Factors influencing the hope of patients with advanced cancer while receiving cancer pharmacotherapy.
Mari Kitashita, Kumi Suzuki
PMID 40051128WHAT IT FOUND
Hope was higher in women, employed patients, and those without economic deprivation; it was also higher with more social support and less nausea and sleepiness.
Key findings
01The mean hope score was 35.59 on a 0 to 48 scale, where higher scores mean more hope.
02Hope was significantly higher in women, employed patients, and those without economic deprivation.
03More severe nausea and sleepiness were associated with lower hope in the regression model.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Cross-sectional design cannot show that these factors caused lower or higher hope. Participants were limited to lung, colorectal, and breast cancer, had performance status 0 or 1, and could complete questionnaires, so results may not apply to more disabled patients or other cancers. Excluding patients with mental disorders and cognitive or visual impairments may miss groups who need psychosocial support. The study used self-reported hope and symptoms, so responses could be influenced by current distress. Data came from six Japanese sites, so generalizability to other settings may be limited.
Declared interests
The authors declared no conflicts of interest. Funding was from the Japan Society for the Promotion of Science.
The easy way to misread this
Do not conclude that these factors cause hope or that an intervention will improve hope. The study was cross-sectional and only showed associations among patients with advanced cancer who had performance status 0 or 1 and could complete questionnaires.