Asia-Pacific Journal of Oncology Nursing最新文献_第3页

A longitudinal study of supportive care needs among Chinese parents of children with acute lymphoblastic leukemia 中国急性淋巴细胞白血病患儿家长支持性护理需求的纵向研究

IF 2.8 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2026-12-01 Epub Date: 2025-12-04 DOI: 10.1016/j.apjon.2025.100827

Jingting Wang , Zhuting Zheng , Tian Jin , Yingwen Wang , Huifang Wu , Qi Yang , Linyu Ma , Wen Zhang , Changrong Yuan

Objective

To determine parents' supportive care needs trajectories over the first 8 months following their children's diagnosis and identify the predictors of these trajectories.

Methods

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.

Results

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 (P < 0.05).

Conclusions

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.

目的确定儿童确诊后前8个月父母的支持性护理需求轨迹，并确定这些轨迹的预测因子。方法共招募100/112名新诊断为ALL患儿的中国父母。在诊断后、诱导缓解期、巩固治疗期和急性治疗后四个最可能改变的关键时间点对父母的支持性护理需求进行跟踪。使用潜在类别生长模型（LCGM）或生长混合模型（GMM）来确定支持护理需求的六个需求域内的轨迹。采用逻辑回归来确定预测轨迹模式的因素。结果总体而言，父母的支持护理需求在诊断后立即达到高峰，在整个治疗过程中下降，并在巩固期和急性期后保持稳定。值得注意的是，每个域的轨迹在父亚群之间是不同的。确定了3条卫生保健和信息需求轨迹、2条日常护理和交流需求轨迹、2条心理和精神需求轨迹、2条医疗服务需求轨迹、3条经济需求轨迹和2条情感需求轨迹。班级成员与父母受教育程度、就业状况、家庭居住地区、家庭月平均收入、医疗支付方式、每日照顾时间、子女年龄、独生子女、父母自我效能感、照顾能力显著相关（P < 0.05）。结论本研究确定了父母支持护理需求的动态演变和独特的轨迹，以及他们的关键预测因素。研究结果为制定针对阶段和人群的干预措施提供了坚实的基础，为优化以家庭为中心的护理提供了实用指导，并为儿科肿瘤学环境中的支持性政策制定提供了信息。

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引用次数: 0

Dyadic relationship experience in Chinese patients with advanced cancer and their spouses: A longitudinal qualitative study 中国晚期癌症患者及其配偶的二元关系体验：一项纵向定性研究

IF 2.8 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2026-12-01 Epub Date: 2025-12-30 DOI: 10.1016/j.apjon.2025.100847

Haiyan Sun , Xi Chen , Xinyi Huang , Li Qin , Hui Zhu , Chintana Wacharasin , Pornpat Hengudomsub , Zhangyan Zhen , Yang Qin

Objective

To explore the process of dyadic relationship experiences among patients with advanced cancer and their spouses during anti-cancer treatment in China.

Methods

A longitudinal, qualitative study using semi-structured interviews with cancer patients and their spouses was conducted within the first six months following cancer diagnosis. A total of 18 cancer patient-spouse dyads were recruited, with 16 dyads completing all follow-ups between March and December 2024. All interviews were audio-recorded, transcribed verbatim, and analyzed thematically.

Results

The study collected 96 individual interviews. The thematic framework was developed based on patient-spouse dyads, generating three key themes: relationship crisis at diagnosis, relationship reconfiguration during hospitalization, and relationship adaptation in home care. These were further elaborated through eight subthemes: mutual denial at the moment of diagnosis, communication avoidance by fear of burden, and collaborative struggles in dyadic coping (relationship crisis); collapse of traditional family roles and shared vulnerability as dyadic coping (relationship reconfiguration); and intra-dyadic reciprocal support in daily care, joint help-seeking as a unified front, and post-trauma mutual growth within familism (relationship adaptation).

Conclusions

The couple's relational experience evolves dynamically from diagnosis through hospitalisation to home care. These findings provide implications for health care providers to develop effective health guidance that supports a harmonious family atmosphere during transitional care. Culturally tailored, dyad-centred interventions addressing these phase-specific challenges may strengthen mutual support and improve the well-being of both patients and spouses.

目的探讨中国晚期癌症患者及其配偶在抗癌治疗过程中的二元关系体验过程。方法在癌症诊断后的前六个月内，对癌症患者及其配偶进行了半结构化访谈，进行了一项纵向定性研究。共招募了18名癌症患者-配偶对，其中16对在2024年3月至12月期间完成了所有随访。所有访谈都被录音，逐字抄写，并按主题进行分析。结果本研究收集了96个个人访谈。主题框架是基于患者-配偶二人组开发的，产生了三个关键主题：诊断时的关系危机，住院期间的关系重构以及家庭护理中的关系适应。这些通过八个子主题进一步阐述：诊断时的相互否认，因害怕负担而避免沟通，以及二元应对（关系危机）中的合作斗争；传统家庭角色的崩溃和作为二元应对的共同脆弱性（关系重构）以及日常护理中的双元内相互支持，作为统一战线的共同寻求帮助，以及创伤后家庭主义中的相互成长（关系适应）。结论从诊断到住院再到家庭护理，夫妻关系经历是动态发展的。这些发现为卫生保健提供者在过渡护理期间制定有效的健康指导以支持和谐的家庭氛围提供了启示。针对这些具体阶段的挑战，根据文化进行量身定制、以双方为中心的干预措施，可能会加强相互支持，改善患者和配偶的福祉。

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引用次数: 0

Development and formative evaluation of a follow-up checklist for patients who have undergone sphincter-preserving surgery for rectal cancer based on the Supportive Care Framework 基于支持性护理框架的直肠癌保括约肌手术患者随访清单的制定和形成性评估

IF 2.8 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2026-12-01 Epub Date: 2026-01-29 DOI: 10.1016/j.apjon.2026.100914

Xinxin Huang , Qingqiu Wu , Min Hu , Xinxin Zhang , Beibei Song , Qingqing Hong , Shaohua Hu

Objective

Rectal cancer survivors who have undergone sphincter-preserving surgery (SPS) face complex challenges often under-addressed by surveillance-focused guidelines. Grounded in the Supportive Care Framework—which emphasizes meeting patients’ holistic needs to improve outcomes—this study developed and evaluated a phase-specific follow-up checklist to standardize post-discharge management.

Methods

Using a mixed-methods design, an item pool was generated from a literature review (n = 18) and interviews (n = 19), mapped to the framework's four domains: physical, psychological, social, and informational. A two-round Delphi process (n = 15) refined the checklist. Consensus was reached through rigorous statistical validation of expert agreement. Finally, 12 patients and 7 nurses evaluated clinical acceptability and feasibility.

Results

Evidence synthesis highlighted gaps in physical function and psychosocial adaptation. Experts achieved high consensus, resulting in 52 items across four recovery phases. The checklist operationalizes tasks ranging from preventive stoma care and Low Anterior Resection Syndrome (LARS) management to social reintegration. Formative evaluation confirmed clinical utility and face validity, with an average nurse completion time of 22.7 minutes.

Conclusions

This theory-driven checklist complements surveillance guidelines by shifting focus to comprehensive survivorship care. It offers a structured workflow for the early detection of physical and psychosocial issues. Future research should prioritize multi-center psychometric validation and long-term effectiveness evaluation.

目的：直肠癌幸存者接受了保留括约肌手术（SPS），他们面临着复杂的挑战，而这些挑战往往没有得到以监测为重点的指南的重视。在强调满足患者整体需求以改善结果的支持性护理框架的基础上，本研究开发并评估了一份针对特定阶段的随访清单，以规范出院后管理。方法采用混合方法设计，从文献综述（n = 18）和访谈（n = 19）中生成一个项目池，并将其映射到框架的四个领域：身体、心理、社会和信息。两轮德尔菲程序（n = 15）完善了清单。通过对专家协议的严格统计验证，达成了共识。最后，对12名患者和7名护士进行临床可接受性和可行性评估。结果证据综合突出了身体功能和心理社会适应方面的差距。专家们达成了高度共识，产生了跨越四个恢复阶段的52个项目。该清单包括从预防性造口护理和前低位切除综合征（LARS）管理到重新融入社会的任务。形成性评价证实了临床效用和面部效度，护士平均完成时间为22.7分钟。结论：这一理论驱动的检查表通过将重点转移到全面的生存护理上来补充了监测指南。它为早期发现身体和社会心理问题提供了一个结构化的工作流程。未来的研究应优先考虑多中心心理测量验证和长期有效性评价。

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引用次数: 0

Barriers to implementation of preoperative urostomy site marking in nurse-physician cooperation: A qualitative study based on the Theoretical Domains Framework 在护士-医生合作中实施术前尿造口部位标记的障碍：基于理论领域框架的定性研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2024-12-17 DOI: 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.

目的本研究旨在了解护士-医生合作实施术前造口部位标记的障碍，采用定性研究方法，遵循理论领域框架。方法采用半结构化访谈法，于2023年3月至6月对全国9家三级医院泌尿外科进行定性描述性研究。采用目的抽样方法招募了12名泌尿科医生和8名肠造口治疗师。录音记录逐字转录，数据分析采用内容分析。结果研究确定了五个主题：人力和口腔护理产品短缺、缺乏标准和法规、缺乏动机和意图、对后果的期望不一致、合作困难。结论本研究提示了泌尿科医师和ETs在实施术前造口定位时存在的障碍。制度、资源、清晰的职业规划和绩效反馈都能提高工作积极性和积极性。此外，泌尿科医师与ETs之间缺乏合作是导致泌尿造口定位实施不佳的关键因素，这需要医生与护士之间进行有效、平等的沟通。

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引用次数: 0

Assessing cancer-related fatigue: Validation of the Korean version of the cancer fatigue scale among cancer survivors 评估癌症相关疲劳：韩国版癌症疲劳量表在癌症幸存者中的验证

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-01-20 DOI: 10.1016/j.apjon.2025.100657

Haneul Lee , Eun Young Park , Kwang-Hi Park

Objective

This study aimed to validate the Korean version of the Cancer Fatigue Scale (CFS-K) as a reliable tool for assessing cancer-related fatigue (CRF) for cancer survivors.

Methods

A total of 208 cancer survivors who completed active treatment participated in evaluating the reliability, construct validity, and factor structure of the CFS-K through confirmatory factor analysis (CFA). Correlations with the Functional Assessment of Chronic Illness Therapy-Fatigue (FACT-F) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) scales were analyzed to assess construct validity.

Results

The CFS-K demonstrated strong psychometric properties, with high internal consistency (Cronbach’s α = 0.875) and CFA validated a three-factor structure (physical, cognitive, and affective fatigue) with acceptable model fit indices (normed χ² = 2.62, CFI = 0.899, TLI = 0.878, RMSEA = 0.088, SRMR = 0.069). The standardized factor loadings for all items exceeded 0.5. Construct validity was confirmed through strong correlations with FACT-F (r = 0.43–0.73) and significant correlations with EORTC QLQ-C30 subscales. Cancer survivors reported significantly higher fatigue levels across all subscales than controls.

Conclusions

The CFS-K is a reliable and valid tool for assessing multidimensional CRF in cancer survivors.

目的：本研究旨在验证韩国版癌症疲劳量表（CFS-K）作为评估癌症幸存者癌症相关疲劳（CRF）的可靠工具。方法采用验证性因子分析（confirmatory factor analysis， CFA）对208例完成积极治疗的癌症幸存者进行信度、结构效度和因子结构评估。分析与慢性疾病治疗-疲劳功能评估（FACT-F）和欧洲癌症研究与治疗组织生活质量问卷核心-30 （EORTC QLQ-C30）量表的相关性来评估结构效度。结果CFS-K具有较强的心理测量特性，具有较高的内部一致性（Cronbach 's α = 0.875）， CFA验证了三因素结构（身体、认知和情感疲劳），模型拟合指标可接受（标准化χ2 = 2.62, CFI = 0.899, TLI = 0.878, RMSEA = 0.088, SRMR = 0.069）。所有项目的标准化因子负荷均超过0.5。通过与FACT-F的强相关（r = 0.43-0.73）和与EORTC QLQ-C30子量表的显著相关来证实结构效度。癌症幸存者报告的所有亚量表的疲劳水平都明显高于对照组。结论CFS-K是一种可靠、有效的评估癌症幸存者多维CRF的工具。

{"title":"Assessing cancer-related fatigue: Validation of the Korean version of the cancer fatigue scale among cancer survivors","authors":"Haneul Lee , Eun Young Park , Kwang-Hi Park","doi":"10.1016/j.apjon.2025.100657","DOIUrl":"10.1016/j.apjon.2025.100657","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to validate the Korean version of the Cancer Fatigue Scale (CFS-K) as a reliable tool for assessing cancer-related fatigue (CRF) for cancer survivors.</div></div><div><h3>Methods</h3><div>A total of 208 cancer survivors who completed active treatment participated in evaluating the reliability, construct validity, and factor structure of the CFS-K through confirmatory factor analysis (CFA). Correlations with the Functional Assessment of Chronic Illness Therapy-Fatigue (FACT-F) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30) scales were analyzed to assess construct validity.</div></div><div><h3>Results</h3><div>The CFS-K demonstrated strong psychometric properties, with high internal consistency (Cronbach’s <em>α</em> = 0.875) and CFA validated a three-factor structure (physical, cognitive, and affective fatigue) with acceptable model fit indices (normed χ<sup>2</sup> = 2.62, CFI = 0.899, TLI = 0.878, RMSEA = 0.088, SRMR = 0.069). The standardized factor loadings for all items exceeded 0.5. Construct validity was confirmed through strong correlations with FACT-F (<em>r</em> = 0.43–0.73) and significant correlations with EORTC QLQ-C30 subscales. Cancer survivors reported significantly higher fatigue levels across all subscales than controls.</div></div><div><h3>Conclusions</h3><div>The CFS-K is a reliable and valid tool for assessing multidimensional CRF in cancer survivors.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100657"},"PeriodicalIF":2.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379101","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

Transforming pediatric palliative care through technology: Insights from Iran's experience and existing challenges 通过技术改变儿科姑息治疗：来自伊朗经验和现有挑战的见解。

IF 2.8 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-07-07 DOI: 10.1016/j.apjon.2025.100753

Mohadese Babaie, Maryam Rassouli, Azam Shirinabadi Farahani

引用次数: 0

Disparities in cancer-related financial toxicity across economically diverse provinces in China: A multi-center cross-sectional study 中国不同经济省份癌症相关金融毒性差异：一项多中心横断面研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2024-12-09 DOI: 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.

目的：中国各地区不同的经济格局可能导致癌症相关金融毒性（FT）的差异，但缺乏经验证据。本研究考察了中国不同经济省份癌症相关金融服务的地区差异。方法：对来自中国三个省份不同经济状况（高、中、低收入）的六所三级医院和六所二级医院的成年癌症患者进行横断面研究。FT采用金融毒性综合评分（COST）进行评估。在控制13个患者层面的社会人口学和临床危险因素的情况下，采用层次回归分析比较不同经济区域参与者的FT。结果：2022年2月至10月，共1208人完成调查，回复率为97.3%。平均COST得分分别为21.99±6.37（高收入）、20.38±8.01（中等收入）和19.20±5.14（低收入），存在显著差异(P)。结论：本研究揭示了中国不同经济省份癌症相关FT的显著差异。研究结果强调需要有针对性的政策和干预措施，以改善癌症治疗中的卫生公平性，重点是不要忽视中等收入地区。肿瘤科护士应提高对FT管理的认识，表达患者的需求，并倡导政策改革以解决这些差异。

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引用次数: 0

Development and psychometric testing of a self-management scale for cancer survivors with radiotherapy/chemotherapy-induced oral mucositis in China 中国放疗/化疗所致口腔黏膜炎癌症幸存者自我管理量表的编制及心理测量学测试

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2024-12-30 DOI: 10.1016/j.apjon.2024.100650

Hanfei Cui , Qingkun Han , Yulian Wei , Juan Qiao , Xiaohong Ji , Yuanyuan Li , Xuebing Jing , Xiaojie Fang

Objective

This study aims to develop and validate a self-management scale for radiotherapy/chemotherapy-induced oral mucositis (SMS-RIOM/CIOM) in cancer survivors, addressing the need for a comprehensive tool to assess self-management capabilities.

Methods

This study employed a two-phase process: (1) initial scale development through literature review, semi-structured interviews, and expert consultations, and (2) psychometric testing with 420 cancer survivors from five wards of Zibo Hospital. The psychometric evaluation included item analysis, content validity testing, reliability assessments, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA).

Results

The finalized SMS-RIOM/CIOM consists of 15 items across four dimensions: medication management, oral pain management, disease monitoring, and daily life management. EFA explained 77.322% of the total variance, while CFA demonstrated an excellent model fit (χ²/df=1.909, RMSEA=0.064, RMR=0.052, GFI=0.911, CFI=0.964, NFI=0.928, TLI=0.955, IFI=0.964). Reliability metrics were robust, including Cronbach's alpha of 0.902, split-half reliability of 0.849, test-retest reliability of 0.862, and a scale content validity index of 0.910.

Conclusions

The SMS-RIOM/CIOM is a reliable and valid tool for assessing self-management in cancer survivors with RIOM/CIOM. It provides valuable insights for clinical practice, enabling targeted interventions to improve self-management and enhance the quality of life for cancer survivors. Further research is recommended to validate its application across diverse populations and healthcare settings.

目的：本研究旨在开发和验证癌症幸存者放射/化疗诱导的口腔黏膜炎自我管理量表（SMS-RIOM/CIOM），以满足对自我管理能力的综合评估工具的需求。方法：本研究分为两个阶段：(1)通过文献查阅、半结构式访谈和专家咨询进行初步量表编制；(2)对淄博市医院5个病区420名癌症幸存者进行心理测试。心理测量评估包括项目分析、内容效度检验、信度评估、探索性因子分析（EFA）和验证性因子分析（CFA）。结果：最终确定的SMS-RIOM/CIOM包括药物管理、口腔疼痛管理、疾病监测和日常生活管理四个维度的15个项目。EFA解释了总方差的77.322%，而CFA显示了良好的模型拟合（χ²/df=1.909， RMSEA=0.064， RMR=0.052， GFI=0.911， CFI=0.964， NFI=0.928， TLI=0.955， IFI=0.964）。信度指标稳健，Cronbach's alpha为0.902，劈半信度为0.849，重测信度为0.862，量表内容效度指数为0.910。结论：SMS-RIOM/CIOM是评估患有RIOM/CIOM的癌症幸存者自我管理的可靠和有效的工具。它为临床实践提供了宝贵的见解，使有针对性的干预措施能够改善自我管理，提高癌症幸存者的生活质量。建议进一步研究以验证其在不同人群和医疗保健环境中的应用。

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引用次数: 0

Fear of cancer recurrence in patients with early-stage non-small cell lung cancer: A latent profile analysis 早期非小细胞肺癌患者对癌症复发的恐惧：一项潜在剖面分析

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-02-10 DOI: 10.1016/j.apjon.2025.100663

Man Liu , Lu Liu , Zhuoheng Lv , Qingpeng Zeng, Jun Zhao

Objective

This study aimed to identify latent profiles of fear of cancer recurrence (FCR) among patients with early-stage non-small cell lung cancer (NSCLC) and examine the associated factors.

Methods

A cross-sectional survey was conducted with 677 patients with early-stage NSCLC who underwent surgical treatment at a tier-three cancer hospital in Beijing between January 2022 and August 2023. Data collection included demographic variables and assessments using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Herth Hope Index (HHI), and Social Support Rating Scale (SSRS). Latent profile analysis was employed to classify FCR levels and identify influencing factors.

Results

Three distinct FCR profiles emerged: “low FCR” (27.6%), “moderate FCR” (66.2%), and “high FCR” (6.2%). Independent risk factors for moderate FCR included individuals aged 36–60 years (odds ratio [OR] = 1.871, 95% confidence interval [CI] 1.208–2.899) and a household income below 5000 yuan (OR = 1.86, 95% CI 1.059–3.267). Protective factors for moderate FCR included lower levels of education (OR = 0.505, 95% CI 0.283–0.902), religious beliefs (OR = 0.355, 95% CI 0.152–0.833), and smoking (OR = 0.461, 95% CI 0.284–0.747). High FCR was strongly associated with being 36–60 years old, lower HHI scores (OR = 11.055, 95% CI 4.441–27.522), and poor social support (OR = 3.392, 95% CI 1.385–8.308).

Conclusions

FCR among patients with early-stage NSCLC can be categorized into distinct profiles, with specific demographic and psychosocial factors influencing severity. Tailored nursing interventions addressing varying FCR levels are critical to improving patient care and psychological well-being.

目的探讨早期非小细胞肺癌（NSCLC）患者癌症复发恐惧（FCR）的潜在特征，并探讨其相关因素。方法对2022年1月至2023年8月在北京某三级肿瘤医院接受手术治疗的677例早期非小细胞肺癌患者进行横断面调查。数据收集包括人口统计变量和评估，使用恐惧进展问卷-简表（FoP-Q-SF）、赫斯希望指数（HHI）和社会支持评定量表（SSRS）。采用潜在剖面分析对FCR水平进行分类，并确定影响因素。结果出现了三种不同的FCR类型：“低FCR”（27.6%）、“中等FCR”（66.2%）和“高FCR”（6.2%）。中度FCR的独立危险因素包括36-60岁个体（比值比[OR] = 1.871, 95%可信区间[CI] 1.208-2.899）和家庭收入低于5000元（OR = 1.86, 95%可信区间[CI] 1.059-3.267）。中度FCR的保护因素包括较低的教育水平（OR = 0.505, 95% CI 0.283-0.902）、宗教信仰（OR = 0.355, 95% CI 0.152-0.833）和吸烟（OR = 0.461, 95% CI 0.284-0.747）。高FCR与36-60岁、较低的HHI评分（OR = 11.055, 95% CI 4.441-27.522）和较差的社会支持（OR = 3.392, 95% CI 1.385-8.308）密切相关。结论早期NSCLC患者sfcr可分为不同的类型，其严重程度受特定的人口统计学和社会心理因素的影响。针对不同FCR水平的量身定制的护理干预措施对于改善患者护理和心理健康至关重要。

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引用次数: 0

Coping strategies and psychological distress in postoperative recovery: A repeated-measures study in women undergoing breast-conserving surgery 术后恢复中的应对策略和心理困扰：对接受保乳手术妇女的重复测量研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-02-25 DOI: 10.1016/j.apjon.2025.100674

Jennifer R. Majumdar , Margaret Barton-Burke , Jaime L. Gilliland , Nalini N. Jairath

Objective

Breast-conserving surgery (BCS) is the standard treatment for early-stage breast cancer, yet patients often experience significant psychological distress and physical symptoms during recovery. This study aimed to explore the relationships between antecedents, physical symptoms (pain and nausea), psychological distress, and coping strategies utilized by women recovering from BCS to improve management of postoperative challenges.

Methods

This repeated-measures descriptive study involved 75 women who underwent BCS with sentinel lymph node biopsy at a National Cancer Institute-designated center. Participants completed the National Comprehensive Cancer Network (NCCN) Distress Thermometer and Ways of Coping Instrument on Postoperative Day 1 (POD1) and POD14. Bivariate analyses, multiple linear regression, and structural equation modeling were conducted to evaluate associations between antecedents, coping strategies, and distress. Open-ended responses were qualitatively analyzed for thematic content.

Results

Seeking social support (POD1 mean = 1.25; POD14 mean = 1.20) and planful problem-solving (POD1 mean = 1.19; POD14 mean = 1.04) were the most frequently used coping strategies, while accepting responsibility and confrontive coping were least utilized. Overall coping strategy use decreased between POD1 and POD14, likely reflecting recovery adaptation. Significant predictors of distress included escape-avoidance coping (β = 0.415, P < 0.001), social support (β = 0.270, P = 0.02), history of nausea (β = 0.517, P < 0.001), and age (β = 0.293, P = 0.007). Coping strategies did not mediate the relationship between antecedents and distress.

Conclusions

Adaptive coping strategies such as social support and planful problem-solving play a critical role in mitigating distress during BCS recovery. Interventions should emphasize fostering these strategies and addressing high-risk groups, such as younger patients and those with a history of nausea. Despite limitations, this study underscores the importance of supporting adaptive coping to improve postoperative outcomes and provides a basis for future research.

目的保乳手术（breast - conservation surgery， BCS）是早期乳腺癌的标准治疗方法，但患者在康复过程中往往会出现明显的心理困扰和身体症状。本研究旨在探讨前因、身体症状（疼痛和恶心）、心理困扰和应对策略之间的关系，以改善BCS恢复期妇女对术后挑战的管理。方法：这项重复测量的描述性研究涉及75名在国家癌症研究所指定中心接受前哨淋巴结活检的BCS妇女。参与者在术后第1天（POD1）和第14天完成了国家综合癌症网络（NCCN）痛苦温度计和应对方式量表。采用双变量分析、多元线性回归和结构方程模型来评估前因、应对策略和痛苦之间的关系。对开放式答复的主题内容进行定性分析。结果寻求社会支持(POD1均值= 1.25；POD14平均= 1.20)和计划性问题解决(POD1平均= 1.19；POD14（平均= 1.04）是最常用的应对策略，而承担责任和对抗性应对的使用最少。总体应对策略的使用在POD1和POD14之间有所减少，可能反映了恢复适应。焦虑的显著预测因子包括逃避-回避应对(β = 0.415, P <；0.001),社会支持(β= 0.270,P = 0.02),恶心的历史(β= 0.517,P & lt;0.001)，年龄（β = 0.293, P = 0.007）。应对策略对前因与痛苦之间的关系没有中介作用。结论社会支持和计划性问题解决等适应性应对策略在缓解BCS康复过程中的痛苦中起关键作用。干预措施应强调促进这些策略并针对高危人群，如年轻患者和有恶心史的患者。尽管存在局限性，但本研究强调了支持适应性应对对改善术后预后的重要性，并为未来的研究提供了基础。

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