematic reviews, and three original studies. Thirty-four evidence items were synthesized, emphasizing a combination of pharmacological treatments, lifestyle modifications, and health education to improve self-management outcomes.</div></div><div><h3>Conclusions</h3><div>This evidence synthesis highlights effective strategies for home-based self-management of GERS after esophageal cancer surgery. Future research should focus on culturally tailored interventions and large-scale studies to further enhance the applicability and reliability of these findings.</div></div><div><h3>Trial registration</h3><div>This study was registered at the Fudan University Center for Evidence-Based Nursing (Registration No. ES202446701).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100639"},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11732502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982443","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}
Pub Date : 2024-12-10DOI: 10.1016/j.apjon.2024.100638
Chunyan He , Shuhui Liu , Xiaoping Ding , Yinying Zhang , Jie Hu , Feng Yu , Deying Hu
Objective
This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization.
Methods
A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0.
Results
Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE = 1.56, 95% CI = 14.71, 20.86) and high versus low illness perception groups (SE = 1.71, 95% CI = 35.44, 42.71).
Conclusions
Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.
目的：探讨肺癌患者疾病知觉的异质性，并探讨自我超越在疾病知觉与士气低落之间的中介作用。方法：选取武汉市三所三级医院于2024年1 - 6月收治的477例肺癌患者作为方便样本。受试者完成疾病感知问卷、自我超越量表和情绪低落量表。数据分析采用Mplus 8.3和SPSS 25.0软件。结果：肺癌患者存在低（27.25%）、中（40.04%）、高（32.71%）3种潜在疾病感知特征。中介分析显示，疾病知觉与士气低落之间的关系在低与中度组（SE = 1.56, 95% CI = 14.71, 20.86）和高与低疾病知觉组（SE = 1.71, 95% CI = 35.44, 42.71）存在部分中介作用。结论：肺癌患者疾病感知呈现异质性，自我超越在疾病感知与情绪低落的关系中起部分中介作用。促进自我超越可能有助于减轻疾病认知对士气低落的负面影响。临床干预旨在减少消极的疾病认知和增强自我超越应优先考虑的肺癌患者的护理。
{"title":"Exploring the relationship between illness perception, self-transcendence, and demoralization in patients with lung cancer: A latent profile and mediation analysis","authors":"Chunyan He , Shuhui Liu , Xiaoping Ding , Yinying Zhang , Jie Hu , Feng Yu , Deying Hu","doi":"10.1016/j.apjon.2024.100638","DOIUrl":"10.1016/j.apjon.2024.100638","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the heterogeneity of illness perceptions in patients with lung cancer and evaluated the mediating role of self-transcendence in the relation between illness perception and demoralization.</div></div><div><h3>Methods</h3><div>A convenience sample of 477 patients with lung cancer was selected from three tertiary hospitals in Wuhan, China, between January and June 2024. Participants completed the Brief Illness Perception Questionnaire, Self-Transcendence Scale, and Demoralization Scale. Data were analyzed using Mplus 8.3 and SPSS 25.0.</div></div><div><h3>Results</h3><div>Three latent illness perception profiles were identified among patients with lung cancer: low (27.25%), moderate (40.04%), and high (32.71%). Mediation analyses revealed a partial mediation effect in the relation between illness perception and demoralization in the low versus moderate (SE = 1.56, 95% CI = 14.71, 20.86) and high versus low illness perception groups (SE = 1.71, 95% CI = 35.44, 42.71).</div></div><div><h3>Conclusions</h3><div>Patients with lung cancer exhibited heterogeneous illness perceptions, and self-transcendence partially mediated the relation between illness perception and demoralization. Promoting self-transcendence may help mitigate the negative impact of illness perceptions on demoralization. Clinical interventions aimed at reducing negative illness perceptions and enhancing self-transcendence should be prioritized in the care of patients with lung cancer.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100638"},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11745979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999179","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}
The number of early-onset colorectal cancer survivors (EOCRCs) is increasing. The primary aim of rehabilitation after battling cancer is to enable patients to return to work, as they constitute a significant contributor to societal productivity. A predictive model was developed to identify priority populations requiring intervention and refine responses to increase their capacity to return to work after undergoing treatment for EOCRC.
Methods
The baseline information was collected before patients were discharged at the end of their treatment course. The data of patients who returned to work were collected at 1 and 2 years after discharge. A predictive variable model was developed via binary logistic regression. The TRIPOD checklist was used.
Results
At 1 year, 64.7% of the EOCRC survivors had returned to work. Male sex, education, return to work self efficacy, re-entry readiness and social support increased the possibility of returning to work; higher levels of self-perceived fatigue and lower levels of family care decreased the possibility of returning to work within the 1-year model. At 2 years, 72.8% of the EOCRC survivors had returned to work. In the 2-year model, education, self-transcendence, return to work self efficacy, re-entry readiness and occupational environment increased the possibility of returning to work; self-perceived fatigue and psychosocial adjustment decreased the possibility of returning to work.
Conclusions
The results of this study can guide early assessment and intervention for EOCRC survivors, to facilitate their return to work.
{"title":"Multivariable prediction of returning to work among early-onset colorectal cancer survivors in China: A two-year follow-up","authors":"Xiaojun Chen , Mengjiao Zhong , Chunyan Chen , Lingyao Huang , Kun Zhang , Xiaodan Wu","doi":"10.1016/j.apjon.2024.100637","DOIUrl":"10.1016/j.apjon.2024.100637","url":null,"abstract":"<div><h3>Objective</h3><div>The number of early-onset colorectal cancer survivors (EOCRCs) is increasing. The primary aim of rehabilitation after battling cancer is to enable patients to return to work, as they constitute a significant contributor to societal productivity. A predictive model was developed to identify priority populations requiring intervention and refine responses to increase their capacity to return to work after undergoing treatment for EOCRC.</div></div><div><h3>Methods</h3><div>The baseline information was collected before patients were discharged at the end of their treatment course. The data of patients who returned to work were collected at 1 and 2 years after discharge. A predictive variable model was developed via binary logistic regression. The TRIPOD checklist was used.</div></div><div><h3>Results</h3><div>At 1 year, 64.7% of the EOCRC survivors had returned to work. Male sex, education, return to work self efficacy, re-entry readiness and social support increased the possibility of returning to work; higher levels of self-perceived fatigue and lower levels of family care decreased the possibility of returning to work within the 1-year model. At 2 years, 72.8% of the EOCRC survivors had returned to work. In the 2-year model, education, self-transcendence, return to work self efficacy, re-entry readiness and occupational environment increased the possibility of returning to work; self-perceived fatigue and psychosocial adjustment decreased the possibility of returning to work.</div></div><div><h3>Conclusions</h3><div>The results of this study can guide early assessment and intervention for EOCRC survivors, to facilitate their return to work.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100637"},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178463","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}
Pub Date : 2024-12-09DOI: 10.1016/j.apjon.2024.100636
Binbin Xu , Winnie K.W. So , Kai Chow Choi , Yu Huang , Mei Liu , Lanxiang Qiu , Jianghong Tan , Hua Tao , Keli Yan , Fei Yang
Objective
China’s diverse economic landscape across its regions may contribute to disparities in cancer-related financial toxicity (FT), but empirical evidence is lacking. This study examined regional disparities in cancer-related FT across economically diverse provinces in China.
Methods
A cross-sectional study was conducted among adult patients with cancer from six tertiary and six secondary hospitals across three Chinese provinces with varying economic statuses (high-, middle-, and low-income). FT was assessed using the COmprehensive Score for financial Toxicity (COST). Hierarchical regression analysis was employed to compare FT among participants from different economic regions, controlling for 13 patient-level sociodemographic and clinical risk factors.
Results
From February to October 2022, 1208 participants completed the survey (response rate = 97.3%). Mean COST scores were 21.99 ± 6.37 (high-income), 20.38 ± 8.01 (middle-income), and 19.20 ± 5.14 (low-income), showing significant differences (P < 0.001), with lower scores indicating more severe FT. After adjusting for covariates, regional economic level was significantly associated with FT, with more severe FT in middle- (B: −1.515; 95% CI: −2.250, −0.780) and low-income regions (B: −2.159; 95% CI: −2.899, −1.418) than in high-income regions.
Conclusions
This study reveals significant disparities in cancer-related FT across economically diverse provinces in China. The findings underscore the need for targeted policies and interventions to improve health equity in cancer care, with a focus on not neglecting middle-income regions. Oncology nurses are expected to enhance awareness of FT management, voice the needs of patients, and advocate for policy reforms to address these disparities.
{"title":"Disparities in cancer-related financial toxicity across economically diverse provinces in China: A multi-center cross-sectional study","authors":"Binbin Xu , Winnie K.W. So , Kai Chow Choi , Yu Huang , Mei Liu , Lanxiang Qiu , Jianghong Tan , Hua Tao , Keli Yan , Fei Yang","doi":"10.1016/j.apjon.2024.100636","DOIUrl":"10.1016/j.apjon.2024.100636","url":null,"abstract":"<div><h3>Objective</h3><div>China’s diverse economic landscape across its regions may contribute to disparities in cancer-related financial toxicity (FT), but empirical evidence is lacking. This study examined regional disparities in cancer-related FT across economically diverse provinces in China.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among adult patients with cancer from six tertiary and six secondary hospitals across three Chinese provinces with varying economic statuses (high-, middle-, and low-income). FT was assessed using the COmprehensive Score for financial Toxicity (COST). Hierarchical regression analysis was employed to compare FT among participants from different economic regions, controlling for 13 patient-level sociodemographic and clinical risk factors.</div></div><div><h3>Results</h3><div>From February to October 2022, 1208 participants completed the survey (response rate = 97.3%). Mean COST scores were 21.99 ± 6.37 (high-income), 20.38 ± 8.01 (middle-income), and 19.20 ± 5.14 (low-income), showing significant differences (<em>P</em> < 0.001), with lower scores indicating more severe FT. After adjusting for covariates, regional economic level was significantly associated with FT, with more severe FT in middle- (B: −1.515; 95% CI: −2.250, −0.780) and low-income regions (B: −2.159; 95% CI: −2.899, −1.418) than in high-income regions.</div></div><div><h3>Conclusions</h3><div>This study reveals significant disparities in cancer-related FT across economically diverse provinces in China. The findings underscore the need for targeted policies and interventions to improve health equity in cancer care, with a focus on not neglecting middle-income regions. Oncology nurses are expected to enhance awareness of FT management, voice the needs of patients, and advocate for policy reforms to address these disparities.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100636"},"PeriodicalIF":2.4,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11750286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142999177","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}
Adolescents and young adults (AYAs) cancer patients face higher long-term and late-stage risks, so advance care planning (ACP) is an important way for them to participate autonomously in healthcare decision-making. However, in Chinese culture, discussing ACP with AYAs is challengeable due to their role as their family's hope, contributing to insufficient attention to this group in cancer care. This study aimed to explore the perceptions of AYA patients, their families, and healthcare providers about ACP based on the health belief model.
Methods
This study was a qualitative descriptive research using a phenomenological approach. 7 AYA patients and their 7 family members, as well as 8 healthcare providers from Hunan Province, China, underwent three focus group interviews. In addition, 15 AYA patients were recruited for semi-structured interviews, with data saturation being achieved. NVivo Pro 12.0 software was used for data management, and thematic analysis method was used for data analysis.
Results
Six main themes emerged from the data: perceived severity, perceived susceptibility, perceived benefits, perceived barriers, perceived self-efficacy, and action cues. These themes highlight how AYA cancer patients, their families, and healthcare providers perceive the threats of cancer, the potential advantages of engaging in ACP, the challenges they were facing, and the supportive actions needed to facilitate ACP discussions.
Conclusions
ACP can enhance patient autonomy, alleviate anxiety, improve family communication, and optimize resource utilization. However, promoting ACP in China need overcome cultural barriers, enhance education, and provide strong family and social support to encourage more active participation among young patients.
目的：青少年和青壮年（AYAs）癌症患者面临较高的长期和晚期风险，因此advance care planning （ACP）是青少年和青壮年癌症患者自主参与医疗决策的重要途径。然而，在中国文化中，与AYAs讨论ACP是具有挑战性的，因为他们是家庭的希望，导致在癌症治疗中对这一群体的关注不足。本研究旨在探讨基于健康信念模型的AYA患者、家属及医护人员对ACP的认知。方法：本研究采用现象学方法进行定性描述性研究。来自中国湖南省的7名AYA患者及其7名家庭成员以及8名医疗保健提供者进行了3次焦点小组访谈。此外，还招募了15例AYA患者进行半结构化访谈，达到数据饱和。数据管理采用NVivo Pro 12.0软件，数据分析采用专题分析法。结果：从数据中得出六个主要主题：感知严重性、感知易感性、感知益处、感知障碍、感知自我效能和行动线索。这些主题强调了AYA癌症患者、他们的家人和医疗保健提供者如何看待癌症的威胁、参与ACP的潜在优势、他们面临的挑战以及促进ACP讨论所需的支持行动。结论：ACP可增强患者自主性，缓解焦虑，改善家庭沟通，优化资源利用。然而，在中国推广ACP需要克服文化障碍，加强教育，并提供强大的家庭和社会支持，以鼓励年轻患者更积极地参与。
{"title":"Perspectives on advanced care planning of adolescent and young adult cancer patients, families, and healthcare providers: A qualitative study based on the health belief model","authors":"Tingting Lv, Huilin Zhang, Xia Xie, Huan Yuan, Yuting Huang, Ying Zou","doi":"10.1016/j.apjon.2024.100635","DOIUrl":"10.1016/j.apjon.2024.100635","url":null,"abstract":"<div><h3>Objective</h3><div>Adolescents and young adults (AYAs) cancer patients face higher long-term and late-stage risks, so advance care planning (ACP) is an important way for them to participate autonomously in healthcare decision-making. However, in Chinese culture, discussing ACP with AYAs is challengeable due to their role as their family's hope, contributing to insufficient attention to this group in cancer care. This study aimed to explore the perceptions of AYA patients, their families, and healthcare providers about ACP based on the health belief model.</div></div><div><h3>Methods</h3><div>This study was a qualitative descriptive research using a phenomenological approach. 7 AYA patients and their 7 family members, as well as 8 healthcare providers from Hunan Province, China, underwent three focus group interviews. In addition, 15 AYA patients were recruited for semi-structured interviews, with data saturation being achieved. NVivo Pro 12.0 software was used for data management, and thematic analysis method was used for data analysis.</div></div><div><h3>Results</h3><div>Six main themes emerged from the data: perceived severity, perceived susceptibility, perceived benefits, perceived barriers, perceived self-efficacy, and action cues. These themes highlight how AYA cancer patients, their families, and healthcare providers perceive the threats of cancer, the potential advantages of engaging in ACP, the challenges they were facing, and the supportive actions needed to facilitate ACP discussions.</div></div><div><h3>Conclusions</h3><div>ACP can enhance patient autonomy, alleviate anxiety, improve family communication, and optimize resource utilization. However, promoting ACP in China need overcome cultural barriers, enhance education, and provide strong family and social support to encourage more active participation among young patients.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100635"},"PeriodicalIF":2.4,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11714373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943369","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}
Pub Date : 2024-12-01DOI: 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":"10.1016/j.apjon.2024.100616","url":null,"abstract":"<div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100616"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","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}
Pub Date : 2024-12-01DOI: 10.1016/j.apjon.2024.100619
Sarah H. Kagan
{"title":"Calling time on the traffic cop model of oncology nursing: Creating a new research agenda for nurse-led supportive cancer care","authors":"Sarah H. Kagan","doi":"10.1016/j.apjon.2024.100619","DOIUrl":"10.1016/j.apjon.2024.100619","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100619"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11664159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142880947","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}
Pub Date : 2024-12-01DOI: 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.
目的：探讨二元应对（DC）对宫颈癌患者及其配偶心理弹性（PR）水平的影响。方法：于2024年4月至6月，对新疆省两所三级医院妇科和肿瘤科177对CC患者及其配偶进行横断面研究。通过人口统计资料、临床特征、心理弹性量表和二元应对量表等自我报告问卷收集数据。利用行动者-伙伴相互依存中介模型对结果进行了深入分析。结果：患者平均年龄49.94±8.05岁（范围：26 ~ 64岁），以CC II期患者居多，配偶平均年龄51.90±8.02岁（范围：27 ~ 65岁）。患者DC平均为105.50±23.98，配偶平均为103.34±22.26；PR平均为63.51±19.68，配偶平均为67.44±18.97。CC患者及其配偶中DC阳性与PR水平升高显著相关(r = 0.285, P r = 0.697, P r = -0.187, -0.390；结论：CC患者及其配偶的PR受双方DC行为的显著影响。当双方都使用积极的应对策略时，他们的PR会增加。相反，消极的DC行为只影响患者的PR，可能是由于自我隐瞒和沟通障碍，这可能是缺乏相互影响的原因。护士应识别出有负性抑郁风险的夫妇，并实施恢复力干预措施，鼓励双方积极应对。
{"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":"<div><h3>Objective</h3><div>This study aimed to explore how dyadic coping (DC) influences the psychological resilience (PR) levels of patients with cervical cancer (CC) and their spouses.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>r</em> = 0.285, <em>P</em> < 0.01; <em>r</em> = 0.697, <em>P</em> < 0.01). Conversely, a negative DC was associated with a lower PR (<em>r</em> = −0.187, −0.390; <em>P</em> < 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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"11 12","pages":"Article 100615"},"PeriodicalIF":2.4,"publicationDate":"2024-12-01","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}
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