Objective:This study aims to investigate the inner experiences of cancer patients when confronting financial toxicity through a Meta-analytical approach. The goal is to provide evidence-based insights and theoretical references for clinical healthcare professionals to fully understand the feelings and experiences associated with financial toxicity in cancer patients, thereby laying a foundation for targeted interventional measures.Methods:A computerized search was conducted across databases including CINAHL, PubMed, PsycINFO, Embase, Scopus, Web of Science, CNKI, WanFang, VIP, Sinomed and other databases, collecting qualitative studies related to the inner experience of financial toxicity among cancer patients, up until April 12, 2023. Quality appraisal of the included literature was carried out according to JBI′s standards for qualitative research, and results were synthesized using Meta-aggregation methods.Results:Twenty-three studies were included, from which 82 specific outcomes were extracted. These were categorized into 11 new thematic groups and ultimately synthesized into four integrated findings: the impact of objective costs, subjective burden, and unreasonable expectations; diverse cognitive attitudes and management coping strategies; multiple pressures and challenges on patients and their families; and the articulation of needs and perceptions of beneficial growth.Conclusions:Healthcare professionals should pay attention to the financial toxicity issues that patients face at the initial stage of cancer diagnosis. Timely communication about economic issues between patients and healthcare providers is essential to help patients have a preliminary understanding of the impending financial toxicity at the onset of the disease. A comprehensive intervention that emphasizes different aspects of objective and subjective financial toxicity, coupled with multi-dimensional mitigation strategies, can promote active coping in patients, enhance familial emotional and financial support to overcome challenges together, and prioritize patients′ needs and expectations to guide them towards reinforcing positive experiences and minimizing the impact of financial toxicity.

Objective:To construct a core competency indicator system for oncology advanced practice nurses.Methods:This study is a cross-sectional study. A preliminary draft of the core competency indicator system for oncology advanced practice nurses was developed through literature review and expert group coordination from June to November 2022. The core competency indicator system for oncology advanced practice nurses was established using the Delphi method for expert consultation and the analytic hierarchy process.Results:A total of 54 experts from 11 hospitals and four medical schools in 10 provinces and municipalities directly under the central government across the country were included in two rounds of expert consultation. The effective response rates of the questionnaire were all 100%, with an expert authority coefficient of 0.90, Kendall coordination coefficients of 0.089 to 0.179 and 0.101 to 0.176 ( P<0.01). The final established core competency indicator system for oncology advanced practice nurses included seven primary indicators and 69 secondary indicators. Conclusions:The core competency indicator system for oncology advanced practice nurses is comprehensive and has the characteristics of specialized oncology nursing, and the construction process is scientific and reliable, laying the foundation for future training of oncology advanced practice nurses.

There are many treatment options for cancer,and patients need to repeatedly weigh the pros and cons when choosing,consider various health risks and the impact on their families,and are prone to decision-making fatigue,which not only affects their decision-making judgment,but also may affect their physical and mental health.This paper summarizes the concept,theoretical model,and evaluation tools of decision fatigue,and summarizes the influencing factors and coping strategies of decision fatigue in cancer patients,which can provide a reference for domestic medical staff to further develop personalized decision support tools and carry out relevant clinical practice and scientific research.

The continuous advancement of medical technology promotes the prolongation of the survival period of patients with gynecological malignant tumors while also bringing a considerable financial burden to the patients. This subjective and objective economic burden faced by cancer patients is referred to as financial toxicity. This article aims to review the concept, assessment tools, influencing factors, and intervention measures of financial toxicity in patients with gynecological malignant tumors, in order to provide a theoretical basis for related research and practice in clinical settings.

The presence of parenting concerns in female breast cancer patients who have to raise minor children can have multifaceted impacts on the patients. This research reviews the concept of parenting concerns in female breast cancer patients, assessment tools, current research status, reasons for its occurrence, multidimensional influences, influencing factors, and intervention measures to provide a theoretical basis for Chinese clinical medical staff to adopt targeted nursing measures for female breast cancer patients raising minor children.

This paper expounds the definition, measurement tools, influencing factors and intervention measures of body image in cancer patients, aiming to provide basis for further clinical research and exploration of effective intervention measures.

Objective:To explore the application effect of time-sensitive incentive theory in malnourished patients with advanced ovarian cancer.Methods:Using the convenient sampling method, a total of 80 malnourished patients with advanced ovarian cancer who were admitted to Liaoning Cancer Hospital and Institute from January 2018 and December 2019 were selected as research objects. According to the random number table, they were divided into the observation group (42 cases) and the control group (38 cases) . Patients in the control group received routine nursing, while the observation group used nursing intervention under time-sensitive incentive theory. Self-Perceived Burden Scale (SPBS) , Chinese version of Strategies Used by People to Promote Health (C-SUPPH) , Self-rating Anxiety Scale (SAS) , Self-rating Depression Scale (SDS) and Social Support Rating Scale (SSRS) were used to compare intervention effects.Results:After intervention, scores of SPBS, SAS and SDS of the observation group were lower than those of the control group, and scores of C-SUPPH and SSRS were higher than those of the control group, and the differences were statistically significant ( P<0.05) . After intervention, the nutritional indexes of the observation group were better than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Nursing intervention under the guidance of time-sensitive incentive theory can effectively reduce self-perception burden of malnourished patients with advanced ovarian cancer, improve anxiety, depression and other unhealthy emotions and improve the nutritional level, self-efficacy and social support of patients.

Objective:To explore effects of life review therapy on self-management efficacy and self-perceived burden in elderly patients with gastric cancer.Methods:Using the convenient sampling method, a total of 80 elderly patients with gastric cancer who were treated and received surgical treatment in Liaoning Cancer Hospital and Institute were selected as the research objects from November 2018 to October 2019. The patients hospitalized from November 2018 to April 2019 were set as the control group, and the patients hospitalized from May to October 2019 were set as the experimental group, with 40 cases in each group. Patients in the control group were given routine nursing, while patients in the experimental group were given life review therapy on the basis of routine nursing. Strategies Used by People to Promote Health (SUPPH) and Self-Perceived Burden Scale (SPBS) were used to compare the effects of interventions. A total of 37 patients in the control group completed the study, while 39 patients in the experimental group completed the study.Results:After the intervention, the total score of SUPPH and scores of positive attitude and self-decompression dimensions of the experimental group were higher than those of the control group, and the differences were statistically significant ( P< 0.05) . There was no statistically significant difference in the score of self-decision dimension between the two groups ( P>0.05) . After the intervention, the total score of SPBS and scores of physical burden and emotional burden dimension of the experimental group were lower than those of the control group, and the differences were statistically significant ( P<0.05) . There was no statistically significant difference in the score of the economic burden dimension between the two groups ( P>0.05) . Conclusions:Life review therapy can improve the self-management efficacy and self-perceived burden of elderly patients with gastric cancer, and it is worthy of promotion and application.

Objective:To explore influencing factors of acceptance degree of advance care planning (ACP) for cancer patients.Methods:Using the convenient sampling method, a total of 180 cancer patients who were diagnosed by histopathology or cytology in Liaoning Cancer Hospital and Institute from May 2019 to December 2019 were selected as the research objects. General data questionnaire, Patient's Advance Care Planning Acceptance Questionnaire (ACPQ) , Eysenck Personality Questionnaire-Revised Short Scale for Chinese (EPQ-RSC) and Social Support Rating Scale (SSRS) were used to investigate them and the influencing factors of ACP acceptance of cancer patients were analyzed.Results:A total of 180 questionnaires were issued in this study, including 173 valid questionnaires. The acceptance score of ACPQ for 173 cancer patients was (69.10±7.05) . The results of multiple linear regression analysis showed that education, residence, children's status, religious belief, length of time to know diagnosis, whether sanguine temperament and social support were the influencing factors for ACP acceptance of cancer patients ( P<0.05) . Conclusions:Cancer patients have an accepting attitude towards ACP and are willing to discuss ACP. The degree of acceptance is affected by many factors such as education level, residence, children's status, religious belief, length of time to know diagnosis, personality traits and social support. It is recommended that the popularization of relevant knowledge should be strengthened before the implementation of ACP, and the targeted population should be selected for trial.

Objective To explore effects of diet detail nursing on swallowing function and quality of life in patients with mild-to-moderate dysphasia after oral cancer surgery. Methods Totally 66 patients with dysphasia after oral cancer surgery in Department of Head and Neck Surgery of Liaoning Cancer Hospital were selected by convenience sampling and divided into control group and observation group by random number table method,with 33 cases in each group. The two groups were given dysphasia training,and the control group was given regular diet nursing,on which basis the observation group was given diet detail nursing. The dysphasia degree was assessed by water swallow test. The pharyngeal contraction rate was evaluated by swallowing radiography,and the correctness of swallowing methods was evaluated. The quality of life of patients was assessed by University of Washington Quality of Life Scale (UWQOL),and the nutritional status and postoperative complications were observed. Results After intervention,the dysphasia degree in observation group was lighter than that in control group (P＜ 0.05). The pharyngeal contraction rates of swallowing dilute fluid and thick fluid in observation group[(34.47±7.56)% and (36.48±9.46)%] were smaller than those in control group [(38.94±9.27)% and (41.46±10.42)%] (P＜ 0.05). The correct rate of swallowing methods in observation group(84.85%) was significantly higher than that in control group (63.64%) (P＜0.05). The scores of five items of swallowing,chewing,mood,anxiety and self-assessment quality of life in observation group were higher than those in the control group (P＜0.05). The serum albumin level in observation group(38.66±4.85g/L) was higher than that in control group (35.84±5.16 g/L) (P＜ 0.05). The incidence rate of aspiration in observation group(12.12%) was smaller than that in control group (33.33%)(P＜ 0.05). Conclusions Diet detail nursing management for patients with dysphasia after oral cancer surgery can guide patients to master the correct swallowing methods,effectively reduce the pharyngeal contraction rate,improve the swallowing ability, reduce the occurrence of aspiration,and improve their quality of life and nutritional status to a certain extent.