Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Expert consensus on perioperative management of patients with lung cancer treated with co-ablation system therapy","authors":"Yin Xu ,&nbsp;Rumei Yang ,&nbsp;Shuping Xiao ,&nbsp;Ke Chen ,&nbsp;Xiaoyun Zhao ,&nbsp;Lan Gao ,&nbsp;Xiuhong Ren ,&nbsp;Xin Ye ,&nbsp;Weijun Fan ,&nbsp;Xiaoyan Wang ,&nbsp;Zhongmin Wang ,&nbsp;Jingjing He","doi":"10.1016/j.apjon.2025.100747","DOIUrl":"10.1016/j.apjon.2025.100747","url":null,"abstract":"<div><div>This expert consensus aims to establish standardized perioperative care guidelines for patients with lung cancer undergoing co-ablation system therapy. Based on a comprehensive review of national and international guidelines and a structured consultation involving 30 nursing experts, the Perioperative Expert Working Group of the Interventionalists Branch of the Chinese Medical Doctor Association developed the 2024 Consensus. The Consensus outlines key aspects of postoperative care, strategies for the prevention and management of complications, discharge planning, and follow-up care. It provides practical and evidence-informed recommendations to guide clinical nursing practice, with the objective of promoting safe, effective, and consistent care delivery. This Consensus may also serve as a foundational framework for developing a standardized care intervention model that aligns with China's health care context and needs.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100747"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673870","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":"Psychometric properties of patient-reported outcome measures for symptom assessment in patients with cancer receiving immunotherapy: A systematic review following the COSMIN 2.0 guidelines","authors":"Defa Zhang ,&nbsp;Yali Wang ,&nbsp;Qian Wang ,&nbsp;Huiqing Mao ,&nbsp;Miaomiao Zhang ,&nbsp;Ping Xu ,&nbsp;Shuo Guo ,&nbsp;Rong Yan","doi":"10.1016/j.apjon.2025.100774","DOIUrl":"10.1016/j.apjon.2025.100774","url":null,"abstract":"<div><h3>Objective</h3><div>To identify and evaluate the methodological quality and psychometric properties of Patient-reported outcome measures (PROMs) for symptom assessment in patients with cancer undergoing immunotherapy.</div></div><div><h3>Methods</h3><div>A systematic search was performed in PubMed, Scopus, Cochrane Library, Web of Science, Embase, CINAHL, CNKI, WanFang, Vip, and SinoMed from their inception to February 10, 2025. Eligibility criteria required studies to focus on the development or validation of a PROM for symptom assessment in adult patients with cancer undergoing immunotherapy, and to report on at least one psychometric property. The methodological quality of the included studies and the psychometric properties of the corresponding instruments were evaluated using the COSMIN 2.0 guidelines.We synthesized the evidence pertaining to each measurement property from all included studies on the same PROM.The evidence quality was evaluated based on an adapted Grading of Recommendations Assessment, Development and Evaluation system.</div></div><div><h3>Results</h3><div>The final analysis included eight studies that reported on six PROMs. Because there was insufficient high-quality evidence, particularly for cross-cultural validity/measurement invariance and measurement error, no instrument could be recommended for use. However, the Functional Assessment of Cancer Therapy-Immune Checkpoint Modulator (FACT-ICM) demonstrated the most potential, with high-quality evidence supporting its content validity, structural validity, and internal consistency. Notably, the primary goal of this instrument is to assess the overall symptom burden.</div></div><div><h3>Conclusions</h3><div>There is a notable lack of fully validated, high-quality instruments for measuring the symptoms themselves in patients undergoing immunotherapy. Although the FACT-ICM is the most promising tool for assessing the overall symptom burden, it still requires further validation. Therefore, future research, depending on the specific objective, should focus on two key areas: more comprehensive validation of the FACT-ICM, and the validation or development of instruments specifically designed to quantify the symptoms themselves.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO (CRD420250655464).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100774"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013835","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":"End-of-life care in the home: A realistic or unachievable goal?","authors":"Geraldine A. Lee ,&nbsp;Priya Reehal ,&nbsp;Xianliang Liu","doi":"10.1016/j.apjon.2025.100779","DOIUrl":"10.1016/j.apjon.2025.100779","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100779"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145111899","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":"Coping with bowel dysfunction after low anterior resection for rectal cancer: A qualitative synthesis","authors":"Eun Young Kim ,&nbsp;Min Jeong Kim ,&nbsp;Young Man Kim","doi":"10.1016/j.apjon.2025.100787","DOIUrl":"10.1016/j.apjon.2025.100787","url":null,"abstract":"<div><h3>Objective</h3><div>This study synthesized existing qualitative research on patients’ experiences of bowel dysfunction following low anterior resection for rectal cancer and examined the strategies they use to cope and adapt to related challenges.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across PubMed, EMBASE, CINAHL, SCOPUS, Web of Science, and the Cochrane Library for qualitative studies published up to June 2025, supplemented by reference screening. A meta-ethnographic approach was employed to integrate findings interpretively while preserving the contextual depth of individual studies.</div></div><div><h3>Results</h3><div>Twenty-two studies involving 415 participants were included. Three overarching themes emerged: (1) living with uncertainty, (2) experiencing social isolation and disconnection, and (3) striving to establish a new balance in life. Patients reported unpredictable bowel symptoms that disrupted daily activities, generating uncertainty, social withdrawal, and psychological distress. Despite these challenges, patients gradually adapted through self-care practices, emotional support, and psychological acceptance, which facilitated a shift toward stability and improved quality of life.</div></div><div><h3>Conclusions</h3><div>Bowel dysfunction after low anterior resection imposes substantial physical, psychological, and social challenges on patients. Supporting adaptation requires patient-centered nursing interventions that extend beyond symptom management to provide comprehensive psychosocial support, promote self-care, and enhance long-term well-being.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD42024590342.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100787"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145290851","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 scoping review of breakthrough cancer pain: Multidimensional patient needs and influencing factors","authors":"Qingyi Li ,&nbsp;Yanlei Sheng ,&nbsp;Xinyu Liu ,&nbsp;Jie Li ,&nbsp;Lisi Zhu ,&nbsp;Yang Yang ,&nbsp;Luhong Hu","doi":"10.1016/j.apjon.2025.100780","DOIUrl":"10.1016/j.apjon.2025.100780","url":null,"abstract":"<div><h3>Objectives</h3><div>Breakthrough cancer pain (BTcP), a common complication among cancer patients, has been confirmed to have extensive impacts on patients' lives. However, existing research remains fragmented, lacking a systematic theoretical framework to integrate these findings. This scoping review aimed to systematically examine the multidimensional needs and influencing factors of BTcP patients based on Kolcaba's Comfort Theory, construct a conceptual mapping of BTcP needs and influences, and explore the theoretical foundations and practical pathways of related interventions.</div></div><div><h3>Methods</h3><div>Using a scoping review methodology, we retrieved literature on BTcP impact studies from databases including PubMed, MEDLINE, CINAHL, Embase, Web of Science, Scopus, AMED, and Google Scholar, deadline for searching the database is January 2025. We qualitatively integrated existing research results using the Comfort Theory's four dimensions (physical, psychological, social, environmental) and three stages (needs assessment, intervention implementation, effect evaluation) as an organizational framework.</div></div><div><h3>Results</h3><div>A total of 30 studies were included. The findings revealed that BTcP patients' needs are multidimensional, with interactions between different dimensions forming a complex network of needs. Eleven key characteristic categories of BTcP impacts were extracted. Within the Comfort Theory's four-dimensional framework: Physical comfort dimension primarily addressed functional impacts, sleep influences, and treatment experiences; Psychological comfort dimension encompassed psychological impacts, quality of life (psychological aspects), and psychological treatment barriers; Social comfort dimension focused on work and social activity impacts, economic influences, caregiver burden, and communication challenges; Environmental comfort dimension included system support needs and related treatment barriers, Additionally, two intervention studies were discovered, providing preliminary evidence for BTcP management under the Comfort Theory's three-stage framework.</div></div><div><h3>Conclusions</h3><div>This study is the first to systematically integrate BTcP impact factor research using Comfort Theory, constructing a multidimensional conceptual map of BTcP influences. The findings reveal that BTcP impacts extend far beyond pain itself, involving various aspects of patient life. The Comfort Theory framework facilitates comprehensive assessment and intervention of BTcP in clinical practice. Future research should focus on developing and evaluating interventions addressing comfort needs across different dimensions.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100780"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145680869","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":"It's not just a questionnaire: The ins and outs of using a patient-reported outcome measure","authors":"Loretta A. Williams","doi":"10.1016/j.apjon.2025.100757","DOIUrl":"10.1016/j.apjon.2025.100757","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100757"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726920","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":"Evidence summary: Prehabilitation strategies for patients with primary liver cancer","authors":"Jinyi Tu ,&nbsp;Yan Shen ,&nbsp;Yun Chen ,&nbsp;Yanshan Zhang ,&nbsp;Sijia Zhou ,&nbsp;Weixiang Luo ,&nbsp;Haiyan Zhang","doi":"10.1016/j.apjon.2025.100783","DOIUrl":"10.1016/j.apjon.2025.100783","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesise and appraise current evidence on prehabilitation strategies for patients with primary liver cancer.</div></div><div><h3>Methods</h3><div>Using the PIPOST framework, we formulated clinical questions and defined eligibility criteria. Guided by the “5S” evidence hierarchy, a comprehensive search was conducted across 20 sources—including clinical decision systems, guideline repositories, bibliographic databases, and professional society websites—from inception to 1 December 2024. Two independent reviewers screened and appraised eligible studies, and evidence synthesis was limited to those meeting predefined quality standards. Nine experts evaluated the evidence through a structured consensus process based on the FAME framework to determine recommendation grades.</div></div><div><h3>Results</h3><div>Twenty studies were included: 1 clinical decision tool, 5 guidelines, 5 systematic reviews, 5 expert consensuses, 3 evidence summaries, and 1 randomised controlled trial. A total of 36 evidence statements were extracted and categorised into six domains: prehabilitation candidates, timing of prehabilitation, nutritional optimisation, physical exercise, psychological support, and health education. Although part of the evidence originated from non-liver cancer populations, extrapolation was considered reasonable due to shared pathophysiological risks across major abdominal surgeries. Of these, 34 evidence statements received strong recommendations after expert appraisal.</div></div><div><h3>Conclusions</h3><div>This study consolidates practical, evidence-based prehabilitation strategies for patients with primary liver cancer, while underscoring the cautious use of extrapolated evidence where liver cancer-specific data are lacking. Despite methodological rigour, conclusions remain constrained by the limited availability of liver cancer-focused studies. Future research should generate direct evidence to refine prehabilitation protocols. Clinical application should integrate both the best available evidence and patient preferences.</div></div><div><h3>Systematic review registration</h3><div>Registered with the Fudan University Evidence-based Nursing Centre (ID: ES20246474).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100783"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145375935","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":"Family participation in dignity interventions for patients with cancer receiving palliative care: A scoping review","authors":"Hangsai Wang ,&nbsp;Qian Cai ,&nbsp;Hongqiang Lou ,&nbsp;Meijuan Cao ,&nbsp;Huiping Lu ,&nbsp;ChunYan Li","doi":"10.1016/j.apjon.2025.100796","DOIUrl":"10.1016/j.apjon.2025.100796","url":null,"abstract":"<div><h3>Objective</h3><div>Cancer patients face significant physical and psychological challenges, often requiring assistance due to limited self-care and mobility. As primary caregivers, families play a critical role in their support. Recent research has highlighted family participation in dignity interventions aimed at enhancing dignity, value, and meaning in life, especially for terminal-stage patients. However, there is a lack of comprehensive synthesis and evaluation of the specific characteristics of family participation in these interventions.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following the Joanna Briggs Institute (JBI) methodology. We conducted a systematic search across nine databases, including PubMed, Embase, CINAHL, PsycINFO, ProQuest, Web of Science, Cochrane Library, China National Knowledge Infrastructure (CNKI), and WanFang, covering all records available from each database's inception up to November 26th, 2024. Two independent reviewers systematically screened the titles, abstracts, and full texts of the included studies to assess their eligibility based on the predefined inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>A total of 4422 publications were identified in this review, of which 32 studies were included, with 29 conducted in Asia. The research primarily focused on the characteristics of family participation in dignity interventions, which were predominantly structured around four key components: Explanation Session, Reminiscence Session, Transcript Review Session, and Sharing Session. Family participation in dignity interventions were found to have significant benefits for end-stage cancer patients across multiple domains, including mental health, psychological well-being, quality of life, and family relationships. Additionally, these interventions showed positive impacts on family caregivers.</div></div><div><h3>Conclusions</h3><div>The review synthesized the characteristics and outcomes of family participation in dignity interventions, highlighting their potential to enhance patient dignity, strengthen family dynamics, and promote positive psychosocial outcomes. Future research should focus on exploring diverse cultural and clinical applications to validate the evidence and to improve the accessibility and implementation of such interventions.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100796"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145480884","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":"Effectiveness of a blended learning program on chemotherapy nursing education led by oncology clinical nurse specialists: A single-group pretest–posttest study","authors":"Hyuna Kim ,&nbsp;Laehee Kim ,&nbsp;Suyeon Kim ,&nbsp;Shin Kim ,&nbsp;Eunhye Park ,&nbsp;Kyoungmin Lee ,&nbsp;Suyeon Lee ,&nbsp;Jeounghee Kim","doi":"10.1016/j.apjon.2025.100695","DOIUrl":"10.1016/j.apjon.2025.100695","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to develop a chemotherapy education program for nurses using a blended learning approach led by an oncology clinical nurse specialist (CNS), and to evaluate its effects on nurses' self-efficacy, job performance, and satisfaction with the training.</div></div><div><h3>Methods</h3><div>A single-arm pretest-posttest design was used, involving 26 nurses with less than three years of experience working in the oncology ward of a tertiary hospital. Data were collected from May 11 to October 15, 2023. The blended learning program, developed by a team of oncology CNSs, covered 12 topics on chemotherapy and safety management. The program consisted of one month of online learning, followed by two months of face-to-face sessions with a CNS, and included 10 self-study journals and practical checklists.</div></div><div><h3>Results</h3><div>Participants showed a significant improvement in chemotherapy-related nursing performance after completing the program (<em>t</em> ​= ​−3.59, <em>P</em> ​= ​0.001). However, no statistically significant change was observed in self-efficacy (<em>Z</em> ​= ​1.50, <em>P</em> ​= ​0.134). Satisfaction with the education was high, with an average rating of 4.2 out of 5.</div></div><div><h3>Conclusions</h3><div>This blended learning program effectively enhanced nurses' clinical performance and educational satisfaction. Oncology CNSs played a key role as adaptable nurse educators, capable of designing and implementing evidence-based training programs in response to evolving clinical needs.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100695"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673869","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":"Emotional strategies to enhance resilience in patients with cancer: A scoping review","authors":"Jiyin Zhang ,&nbsp;Joyce Oi Kwan Chung ,&nbsp;Sally Taylor ,&nbsp;Janelle Yorke","doi":"10.1016/j.apjon.2025.100777","DOIUrl":"10.1016/j.apjon.2025.100777","url":null,"abstract":"<div><h3>Objective</h3><div>To map and summarize existing evidence on emotional strategies recommended for enhancing resilience in cancer patients, identify research gaps and inform future research.</div></div><div><h3>Methods</h3><div>Following Joanna Briggs Institute (JBI) guidelines, a comprehensive search was conducted across 11 databases in English and Chinese, supplemented by citation tracking and manual searches for published and unpublished studies. Studies focusing on adult cancer patients and describing emotional strategies to enhance resilience were included and critically appraised using tools appropriate to its design. Data including qualitative descriptions of emotional strategies, quantitative resilience-related emotional variables, and emotional intervention details were extracted and analysed with NVivo 15.</div></div><div><h3>Results</h3><div>A total of 33 papers were included, primarily from China (<em>n</em> ​= ​16) and published as journal articles (<em>n</em> ​= ​30) with randomized controlled trial designs (<em>n</em> ​= ​14). Three key themes were identified: (a) emotion identification; (b) effective emotion regulation; and (c) emotional support from others. Emotional strategies were primarily implemented by nurses (<em>n</em> ​= ​11), delivered online (<em>n</em> ​= ​6) or face-to-face (<em>n</em> ​= ​13). “Positive” and “emotions” were the most frequently mentioned words.</div></div><div><h3>Conclusions</h3><div>Emotion identification, effective emotion regulation, and emotional support from others are essential for enhancing resilience in cancer patients. Many promising strategies remain underutilized and require further validation.</div></div><div><h3>Systematic review registration</h3><div>Open Science Framework (OSF) (DOI: 10.17605/OSF. IO/JBMZ9)</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100777"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145680873","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}