Objective:To explore the interactive relationship between health-related quality of life (HRQOL) and anxiety, depression, and fear of progression in patients with advanced prostate cancer and their spouses, providing a basis for developing targeted psychological interventions and improving quality of life.Methods:Convenience sampling was used to select 113 pairs of patients with advanced prostate cancer and their spouses at the First Affiliated Hospital with Nanjing Medical University from September 2023 to August 2024 for the study. General Information Questionnaire, European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C30 (EORTC QLQ-C30), Patient Health Questionnaire-4 (PHQ-4), and Fear of Progression Questionnaire were used to conduct a survey on research subjects. The interactive relationship between variables was analyzed using R software based on the actor-partner interdependence model.Results:A total of 226 questionnaires were distributed and 226 valid questionnaires were recovered, with a valid recovery rate of 100.00%. The PHQ-4 anxiety score, Fear of Progression Questionnaire, and EORTC QLQ-C30 scores of spouses of 113 patients with advanced prostate malignancy were 3.35 (2.25, 4.22), (34.07±9.86), and (57.20±19.48), respectively, which were higher than 2.50 (1.52, 4.45), (30.87±8.85), and (55.47±22.58) of 113 patients, and the differences were statistically significant ( P<0.05). PHQ-4depression scores of the patients and spouses were 2.24 (1.25, 3.57) and 2.56 (1.55, 3.62), respectively, the difference was not statistically significant ( P>0.05). The fitting results based on the actor-partner interdependence model showed that for the subject effect, anxiety (β'=-0.441, -0.452; P<0.01), depression (β'=-0.574, -0.574; P<0.01), and fear of progression (β'=-0.253, -0.435, P<0.05) in patients with advanced prostate cancer patients and their spouses were all predictors of HRQOL, and the differences were all statistically significant. For the object effect, spousal anxiety (β'=-0.372, P<0.01) and fear of progression (β'=-0.312, P<0.01) predicted patients' HRQOL, with statistically significant differences. Conclusions:Spouses of patients with advanced prostate cancer had higher levels of anxiety, fear of progression. Anxiety, depression, and fear of progression all have a negative subject effect on HRQOL for patients and spouses, and spousal anxiety and fear of progression have a negative object effect on HRQOL for patients. Providing effective psychological interventions to address spouses' anxiety and fear of progression can improve HRQOL of patients with advanced prostate cancer and their spouses.

Objective:To implement an overview of systematic reviews on the effects of brain-computer interface training on upper limb functional rehabilitation in stroke patients.Methods:The systematic review/Meta-analysis of the effect of brain-computer interface training on upper limb functional rehabilitation in stroke patients was electronically retrieved in PubMed, Web of Science, Cochrane Library, Embase, CINAHL, Embase, Joanna Briggs Institute Evidence-Based Health Care Center Database, China National Knowledge Infrastructure, Wanfang Data, VIP and China Biology Medicine disc. The search period was from database establishment to November 2024. Two researchers independently performed literature screening and data extraction and evaluated the quality of methodology, reporting, and evidence.Results:A total of 14 systematic reviews/Meta-analyses were included. The results showed that brain-computer interface training helped to improve upper limb motor function, muscle strength and activities of daily living in stroke patients, but the rehabilitative effect on muscle spasm needed to be further confirmed.Conclusions:Brain-computer interface training helps to improve upper limb motor function, muscle strength and activities of daily living in stroke patients. However, the methodological quality and reporting quality of the current studies are poor, and there is still a need for high-quality studies with rigorous design and standardized process to provide reference for clinical practice.

Breast cancer is the most common malignant tumor among women worldwide. Endocrine therapy is one of the important adjuvant treatment modalities, which can effectively reduce the mortality and the risk of recurrence, but at the same time patients suffer from the distress caused by treatment-related symptom clusters. Symptom clusters severely affect patients' quality of life and treatment adherence. This paper reviews the endocrine therapy-related symptom clusters and their management in breast cancer patients at home and abroad, and describes the concepts, occurrence mechanisms, theoretical models, assessment tools and management strategies of symptom clusters, with a view to providing references for the scientific management and research of endocrine therapy-related symptom clusters of breast cancer.

Objective:To explore latent categories of decent work perception among nurses in tuberculosis wards and analyze their influencing factors.Methods:Convenience sampling was used to select tuberculosis ward nurses from 13 general or specialized hospitals in China in July 2024 for the study. General Information Questionnaire, Decent Work Perception Scale (DWPS), Work-Family Support Scale, and Connor-Davidson Resilience Scale were used to survey the tuberculosis ward nurses. Mplus 8.3 software was used for latent profile analysis of decent work perception of nurses in tuberculosis wards. Unordered multicategorical Logistic regression was used to explore the factors influencing the latent categories of decent work perception for nurses in tuberculosis wards.Results:A total of 920 questionnaires were distributed, and 833 valid questionnaires were recovered, with a valid recovery rate of 90.54%. The mean DWPS item score of 833 tuberculosis ward nurses was [3.44 (2.94, 3.88) ]. Decent work perceptions of tuberculosis ward nurses were classified into three latent categories, namely, low decent perception-low occupational recognition type (15.61%, 130/833), medium decent perception-moderate occupational recognition type (50.54%, 421/833), and high decent perception-high occupational recognition type (33.85%, 282/833). Unordered multicategorical Logistic regression analysis revealed that organizational support, psychological resilience, job title, monthly income, hospital class, and number of monthly night shifts were the influencing factors of latent categories of decent work perception among nurses in tuberculosis wards.Conclusions:The decent work perception of nurses in tuberculosis wards is at a medium level. Nursing managers should focus on nurses with low decent perception-low occupational recognition and manage and support nurses according to the characteristics and influencing factors of different categories.

Objective:To explore the chain mediating role of self-management efficacy and self-perceived burden between family function and decision fatigue in gastric cancer patients.Methods:Convenience sampling was used to select 219 gastric cancer inpatients in Xinxiang Central Hospital of Henan Province from June 2023 to December 2024 as study subjects. Family Assessment Device, Chinese version of the Strategies Used by People to Promote Health, Self-Perceived Burden Scale, and Decision Fatigue Scale were used to conduct the survey. The chain mediating effect were tested using Model 6 in the SPSS PROCESS program.Results:Family function, self-management efficacy, self-perceived burden and decision fatigue scores of gastric cancer patients were (73.08±8.47), (90.15±14.33), (31.64±6.55), and (19.23±3.05), respectively. Univariate analysis showed that age, education level, per capita monthly family income, tumor stage and treatment method were the influencing factors of decision fatigue in gastric cancer patients, and the difference was statistically significant ( P<0.05). Correlation analysis showed that family function was negatively correlated with self-management efficacy ( P<0.05) and positively correlated with self-perceived burden and decision fatigue ( P<0.05), and self-management efficacy was negatively correlated with self-perceived burden and decision fatigue ( P<0.05), and self-perceived burden was positively correlated with decision fatigue ( P<0.05), and the differences of the above were statistically significant. Mediating effect analysis showed that family function positively predicted decision fatigue in gastric cancer patients, with a direct effect of 0.117, accounting for 62.57% of the total effect. Self-management efficacy and self-perceived burden realized the mediating effect between family function and decision fatigue through three mediating pathways. Mediating pathway 1 was family function → self-management efficacy → decision fatigue, with an effect value of 0.032, which accounted for 17.11% of the total effect. Mediating pathway 2 was family function→ self-perceived burden → decision fatigue, with an effect value of 0.026, which accounted for 13.90% of the total effect. Mediating path 3 was family function → self-management efficacy → self-perceived burden → decision fatigue, with an effect value of 0.012, accounting for 6.42% of the total effect. The total mediating effect was 0.070, accounting for 37.43% of the total effect. Conclusions:Family function can not only directly influence decision fatigue in gastric cancer patients, but also indirectly influence decision fatigue through the mediating role of self-management efficacy and self-perceived burden. Decision fatigue of gastric cancer patients could be reduced in the future by improving family function, increasing patients' self-management efficacy, and reducing their self-perceived burden.

Patients' nutritional information needs and treatment outcomes are closely associated with quality of life. However, most colorectal cancer patients have unmet needs for nutritional information, which may negatively affect prognosis and health outcomes. This review summarizes the content of nutritional information needs, influencing factors, forms of support, and related outcomes among colorectal cancer patients. It aims to provide a reference for developing personalized and targeted nutritional information support interventions for this population.

Palliative care has become an important medical measure to provide professional healthcare and alleviate patients' suffering. Nurse-led palliative care models enable patients to access palliative care services in a timely manner and can be applied across various healthcare settings. This paper reviews the current status of nurse-led palliative care models in China and internationally, summarizes the summarizes the intervention settings, care forms, implementation contents, and effects of nurse-led palliative care models, and expounds on the existing barriers and improvement strategies of nurse-led palliative care models in China. The aim is to provide a reference for the implementation and development of palliative care.

Time-dependent toxicity refers to the significant cost of time spent by cancer patients during treatment due to frequent appointments, treatment, and subsequent rehabilitation. This paper reviews the concept, measurement, influencing factors, and hazards of time-dependent toxicity in cancer patients, and proposes interventions to reduce time-dependent toxicity, with a view to providing references for healthcare professionals in China to understand cancer time-dependent toxicity and to carry out research related to time-dependent toxicity.

Anhedonia is a hallmark symptom of psychiatric disorders such as schizophrenia and major depressive disorder, and it significantly affects treatment outcomes, prognosis, and patients' quality of life. Accurate assessment of anhedonia by medical staff can support the development and implementation of interventions. This review summarizes and analyzes the concept of anhedonia, common assessment tools for anhedonia, and comparisons among these tools, to provide a reference for medical staff in selecting appropriate instruments for evaluating anhedonia.

Digital health technology has gradually become a new healthcare vehicle for prehabilitation management of cancer patients. This paper reviews the application types, methods and effects of digital health technology in the prehabilitation management of cancer patients, and puts forward corresponding suggestions for the existing problems, with a view to provid reference for the research on digital prehabilitation in China.