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    A Systematic Review and Narrative Synthesis to Explore the Effectiveness of Exercise-Based Interventions in Improving Fatigue, Dyspnea, and Depression in Lung Cancer Survivors.
    Cancer Nurs 2018 May 21. Epub 2018 May 21.
    Author Affiliations: OxINMAHR, Faculty of Health & Life Sciences, Oxford Brookes University, Oxford, United Kingdom.
    Background: Lung cancer survival rates are increasing; however, lung cancer survivors' mental and physical well-being can suffer from experiencing symptoms of fatigue, dyspnea, and depression. Exercise can improve these symptoms. However, no studies have examined the effects of different exercise interventions on these symptoms. Read More

    Feasibility of a Cognitive-Behavioral and Environmental Intervention for Sleep-Wake Difficulties in Community-Dwelling Cancer Patients Receiving Palliative Care.
    Cancer Nurs 2018 May 14. Epub 2018 May 14.
    Author Affiliations: School of Psychology, Université Laval (Drs Bernatchez, J. Savard and M.-H. Savard); CHU de Québec-Université Laval Research Center (Drs Bernatchez, J. Savard and M.-H. Savard); Laval University Cancer Research Center (Drs Bernatchez, J. Savard and M.-H. Savard); and Department of Family Medicine and Emergency Medicine, Université Laval, Québec, Canada (Dr Aubin).
    Background: High rates of sleep-wake difficulties have been found in patients with cancer receiving palliative care. Pharmacotherapy is the most frequently used treatment option to manage these difficulties despite numerous adverse effects and the absence of empirical evidence of its efficacy and innocuity in palliative care.

    Objective: This pilot study aimed to assess the feasibility and acceptability of a cognitive-behavioral and environmental intervention (CBT-E) to improve insomnia and hypersomnolence in patients with a poor functioning level and to collect preliminary data on its effects. Read More

    Age Differences in the Coping Strategies of Patients With Colorectal Cancer.
    Cancer Nurs 2018 May 14. Epub 2018 May 14.
    Author Affiliations: College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University (Dr Kang); and Red Cross College of Nursing, Chung-Ang University (Dr Son), Seoul, Republic of Korea.
    Background: Colon and/or rectum cancer (CRC) patients use various strategies to cope with their condition, and these can vary between age groups.

    Objectives: The aims of this study were to investigate differences between psychosocial/spiritual variables and coping strategies in CRC patients of different age groups (younger vs older) and to identify the predictors of coping for both age groups.

    Methods: A cross-sectional descriptive study was conducted at 3 outpatient clinics in Korea. Read More

    The Unmet Supportive Care Needs of Arab Australian and Arab Jordanian Cancer Survivors: An International Comparative Survey.
    Cancer Nurs 2018 May 14. Epub 2018 May 14.
    Author Affiliations: Centre for Applied Nursing Research, Ingham Institute for Applied Medical Research, School of Nursing and Midwifery, Western Sydney University, South Western Sydney Local Health District, Liverpool (Drs Alananzeh, Everett, and Salamonson); Centre for Oncology Education and Research Translation (CONCERT), Ingham Institute for Applied Medical Research, The University of New South Wales, South Western Sydney Clinical School, Liverpool (Dr Levesque); School of Nursing and Midwifery, Western Sydney University, Parramatta (Dr Kwok), Sydney, Australia.
    Background: Research exploring the unmet supportive care needs of Arab cancer survivors is limited, with most conducted with immigrant groups. No study has compared the unmet supportive care needs of immigrant Arab cancer survivors with Arab cancer survivors living in their native country.

    Objective: To explore the unmet supportive care needs of both Arab Australian and Arab Jordanian cancer survivors. Read More

    Adherence to American Cancer Society Guidelines on Nutrition and Physical Activity in Female Cancer Survivors: Results From a Randomized Controlled Trial (Yale Fitness Intervention Trial).
    Cancer Nurs 2018 May 9. Epub 2018 May 9.
    Author Affiliations: Hunter Bellevue School of Nursing, City University of New York (Dr Park), New York; School of Nursing, Yale University (Drs Knobf and Jeon), Orange, Connecticut; and Department of Allied Health Sciences, University of Connecticut (Dr Kerstetter), Storrs.
    Background: The American Cancer Society (ACS) publishes guidelines on nutrition and physical activity to minimize health risks in cancer patients and survivors. Studies show that high adherence to such guidelines is associated with a decrease in overall cancer incidence and mortality. However, there are sparse data on adherence to the ACS guidelines in cancer survivors. Read More

    The Effect of Uncertainty Management Program on Quality of Life Among Vietnamese Women at 3 Weeks Postmastectomy.
    Cancer Nurs 2018 May 10. Epub 2018 May 10.
    Author Affiliations: Faculty of Nursing, Chulalongkorn University (Drs Ha, Thanasilp and Thanto), Bangkok, Thailand.
    Background: In Vietnam, breast cancer is a top contributor to cancer-related deaths in women. Evidence shows that, after mastectomy, women in Vietnam have a lower quality of life than women in other countries. In addition, high uncertainty is a predictor of low quality of life postmastectomy. Read More

    Assessing Information Needs Regarding Metabolic Syndrome Among Gynecological Cancer Survivors: A Concurrent Mixed Method.
    Cancer Nurs 2018 Apr 27. Epub 2018 Apr 27.
    Author Affiliations: Department of Nursing, University of Ulsan (Dr Jang), Ulsan; Department of Nursing, Chung-Ang University (Dr Kim), Seoul; Department of Nursing, National Cancer Center (Ms Kim), Gyeonggi-do; and Department of Nursing, Kyung-In Women's University (Dr Lee), Incheon, South Korea.
    Background: Cancer survivors have an increased risk of non-cancer-related deaths, particularly metabolic syndrome (MetS).

    Objective: We aimed to assess knowledge deficits regarding metabolism-related diseases among gynecological cancer survivors and the preferred source of health information.

    Methods: Using a mixed methods approach, 70 participants responded to a structured modified version of the MetS questionnaire. Read More

    Patient Information Needs and Breast Reconstruction After Mastectomy: A Qualitative Meta-Synthesis.
    Cancer Nurs 2018 Apr 27. Epub 2018 Apr 27.
    Author Affiliation: Department of Community Health and Epidemiology (Drs Carr and Groot and Mr Cochran) and College of Nursing (Dr Holtslander), University of Saskatchewan, Saskatoon, Canada.
    Background: Although many women benefit from breast reconstruction after mastectomy, several studies report women's dissatisfaction with the level of information they were provided with before reconstruction.

    Objective: The present meta-synthesis examines the qualitative literature that explores women's experiences of breast reconstruction after mastectomy and highlights women's healthcare information needs.

    Methods: After a comprehensive search of 6 electronic databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, and Scopus), we followed the methodology for synthesizing qualitative research. Read More

    Exploring Women's Support Needs After Breast Reconstruction Surgery: A Qualitative Study.
    Cancer Nurs 2018 Apr 27. Epub 2018 Apr 27.
    Author Affiliations: Department of Community Health and Epidemiology (Drs Carr and Groot, Mr Cochran, and Ms Vancoughnett) and College of Nursing (Dr Holtslander), University of Saskatchewan, Saskatoon, Canada.
    Background: The procedures for breast reconstruction (BR) after mastectomy frequently initiate a difficult recovery period. A better understanding of women's support needs after surgery would improve patient care.

    Objective: The aim of this study was to identify patients' support needs after BR. Read More

    Rasch Analysis of the 9-Item Shared Decision Making Questionnaire in Women With Breast Cancer.
    Cancer Nurs 2018 Apr 19. Epub 2018 Apr 19.
    Author Affiliations: Institute of Economics, Academia Sinica, Taipei (Dr Wu); Center for Teacher Education, National Tsing Hua University, Hsinchu (Dr Chen); School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei (Ms Huang and Dr Hsieh); School of Gerontology Health Management and Master Program in Long-term Care, College of Nursing (Dr Hou), and Department of Physical Medicine and Rehabilitation, College of Medicine, School of Medicine (Dr Hou), Taipei Medical University; Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital (Dr Hou); Departments of Internal Medicine and Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan (Dr Wang); Department of Public Health, College of Medicine, National Cheng Kung University, Tainan (Dr Wang); and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei (Dr Hsieh), Taiwan.
    Background: Shared decision making (SDM) is a best practice to help patients make optimal decisions by a process of healthcare, especially for women diagnosed with breast cancer and having heavy burden in long-term treatments. To promote successful SDM, it is crucial to assess the level of perceived involvement in SDM in women with breast cancer.

    Objective: The aims of this study were to apply Rasch analysis to examine the construct validity and person reliability of the 9-item Shared Decision Making Questionnaire (SDM-Q-9) in women with breast cancer. Read More

    Cervical Cancer Screening in Women With Severe Mental Disorders: An Approach to the Spanish Context.
    Cancer Nurs 2018 Apr 19. Epub 2018 Apr 19.
    Author Affiliations: Department of Nursing, Faculty of Nursing and Chiropody, University of Valencia (Ms Borrull-Guardeño and Dr Sanchez-Martínez); and Department of Psychiatry, Hospital Universitari i Politècnic La Fe (Drs Domínguez and Merizalde-Torres), Valencia, Spain.
    Background: The incidence of invasive cervical cancer and its mortality have been reduced through primary and secondary prevention. Screening rates tend to be lower in vulnerable groups, such as people with severe mental disorders, who have a later detection of cancer and a higher mortality. The access of these women to cervical cancer screening is uncertain in our context. Read More

    Transcutaneous Electrical Nerve Stimulation Reduces Resting Pain in Head and Neck Cancer Patients: A Randomized and Placebo-Controlled Double-Blind Pilot Study.
    Cancer Nurs 2018 Apr 11. Epub 2018 Apr 11.
    Author Affiliations: Department of Psychology, Mount Mercy University (Dr Lee and Ms Louison), Cedar Rapids, Iowa; College of Nursing, The University of Iowa (Drs Lee and Perkhounkova and Ms Sleeuwenhoek), Iowa City; and Radiation Oncology, The University of Iowa Hospitals and Clinics (Dr Anderson), Iowa City.
    Background: Individuals receiving radiation for head and neck cancer (HNC) often develop painful oral mucositis that impairs function, possibly leading to feeding tubes, hospitalization, and treatment delays. Although pharmacologic medications provide some relief, many report inadequate analgesia and adverse effects. Transcutaneous electrical nerve stimulation (TENS) is a safe, nonpharmacologic intervention; it decreases pain and analgesics and improves function, yet no studies examined TENS for HNC. Read More

    Psychometric Testing of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Chemotherapy-Induced Peripheral Neuropathy 20-Item Scale Using Pooled Chemotherapy-Induced Peripheral Neuropathy Outcome Measures Standardization and Alliance for Clinical Trials in Oncology A151408 Study Data.
    Cancer Nurs 2018 Apr 12. Epub 2018 Apr 12.
    Author Affiliations: University of Michigan School of Nursing (Drs Smith and Yang and Ms Bridges); Institute for Healthcare Policy & Innovation, University of Michigan (Ms Banerjee), Ann Arbor; University of Milano-Bicocca (Dr Alberti), Italy; Alliance Statistics and Data Center (Dr Sloan), and Mayo Clinic (Dr Loprinzi), Rochester, Minnesota.
    Background: No criterion-standard patient-reported outcome measure of chemotherapy-induced peripheral neuropathy (CIPN) exists.

    Objectives: The aims of this study were to reevaluate the sensitivity, reliability, and validity of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-CIPN (QLQ-CIPN20) measure and suggest possible revisions that could strengthen it.

    Methods: Cross-sectional QLQ-CIPN20 data from 8 European countries (n = 271) were pooled with data from 4 North American multisite CIPN intervention trials (n = 884). Read More

    Investigating Changes in Weight and Body Composition Among Women in Adjuvant Treatment for Breast Cancer: A Scoping Review.
    Cancer Nurs 2018 Apr 12. Epub 2018 Apr 12.
    Author Affiliations: Department of Oncology and Clinical Cancer Research Center (Drs Pedersen, Lörincz, and Falkmer); Clinical Nursing Research Unit (Drs Pedersen and Grønkjær), Aalborg University Hospital; Department of Clinical Medicine, Aalborg University (Drs Falkmer and Grønkjær); Institute of Public Health, Section of Nursing, Aarhus University and Health Faculty, Aalborg University, Denmark (Dr Delmar); University College Diakonova, Oslo (Dr Delmar); and The Arctic University of Norway Tromsø, Norway (Dr Delmar).
    Background: Despite several investigations, findings on weight changes during and after adjuvant treatment for breast cancer are diverse and point in several directions.

    Objective: The aims of this study were to investigate changes in weight and body composition associated with contemporary anticancer medication and to examine factors that might influence the assessment and diversity of the findings.

    Methods: This article used the method of a scoping review to map the body of literature. Read More

    Sexual Problems of Patients With Breast Cancer After Treatment: A Systematic Review.
    Cancer Nurs 2018 Apr 4. Epub 2018 Apr 4.
    Author Affiliations: School of Nursing, College of Medicine, National Taiwan University, Taipei (Ms Chang and Dr Chang); Cancer Center, Hsinchu Mackay Memorial Hospital, Hsinchu (Ms Chang and Dr Chiu), Taiwan.
    Background: Sexual health is a crucial part of quality of life in breast cancer survivors, regardless of their relationship status. However, previous studies have rarely used qualitative methods to explore the postoperative experiences and feelings of patients with breast cancer.

    Objective: The aim of this study was to explore the reasons underlying postoperative sexual relationship changes, sexual inactivity, and adaptation to sexual life in patients with breast cancer, as well as interventions provided by medical staff. Read More

    Parent Perspectives of Receiving Early Information About Palliative and End-of-Life Care Options From Their Child's Pediatric Providers.
    Cancer Nurs 2018 Apr 3. Epub 2018 Apr 3.
    Author Affiliations: Saint Louis University School of Nursing (Dr Hendricks-Ferguson), Missouri; and Indiana University School of Nursing (Dr Haase), Indianapolis.
    Background: Parents of children diagnosed with cancer may experience decision regret about cancer treatment decisions and dissatisfaction with the perceived clarity in information received from their child's providers.

    Objective: The aim of this study was to describe parental perspectives about receiving an early palliative care and end-of-life (PC/EOL) communication intervention titled "Communication Plan: Early through End of Life Intervention" (COMPLETE) from an interprofessional team of physician and registered nurse providers.

    Methods: Ten parents participated in semistructured interviews after receiving the COMPLETE intervention. Read More

    Roles of Family Caregivers and Perceived Burden When Caring for Hospitalized Adult Cancer Patients: Perspective From a Low-Income Country.
    Cancer Nurs 2018 Mar 30. Epub 2018 Mar 30.
    Author Affiliations: Department of Adult Health & Critical Care, College of Nursing, Sultan Qaboos University (Drs Muliira and Kizza), Muscat, Oman; and Department of Nursing, School of Health Sciences, College of Health Sciences, Makerere University (Ms Nakitende), Kampala, Uganda.
    Background: Family caregivers (FCGs) of adult cancer patients (ACPs) are typically involved in the entire trajectory of cancer disease, from diagnosis to survivorship or end of life. In developing countries, FCGs are more intensely involved in the process of providing care to the hospitalized ACPs because of lack of adequate cancer care resources. Active performance of tasks to meet the needs of ACPs in the hospital setting is likely to elicit significant caregiver burden. Read More

    How Interdisciplinary Teamwork Contributes to Psychosocial Cancer Support.
    Cancer Nurs 2018 Mar 30. Epub 2018 Mar 30.
    Author Affiliations: Department of Oncology, Ghent University Hospital (Mr Daem, Mr Schrauwen, and Ms Leroux); and Department of Public Health, University Centre for Nursing and Midwifery, Ghent University (Drs Verbrugghe, Van Hecke, and Grypdonck), Belgium.
    Background: The organization of psychosocial care is rather complex, and its provision diverse. Access is affected by the acceptance and attitude of patients and professional caregivers toward psychosocial care.

    Objectives: The aims of this study were to examine when patients with cancer experience quality psychosocial care and to identify circumstances in collaboration that contribute to patient-perceived positive psychosocial care. Read More

    Using a Patient-Centered Approach to Identify Symptom Clusters Among Adolescents With Cancer.
    Cancer Nurs 2018 Mar 30. Epub 2018 Mar 30.
    Author Affiliations: School of Nursing, College of Medicine, National Taiwan University (Dr Wu); Institute of Hospital and Health Care Administration, Yang-Ming University (Dr Lin); School of Nursing, National Taipei University of Nursing and Health Sciences (Dr Liang); and Department of Medicine, National Taiwan University (Dr Jou), Taipei, Taiwan.
    Background: Prior studies identifying symptom clusters used a symptom-centered approach to demonstrate the relationship among symptoms. Latent profile analysis (LPA) is a patient-centered approach that classifies individuals from a heterogeneous population into homogeneous subgroups, helping prioritize interventions to focus on clusters with the most severe symptom burden.

    Objective: The aim of this study was to use LPA to determine the best-fit models and to identify phenotypes of severe symptom distress profiles for adolescents with cancer who are undergoing treatment and in survivorship. Read More

    Representations of Young Cancer Survivorship: A Discourse Analysis of Online Presentations of Self.
    Cancer Nurs 2018 Mar 30. Epub 2018 Mar 30.
    Author Affiliations: School of Nursing and Midwifery, Western Sydney University (Dr Lewis); School of Medicine, University of Wollongong (Dr Weston), New South Wales, Australia.
    Background: More young people are surviving treatment for cancer than ever before. Survival can have an adverse impact on their transition to adulthood. Discourses of cancer are applied to cancer survivors of all ages, but they manifest differently for young people. Read More

    A Meta-analysis of the Association Between Physical Activity and Breast Cancer Mortality.
    Cancer Nurs 2018 Mar 30. Epub 2018 Mar 30.
    Author Affiliation: Graduate School of Sport Science, Kyung Hee University, Republic of Korea.
    Background: There are conflicting data on the association between physical activity (PA) intensity and amount and prognosis of breast cancer. It is unknown whether increasing or decreasing PA is associated with all-cause mortality.

    Objective: The purpose of this study was to estimate the associations between PA and the risk of mortality. Read More

    Development and Feasibility of an Interactive Smartphone App for Early Assessment and Management of Symptoms Following Pancreaticoduodenectomy.
    Cancer Nurs 2018 Mar 27. Epub 2018 Mar 27.
    Author Affiliations: Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet (Mrs Gustavell and Drs Langius-Eklöf, Wengström, and Sundberg); Gastrocentrum (Mrs Gustavell, Dr Segersvärd) and Radiumhemmet, Breast and Sarcoma Unit (Dr Wengström), Karolinska University Hospital; and Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet (Dr Segersvärd), Stockholm, Sweden.
    Background: Patients who have undergone pancreaticoduodenectomy because of pancreatic cancer experience distressing symptoms and unmet supportive care needs after discharge. To meet these needs, we have developed a mobile health app (Interaktor) for daily assessment of symptoms and access to self-care advice that includes a risk assessment model for alerts with real-time interactions with professionals.

    Objective: The study aim was to develop and test a version of the Interaktor app adapted for patients who have undergone pancreaticoduodenectomy. Read More

    Nursing Diagnoses, Interventions, and Activities as Described by a Nursing Minimum Data Set: A Prospective Study in an Oncology Hospital Setting.
    Cancer Nurs 2018 Mar 13. Epub 2018 Mar 13.
    Author Affiliations: Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy (Drs Sanson, Vellone, Maurici, D'Agostino and Alvaro); University of Colorado College of Nursing, Aurora (Dr Welton); and University Hospital Agostino Gemelli, Rome, Italy (Drs Cocchieri and Zega).
    Background: Oncological diseases affect the biopsychosocial aspects of a person's health, resulting in the need for complex multidisciplinary care. The quality and outcomes of healthcare cannot be adequately assessed without considering the contribution of nursing care, whose essential elements such as the nursing diagnoses (NDs), nursing interventions (NIs), and nursing activities (NAs) can be recorded in the Nursing Minimum Data Set (NMDS). There has been little research using the NMDS in oncology setting. Read More

    Relationships Between Smoking Status and Psychological Distress, Optimism, and Health Environment Perceptions at Time of Diagnosis of Actual or Suspected Lung Cancer.
    Cancer Nurs 2018 Mar 13. Epub 2018 Mar 13.
    Author Affiliations: College of Nursing, Michigan State University, East Lansing.
    Background: While much research and practice resources have addressed smoking cessation among cancer patients, less emphasis has been placed on personal psychological and environment factors associated with smoking at the time of diagnosis.

    Objective: The aim of this study was to examine differences in psychological distress, optimism, and perceptions of the health environment/illness experience based on smoking status in patients with current, former, and no smoking history with newly diagnosed suspected or actual lung cancer.

    Methods: Data were derived from a descriptive study of 52 patients (34 men and 18 women aged 37-83 years) undergoing diagnostic evaluation for actual or suspected lung cancer. Read More

    "I Wasn't Gonna Let It Stop Me": Exploring Women's Experiences of Getting Through Chemotherapy for Ovarian Cancer.
    Cancer Nurs 2018 Mar 13. Epub 2018 Mar 13.
    Author Affiliations: Gynaecological Cancers Group, QIMR Berghofer Medical Research Institute, Brisbane (Drs Staneva, and Beesley, Mr Nijanjan, and Dr Webb); School of Public Health and Community Medicine, Faculty of Medicine, University of New South Wales, Sydney (Dr Gibson); School of Public Health, University of Queensland, Brisbane (Drs Rowlands and Webb), Australia.
    Background: Many women with ovarian cancer experience significant chemotherapy-related adverse effects during treatment and thus cannot complete it without dose reductions and/or delays. There is some indication that chemotherapy completion is associated with improved survival, although currently little is known about what helps women get through chemotherapy.

    Objective: The aim of this study was to explore women's accounts of the factors they believed were helpful during their ovarian cancer treatment. Read More

    Nurses' Caring Behaviors Toward Patients Undergoing Chemotherapy in Greece: A Mixed-Methods Study.
    Cancer Nurs 2018 Mar 13. Epub 2018 Mar 13.
    Authors Affiliations: Oncology Nursing Department, 251 Hellenic Air Force General Hospital (Dr Karlou); School of Health, Nursing and Midwifery, University of the West of Scotland, Paisley (Dr Papadopoulou); Faculty of Nursing, University of Alberta, Edmonton, Canada (Dr Papathanassoglou); Section of Internal Medicine-Nursing and Nursing Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens (Dr Lemonidou and Dr Patiraki); Technological Educational Institute of Athens, Holargos (Dr Vouzavali); and Children's Hospital "A & P Kyriakou" Oncology Department, Athens (Mrs Zafiropoulou-Koutroubas); and Department of Nursing, National University of Peloponisos Faculty of Human Movement and Quality of Life Sciences in Sparta (Dr Katsaragakis), Greece.
    Background: Nurses' caring behaviors are central in the quality of care of patients undergoing sophisticated chemotherapy protocols. However, there is a scarcity of research regarding these behaviors in non-Anglo-Saxon countries.

    Objective: The aim of this study was to explore caring behaviors that nurses perceive as important in caring for patients in Greece receiving chemotherapy. Read More

    Quality of Life in Partners of Young and Old Breast Cancer Survivors.
    Cancer Nurs 2018 Mar 13. Epub 2018 Mar 13.
    Author Affiliations: Indiana University School of Nursing (Drs Cohee and Champion); and Indiana University School of Public Health (Dr Bigatti), Indianapolis; Purdue University, Lafayette, Indiana (Dr Shields); and Indiana University School of Medicine and Regenstrief Institute (Dr Johns); and Department of Biostatistics, Indiana University School of Medicine (Mr Stump and Dr Monahan), Indianapolis.
    Background: Partners of breast cancer survivors experience the effects of a spouse's cancer years after treatment. Partners of younger survivors (YPs) may experience greater problems than partners of older survivors (OPs), just as younger survivors experience greater problems than their older counterparts.

    Objectives: The aims of this study were to (1) compare quality of life (QoL) in YPs and OPs and (2) determine contributing factors to each group's QoL. Read More

    The Mediating Role of Exercise on Relationships Between Fatigue, Sleep Quality, and Quality of Life for Adolescents With Cancer.
    Cancer Nurs 2018 Feb 27. Epub 2018 Feb 27.
    Author Affiliations: School of Nursing, College of Medicine, National Taiwan University (Drs Wu and Tsai); Department of Medicine, National Taiwan University (Dr Jou); and School of Nursing, National Taipei University of Nursing and Health Sciences (Dr Liang), Taiwan.
    Background: Fatigue and poor sleep are two of the most common and most distressing symptoms for adolescents with cancer. These 2 symptoms concurrently heighten distress, further decreasing quality of life (QoL).

    Objectives: The aims of this study were to describe the degree of exercise involvement, fatigue, sleep quality, and QoL among adolescents with cancer and to determine whether exercise mediates the relationships between (a) fatigue and QoL and (b) sleep quality and QoL. Read More

    The Brief Perceived Cognitive Impairment Scale-Korean: A Validation Study.
    Cancer Nurs 2018 Feb 27. Epub 2018 Feb 27.
    Author Affiliations: College of Nursing, Catholic University of Korea, Seoul (Dr Kim); Medical Oncology Department, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania (Dr Barsevick).
    Background: Practical brief measures are needed for clinicians and researchers to identify and effectively manage cognitive impairment in cancer patients.

    Objective: This study evaluated the reliability (ie, internal consistency reliability) and validity (ie, construct, convergent, concurrent, and known-group validity) of the Brief Perceived Cognitive Impairment Scale-Korean (BPCIS-K).

    Methods: From a university hospital, 249 cancer patients participated. Read More

    Changes in Siblings Over Time After the Death of a Brother or Sister From Cancer.
    Cancer Nurs 2018 Feb 27. Epub 2018 Feb 27.
    Author Affiliations: Vanderbilt University, Nashville, Tennessee (Drs Akard, Skeens, Dietrich, and Gilmer and Ms Wray); The Ohio State University (Dr Fortney); and The Research Institute at Nationwide Children's Hospital (Drs Vannatta and Gerhardt), Columbus, Ohio; Hospital for Sick Children, Toronto, Ontario, Canada (Dr Barrera); and University of California San Francisco; and University of Victoria, British Columbia, Canada (Dr Davies).
    Background: Limited research has examined the impact of a child's death from cancer on siblings. Even less is known about how these siblings change over time.

    Objective: This study compared changes in siblings 1 (T1) and 2 (T2) years after the death of a brother or sister from cancer based on bereaved parent and sibling interviews. Read More

    Understanding Functional Communication in Head and Neck Cancer Survivors Using a Mixed Methods Design.
    Cancer Nurs 2018 Feb 27. Epub 2018 Feb 27.
    Author Affiliations: College of Nursing, University of Nebraska Medical Center (Drs Fletcher, Schumacher, Kupzyk, and Cohen); and Estabrook Cancer Center, Nebraska Methodist Hospital (Dr Lydiatt), Omaha.
    Background: Functional communication, defined as everyday communication with family and friends, at work, and in the community, is an important but understudied concept in the head and neck cancer (HNC) survivor population.

    Objective: The aim of this study was to better understand functional communication by using a mixed methods approach.

    Methods: Head and neck cancer survivors participated in semistructured interviews and completed self-report questionnaires assessing multiple aspects of well-being and health-related quality of life (HRQOL). Read More

    Uncertainty and Quality of Life in Women With Breast Cancer: Moderating Role of Coping Styles.
    Cancer Nurs 2018 Feb 27. Epub 2018 Feb 27.
    Author Affiliations: Faculty of Social Sciences and Liberal Arts, Department of Mass Communication, UCSI University (Dr Ahadzadeh); and Taylor's Business School, Taylor's University (Dr Sharif), Kuala Lumpur, Malaysia.
    Background: The negative relationship between uncertainty and quality of life is well reported in the literature. Also, there is abundant research linking coping strategies to cancer patients' quality of life. However, there exists a paucity of information on the moderating effect of coping styles on the relationship between uncertainty and quality of life in cancer patients. Read More

    Mothering With Advanced Ovarian Cancer: "You've Got to Find That Little Thing That's Going to Make You Strong".
    Cancer Nurs 2018 Feb 27. Epub 2018 Feb 27.
    Author Affiliations: School of Nursing, University of Pittsburgh, Pennsylvania (Ms Arida); Mount Sinai Health System, New York (Dr Bressler); Massachusetts General Hospital, Boston (Dr Hagan and Mss Moran and D'Arpino); University of Colorado Denver (Ms Carr).
    Background: Mothers with ovarian cancer are at risk of experiencing additional demands given their substantial symptom burden and accelerated disease progression.

    Objective: This study describes the experience of mothers with ovarian cancer, elucidating the interaction between their roles as mothers and patients with cancer.

    Methods: We conducted a secondary analysis of focus groups with women with advanced ovarian cancer. Read More

    Cancer Nurses Can Bridge the Gap Between the Specialist Cancer Care and Primary Care Settings to Facilitate Shared-Care Models.
    Cancer Nurs 2018 Mar/Apr;41(2):89-90
    Metro North Hospital and Health Service, Herston and Institute of Health and Biomedical Innovation Queensland University of Technology, Brisbane, Australia Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia.

    Gauging the Effects of Self-efficacy, Social Support, and Coping Style on Self-management Behaviors in Chinese Cancer Survivors.
    Cancer Nurs 2018 Feb 14. Epub 2018 Feb 14.
    Author Affiliations: School of Nursing, Second Military Medical University, Shanghai, China (Dr Geng); School of Nursing, University of Maryland, Baltimore (Dr Ogbolu); Division of Biostatistics and Study Methodology, Center for Translational Science, Children's National Health System (Dr Wang); School of Medicine and Health Sciences, The George Washington University (Drs Wang and Hinds); and Department of Nursing Research and Quality Outcomes, Center for Translational Science, Children's National Health System (Dr Hinds), Washington, DC; and Orthopedics Department, Shanghai Jiaotong University Affiliated Sixth People's Hospital (Ms Qian); and School of Nursing, Fudan University, Shanghai (Dr Yuan), China.
    Background: Better self-management control in cancer survivors would benefit their functional status, quality of life, and health service utilization. Factors such as self-efficacy, social support, and coping style are important predictors of self-management behaviors of cancer survivors; however, the impact of these factors on self-management behaviors has not yet been empirically tested in Chinese cancer survivors.

    Objectives: The aim of this study was to examine how self-efficacy, social support, and coping style affect specific self-management behaviors. Read More

    Psychometric Performance of the Arabic Versions of the Cancer Behavior Inventory-Brief and the Functional Assessment of Cancer Therapy-Breast.
    Cancer Nurs 2018 Feb 14. Epub 2018 Feb 14.
    Author Affiliations: Faculty of Applied Medical Science, Department of Nursing, University of Tabuk, Saudi Arabia (Dr Algamdi); and University of Texas Health Science Center at Houston School of Nursing (Dr Hanneman).
    Background: Valid and reliable instruments in Arabic are needed to measure self-efficacy and quality of life for Arabic patients with cancer.

    Objective: The aim of this study was to test the psychometric performance of the Cancer Behavior Inventory-Brief Arabic (CBI-BA), including participant understanding of items, and the Functional Assessment of Cancer Therapy-Breast Arabic (FACT-BA).

    Methods: Using a cross-sectional design, 438 cancer patients completed the CBI-BA, 30 of whom completed cognitive interviews. Read More

    The Impact of Education About Cervical Cancer and Human Papillomavirus on Women's Healthy Lifestyle Behaviors and Beliefs: Using the PRECEDE Educational Model.
    Cancer Nurs 2018 Feb 14. Epub 2018 Feb 14.
    Author Affiliations: Health Science Faculty, Department of Nursing (Dr Koç); Medicine Faculty, Department of Obstetric Gynecology (Mrs Özdeş); Health Science Faculty, Department of Midwifery (Dr Topatan); and Health Services Vocational School (Mrs Çinarli and Dr Şener), Ondokuz Mayis University, Samsun; Ahmet Erdoğan Health Services Vocational School, Bülent Ecevit University, Zonguldak (Mrs Danaci); and Health Services Vocational School, Gümüşhane University (Mrs Palazoğlu), Turkey.
    Background: Early detection of cervical cancer improves the chances of successful treatment.

    Objective: The aim of this study was to determine the effect of education about cervical cancer and human papillomavirus on the healthy lifestyle, behavior, and beliefs of Turkish women who were without cancer, using the PRECEDE education model.

    Methods: This qualitative and quantitative study was conducted as a prospective, randomized, 2-group (intervention and control) trial at a community training center in north Turkey. Read More

    A Behavioral Physical Activity Intervention to Manage Moderate and Severe Fatigue Among Head and Neck Cancer Patients-Pre-efficacy Study in the National Institutes of Health ORBIT Model.
    Cancer Nurs 2018 Feb 15. Epub 2018 Feb 15.
    Author Affiliations: College of Nursing (Drs Wang, McMillan, L.-T. Huang, Buck, and Visovsky and Ms McDonald), College of Public Health (Dr Y. Huang and Ms Vijayakumar), and College of Medicine (Dr Padhya), University of South Florida; and Moffitt Cancer Center (Drs Gwede, Padhya, and Russell and Ms Vondruska), Tampa, Florida.
    Background: Cancer-related fatigue (CRF) reduces head and neck cancer (HNC) survival rates and is the most common, severe, and distressing symptom negatively impacting activities of daily living (ADLs) dependence among HNC patients. These patients remain physically inactive after their cancer treatment, although there is consensus that physical activity mitigates CRF in cancer patients.

    Objective: A home-based personalized behavioral physical activity intervention with fitness graded motion exergames (PAfitME) was evaluated for its intervention components, intervention delivery mode, and intervention contact time/duration with initial assessment of the feasibility, acceptability, safety, and outcomes. Read More

    Self-assessment of Goal Achievements Within a Gynecological Cancer Rehabilitation Counseling.
    Cancer Nurs 2018 Feb 15. Epub 2018 Feb 15.
    Author Affiliations: Department of Obstetrics and Gynaecology, Odense University Hospital; and Institute of Clinical Research (Drs Holt and Jensen), and Research Unit of General Practice, Institute of Public Health, National Research Centre of Cancer Rehabilitation (Dr G. Hansen), University of Southern Denmark, Odense; and Department of Obstetrics and Gynaecology, Karolinska University Hospital, Stockholm, Sweden; and Institute of Clinical Research, University of Southern Denmark, Odense (Dr Mogensen).
    Background: There is an increasing focus on patient involvement in cancer rehabilitation. Goal assessment may improve the patient's self-management of life after cancer.

    Objective: The aim of this study was to evaluate whether (1) nurse-led supported goal setting and assessment of goal achievement were feasible in a clinical setting and (2) there was a positive association between women's goal achievement and their self-assessed global health status (GHS). Read More

    Pursuing Normality: Reflections on Cancer Survivorship Care of Lymphoma Survivors.
    Cancer Nurs 2018 Jan 16. Epub 2018 Jan 16.
    Author Affiliations: Department of Public Health, Section for Clinical Social Medicine and Rehabilitation, Faculty of Health, Aarhus University; and DEFACTUM, Central Denmark Region, Denmark (Ms Madsen and Dr Handberg).
    Background: The present study explored the reflections on cancer survivorship care of lymphoma survivors in active treatment. Lymphoma survivors have survivorship care needs, yet their participation in cancer survivorship care programs is still reported as low.

    Objective: The aim of this study was to understand the reflections on cancer survivorship care of lymphoma survivors to aid the future planning of cancer survivorship care and overcome barriers to participation. Read More

    Not a Straight Line-Patient's Experiences of Prostate Cancer and Their Journey Through the Healthcare System.
    Cancer Nurs 2018 Jan 12. Epub 2018 Jan 12.
    Authors Affiliations: School of Health and Caring Sciences, Faculty of Health and Life Sciences, Linnaeus University, Kalmar (Drs Schildmeijer and Ekstedt); and Department of Learning, Informatics, Management, and Ethics, Karolinska Institutet, Stockholm (Drs Frykholm and Ekstedt); Department of Health Care Sciences, Ersta Sköndal University, Stockholm (Dr Kneck), Sweden.
    Background: Cancer and its treatment can severely impact quality of life, giving rise to complex needs with respect to follow-up care. To support patient needs and increase efficiency of care with limited resources, the Swedish government has launched national reforms to redesign cancer care pathways.

    Objective: The aim of this study was to explore how prostate cancer patients experience their journey through the healthcare system when their care is provided according to the standardized care pathway, as described in healthcare policy documents. Read More

    Themes in Literature Related to Incidence, Risk, and Prevention of Cancer in Solid-Organ Transplantation Recipients on Immunosuppressive Therapy.
    Cancer Nurs 2018 Jan 12. Epub 2018 Jan 12.
    Author Affiliation: Graduate School of Nursing, Thomas Jefferson University, 8th Floor, Philadelphia, PA.
    Background: Solid-organ transplants provide a second chance to thousands of critically ill patients with end-organ failure each year. Immunosuppressants are administered to patients to prevent graft rejection of a transplanted organ, such as a heart, kidney, or liver, while placing the recipient at greater risk for infection and cancer.

    Objective: The literature provides evidence of various cancers that have been found to develop in patients' posttransplantation. Read More

    New Educational Model to Promote Breast Cancer-Preventive Behaviors (ASSISTS): Development and First Evaluation.
    Cancer Nurs 2018 Jan 12. Epub 2018 Jan 12.
    Author Affiliations: Department of Health Education and Promotion, School of Public Health, Zanjan University of Medical Sciences (Dr Khazaee-Pool), Zanjan; Environmental Health Research Center, Kurdistan University of Medical Sciences (Dr Pashaei); Social Determinants of Health Research Center, Kurdistan University of Medical Sciences (Dr Pashaei); Department of Public Health, Faculty of Health, Kurdistan University of Medical Sciences (Dr Pashaei), Sanandaj, Iran; Department of Health Education and Promotion, School of Health, Tehran University of Medical Sciences (Dr Alizadeh), Iran; Department of Communication Studies, Research Group for Media & ICT (MICT-IMEC), Ghent University (Dr Ponnet); and Department of Communication Studies, Media, ICT/Interpersonal Relations in Organizations and Society (MIOS), University of Antwerp (Dr Ponnet), Belgium.
    Background: The prevalence of breast cancer in Iran has increased. An effective approach to decrease the burden of breast cancer is prevention.

    Objective: The aim of this study was to develop and evaluate an educational model, called the ASSISTS, for promoting breast cancer-preventive behaviors in women. Read More

    Open Wounds and Healed Scars: A Qualitative Study of Elderly Women's Experiences With Breast Cancer.
    Cancer Nurs 2017 Dec 21. Epub 2017 Dec 21.
    Author Affiliations: University of Applied Sciences Windesheim, Research Group Innovating with Older Adults, Zwolle, The Netherlands (Mrs Van Ee and Prof Smits); Isala Hospital, Zwolle, The Netherlands (Drs Honkoop and Kamper); Leyden Academy on Vitality and Ageing, Leiden, The Netherlands (Prof Slaets); and University Medical Center Groningen, The Netherlands (Profs Slaets and Hagedoorn).
    Background: Breast cancer is more prevalent among women 60 years or older than among women younger than 60 years. However, we know much more about the breast cancer experiences of younger women than of older women. Such knowledge is important, for example, to guide treatment decisions or to provide psychosocial care. Read More

    Follow the Yellow Brick Road: Self-management by Adolescents and Young Adults After a Stem Cell Transplant.
    Cancer Nurs 2017 Dec 14. Epub 2017 Dec 14.
    Author Affiliations: Division of Behavioral Medicine and Clinical Psychology, Center for the Promotion of Adherence and Self-Management, Cincinnati Children's Hospital Medical Center (Drs Morrison and Pai and Ms Woebkenberg); College of Nursing, University of Cincinnati (Drs Morrison and Martsolf and Mss Wehrkamp, Ramirez, and Tehan); Bone Marrow Transplantation and Immune Deficiency (Mss Borich and Coleman) and Patient and Family Wellness Center (Dr Pai), Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center; and Department of Pediatrics, University of Cincinnati School of Medicine (Dr Pai), Ohio.
    Background: Stem cell transplant (SCT) is a major life event that can have long-term psychosocial consequences for the entire family. It is unknown the degree to which the psychosocial characteristics associated with SCT influence self-management behaviors and health outcomes in adolescents and young adults (AYAs).

    Objective: The study had the following aims: (1) to describe how AYAs manage their care regimen post-SCT and (2) to explore self-management facilitators, barriers, processes, and behaviors within individual, family, community, and healthcare system domains. Read More

    Rising Rates of Contralateral Prophylactic Mastectomy as a Treatment for Early-Stage Breast Cancer.
    Cancer Nurs 2017 Dec 14. Epub 2017 Dec 14.
    Author Affiliations: School of Nursing, Rutgers, The State University of New Jersey, Camden (Drs Jerome-D'Emilia and Suplee); and School of Arts and Sciences, Rutgers, The State University of New Jersey, New Brunswick (Dr Kushary).
    Background: The rate of contralateral prophylactic mastectomy (CPM) in women with unilateral mastectomy is increasing with no plateau.

    Objectives: The aim of this study was to improve the understanding of patient- and tumor-related factors that influenced the choice of mastectomy with CPM as treatment for early-stage breast cancer at an academic medical center in New Jersey.

    Methods: This was a retrospective analysis of 10 years of breast cancer data including 1556 women aged 40 to 80 years treated for breast cancer at an academic medical center. Read More

    Iranian Women's Breast Health-Seeking Behaviors: Husband's Role.
    Cancer Nurs 2017 Dec 14. Epub 2017 Dec 14.
    Author Affiliations: Social determinants of health research center, shahid sadoughi university of medical sciences, Yazd (Drs Mazloomy-Mahmoodabad, Morowatisharifabad, and Khodayarian); Department of Midwifery and Reproductive Health, Tarbiat Modares University, Tehran (Dr Lamyian); and Department of Nursing & Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd (Dr Tavangar), Iran.
    Background: Breast cancer has become the most common cancer among Yazdi women in Iran. Thus, it is necessary to encourage these women to participate in breast health-seeking behaviors. In this regard, husbands can play an effective role. Read More

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