Objective To explore the thoughts and experiences of exercise adherence in breast cancer patients undergoing endocrine therapy,aims to provide reference for targeted intervention.Methods Employing purposive sampling,a descriptive qualitative study was conducted from Octomber 2023 to November 2024,and 24 breast cancer patients receiving endocrine therapy who visited a tertiary-level hospital in Tianjin,China,were selected for semi-structured in-depth interviews.The data was analyzed through traditional content analysis to extract themes.Results 3 primary themes and 6 sub-themes were identified,including sense of benefits from exercise(including physical benefits and psychological well-being),factors influencing exercise adherence(barriers and facilitators),and supportive needs for exercise adherence(including professional support and guidance,as well as emotional support and companionship).Conclusion Healthcare providers should consider the influencing factors,supportive needs of behavior change,and exercise experiences of breast cancer patients receiving endocrine therapy.Developing targeted exercise rehabilitation programs to address these needs could enhance exercise adherence.

Objective:To investigate the present situation and influencing factors of hearing loss among noise exposed workers in a gas production plant, and to provide basis and guidance for enterprises to prevent hearing loss.Methods:In November 2023, a cross-sectional survey was conducted among personnel exposed to noise in a gas production plant. A total of 380 questionnaires were collected, among which 319 were valid resulting in an effective recovery rate of 83.9%. Ultimately, 292 were included in the study. The questionnaire covered demographic characteristics, work conditions, behavioral and lifestyle habits, hearing loss, and medical history. The noise exposure levels of the research subjects were determined based on the occupational disease hazard factor detection reports provided by the gas production plant for 2022 and 2023. Whether hearing loss occurred was determined based on the pure tone audiometry results from the occupational health examination. Chi-square tests were used to analyze the influence of demographic characteristics, work conditions, and behavioral and lifestyle habits on hearing loss. A multivariate logistic regression model was used to analyze the relationship between hearing loss and related influencing factors.Results:Among the noise-exposed workers in the gas production plant, the incidence of high-frequency hearing loss was 14.4% (42/292) . The rate of hearing loss among men was higher than that among women ( P=0.010) , and the rate of hearing loss among those with a history of smoking was higher than that among those who had never smoked ( P=0.015) . Conclusion:Gas production enterprises should prioritize targeted interventions for workers with prolonged employment histories and smoking habits. Training programs should be implemented to cultivate proper ear protection practices, enhance knowledge of hearing conservation, and promote healthier lifestyle behaviors among employees.

Objective To explore the thoughts and experiences of exercise adherence in breast cancer patients undergoing endocrine therapy,aims to provide reference for targeted intervention.Methods Employing purposive sampling,a descriptive qualitative study was conducted from Octomber 2023 to November 2024,and 24 breast cancer patients receiving endocrine therapy who visited a tertiary-level hospital in Tianjin,China,were selected for semi-structured in-depth interviews.The data was analyzed through traditional content analysis to extract themes.Results 3 primary themes and 6 sub-themes were identified,including sense of benefits from exercise(including physical benefits and psychological well-being),factors influencing exercise adherence(barriers and facilitators),and supportive needs for exercise adherence(including professional support and guidance,as well as emotional support and companionship).Conclusion Healthcare providers should consider the influencing factors,supportive needs of behavior change,and exercise experiences of breast cancer patients receiving endocrine therapy.Developing targeted exercise rehabilitation programs to address these needs could enhance exercise adherence.

Objective:To investigate the present situation and influencing factors of hearing loss among noise exposed workers in a gas production plant, and to provide basis and guidance for enterprises to prevent hearing loss.Methods:In November 2023, a cross-sectional survey was conducted among personnel exposed to noise in a gas production plant. A total of 380 questionnaires were collected, among which 319 were valid resulting in an effective recovery rate of 83.9%. Ultimately, 292 were included in the study. The questionnaire covered demographic characteristics, work conditions, behavioral and lifestyle habits, hearing loss, and medical history. The noise exposure levels of the research subjects were determined based on the occupational disease hazard factor detection reports provided by the gas production plant for 2022 and 2023. Whether hearing loss occurred was determined based on the pure tone audiometry results from the occupational health examination. Chi-square tests were used to analyze the influence of demographic characteristics, work conditions, and behavioral and lifestyle habits on hearing loss. A multivariate logistic regression model was used to analyze the relationship between hearing loss and related influencing factors.Results:Among the noise-exposed workers in the gas production plant, the incidence of high-frequency hearing loss was 14.4% (42/292) . The rate of hearing loss among men was higher than that among women ( P=0.010) , and the rate of hearing loss among those with a history of smoking was higher than that among those who had never smoked ( P=0.015) . Conclusion:Gas production enterprises should prioritize targeted interventions for workers with prolonged employment histories and smoking habits. Training programs should be implemented to cultivate proper ear protection practices, enhance knowledge of hearing conservation, and promote healthier lifestyle behaviors among employees.

Objective:To explore the impact of dual coping and marital adjustment of patients with familial clustering liver cancer and their spouses on the hope levels of both partners based on the model of mutual dependence between subject and object, and to provide a theoretical basis for clinical intervention.Methods:A cross-sectional study design was adopted. From October 2022 to July 2024, a convenience sampling method was used to select 238 pairs of patients with familial clustering of liver cancer and their spouses from the hepatobiliary cancer department of Tianjin Medical University Cancer Institute and Hospital. Data were collected using general information questionnaires, Dyadic Coping Inventory, Locke-Wollance Marital Adjustment Test, and Herth Hope Scale. The AMOS 24.0 software was employed to establish a model of mutual dependence between dual coping, marital adjustment, and hope levels.Results:A total of 238 pairs of patients with familial clustering of liver cancer and their spouses were included in the study. Among the patients, 158 were male and 80 were female, aged 24-83 (51.80 ± 10.38) years. Among the spouses, 80 were male and 158 were female, aged 23-76 (52.95 ± 9.97) years. The dual coping score of patients with familial clustering liver cancer was (118.55 ± 14.04) points, marital adjustment score was (88.96 ± 19.25), and hope level score was (35.97 ± 3.29); the dual coping score of spouses was (123.64 ± 16.05), marital adjustment score was (91.36 ± 17.08), and hope level score was (36.73 ± 3.33). There was no statistically significant difference in the binary coping scores between the two ( P>0.05), while there were statistically significant differences in the scores of marital adjustment and hope level ( t = - 4.90, - 3.37, both P<0.05). The results of the model of mutual dependence showed that the dual coping of patients and spouses could positively predict their own and each other′s hope levels ( β = 0.103, 0.097, 0.088, 0.094, all P<0.05); marital adjustment of patients and spouses could positively predict their own hope levels ( β = 0.086, β = 0.091, both P<0.05), but the marital adjustment of patients could not positively predict the hope level of their spouses ( β = 0.028, P = 0.106), while the marital adjustment of spouses could positively predict the hope level of patients ( β = 0.102, P<0.05). Conclusions:The hope levels of both partners are influenced not only by their own dual coping levels but also by marital adjustment. It is suggested that nursing staff should pay attention to the interactive effects of patients′and spouses′dual coping levels and marital adjustment and actively explore interventions targeting dual coping and marital adjustment to improve the hope levels of couples.

Objective:To explore the impact of dual coping and marital adjustment of patients with familial clustering liver cancer and their spouses on the hope levels of both partners based on the model of mutual dependence between subject and object, and to provide a theoretical basis for clinical intervention.Methods:A cross-sectional study design was adopted. From October 2022 to July 2024, a convenience sampling method was used to select 238 pairs of patients with familial clustering of liver cancer and their spouses from the hepatobiliary cancer department of Tianjin Medical University Cancer Institute and Hospital. Data were collected using general information questionnaires, Dyadic Coping Inventory, Locke-Wollance Marital Adjustment Test, and Herth Hope Scale. The AMOS 24.0 software was employed to establish a model of mutual dependence between dual coping, marital adjustment, and hope levels.Results:A total of 238 pairs of patients with familial clustering of liver cancer and their spouses were included in the study. Among the patients, 158 were male and 80 were female, aged 24-83 (51.80 ± 10.38) years. Among the spouses, 80 were male and 158 were female, aged 23-76 (52.95 ± 9.97) years. The dual coping score of patients with familial clustering liver cancer was (118.55 ± 14.04) points, marital adjustment score was (88.96 ± 19.25), and hope level score was (35.97 ± 3.29); the dual coping score of spouses was (123.64 ± 16.05), marital adjustment score was (91.36 ± 17.08), and hope level score was (36.73 ± 3.33). There was no statistically significant difference in the binary coping scores between the two ( P>0.05), while there were statistically significant differences in the scores of marital adjustment and hope level ( t = - 4.90, - 3.37, both P<0.05). The results of the model of mutual dependence showed that the dual coping of patients and spouses could positively predict their own and each other′s hope levels ( β = 0.103, 0.097, 0.088, 0.094, all P<0.05); marital adjustment of patients and spouses could positively predict their own hope levels ( β = 0.086, β = 0.091, both P<0.05), but the marital adjustment of patients could not positively predict the hope level of their spouses ( β = 0.028, P = 0.106), while the marital adjustment of spouses could positively predict the hope level of patients ( β = 0.102, P<0.05). Conclusions:The hope levels of both partners are influenced not only by their own dual coping levels but also by marital adjustment. It is suggested that nursing staff should pay attention to the interactive effects of patients′and spouses′dual coping levels and marital adjustment and actively explore interventions targeting dual coping and marital adjustment to improve the hope levels of couples.

Objective:To understand the real experience of work alienation among nurses with master′s degrees working in first-class hospitals.Methods:A descriptive qualitative research method of qualitative research was employed to conduct in-depth interviews with 15 nurses with master′s degrees from five tertiary first-class hospitals in Tianjin from January 2022 to March 2022. Nvivo 12 software was used to manage the interview data. The metic analysis method was used to refine the themes and subthemes.Results:Three themes were: work alienation performance of nurses with master′s degree (negative emotional experience, passive behavioural performance), reasons for work alienation of nurses with master′s degree (low self-worth, estranged coworker relationships and ambiguous work plan), needs of professional development coping with work alienation (needs of scientific research work, needs of scientific promotion system and salary performance, needs of organizational recognition and training and learning).Conclusions:Nurses with master′s degrees experience work alienation. Managers are advised to focus on improve these nurses′ alienation performance, explore the reasons and meet their personal needs with nursing job degrees, which then may in turn improve their sense of self-worth, and assist in developing positive attitude towards nursing work and reducing work alienation.

Objective:To test the reliability and validity of the Chinese version of the Quality of Life in Adult Cancer Survivors (QLACS) in Chinese cancer Survivors.Methods:We translated the scale following the procedure of translation, integration and back translation. After modifying the scale and adapting it in Chinese culture, the reliability and validity of the QLACS scale was tested in a large sample of 222 cancer survivors.Results:The Chinese version of QLACS had 47 items with a total of twelve domains. Principal component analysis resulted in an 8-factor structure of the explaining 74.393% of the seven generic domains′ variance, and an 5-factor structure of the explaining 71.937% of the five cancer-specific domains′ variance. The item level content validity index (I-CVI) was 0.89-1.00, and the total content average content validity index (S-CVI/) was 0.93. The Cronbach′s α coefficient for the total QLACS score was 0.935, and 0.933 for generic domains, and 0.865 for cancer-specific domains.Conclusions:The Chinese version of QLACS appears to possess adequate validity, reliability and internal consistency. The newly translated Chinese version of QLACS may be used to assess the quality of cancer survivors in China.

Objective:To develop an assessment instrument for evaluating Filial Piety Value Scale among Children Whose Parents were Advanced Cancer Patients and to test the reliability and validity of the tool.Methods:Through literature review, semi-structured interview and expert letter consultation, the first version of the Filial Piety Value Scale (FVS) was developed. A convenience sampling method was adopted to recruit 352 children of patients with advanced cancer as respondents. Item analysis, reliability and validity were adopted to evaluate the items, and finally the formal version of FVS was developed.Results:The Internal Consistency of FVS was 0.86, and the content validity index of each item was 0.93-1.00.Two factors were extracted from exploratory factor analysis, and the cumulative contribution rate of variance was 60.25%. The two factors were named as Care (10 items) and Respect (5 items).The correlation coefficient between the total score of FVS and the total score of Filial Piety Values Index (FVI) was 0.496, and the correlation coefficient between the FVS total score and FVI Care and Respect score was 0.50 and 0.46, and the results were statistically significant ( P<0.01). Conclusion:The Filial Piety Value Scale of children whose parents were advanced cancer patients has good reliability and validity, which can be used to evaluate the filial piety value of children whose parents are advanced cancer.

Objective: To explore these adults′ perspective with filial piety and as well to elucidate adults′experience and filial caring behaviour whose parents were diagnosed as advanced cancer. Methods: This is a qualitative study. A semi-structured and individual in-depth interview guide was designed and utilised to explore perspectives of 15 adults whose parents were diagnosed as advanced cancer. Thematic analysis method was adopted to analyse the data, which were synthesised into themes and subthemes. Results: Three main themes were explicated: emotional experience, filial caring behaviours for parents and dilemmas and pressures. These adults adopted obedience, accompany, improving quality of life, completing parents’ wish to fulfil their commitment and filial piety during taking care of their cancer parents. However, they encountered ethical dilemmas regarding disclosure or non-disclosure cancer diagnosis to their parents. Conclusions Due to the profound influence of Chinese traditional culture, the adults whose parents were diagnosed as advanced cancer committed their filial caring behaviour to their parents very wholeheartedly and encountered difficulties and dilemmas. Therefore, oncology nurses are advised to share their love to cancer patients, to work with compassion and sympathy and support them by assisting with taking care of their patients, which in turn may facilitate their filial caring behaviours, decrease their pressure and negative emotions.