Asia-Pacific Journal of Oncology Nursing最新文献_第8页

Exploring the mediating roles of stigma and perceived social support between health literacy and health care decision-making barriers among patients with cervical cancer 探讨污名和感知社会支持在宫颈癌患者健康素养和卫生保健决策障碍之间的中介作用

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-12 DOI: 10.1016/j.apjon.2025.100716

Hanjiao Kong , Jingzhi Geng , Qiuhui Wang , Jie Zhu , Hong Zhao

Objective

This study aims to investigate the association between health literacy, stigma, and health care decision-making barriers in patients with cervical cancer and identifies the mediating roles of stigma and perceived social support in this relationship.

Methods

A cross-sectional study was conducted using convenience sampling, recruiting 322 hospitalized patients with cervical cancer from three tertiary hospitals in Beijing. The participants completed self-reported questionnaires on health literacy, stigma, perceived social support, and health care decision-making barriers. Chained mediation effects were analyzed using Amos 26.0 software.

Results

37.3% of patients with cervical cancer reported delays in seeking medical care. Health literacy was found to have significant negative associations with stigma (P < 0.001) and health care decision-making barriers (P < 0.001) and a positive correlation with perceived social support (P < 0.001). Health literacy indirectly influenced health care decision-making barriers through three mediating pathways: stigma (effect = −0.073), perceived social support (effect=−0.086), and a combination of stigma and perceived social support (effect = −0.041), collectively accounting for 27.5%, 32.3%, and 15.4% of the total effect, respectively. The total indirect effect accounted for 75.1% of the total effect.

Conclusions

The health literacy levels among patients with cervical cancer in China are moderate. Stigma and perceived social support serve as partial mediators in the relationship between health literacy and health care decision-making barriers. Health care providers can reduce decision-making barriers by improving health literacy and indirectly lessen them by addressing stigma and enhancing social support.

目的探讨宫颈癌患者健康素养、病耻感和医疗决策障碍之间的关系，并确定病耻感和感知社会支持在这一关系中的中介作用。方法采用方便抽样的横断面研究方法，选取北京市三所三级医院宫颈癌住院患者322例。参与者完成了关于健康素养、耻辱、感知到的社会支持和卫生保健决策障碍的自我报告问卷。结果37.3%的宫颈癌患者出现就诊延误。发现健康素养与病耻感有显著负相关(P <；0.001)和卫生保健决策障碍(P <；0.001)，与感知到的社会支持正相关(P <；0.001)。健康素养通过污名化（效应= - 0.073）、感知社会支持（效应= - 0.086）和污名化与感知社会支持的结合（效应= - 0.041）三种中介途径间接影响医疗决策障碍，分别占总效应的27.5%、32.3%和15.4%。总间接效应占总效应的75.1%。结论中国宫颈癌患者健康素养水平处于中等水平。污名化和感知到的社会支持在卫生素养与卫生保健决策障碍之间的关系中起部分中介作用。卫生保健提供者可以通过提高卫生知识素养来减少决策障碍，并通过解决耻辱和加强社会支持来间接减少决策障碍。

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引用次数: 0

Experiences of weight management during rehabilitation in breast cancer survivors: A qualitative study 乳腺癌幸存者康复期间体重管理的经验：一项定性研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-10 DOI: 10.1016/j.apjon.2025.100722

Zhou Zhou , Yonghong Shen , Wenjia Ye , Changle Pei , Jingxia Liu , Weibo Lyu , Jingting Wang , Zhaohui Geng

Objective

Weight management plays an important role in the recovery period of breast cancer patients, which has a positive impact on prognosis and survival. This study aims to explore the weight management experience in terms of cognitive and emotional dimensions under the guidance of Experience Based Co-Design (EBCD).

Methods

This study used a purposive sampling method to select 26 breast cancer patients in the breast department of a tertiary general hospital in Shanghai, China, who were recovering from breast cancer from May 2023 to October 2023; semi-structured interviews were conducted using the phenomenological research method; and Van Manen's hermeneutic-phenomenological approach was used to analyze the data and refine the themes.

Results

A total of 3 themes and 9 sub-themes have been extracted: 1) Orientation to encounter difficulties and seek solutions (sub-themes were "Knowing but not doing", "Avoiding exercise due to illness" and "Reshaping Dietary Rules"); 2) Nascence to face reality bravely (sub-themes were "Health above all", "Power of role models" and "Release from being a patient"); and 3) Self-renewal to transcend the ego (sub-themes were "Responsibility to be healthy", "Spiritual growth" and "Sustenance of life").

Conclusions

By means of EBCD, the experience of weight management during breast cancer rehabilitation is influenced by emotion, habit and culture. Patients demonstrate a clear need for weight management, facing various facilitators and obstacles related to physical, mental, and social aspects. Key factors that encourage breast cancer patients to engage in weight management include guidance, emotional support, and proactive behavior. These insights can inform the development of targeted interventions to enhance the weight management experience for breast cancer survivors.

目的体重管理在乳腺癌患者恢复期起着重要作用，对预后和生存有积极影响。本研究旨在探讨在经验协同设计（EBCD）的指导下，从认知和情感两个维度对体重管理体验的影响。方法本研究采用目的抽样方法，选取2023年5月至2023年10月在上海市某三级综合医院乳腺科乳腺癌康复期的26例乳腺癌患者；采用现象学研究方法进行半结构化访谈；范·马南的解释学-现象学方法被用于分析数据和提炼主题。结果共提取出3个主题和9个子主题：1)遇到困难和寻求解决方案的导向（子主题为“知而不做”、“因病不运动”和“重塑饮食规则”）；2)新生勇敢面对现实（分主题为“健康至上”、“榜样的力量”、“从病人的身份中解脱”）；3)自我更新，超越自我（副主题为“健康的责任”、“精神成长”和“生命的寄托”）。结论通过EBCD，乳腺癌康复期体重管理体验受情绪、习惯和文化的影响。患者表现出对体重管理的明确需求，面临着与身体、心理和社会方面相关的各种促进因素和障碍。鼓励乳腺癌患者参与体重管理的关键因素包括指导、情感支持和积极主动的行为。这些见解可以为有针对性的干预措施的发展提供信息，以提高乳腺癌幸存者的体重管理经验。

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引用次数: 0

Quality indicators of outpatient palliative care: A systematic review 门诊姑息治疗的质量指标：一项系统综述

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-10 DOI: 10.1016/j.apjon.2025.100718

Sina Sharifi , Salman Barasteh , Akram Parandeh , Seyed Qasem Mousavi

Objective

Outpatient palliative care is an integral part of providing services to patients with life-threatening conditions within health care systems. Identifying indicators of outpatient palliative care can help improve these services. Therefore, this study was conducted to identify quality indicators for the care of patients with life-limiting conditions in outpatient settings.

Methods

This systematic review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and included a search of databases such as PubMed, ProQuest, Science Direct, Web of Science, Scopus, and the Google Scholar search engine, with no time restrictions. Quality assessment was performed using the Appraisal of Indicators through Research and Evaluation (AIRE) tool. Final indicators were categorized based on a content analysis approach using conventional content analysis and the Donabedian model.

Results

Six articles were selected for final analysis among the 659 identified articles. In this review, 32 quality indicators specific to outpatient palliative care were identified: 19 indicators were categorized under the process dimension, 11 under outcomes, and two under structure. These indicators were grouped into areas such as the patient-care provider relationship and mutual understanding (5 indicators), symptom and pain management (22 indicators), supportive care and referrals (5 indicators), and overall patient experience assessment (8 indicators).

Conclusions

The findings of this study indicated that the identified indicators primarily focused on the physical and psychological aspects of outpatient palliative care. This review is the first to systematically categorize outpatient palliative care quality indicators and highlight priority areas for future development. There is a need to expand outpatient care quality indicators to include structural, cultural, and social dimensions to provide comprehensive, patient-centered palliative care.

目的门诊姑息治疗是卫生保健系统中为危及生命的患者提供服务的一个组成部分。确定门诊姑息治疗的指标有助于改善这些服务。因此，本研究旨在确定门诊对生命受限患者护理的质量指标。方法本系统评价采用PRISMA （Preferred Reporting Items for systematic Reviews and meta - analysis）指南进行，检索数据库包括PubMed、ProQuest、Science Direct、Web of Science、Scopus和谷歌Scholar搜索引擎，不受时间限制。采用研究与评价指标评价（AIRE）工具进行质量评价。最后的指标分类基于内容分析方法，使用传统的内容分析和Donabedian模型。结果在659篇鉴定文章中筛选出6篇进行最终分析。在本综述中，确定了门诊姑息治疗的32个质量指标：19个指标归为过程维度，11个归为结果维度，2个归为结构维度。这些指标分为患者-护理提供者关系和相互理解（5个指标）、症状和疼痛管理（22个指标）、支持性护理和转诊（5个指标）以及总体患者体验评估（8个指标）等领域。结论本研究结果表明，确定的指标主要集中在门诊姑息治疗的生理和心理方面。本综述首次对门诊姑息治疗质量指标进行了系统的分类，并突出了未来发展的重点领域。有必要扩大门诊护理质量指标，包括结构，文化和社会维度，以提供全面的，以患者为中心的姑息治疗。

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引用次数: 0

Development of an evidence-based auriculotherapy program for urinary incontinence in men after radical prostatectomy 根治性前列腺切除术后男性尿失禁的循证听觉治疗方案的发展

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-10 DOI: 10.1016/j.apjon.2025.100720

Ying Zhang , Keping Zhu , Siyuan Wu , Fuchao Xie , Wenbo Qiao , Yaqin Li , Kun Li , Wei Wang

Objective

This study aims to develop an evidence-based auriculotherapy program for reducing urinary incontinence in men after radical prostatectomy.

Methods

The Medical Research Council Framework for Developing and Evaluating Complex Interventions was used to guide the intervention development process, which consisted of four stages: (1) establishing the research team; (2) identifying existing evidence; (3) identifying relevant theories; and (4) refining and modeling the program via an expert panel.

Results

An initial auriculotherapy program was developed based on available evidence from three practice standards, eight books, nine reviews, and two clinical trials. The Delphi study confirmed excellent consensus, with all items scoring ≥ 3.5 and a coefficient of variation < 0.25. The final auriculotherapy program comprises true-auriculotherapy and sham-auriculotherapy, each including six key components: (1) auricular acupoints, (2) auricular acupoints location, (3) auriculotherapy modality, (4) auricular sticking techniques, (5) auricular acupressure techniques, and (6) auriculotherapy dosage.

Conclusions

This study develops an evidence-based and theory-driven auriculotherapy for postprostatectomy incontinence management, which will be further implemented in clinical settings to confirm its effectiveness. The methodology described in this study may provide implications for future studies to develop complex interventions in the field of alternative therapies.

Trial registration

ChiCTR2300071700.

目的本研究旨在建立一种以证据为基础的听觉治疗方案，以减少男性根治性前列腺切除术后尿失禁。方法采用《医学研究理事会复杂干预措施制定与评价框架》指导干预措施制定过程，该过程分为四个阶段：(1)建立研究团队；（二）查明现有证据；(3)识别相关理论；(4)通过专家小组对程序进行完善和建模。结果根据三个实践标准、八本书、九篇综述和两项临床试验的现有证据，制定了一个初步的耳科治疗方案。德尔菲研究证实了极好的一致性，所有项目得分≥3.5，变异系数<；0.25. 最终的耳穴治疗方案包括真耳治疗和假耳治疗，每一个都包括六个关键组成部分：(1)耳穴，(2)耳穴位置，(3)耳穴治疗方式，(4)耳穴贴敷技术，(5)耳穴压敷技术，(6)耳穴治疗剂量。结论本研究为前列腺切除术后尿失禁的治疗提供了一种以证据为基础、以理论为导向的听觉治疗方法，并将进一步在临床应用中验证其有效性。本研究中描述的方法可能为未来研究开发替代疗法领域的复杂干预措施提供启示。registrationChiCTR2300071700审判。

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引用次数: 0

Development and psychometric assessment of a care competency scale for family caregivers in home palliative care 家庭姑息治疗中家庭照顾者护理能力量表的开发与心理测量学评估

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-10 DOI: 10.1016/j.apjon.2025.100719

Tingting Wang , Jun Kong , Xin Chen , Yiyun Yang , Dan Liu , Ting Liu , Li Li

Objective

This study aimed to develop and validate a scale for measuring the care competency of family caregivers in home palliative care (CCSHPC).

Methods

The initial version was established based on the model for caregiver skill building/effectiveness, literature review, qualitative research, expert consultations, and quantitative research. The measurement properties included content validity, structural validity, internal consistency, reliability, measurement error, and construct validity. The survey included 381 family caregivers who had previously or were currently receiving home palliative care services in Shanghai.

Results

The final scale comprised 29 items across 6 dimensions: care knowledge, daily care skills, special care skills, caregiving qualities, self-care practices, and the acquisition of social supports and resources. The cumulative variance contribution rate was 75.406%. Confirmatory factor analysis showed good model fit (χ² = 767.146, df = 357, χ²/df = 2.149, root mean square of approximation error = 0.074, root mean square residual = 0.063, incremental fitting index = 0.904, comparative fit index = 0.903). The content validity at the scale and item levels were 0.97 and 0.86 to 1.00, respectively. The reliability of the scale was acceptable (Cronbach's α = 0.954, McDonald's Omega = 0.959, split-half reliability = 0.886, test-retest reliability = 0.931). The standard error of measurement was 4.38.

Conclusions

The scale is reliable and valid, and it can be applied to measure the care competency of family caregivers in home palliative care, providing a reference for medical professionals to develop targeted intervention strategies. However, the applicability of the scale among family caregivers in different cultural and social contexts, as well as the validation of other measurement properties of the scale, requires further research.

目的编制家庭姑息治疗家庭照护者护理能力量表，并对量表进行验证。方法采用照护者技能培养/效果模型、文献回顾、定性研究、专家咨询、定量研究等方法建立初版。测量属性包括内容效度、结构效度、内部一致性、信度、测量误差和结构效度。调查对象包括381名曾经或目前在上海接受过家庭姑息治疗的家庭照顾者。结果最终量表包括护理知识、日常护理技能、特殊护理技能、护理质量、自我护理实践、社会支持和资源获取6个维度共29个项目。累积方差贡献率为75.406%。验证性因子分析显示，模型拟合良好（χ2 = 767.146, df = 357, χ2/df = 2.149，近似均方根误差= 0.074，均方根残差= 0.063，增量拟合指数= 0.904，比较拟合指数= 0.903）。量表和项目水平的内容效度分别为0.97和0.86 ~ 1.00。量表信度可接受（Cronbach's α = 0.954, McDonald's Omega = 0.959，劈半信度= 0.886，重测信度= 0.931）。测定标准误差为4.38。结论该量表可靠有效，可用于衡量家庭照护者在居家姑息治疗中的护理能力，为医护人员制定有针对性的干预策略提供参考。然而，该量表在不同文化和社会背景下对家庭照顾者的适用性，以及该量表的其他测量属性的验证，都需要进一步的研究。

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引用次数: 0

Experiences of body image changes in Chinese hematopoietic stem cell transplantation survivors: A qualitative study 中国造血干细胞移植幸存者身体形象改变的经验：一项定性研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-08 DOI: 10.1016/j.apjon.2025.100717

Jia Yin Ruan , Lingxiang Lu , Wing Fai Yeung , Ying Qian , Mary-Ellen Brierley , Yim Wah MaK , Yiyu Zhuang

Objective

This study aimed to explore the experiences of body image changes in hematopoietic stem cell transplantation survivors in China and to depict how those changes affected their perception of self and body.

Methods

A qualitative descriptive approach was applied to provide a straight and comprehensive understanding of experiences in body image changes. Twenty hematopoietic stem cell transplantation survivors who underwent transplantation at a Chinese tertiary hospital were selected through purposeful sampling. Data were collected via semi-structured interviews and analyzed using conventional content analysis. Reporting adhered to the Consolidated Criteria for Reporting Qualitative Research Checklist.

Results

Three themes and 11 subthemes were identified: (1) I am an inferior person (a distinctly weird appearance, an impaired body function, and depending on external resources for survival); (2) I am a person struggling to reconcile with my changed body (struggling to conceal or disclose my changed body, negotiating the impact of my changed body on my work identity, struggling to understand and care for my changed body, and catching up in rumination over my changed body); and (3) I am a brand-new person (having escaped from the gate of hell, enhanced appearance, optimized personality, possessed sublimated emotions).

Conclusions

This qualitative study offers novel insights into the experiences of body image changes in patients with hematological cancers post-hematopoietic stem cell transplantation within the Chinese context. It also presents a journey toward accepting body image changes. Further research is warranted to explore the underlying mechanisms linking body image changes to shifts in self-identity, and the process of body image acceptance.

目的本研究旨在探讨中国造血干细胞移植幸存者的身体形象变化经历，并描述这些变化如何影响他们对自我和身体的感知。方法采用定性描述的方法，直观、全面地了解身体形象变化的经历。通过有目的的抽样，选择20例在国内三级医院接受造血干细胞移植的幸存者。数据通过半结构化访谈收集，并使用传统的内容分析进行分析。报告遵循报告定性研究核对表的综合标准。结果确定了3个主题和11个子主题：(1)我是一个劣等人（外表明显怪异，身体功能受损，依靠外部资源生存）；(2)我是一个挣扎着与我改变了的身体和解的人（挣扎着隐瞒或揭露我改变了的身体，协商我改变了的身体对我的工作身份的影响，挣扎着理解和关心我改变了的身体，追赶着对我改变了的身体的反思）；(3)我是一个全新的人（从地狱之门逃了出来，外表增强了，个性优化了，情感升华了）。结论本定性研究为中国造血干细胞移植后血液病患者身体形象改变的经历提供了新的见解。它也呈现了一段接受身体形象改变的旅程。身体形象的改变与自我认同的转变以及身体形象接受的过程之间的潜在机制有待进一步的研究。

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引用次数: 0

Acceptance of illness and its relationship with benefit finding among patients with colorectal cancer undergoing chemotherapy: A latent profile analysis 结直肠癌化疗患者对疾病的接受程度及其与获益的关系：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 : 2025-05-06 DOI: 10.1016/j.apjon.2025.100715

Fangyi Li , Tian Xiao , Ao Tang , Zibochang Wang , Chunmei Liu , Qiumei Ma , Linyu Zhou , Ruihan Xiao , Biao He , Xueqin Qiu , Xiaoju Chen

Objective

This study aimed to identify the potential profiles of acceptance of illness among colorectal cancer patients undergoing chemotherapy, examine the factors influencing these profiles, and analyze the relationship between acceptance of illness in different profiles and benefit finding.

Methods

A cross-sectional study was conducted with 475 parents with colorectal cancer undergoing chemotherapy in southwest China from June to November 2024. Data were collected using general information questionnaire, the Acceptance of Illness Scale (AIS), and the Benefit Finding Scale (BFS). Use descriptive statistics, latent profile analysis, and multivariate logistic regression to analyze the data, while multiple linear regression was used to examine the impact of different categories of acceptance of illness on benefit finding.

Results

The acceptance of illness of patients was classified into three latent categories: “Low acceptance of illness group” (29.5%), “Moderate acceptance of illness group” (37.9%), and “High acceptance of illness group” (32.6%). Gender, relationship with family members, average monthly household income per capita and history of surgery were the influencing factors of acceptance of illness in different categories of patients (P < 0.05). After controlling for confounding factors, the latent profiles of acceptance of illness were significant predictors of benefit finding (P < 0.001).

Conclusions

The acceptance of illness among colorectal cancer patients undergoing chemotherapy exhibits heterogeneity and can be categorized into three latent profiles. Higher acceptance of illness among patients is associated with a higher level of benefit finding. Health care providers should implement targeted interventions based on the influencing factors of different categories of acceptance of illness to enhance benefit finding levels.

目的探讨结直肠癌化疗患者接受疾病的潜在特征，探讨影响这些特征的因素，并分析不同类型患者接受疾病与获益的关系。方法对2024年6月至11月在中国西南地区接受化疗的475名结直肠癌父母进行横断面研究。采用一般信息问卷、疾病接受度量表（AIS）和利益发现量表（BFS）收集数据。采用描述性统计、潜在特征分析和多元逻辑回归对数据进行分析，同时采用多元线性回归来检验不同类别的疾病接受对获益发现的影响。结果患者对疾病的接受度分为“低接受度组”（29.5%）、“中等接受度组”（37.9%）和“高接受度组”（32.6%）3个潜在类别。性别、家庭成员关系、家庭人均月收入和手术史是不同类别患者接受疾病的影响因素(P <；0.05)。在控制了混杂因素后，接受疾病的潜在概况是发现获益的重要预测因子(P <；0.001)。结论结直肠癌化疗患者对疾病的接受程度存在异质性，可分为三种潜在特征。患者对疾病的接受程度越高，发现的益处就越高。卫生保健提供者应根据不同类别的疾病接受程度的影响因素实施有针对性的干预措施，以提高获益水平。

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引用次数: 0

Japanese version of the MD Anderson Symptom Inventory for Head and Neck Tumor module: Validation study 日文版MD安德森头颈部肿瘤症状量表模块：验证研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-05 DOI: 10.1016/j.apjon.2025.100711

Hiroto Sawaguchi , Masanori Someya , Kensei Nakata , Yu Takada , Keiko Danzuka , Mitsunori Miyashita , Mikiko Kawamura

Objective

This study aimed to examine the reliability and validity of the Japanese version of the MD Anderson Symptom Inventory Head and Neck Tumor module (MDASI-HN), a patient-reported outcome measure for head and neck cancer.

Methods

The MDASI-HN was translated into Japanese, and cognitive debriefing was conducted. A cross-sectional study was administered to patients with head and neck cancer who were recruited within 5 years of receiving surgery, chemotherapy, or radiotherapy at three cancer treatment centers. The reliability and validity of the Japanese version were confirmed through structural equation modeling, internal consistency, test–retest reliability, convergent validity, known-groups validity.

Results

The Japanese translation of the MDASI-HN was revised with developer feedback. Cognitive debriefing with five patients provided positive feedback regarding the ease of completion and understanding. A cross-sectional sample of 147 patients completed the questionnaire. Structural equation modeling showed a Confirmatory Fit Index of 0.975 and Root Mean Square Error of Approximation of 0.059. The Cronbach's alpha coefficient was 0.88 for head and neck cancer-specific items and 0.96 for all symptom items. The Intraclass Correlation Coefficients (2,1) were 0.72 for HNC-specific items and 0.74 for all items. The convergent validity with the EORTC QLQ-H&N module was r = 0.79. The known-groups validity showed small to moderate effect sizes for all subitems, based on the comparison of mean ECOG Performance Status Scale scores between the two groups.

Conclusions

The results showed that the translated MSASI-HN was reliable, valid, and feasible for use in Japanese-speaking patients with head and neck cancer.

目的：本研究旨在检验日本版MD安德森症状量表头颈部肿瘤模块（MDASI-HN）的信度和效度，MDASI-HN是一种患者报告的头颈癌结局测量方法。方法将MDASI-HN量表翻译成日文，并进行认知答疑。一项横断面研究对在三家癌症治疗中心接受手术、化疗或放疗的头颈癌患者进行了研究，这些患者在5年内被招募。通过结构方程模型、内部一致性、重测信度、收敛效度、已知组效度对日文版本进行信度和效度验证。结果根据开发人员的反馈意见，对MDASI-HN的日文译文进行了修订。对5名患者的认知情况汇报在完成和理解的容易程度方面提供了积极的反馈。横断面抽样147例患者完成问卷调查。结构方程模型的验证拟合指数为0.975，近似均方根误差为0.059。头颈癌特异性项目的Cronbach’s alpha系数为0.88，所有症状项目的Cronbach’s alpha系数为0.96。hnc特异性项目的类内相关系数（2,1）为0.72，所有项目的类内相关系数为0.74。与EORTC QLQ-H&；N模块的收敛效度为r = 0.79。根据两组之间ECOG表现状态量表平均得分的比较，已知组效度显示所有子项的效应大小为小到中等。结论翻译后的MSASI-HN量表在日语区头颈癌患者中应用是可靠、有效和可行的。

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引用次数: 0

The influencing factors of cancer-related fatigue in Chinese patients with myelodysplastic syndrome: A cross-sectional study 中国骨髓增生异常综合征患者癌症相关性疲劳的影响因素：一项横断面研究

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-02 DOI: 10.1016/j.apjon.2025.100712

Libing Liang , Jian Gao , Caiqin Wu , Yan Qian

Objective

This study aimed to evaluate Cancer-related fatigue (CRF) prevalence in Myelodysplastic syndrome (MDS) and identify contributing factors. The goal was to aid in developing interventions to alleviate CRF, and refine clinical nursing practices.

Methods

A cross-section study was conducted from June 2023 to April 2024, recruiting 144 MDS patients from a Shanghai hospital. Surveys and scales were used to assess fatigue, insomnia, caregiving burden, and nutritional status. Statistical analyses, including t-tests, ANOVA, correlation, and regression, were performed to identify CRF influencers.

Results

The study revealed that the mean CRF score among patients with MDS was 28.63 ± 9.73, with a median score of 30 (IQR 22–35), indicating moderate CRF levels. CRF showed positive correlations with anxiety/depression, insomnia, nutritional status, and number of chemotherapies, while demonstrating a negative correlation with family support. Multivariate analysis identified age, chemotherapy regimen, Revised International Prognostic Scoring System (IPSS-R) risk category, anxiety/depression, and nutritional status as significant predictors of CRF.

Conclusions

The study identified moderate CRF levels in patients with MDS, with severity influenced by age, IPSS-R risk category, chemotherapy regimen, anxiety/depression, and nutritional status. Multivariate analysis identified anxiety/depression and nutritional status as key contributing factors. These findings highlight the need for further research into the pathogenesis of MDS-associated CRF, particularly focusing on comprehensive assessment and targeted management of anxiety/depression and nutritional status in this patient population.

目的本研究旨在评估骨髓增生异常综合征（MDS）患者的癌症相关性疲劳（CRF）患病率，并确定影响因素。目的是帮助开发干预措施，以减轻CRF，并完善临床护理实践。方法于2023年6月至2024年4月在上海某医院招募144例MDS患者进行横断面研究。采用调查和量表评估疲劳、失眠、照顾负担和营养状况。统计分析包括t检验、方差分析、相关分析和回归分析，以确定CRF的影响因素。结果研究显示MDS患者的平均CRF评分为28.63±9.73，中位评分为30 (IQR 22-35)， CRF处于中等水平。CRF与焦虑/抑郁、失眠、营养状况、化疗次数呈正相关，与家庭支持呈负相关。多变量分析发现，年龄、化疗方案、修订的国际预后评分系统（IPSS-R）风险类别、焦虑/抑郁和营养状况是CRF的重要预测因素。结论：研究发现MDS患者的CRF水平为中等，其严重程度受年龄、IPSS-R风险类别、化疗方案、焦虑/抑郁和营养状况的影响。多变量分析发现焦虑/抑郁和营养状况是主要的影响因素。这些发现强调了对mds相关CRF发病机制的进一步研究的必要性，特别是关注于对这一患者群体的焦虑/抑郁和营养状况的全面评估和有针对性的管理。

{"title":"The influencing factors of cancer-related fatigue in Chinese patients with myelodysplastic syndrome: A cross-sectional study","authors":"Libing Liang , Jian Gao , Caiqin Wu , Yan Qian","doi":"10.1016/j.apjon.2025.100712","DOIUrl":"10.1016/j.apjon.2025.100712","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to evaluate Cancer-related fatigue (CRF) prevalence in Myelodysplastic syndrome (MDS) and identify contributing factors. The goal was to aid in developing interventions to alleviate CRF, and refine clinical nursing practices.</div></div><div><h3>Methods</h3><div>A cross-section study was conducted from June 2023 to April 2024, recruiting 144 MDS patients from a Shanghai hospital. Surveys and scales were used to assess fatigue, insomnia, caregiving burden, and nutritional status. Statistical analyses, including t-tests, ANOVA, correlation, and regression, were performed to identify CRF influencers.</div></div><div><h3>Results</h3><div>The study revealed that the mean CRF score among patients with MDS was 28.63 ± 9.73, with a median score of 30 (IQR 22–35), indicating moderate CRF levels. CRF showed positive correlations with anxiety/depression, insomnia, nutritional status, and number of chemotherapies, while demonstrating a negative correlation with family support. Multivariate analysis identified age, chemotherapy regimen, Revised International Prognostic Scoring System (IPSS-R) risk category, anxiety/depression, and nutritional status as significant predictors of CRF.</div></div><div><h3>Conclusions</h3><div>The study identified moderate CRF levels in patients with MDS, with severity influenced by age, IPSS-R risk category, chemotherapy regimen, anxiety/depression, and nutritional status. Multivariate analysis identified anxiety/depression and nutritional status as key contributing factors. These findings highlight the need for further research into the pathogenesis of MDS-associated CRF, particularly focusing on comprehensive assessment and targeted management of anxiety/depression and nutritional status in this patient population.</div></div>","PeriodicalId":8569,"journal":{"name":"Asia-Pacific Journal of Oncology Nursing","volume":"12 ","pages":"Article 100712"},"PeriodicalIF":2.4,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089104","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

Heterogeneity and influencing factors of cancer-related fatigue among patients with cervical cancer undergoing brachytherapy: A cross-sectional analysis 宫颈癌近距离放疗患者癌症相关疲劳的异质性及影响因素：横断面分析

IF 2.4 3区医学 Q1 NURSING

Asia-Pacific Journal of Oncology Nursing

Pub Date : 2025-05-02 DOI: 10.1016/j.apjon.2025.100714

Yanhua Li , Yuqi Liu , Zimo Zhang , Jun Ma , Ping Jiang , Panfeng Wang , Lijuan Sun

Objective

This study aims to examine the prevalence and heterogeneity of cancer-related fatigue (CRF) among patients with cervical cancer undergoing intracavitary brachytherapy and to identify associated determinants.

Methods

This cross-sectional study included 105 patients with cervical cancer who received brachytherapy at a tertiary hospital in Beijing between March and June 2023. Participants completed the Cancer Fatigue Scale, Patient-Generated Subjective Global Assessment, Hospital Anxiety and Depression Scale, and Pittsburgh Sleep Quality Index. Latent class analysis (LCA) was used to identify fatigue subgroups. Influencing factors were explored using univariate and multivariate analyses, including t-tests, chi-square tests, multiple linear regression, and logistic regression.

Results

The mean CRF score was 26.10 ± 10.55 (range: 0–60), with 36.2% of patients scoring ≥ 30. LCA identified three fatigue subgroups: high, moderate, and low fatigue, with 83.8% of patients classified into the moderate and high fatigue groups. Higher educational attainment, receipt of chemotherapy, poor nutritional status, and depression were positively associated with greater CRF, while a history of cervical cancer surgery and higher household income were negatively associated. These variables explained 64.3% of the variance in CRF. Patients who received chemotherapy, had higher depression scores, and had poorer nutritional status were more likely to belong to the high-fatigue group.

Conclusions

Cancer-related fatigue is highly prevalent among patients with cervical cancer undergoing brachytherapy, particularly affecting physical and emotional domains. Substantial heterogeneity exists across fatigue severity groups. Tailored interventions addressing physical symptoms, psychological distress, and nutritional status are needed. Further research with larger, diverse samples is warranted to validate these findings.

目的研究宫颈癌腔内近距离放射治疗患者癌症相关性疲劳（CRF）的患病率和异质性，并确定相关的决定因素。方法本横断面研究纳入北京某三级医院于2023年3月至6月接受近距离放疗的105例宫颈癌患者。参与者完成了癌症疲劳量表、患者主观整体评估、医院焦虑和抑郁量表以及匹兹堡睡眠质量指数。使用潜类分析（LCA）来确定疲劳亚组。采用单因素和多因素分析，包括t检验、卡方检验、多元线性回归和逻辑回归，探讨影响因素。结果平均CRF评分为26.10±10.55（范围：0-60），其中36.2%的患者评分≥30。LCA确定了三个疲劳亚组：高、中、低疲劳，83.8%的患者分为中度和高度疲劳组。较高的教育程度、接受化疗、营养状况不佳和抑郁与较高的CRF呈正相关，而宫颈癌手术史和较高的家庭收入与较高的CRF呈负相关。这些变量解释了CRF中64.3%的方差。接受化疗、抑郁评分较高、营养状况较差的患者更有可能属于高疲劳组。结论肿瘤相关性疲劳在近距离放疗宫颈癌患者中普遍存在，尤其影响身体和情绪领域。疲劳严重程度组存在大量异质性。需要针对身体症状、心理困扰和营养状况进行量身定制的干预。进一步的研究更大，不同的样本是必要的，以验证这些发现。

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引用次数: 0