Asia-Pacific Journal of Oncology Nursing最新文献

{"title":"Group-based trajectory modeling for supportive care needs in Chinese cancer survivors: A systematic review","authors":"Kexin Li ,&nbsp;Shi Chen ,&nbsp;Ran Xu ,&nbsp;Xiaohui Dong,&nbsp;Xianying Lu,&nbsp;Xinyu Chen,&nbsp;Chaoming Hou,&nbsp;Jing Gao","doi":"10.1016/j.apjon.2025.100738","DOIUrl":"10.1016/j.apjon.2025.100738","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aims to systematically synthesize studies that applied group-based trajectory modeling to examine the trajectories of supportive care needs (SCNs) among cancer survivors and to identify associated influencing factors.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted in the following databases: CINAHL, Cochrane Library, Embase, PubMed, Web of Science, CNKI, SinoMed, VIP, and Wanfang. Studies were screened and assessed independently by two reviewers using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Cohort Studies and the Guidelines for Reporting on Latent Trajectory Studies (GRoLTS) checklist. Key study characteristics and findings were extracted and synthesized narratively.</div></div><div><h3>Results</h3><div>Ten studies met the inclusion criteria. Five distinct SCNs trajectories were identified across studies, including high-stable, moderate-stable, low-stable, decreasing, and increasing patterns. A total of 18 statistically significant influencing factors were identified and categorized according to the five domains of the Social-Ecological Model (SEM). Most factors were related to demographic characteristics, clinical variables, and individual symptoms.</div></div><div><h3>Conclusions</h3><div>SCNs trajectories among cancer survivors exhibit substantial heterogeneity. While individual- and disease-level factors are commonly reported, limited evidence exists regarding the role of social support, healthcare system factors, and community-level influences. Future research should incorporate broader socio-environmental determinants to enhance understanding of SCNs patterns and inform tailored survivorship care.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO CRD42024586557.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100738"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144658241","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":"Transforming pediatric palliative care through technology: Insights from Iran's experience and existing challenges","authors":"Mohadese Babaie,&nbsp;Maryam Rassouli,&nbsp;Azam Shirinabadi Farahani","doi":"10.1016/j.apjon.2025.100753","DOIUrl":"10.1016/j.apjon.2025.100753","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100753"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726921","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":"Best evidence summary on anticoagulant management in patients with cancer-associated venous thromboembolism","authors":"Xinyue Xiang ,&nbsp;Yudi Yu ,&nbsp;Xiaomei Fang ,&nbsp;Tian Zheng ,&nbsp;Wenbo Qiao","doi":"10.1016/j.apjon.2025.100789","DOIUrl":"10.1016/j.apjon.2025.100789","url":null,"abstract":"<div><h3>Objective</h3><div>To retrieve, evaluate, and summarize the best evidence for anticoagulant management in patients with cancer-associated venous thromboembolism (VTE).</div></div><div><h3>Methods</h3><div>This was an evidence summary study conducted in strict accordance with the reporting standards of the Fudan University Center for Evidence-Based Nursing. According to the evidence pyramid “6S” model, the search was performed from top to bottom. The following databases were searched: BMJ Best Practice, UpToDate, Joanna Briggs Institute, Cochrane Library, Guidelines International Network, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses Association of Ontario, YiMaiTong Guidelines Network, PubMed, Embase, Web of Science, Sinomed, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP. Professional association websites included those of the American Society of Clinical Oncology, American Society of Hematology, British Society for Haematology, and the Scientific and Standardization Committee of the International Society on Thrombosis and Haemostasis. The search period was from the inception of each database to October 2024. Literature types included clinical practice guidelines, clinical decisions, expert consensuses, systematic reviews, and randomized controlled trials (RCTs).</div></div><div><h3>Results</h3><div>A total of 19 studies were included, comprising three clinical decisions, 10 guidelines, one expert consensus, four systematic reviews, and one RCT. Thirty-four pieces of evidence were synthesized across eight aspects: risk factor assessment, timing of anticoagulation, drug selection, treatment duration, management of recurrence, safety monitoring, health education, and follow-up care.</div></div><div><h3>Conclusions</h3><div>This study summarizes the best evidence for anticoagulant management in patients with cancer-associated VTE. When applying this evidence clinically, health care providers should thoroughly evaluate the feasibility and appropriateness of each recommendation to develop clinical decisions tailored to China's national conditions and health care resources.</div></div><div><h3>Systematic review registration</h3><div>This study has been registered on the Fudan University Centre for Evidence-based Nursing (Registration No. ES20244015).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100789"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145372014","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":"The role of aerobic and resistance exercise for cancer cachexia management – A systematic scoping review","authors":"Romane Peyrachon ,&nbsp;Astrid Lièvre ,&nbsp;Amélie Rébillard","doi":"10.1016/j.apjon.2025.100748","DOIUrl":"10.1016/j.apjon.2025.100748","url":null,"abstract":"<div><h3>Objective</h3><div>Cancer cachexia is highly prevalent in digestive and head and neck cancer patients who often face mechanical eating difficulties and metabolic disturbances. However, terminological and diagnostic ambiguities surround cachexia, limiting the evaluation of the effects of management interventions for these patients. Whole-body exercise plays a key role in mitigating weight and muscle mass losses. This scoping review provides an updated synthesis of the effects of exercise interventions and offers practical guidelines for patients with digestive or head and neck cancers experiencing undernutrition, anorexia, sarcopenia, and/or cachexia.</div></div><div><h3>Methods</h3><div>In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, a systematic search of the published literature was carried out in the PubMed, Google Scholar, and EBSCOhost databases. Studies eligible for inclusion investigated the feasibility and effects of whole-body exercise interventions in digestive or head and neck cancer patients with altered nutritional status. The findings from each study were tabulated and synthesized according to the type of exercise intervention.</div></div><div><h3>Results</h3><div>Twenty-six full texts out of 603 studies met the inclusion criteria, encompassing a total of 1936 patients participated (mean age: 63.80 ​± ​6.22 years; 822 [31.62%] women). Exercise interventions did not result in adverse outcomes. The most assessed parameters included functional and aerobic capacity, muscle strength, body weight, quality of life, and physical activity levels, with findings ranging from positive effects and trends to non-significant changes. Interventions incorporating endurance exercises demonstrated greater improvements in functional and aerobic capacity compared to those focusing solely on resistance training. Supervised interventions yielded the most significant improvements.</div></div><div><h3>Conclusions</h3><div>Exercise interventions are safe and feasible for patients with digestive and head and neck cancers identified as suffering from undernutrition, anorexia, sarcopenia, and/or cachexia. Future research should focus on tailoring exercise characteristics to achieve greatest benefits in patients with cachexia. Studies should also explore real-life implementation strategies to optimize patient engagement and adherence while accommodating medical and personal constraints.</div></div><div><h3>Systematic review registration</h3><div>CRD42024602857.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100748"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673872","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 question prompt list interventions for patients with cancer: A systematic review and meta-analysis of randomized controlled trials","authors":"Ruichen Han ,&nbsp;Jiayi Liu ,&nbsp;Jiarui Chen ,&nbsp;Jinfeng Ding ,&nbsp;Can Gu ,&nbsp;Ni Gong ,&nbsp;Jinnan Xiao","doi":"10.1016/j.apjon.2025.100765","DOIUrl":"10.1016/j.apjon.2025.100765","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate the effectiveness of question prompt list (QPL) interventions in patients with cancer and to synthesize the delivery characteristics of such interventions.</div></div><div><h3>Methods</h3><div>A systematic search of five electronic databases was conducted for English-language randomized controlled trials published up to January 2025. Two independent reviewers performed study selection and data extraction. Eligible studies included cancer patients aged 16 years or older, with QPLs used in the intervention group to facilitate patient–physician communication. The Cochrane Risk of Bias 2.0 tool was used to assess study quality, and meta-analysis was conducted using RevMan 5.4 software.</div></div><div><h3>Results</h3><div>A total of 302 records were identified, of which 14 studies (reported in 16 articles) met the inclusion criteria. Interventions were categorized into two groups: QPLs with instructions and QPLs without instructions. Pooled meta-analysis demonstrated that QPL interventions significantly enhanced patient engagement in shared decision-making, increased the number of questions asked, and improved the perceived helpfulness of the material. Compared to QPL alone, QPL with instructions further increased the number of patient-initiated questions and improved decision self-efficacy.</div></div><div><h3>Conclusions</h3><div>QPL interventions with accompanying instructions showed superior effectiveness in promoting patient question-asking behavior and enhancing decision self-efficacy. This review underscores the potential of QPLs—particularly those with instructions—to improve patient–physician communication. Further research is warranted to refine these interventions and explore their role in reducing patient anxiety.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO: CRD42024594145.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100765"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144940332","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":"Shared decision-making for early-stage breast cancer treatment: An evolutionary concept analysis","authors":"Heemin Chae ,&nbsp;Hee-Ju Ji ,&nbsp;Hyunjung Moon ,&nbsp;Yeongeun Lee ,&nbsp;Youn-Jung Son","doi":"10.1016/j.apjon.2025.100775","DOIUrl":"10.1016/j.apjon.2025.100775","url":null,"abstract":"<div><h3>Objective</h3><div>The lack of a clear and unified definition of shared decision-making (SDM) may hinder its effective application in oncology care. This study aims to clarify the concept of SDM specifically in the context of early-stage breast cancer treatment through an evolutionary concept analysis.</div></div><div><h3>Methods</h3><div>A systematic search was conducted across PubMed, CINAHL, PsycINFO, Cochrane, and EMBASE databases for articles published from January 2015 to December 2024. Using keywords “shared decision-making” and “breast cancer,” relevant studies were identified, and key attributes of SDM were extracted and synthesized. Sixteen studies met the inclusion criteria.</div></div><div><h3>Results</h3><div>SDM for early-stage breast cancer treatment was characterized by 10 attributes spanning three levels: 1) Patient perspective: involvement in decision-making, values and preferences regarding treatment options, and deliberative thinking to achieve choice certainty; 2) Healthcare professional perspective: provision of individualized information, psychological support, consultation focused on patients’ best interests, collaborative partnerships with patients, coordinated care delivery, and promotion of person-centered, informed choices; 3) Healthcare system level: fostering a patient-centered healthcare culture.</div></div><div><h3>Conclusions</h3><div>These findings provide a comprehensive conceptual framework to guide the development of detailed SDM guidelines tailored for early-stage breast cancer patients. Enhanced understanding of SDM can support nurses and healthcare professionals in facilitating collaborative and optimal decision-making processes within oncology care. Furthermore, this study lays the groundwork for developing measurement tools and disease-specific interventions to advance SDM implementation in early-stage breast cancer treatment.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO (CRD42024587218)</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100775"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145013789","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":"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}