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A scoping review of breakthrough cancer pain: Multidimensional patient needs and influencing factors 突破性癌症疼痛的范围综述:多维患者需求和影响因素
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100780
Qingyi Li , Yanlei Sheng , Xinyu Liu , Jie Li , Lisi Zhu , Yang Yang , Luhong Hu

Objectives

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.

Methods

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.

Results

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.

Conclusions

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.
目的突破性癌痛(breakthrough cancer pain, BTcP)是癌症患者常见的并发症,已被证实对患者的生活有广泛的影响。然而,现有的研究仍然是碎片化的,缺乏一个系统的理论框架来整合这些发现。本研究旨在基于Kolcaba的舒适理论,系统考察BTcP患者的多维需求及影响因素,构建BTcP需求及影响的概念图谱,探索相关干预措施的理论基础和实践途径。方法采用范围综述方法,从PubMed、MEDLINE、CINAHL、Embase、Web of Science、Scopus、AMED和谷歌Scholar等数据库中检索BTcP影响研究的文献,检索截止日期为2025年1月。我们以舒适理论的四个维度(生理、心理、社会、环境)和三个阶段(需求评估、干预实施、效果评估)为组织框架,对现有研究成果进行定性整合。结果共纳入30项研究。研究结果表明,BTcP患者的需求是多维的,不同维度之间的相互作用形成了一个复杂的需求网络。提取了BTcP影响的11个关键特征类别。在舒适理论的四维框架中:身体舒适维度主要涉及功能影响、睡眠影响和治疗经验;心理舒适维度包括心理影响、生活质量(心理方面)和心理治疗障碍;社会舒适维度关注工作和社会活动影响、经济影响、照顾者负担和沟通挑战;环境舒适维度包括系统支持需求和相关的处理障碍。此外,发现了两项干预研究,为舒适理论三阶段框架下的BTcP管理提供了初步证据。结论本研究首次运用舒适理论系统整合BTcP影响因素研究,构建了BTcP影响的多维概念图。研究结果表明,BTcP的影响远远超出了疼痛本身,涉及患者生活的各个方面。舒适理论框架有助于临床实践中BTcP的综合评估和干预。未来的研究应侧重于开发和评估不同维度的舒适需求干预措施。
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引用次数: 0
It's not just a questionnaire: The ins and outs of using a patient-reported outcome measure 这不仅仅是一份问卷:使用患者报告的结果测量方法的来龙去脉。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100757
Loretta A. Williams
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引用次数: 0
Evidence summary: Prehabilitation strategies for patients with primary liver cancer 证据总结:原发性肝癌患者的康复策略。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100783
Jinyi Tu , Yan Shen , Yun Chen , Yanshan Zhang , Sijia Zhou , Weixiang Luo , Haiyan Zhang

Objective

To synthesise and appraise current evidence on prehabilitation strategies for patients with primary liver cancer.

Methods

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.

Results

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.

Conclusions

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.

Systematic review registration

Registered with the Fudan University Evidence-based Nursing Centre (ID: ES20246474).
目的:对原发性肝癌患者的康复策略进行综合评价。方法:采用PIPOST框架,制定临床问题并定义资格标准。在“5S”证据层次的指导下,从开始到2024年12月1日,对20个来源进行了全面搜索,包括临床决策系统、指南库、书目数据库和专业学会网站。两名独立审稿人筛选和评价了符合条件的研究,证据合成仅限于符合预定质量标准的研究。九位专家通过基于FAME框架的结构化共识过程评估证据,以确定建议等级。结果:纳入20项研究:1项临床决策工具,5项指南,5项系统评价,5项专家共识,3项证据总结,1项随机对照试验。总共提取了36个证据陈述,并将其分为六个领域:康复候选人、康复时机、营养优化、体育锻炼、心理支持和健康教育。尽管部分证据来自非肝癌人群,但由于大型腹部手术具有共同的病理生理风险,推断是合理的。其中34份证据陈述经专家评审后得到强烈推荐。结论:本研究为原发性肝癌患者巩固了实用的、基于证据的康复策略,同时强调了在缺乏肝癌特异性数据的情况下谨慎使用推断证据。尽管方法严谨,结论仍受限于有限的肝癌研究的可用性。未来的研究应该产生直接的证据来完善康复方案。临床应用应结合现有最佳证据和患者偏好。系统综述注册:注册于复旦大学循证护理中心(ID: ES20246474)。
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引用次数: 0
Family participation in dignity interventions for patients with cancer receiving palliative care: A scoping review 家庭参与尊严干预癌症患者接受姑息治疗:范围审查。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100796
Hangsai Wang , Qian Cai , Hongqiang Lou , Meijuan Cao , Huiping Lu , ChunYan Li

Objective

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.

Methods

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.

Results

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.

Conclusions

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.
目的:癌症患者面临显著的生理和心理挑战,往往需要帮助,由于有限的自我护理和行动能力。作为主要照顾者,家庭在支持他们方面发挥着关键作用。最近的研究强调了家庭参与尊严干预,旨在提高尊严、价值和生命的意义,特别是对晚期患者。然而,对家庭参与这些干预措施的具体特点缺乏全面的综合和评价。方法:根据乔安娜布里格斯研究所(JBI)的方法进行范围审查。我们对PubMed、Embase、CINAHL、PsycINFO、ProQuest、Web of Science、Cochrane Library、CNKI、万方等9个数据库进行了系统检索,涵盖了每个数据库建立至2024年11月26日的所有记录。两名独立的审稿人系统地筛选纳入研究的标题、摘要和全文,根据预定义的纳入和排除标准评估其资格。结果:本综述共收录了4422篇文献,其中32篇研究被纳入,其中29篇在亚洲进行。本研究主要关注家庭参与尊严干预的特征,主要围绕四个关键组成部分:解释环节、回忆环节、记录回顾环节和分享环节。研究发现,家庭参与尊严干预对晚期癌症患者在多个领域有显著益处,包括精神健康、心理健康、生活质量和家庭关系。此外,这些干预措施对家庭照顾者也有积极的影响。结论:该综述综合了家庭参与尊严干预的特点和结果,强调了其在提高患者尊严、加强家庭动力和促进积极的社会心理结果方面的潜力。未来的研究应侧重于探索不同的文化和临床应用,以验证证据,并改善此类干预措施的可及性和实施。
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引用次数: 0
Effectiveness of a blended learning program on chemotherapy nursing education led by oncology clinical nurse specialists: A single-group pretest–posttest study 肿瘤临床护理专家领导的化疗护理教育混合学习计划的有效性:一项单组前测后测研究。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100695
Hyuna Kim , Laehee Kim , Suyeon Kim , Shin Kim , Eunhye Park , Kyoungmin Lee , Suyeon Lee , Jeounghee Kim

Objective

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.

Methods

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.

Results

Participants showed a significant improvement in chemotherapy-related nursing performance after completing the program (t ​= ​−3.59, P ​= ​0.001). However, no statistically significant change was observed in self-efficacy (Z ​= ​1.50, P ​= ​0.134). Satisfaction with the education was high, with an average rating of 4.2 out of 5.

Conclusions

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.
目的:以肿瘤临床护理专家(CNS)为指导,采用混合式学习方式对护士进行化疗教育,并评估其对护士自我效能感、工作绩效和培训满意度的影响。方法:采用单臂前测后测设计,选取某三级医院肿瘤病房工作经验不足3年的护士26名。数据采集时间为2023年5月11日至10月15日。这个混合学习项目由一组肿瘤学CNSs开发,涵盖了12个关于化疗和安全管理的主题。该计划包括一个月的在线学习,随后是两个月的与CNS面对面的课程,包括10本自学期刊和实用清单。结果:完成课程后,参与者在化疗相关护理方面的表现有显著改善(t = -3.59, P = 0.001)。而自我效能感的变化无统计学意义(Z = 1.50, P = 0.134)。对教育的满意度很高,平均得分为4.2分(满分5分)。结论:该混合式学习方案有效提高了护士的临床表现和教学满意度。肿瘤学CNSs作为适应性强的护士教育者发挥了关键作用,能够根据不断变化的临床需求设计和实施循证培训计划。
{"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}
引用次数: 0
Emotional strategies to enhance resilience in patients with cancer: A scoping review 提高癌症患者恢复力的情绪策略:范围综述
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100777
Jiyin Zhang , Joyce Oi Kwan Chung , Sally Taylor , Janelle Yorke

Objective

To map and summarize existing evidence on emotional strategies recommended for enhancing resilience in cancer patients, identify research gaps and inform future research.

Methods

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.

Results

A total of 33 papers were included, primarily from China (n ​= ​16) and published as journal articles (n ​= ​30) with randomized controlled trial designs (n ​= ​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 (n ​= ​11), delivered online (n ​= ​6) or face-to-face (n ​= ​13). “Positive” and “emotions” were the most frequently mentioned words.

Conclusions

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.

Systematic review registration

Open Science Framework (OSF) (DOI: 10.17605/OSF. IO/JBMZ9)
目的绘制和总结有关提高癌症患者心理韧性的情绪策略的现有证据,找出研究空白,为未来的研究提供信息。方法按照乔安娜布里格斯研究所(Joanna Briggs Institute, JBI)的指南,在11个中英文数据库中进行综合检索,并辅以引文跟踪和人工检索已发表和未发表的研究。研究集中在成年癌症患者和描述情绪策略,以提高弹性被纳入和批判性评估使用工具适合其设计。数据包括情绪策略的定性描述、定量弹性相关的情绪变量和情绪干预细节,并通过NVivo 15提取和分析。结果共纳入33篇论文,主要来自中国(n = 16),以期刊形式发表的论文(n = 30),随机对照试验设计(n = 14)。确定了三个关键主题:(a)情绪识别;(b)有效的情绪调节;(c)来自他人的情感支持。情绪策略主要由护士实施(n = 11),在线(n = 6)或面对面(n = 13)。“积极”和“情绪”是最常被提及的词。结论情绪识别、有效的情绪调节和他人的情绪支持对增强癌症患者的适应能力至关重要。许多有希望的战略仍未得到充分利用,需要进一步验证。系统综述注册开放科学框架(OSF) (DOI: 10.17605/OSF)。IO / JBMZ9)
{"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}
引用次数: 0
Using our nursing superpower: Improving cancer care for older people and their care partners by addressing what matters most 利用我们的护理超能力:通过解决最重要的问题,改善老年人及其护理伙伴的癌症护理。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100752
Karen E. Campbell, Margaret M. Dunham, Emily S. He, Sarah H. Kagan , Nicole A. Kinnane, Meinir Krishnasamy, Mary Pat Lynch, Katrine Staats, Ann-Helen Torstveit
{"title":"Using our nursing superpower: Improving cancer care for older people and their care partners by addressing what matters most","authors":"Karen E. Campbell,&nbsp;Margaret M. Dunham,&nbsp;Emily S. He,&nbsp;Sarah H. Kagan ,&nbsp;Nicole A. Kinnane,&nbsp;Meinir Krishnasamy,&nbsp;Mary Pat Lynch,&nbsp;Katrine Staats,&nbsp;Ann-Helen Torstveit","doi":"10.1016/j.apjon.2025.100752","DOIUrl":"10.1016/j.apjon.2025.100752","url":null,"abstract":"","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100752"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688715","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}
引用次数: 0
Negative pressure wound therapy for preventing wound complications following stoma reversal: A systematic review and meta-analysis of randomized controlled trials 负压伤口治疗预防造口逆转后伤口并发症:随机对照试验的系统回顾和荟萃分析。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100778
Siqing Li , Xiaofang Guan , Xirong Huang , Zhong Wang , Linjie Mo , Minyi Xie , Yuxia Liu , Wenxin Luo

Objective

To evaluate the effectiveness of negative pressure wound therapy in preventing wound complications following colorectal stoma reversal and provide evidence-based recommendations for its clinical application.

Methods

A comprehensive search was conducted across five English databases (PubMed, Embase, Web of Science, Cochrane Library, Scopus) and three Chinese databases (Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang) from their inception to December 2024. Grey literature and trial registries were also included. Eligible studies were randomized controlled trials investigating negative pressure wound therapy for patients undergoing stoma reversal. Primary outcomes included wound complications (surgical site infections, hematoma, seroma); secondary outcomes comprised hospital stay, wound healing duration, and dressing costs.

Results

Eight randomized trials involving 517 patients were included. Negative pressure wound therapy significantly reduced wound complications (odds ratio, 0.50; 95% confidence interval, 0.27–0.94), shortened wound healing time (mean difference, −4.31; 95% confidence interval, −4.97 to −3.65), and decreased hospital stay (mean difference, −1.05; 95% confidence interval, −1.70 to −0.41). Subgroup analysis demonstrated benefits in the linear closure group (odds ratio, 0.11; 95% confidence interval, 0.02–0.49) but not in the purse-string closure groups. No significant differences were observed in surgical site infections, hematoma, seroma, or dressing costs.

Conclusions

Negative pressure wound therapy reduces wound complications, accelerates wound healing, and shortens hospital stays after stoma reversal. Standardized protocols and additional high-quality trials are required to establish negative pressure wound therapy as a routine practice.

Systematic review registration

Prospectively registered in PROSPERO (ID CRD42023451001).
目的:评价负压创面治疗预防结直肠造口逆转术后创面并发症的效果,为其临床应用提供循证建议。方法:对5个英文数据库(PubMed、Embase、Web of Science、Cochrane Library、Scopus)和3个中文数据库(中国生物医学文献数据库、中国国家知识基础设施、万方数据库)从建库至2024年12月进行全面检索。灰色文献和试验登记也被纳入。符合条件的研究是随机对照试验,研究负压伤口治疗对进行造口逆转的患者的影响。主要结局包括伤口并发症(手术部位感染、血肿、血肿);次要结局包括住院时间、伤口愈合时间和敷料费用。结果:纳入8项随机试验,共517例患者。负压创面治疗显著减少了创面并发症(优势比0.50,95%可信区间0.27 ~ 0.94),缩短了创面愈合时间(平均差值-4.31,95%可信区间-4.97 ~ -3.65),缩短了住院时间(平均差值-1.05,95%可信区间-1.70 ~ -0.41)。亚组分析显示线性闭合组获益(优势比为0.11;95%可信区间为0.02-0.49),而荷包闭合组没有获益。在手术部位感染、血肿、血肿或包扎费用方面没有观察到显著差异。结论:负压创面治疗可减少创面并发症,加速创面愈合,缩短造口逆转术后住院时间。标准化的方案和额外的高质量试验需要建立负压伤口治疗作为常规做法。系统评价注册:在PROSPERO前瞻性注册(ID CRD42023451001)。
{"title":"Negative pressure wound therapy for preventing wound complications following stoma reversal: A systematic review and meta-analysis of randomized controlled trials","authors":"Siqing Li ,&nbsp;Xiaofang Guan ,&nbsp;Xirong Huang ,&nbsp;Zhong Wang ,&nbsp;Linjie Mo ,&nbsp;Minyi Xie ,&nbsp;Yuxia Liu ,&nbsp;Wenxin Luo","doi":"10.1016/j.apjon.2025.100778","DOIUrl":"10.1016/j.apjon.2025.100778","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness of negative pressure wound therapy in preventing wound complications following colorectal stoma reversal and provide evidence-based recommendations for its clinical application.</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted across five English databases (PubMed, Embase, Web of Science, Cochrane Library, Scopus) and three Chinese databases (Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wanfang) from their inception to December 2024. Grey literature and trial registries were also included. Eligible studies were randomized controlled trials investigating negative pressure wound therapy for patients undergoing stoma reversal. Primary outcomes included wound complications (surgical site infections, hematoma, seroma); secondary outcomes comprised hospital stay, wound healing duration, and dressing costs.</div></div><div><h3>Results</h3><div>Eight randomized trials involving 517 patients were included. Negative pressure wound therapy significantly reduced wound complications (odds ratio, 0.50; 95% confidence interval, 0.27–0.94), shortened wound healing time (mean difference, −4.31; 95% confidence interval, −4.97 to −3.65), and decreased hospital stay (mean difference, −1.05; 95% confidence interval, −1.70 to −0.41). Subgroup analysis demonstrated benefits in the linear closure group (odds ratio, 0.11; 95% confidence interval, 0.02–0.49) but not in the purse-string closure groups. No significant differences were observed in surgical site infections, hematoma, seroma, or dressing costs.</div></div><div><h3>Conclusions</h3><div>Negative pressure wound therapy reduces wound complications, accelerates wound healing, and shortens hospital stays after stoma reversal. Standardized protocols and additional high-quality trials are required to establish negative pressure wound therapy as a routine practice.</div></div><div><h3>Systematic review registration</h3><div>Prospectively registered in PROSPERO (ID CRD42023451001).</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100778"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145480240","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}
引用次数: 0
Design and implementation of mHealth applications for older people with cancer: A scoping review 老年癌症患者移动健康应用程序的设计和实现:范围审查。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100726
Qi Sun , Danyu Li , Tingting Cai , Jing Luo , Qing Jia , Xiaoyan Yu , Fulei Wu , Changrong Yuan

Objective

This scoping review aimed to systematically synthesize the evidence on the functions, design, implementation strategies, and evaluation approaches of mobile health (mHealth) applications (apps) developed for older adults with cancer, to inform future research and practice.

Methods

A scoping review was conducted using Arksey and O'Malley's methodological framework, with an updated systematic search of five databases (Medline, Web of Science, CINAHL, Embase, and the Cochrane Library) from January 1, 2008, to February 28, 2025. The review adhered to the PRISMA-ScR guidelines for scoping reviews.

Results

Thirty studies involving 19 mHealth apps were included. Primary functions encompassed health monitoring, education, symptom reminders, consultation, and personalized interventions. While most apps incorporated user-centered designs, the integration of theoretical frameworks and age-specific evaluation tools was limited. Implementation strategies varied, emphasizing user training, technical support, and family engagement. Social support features were underrepresented. Studies were predominantly conducted in Western countries, highlighting the need for culturally adapted interventions in East Asia.

Conclusions

This scoping review revealed that while mHealth apps for older adults with cancer have advanced in user-centered design and preliminary evaluations, critical gaps remain in theory-driven development, standardized usability assessment, and cultural adaptation. Future work should prioritize co-design, theoretical frameworks, and culturally sensitive strategies to enhance app usability and clinical integration.

Systematic review registration

The review protocol has been registered in the OSF registry (DOI: 10.17605/OSF.IO/67J9N).
目的:本综述旨在系统地综合针对老年癌症患者开发的移动健康(mHealth)应用程序(app)的功能、设计、实施策略和评估方法的证据,为未来的研究和实践提供信息。方法:在2008年1月1日至2025年2月28日期间,使用Arksey和O'Malley的方法框架进行了范围综述,并对五个数据库(Medline、Web of Science、CINAHL、Embase和Cochrane Library)进行了更新的系统搜索。该审查遵循PRISMA-ScR范围审查指南。结果:纳入了涉及19个移动健康应用程序的30项研究。主要功能包括健康监测、教育、症状提醒、咨询和个性化干预。虽然大多数应用程序都采用了以用户为中心的设计,但理论框架和特定年龄评估工具的整合却很有限。实现策略多种多样,强调用户培训、技术支持和家庭参与。社会支持特征未被充分描述。研究主要是在西方国家进行的,这突出了东亚需要适应文化的干预措施。结论:这项范围审查显示,虽然针对老年癌症患者的移动健康应用程序在以用户为中心的设计和初步评估方面取得了进展,但在理论驱动的开发、标准化可用性评估和文化适应方面仍存在重大差距。未来的工作应优先考虑协同设计、理论框架和文化敏感策略,以提高应用程序的可用性和临床整合。系统评审注册:评审方案已在OSF注册中心注册(DOI: 10.17605/OSF. io /67J9N)。
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引用次数: 0
Best evidence synthesis of preoperative prehabilitation for older patients undergoing gastrointestinal cancer surgery 高龄胃肠癌手术患者术前康复的最佳证据综合。
IF 2.8 3区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apjon.2025.100781
Huixiang Lai , Manli Liu , Wen Zhang , Qingran Lin , Minping Deng , Mei Feng , Jinfen Han

Objective

To identify, evaluate, and synthesize the best available evidence on preoperative rehabilitation for older patients undergoing gastrointestinal tumor surgery.

Methods

Following the “6S” evidence model, a systematic search was conducted for clinical decisions, guidelines, systematic reviews, expert consensus statements, evidence summaries, and randomized controlled trials on preoperative prehabilitation for older patients with gastrointestinal tumors. Searches covered major domestic and international databases as well as professional websites, with literature collected up to 30 November 2024. Two researchers independently screened the studies, assessed methodological quality, and extracted data, with input from expert judgment.

Results

A total of 22 publications were included: 1 clinical decision, 6 clinical guidelines, 5 systematic reviews, 5 expert consensus statements, 3 evidence summaries, and 2 randomized controlled trials. From these, 33 key evidence items were synthesized across seven domains: implementation timing and team composition, preoperative risk assessment, nutritional intervention, exercise intervention, psychological support, specialized management, and supervision and evaluation.

Conclusions

This study provides a comprehensive and methodologically consistent summary of the available evidence. Healthcare professionals should individualize evidence-based prehabilitation strategies according to patients’ clinical characteristics and preferences to improve surgical outcomes.
目的:对老年胃肠肿瘤手术患者术前康复的最佳证据进行识别、评价和综合。方法:采用“6S”证据模型,系统检索老年胃肠道肿瘤患者术前康复的临床决策、指南、系统评价、专家共识声明、证据摘要和随机对照试验。检索覆盖了国内外主要数据库以及专业网站,文献收集截止到2024年11月30日。两名研究人员独立筛选研究,评估方法学质量,并根据专家判断提取数据。结果:共纳入22篇文献:1篇临床决策、6篇临床指南、5篇系统综述、5篇专家共识声明、3篇证据摘要、2篇随机对照试验。在此基础上,综合了实施时机与团队组成、术前风险评估、营养干预、运动干预、心理支持、专业化管理、监督评估等7个领域的33个关键证据项。结论:本研究对现有证据提供了全面和方法上一致的总结。医疗保健专业人员应根据患者的临床特征和偏好制定个性化的循证康复策略,以改善手术效果。
{"title":"Best evidence synthesis of preoperative prehabilitation for older patients undergoing gastrointestinal cancer surgery","authors":"Huixiang Lai ,&nbsp;Manli Liu ,&nbsp;Wen Zhang ,&nbsp;Qingran Lin ,&nbsp;Minping Deng ,&nbsp;Mei Feng ,&nbsp;Jinfen Han","doi":"10.1016/j.apjon.2025.100781","DOIUrl":"10.1016/j.apjon.2025.100781","url":null,"abstract":"<div><h3>Objective</h3><div>To identify, evaluate, and synthesize the best available evidence on preoperative rehabilitation for older patients undergoing gastrointestinal tumor surgery.</div></div><div><h3>Methods</h3><div>Following the “6S” evidence model, a systematic search was conducted for clinical decisions, guidelines, systematic reviews, expert consensus statements, evidence summaries, and randomized controlled trials on preoperative prehabilitation for older patients with gastrointestinal tumors. Searches covered major domestic and international databases as well as professional websites, with literature collected up to 30 November 2024. Two researchers independently screened the studies, assessed methodological quality, and extracted data, with input from expert judgment.</div></div><div><h3>Results</h3><div>A total of 22 publications were included: 1 clinical decision, 6 clinical guidelines, 5 systematic reviews, 5 expert consensus statements, 3 evidence summaries, and 2 randomized controlled trials. From these, 33 key evidence items were synthesized across seven domains: implementation timing and team composition, preoperative risk assessment, nutritional intervention, exercise intervention, psychological support, specialized management, and supervision and evaluation.</div></div><div><h3>Conclusions</h3><div>This study provides a comprehensive and methodologically consistent summary of the available evidence. Healthcare professionals should individualize evidence-based prehabilitation strategies according to patients’ clinical characteristics and preferences to improve surgical outcomes.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100781"},"PeriodicalIF":2.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145342752","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}
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Asia-Pacific Journal of Oncology Nursing
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