2024
HPV Status and Oral Health Symptom Patterning During Treatment and Survivorship in Patients With Head and Neck Cancer: A Longitudinal Analysis.
Dunnack Yackel H, Xu W, Wun Lee J, Cong X, Salner A, Duffy V, Judge M. HPV Status and Oral Health Symptom Patterning During Treatment and Survivorship in Patients With Head and Neck Cancer: A Longitudinal Analysis. Oncology Nursing Forum 2024, 51: 565-575. PMID: 39431692, DOI: 10.1188/24.onf.565-575.Peer-Reviewed Original ResearchConceptsHead and neck cancerOral health symptomsHuman papillomavirusNeck cancerHPV-negative head and neck cancersHealth symptomsHuman papillomavirus statusRetrospective longitudinal chart reviewSocial determinants of healthRegional cancer instituteDeterminants of healthLongitudinal chart reviewConcurrent chemotherapyHPV statusRadiation therapyLatent transition analysisChart reviewSymptom patternsSocial determinantsImprove outcomesCancer InstitutePatientsTime pointsEarly interventionLongitudinal analysis
2023
Work-health balance of cancer survivors returning to work: A meta-ethnography
Wu W, Yackel H, Salner A, Chen M, Judge M, Cong X, Xu W. Work-health balance of cancer survivors returning to work: A meta-ethnography. European Journal Of Oncology Nursing 2023, 68: 102482. PMID: 38070450, DOI: 10.1016/j.ejon.2023.102482.Peer-Reviewed Original ResearchConceptsCancer survivorsMeta-ethnographyHealthcare providersCritical Appraisal Skills Program checklistExperiences of cancer survivorsReturn-to-work processAppraisal Skills Program checklistCancer survivors' experiencesCancer-related concernsQuality of survivorshipWork-health balanceWorking-age adultsRTW processTailored supportWorkplace accommodationsSurvivors' experiencesComprehensive literature searchHealthcare supportCancer casesQualitative studyRTWEmpower survivorsWell-beingLiterature searchSurvivorsSymptom Patterning Across the Cancer Care Trajectory for Patients Receiving Chemoradiation for Head and Neck Cancer
Yackel H, Xu W, Lee J, Cong X, Salner A, Duffy V, Judge M. Symptom Patterning Across the Cancer Care Trajectory for Patients Receiving Chemoradiation for Head and Neck Cancer. Cancer Nursing 2023, 47: 261-270. PMID: 36881642, DOI: 10.1097/ncc.0000000000001227.Peer-Reviewed Original ResearchConceptsSurvivorship periodHead and neck cancerLatent class analysisCancer care trajectorySymptom patternsOptimal symptom managementState Cancer InstituteModerate symptomatologyNeck cancerCare trajectoryClass analysisRetrospective longitudinal chart reviewSymptom managementLongitudinal chart reviewLatent classesReport symptomsCancer InstituteTaste alterationsChart reviewNumerous symptomsSurvivorshipLatent transition analysisSymptomsCancer treatmentActive treatment
2021
Trends, composition and distribution of nurse workforce in China: a secondary analysis of national data from 2003 to 2018
Lu H, Hou L, Zhou W, Shen L, Jin S, Wang M, Shang S, Cong X, Jin X, Dou D. Trends, composition and distribution of nurse workforce in China: a secondary analysis of national data from 2003 to 2018. BMJ Open 2021, 11: e047348. PMID: 34706946, PMCID: PMC8552175, DOI: 10.1136/bmjopen-2020-047348.Peer-Reviewed Original ResearchConceptsNursing workforceSecondary analysisTheil L indexRural areasWithin-province inequalitySecondary outcome measuresAnalysis of national dataPhysician ratioRural-urban areasNursing educationHealth servicesSecondary analysis of national dataReform of policyNursesIncreasingly aging populationEducation levelHospital/community settingsNational dataAging populationWorkforceGini coefficientAssociate degreeEpidemic challengesInequality trendsOverall inequality
2020
Adults’ Self-Management of Chronic Cancer and Noncancer Pain in People with and Without Cognitive Impairment: A Concept Analysis
Kiza A, Cong X. Adults’ Self-Management of Chronic Cancer and Noncancer Pain in People with and Without Cognitive Impairment: A Concept Analysis. Pain Management Nursing 2020, 22: 69-73. PMID: 33132039, DOI: 10.1016/j.pmn.2020.08.007.Peer-Reviewed Original ResearchConceptsSelf-management of chronic painChronic painSelf-managementChronic pain self-managementConcept analysisPain self-managementPatient-provider relationshipChronic pain problemsClinical research literatureMultimodal interventionPain problemsThematic analysisNoncancer painChronic cancerCognitive impairmentLack of conceptual workPainAdultsStandard formResearch literatureDecision makingResource utilizationInterventionNoncancerConceptual workUsing electrodermal activity to validate multilevel pain stimulation in healthy volunteers evoked by thermal grills
Posada-Quintero H, Kong Y, Nguyen K, Tran C, Beardslee L, Chen L, Guo T, Cong X, Feng B, Chon K. Using electrodermal activity to validate multilevel pain stimulation in healthy volunteers evoked by thermal grills. AJP Regulatory Integrative And Comparative Physiology 2020, 319: r366-r375. PMID: 32726157, PMCID: PMC7509251, DOI: 10.1152/ajpregu.00102.2020.Peer-Reviewed Original ResearchConceptsVisual analog scaleThermal grillTg stimulationSelf-report pain scalesStimulation levelsLevel of painPain assessment researchAnalog scalePain scalePain studiesHealthy volunteersInduce painPainful stimulationPainCooperative patientGold standardWarm stimuliStimulationPotential harmStimuliSubjectsPhysiological measuresPatientsLevels
2019
Breastfeeding experiences and perspectives on support among Chinese mothers separated from their hospitalized preterm infants: a qualitative study
Yang Y, Brandon D, Lu H, Cong X. Breastfeeding experiences and perspectives on support among Chinese mothers separated from their hospitalized preterm infants: a qualitative study. International Breastfeeding Journal 2019, 14: 45. PMID: 31695726, PMCID: PMC6824106, DOI: 10.1186/s13006-019-0242-9.Peer-Reviewed Original ResearchConceptsNeonatal intensive care unitPreterm infantsHospitalized preterm infantsMothers of preterm infantsMaternal-infant separationHigh-risk infantsExpressed breast milkIntensive care unitBreastfeeding experienceMother-infant attachmentCare unitBreast milkInfantsBreastfeedingMilk supplyPretermDescriptive studyMothersConclusionsThe studyMethodsA qualitative descriptive studyChinese mothersHealth professional supportNeonatesDifficulties mothersBabiesPain Management in Patients with Heart Failure: A Survey of Nurses’ Perception
Chen J, Walsh S, Delaney C, Cong X. Pain Management in Patients with Heart Failure: A Survey of Nurses’ Perception. Pain Management Nursing 2019, 21: 365-370. PMID: 31623989, DOI: 10.1016/j.pmn.2019.09.004.Peer-Reviewed Original ResearchConceptsAmerican Association of Heart Failure NursesPain management practicesPain managementLack of pain assessment toolsPerception of pain managementInvestigate nurses' perceptionsOpioid useMultiple chronic conditionsHeart failure nursesHF patientsCross-sectional online surveyImpact of painOnline educational modulePain assessment toolsHeart failureKnowledge of opioid useAwareness of painManagement of painNurses' perceptionsManagement of HF patientsChronic conditionsPain assessmentNursesEducational moduleClinical guidelines
2018
Distinct systemic microbiome and microbial translocation are associated with plasma level of anti-CD4 autoantibody in HIV infection
Xu W, Luo Z, Alekseyenko A, Martin L, Wan Z, Ling B, Qin Z, Heath S, Maas K, Cong X, Jiang W. Distinct systemic microbiome and microbial translocation are associated with plasma level of anti-CD4 autoantibody in HIV infection. Scientific Reports 2018, 8: 12863. PMID: 30150778, PMCID: PMC6110826, DOI: 10.1038/s41598-018-31116-y.Peer-Reviewed Original ResearchConceptsAnti-CD4 IgGVirally suppressive antiretroviral therapyAnti-CD4 autoantibodiesHIV+ subjectsMicrobial translocationAntiretroviral therapyAutoantibody productionPlasma levelsCD4+ T-cell recoveryChronically HIV-1-infected patientsPlasma anti-CD4 IgG levelsHealthy controlsPlasma levels of autoantibodiesHIV-1-infected patientsAssociated with plasma levelsElevated microbial translocationSystemic microbial translocationHIV-infected subjectsT-cell recoveryReduced microbial diversityLevels of autoantibodiesLimulus amebocyte assayHIV infectionPlasma microbiomeHIV diseaseFactors Affecting Breastfeeding Outcomes at Six Months in Preterm Infants
Wang Y, Briere C, Xu W, Cong X. Factors Affecting Breastfeeding Outcomes at Six Months in Preterm Infants. Journal Of Human Lactation 2018, 35: 80-89. PMID: 29723482, DOI: 10.1177/0890334418771307.Peer-Reviewed Original ResearchConceptsPreterm infantsPrevalence of breastfeedingLevel of breastfeeding self-efficacyMothers of very preterm infantsFactors associated with exclusive breastfeedingPreterm mother-infant dyadsIntensive careBreastfeeding practicesLate preterm infantsVery preterm infantsInfant gestational ageMonths corrected ageNeonatal intensive careYoung maternal ageElevated EPDS scoresPerception of breastfeeding self-efficacyImprove breastfeeding durationGestational agePostpartum depressive symptomsCorrected ageLongitudinal observational studyPreterm mothersDepressive symptomsPretermMaternal ageNeonatal Abstinence Syndrome
Romisher R, Hill D, Cong X. Neonatal Abstinence Syndrome. Advances In Neonatal Care 2018, 18: e3-e11. PMID: 29360671, DOI: 10.1097/anc.0000000000000462.Peer-Reviewed Original ResearchConceptsNeonatal abstinence syndromeAdvanced practice nursesCross-sectional survey studyRates of neonatal abstinence syndromeSurvey studyResearcher-developed questionnaireSpecific educational programsOpen-ended questionsNurses' attitudesNurse leadersPractice nursesLikert-scale questionsNursing conferencesHealthcare providersEffects of neonatal abstinence syndromeNon-HispanicNursesNeonatal nursesCareEducation programsCare of infantsPractice trendsNew England areaSurvey questionnaireQuestionnairePain self‐management plus nurse‐led support in young adults with irritable bowel syndrome: Study protocol for a pilot randomized control trial
Cong X, Ramesh D, Perry M, Xu W, Bernier K, Young E, Walsh S, Starkweather A. Pain self‐management plus nurse‐led support in young adults with irritable bowel syndrome: Study protocol for a pilot randomized control trial. Research In Nursing & Health 2018, 41: 121-130. PMID: 29388674, PMCID: PMC6415297, DOI: 10.1002/nur.21862.Peer-Reviewed Original ResearchConceptsQuality of lifeSM interventionsHealth outcomesSelf-managementIrritable bowel syndromeNurse-led supportSM behaviorSelf-management instructionsLongitudinal pilot studyYoung adultsPreliminary effectivenessPain neurophysiologyPhone consultationsDistressing symptomsEarly adult yearsBowel syndromePrimary outcomeStudy protocolVideo modulesWell-beingSeverity of symptomsPilot studyAdult yearsInterventionPain
2017
Increase in Oxytocin From Skin-to-Skin Contact Enhances Development of Parent–Infant Relationship
Vittner D, McGrath J, Robinson J, Lawhon G, Cusson R, Eisenfeld L, Walsh S, Young E, Cong X. Increase in Oxytocin From Skin-to-Skin Contact Enhances Development of Parent–Infant Relationship. Biological Research For Nursing 2017, 20: 54-62. PMID: 29017336, DOI: 10.1177/1099800417735633.Peer-Reviewed Original ResearchConceptsSkin-to-skin contactNeonatal intensive care unitStable preterm infantsOT levelsSkin-to-skinParent-infant contactIntensive care unitRandomized crossover studySC levelsPreterm infantsHigher OT levelsCrossover studyOT releaseParental OTParental anxiety scoresDay 1Care unitSalivary cortisolPre-SSCInfant stressInfantsPost-SSCParent-infant interactionOxytocinSaliva samples
2016
A survey of skin-to-skin contact with perinatal nurses
Vittner D, Cong X, Ludington-Hoe S, McGrath J. A survey of skin-to-skin contact with perinatal nurses. Applied Nursing Research 2016, 33: 19-23. PMID: 28096017, DOI: 10.1016/j.apnr.2016.09.006.Peer-Reviewed Original ResearchConceptsImplementation of SSCNurses' responsesPerinatal nursesEducation levelPractice settingsYears of nursing practicePrimary practice settingKnowledge-practice gapCross-sectional survey designSkin-to-skin contactYears of practiceNurses' knowledgeNursing practiceOrdered logistic regressionSSC implementationNursesNurse objectsDescriptive statisticsLogistic regressionSurvey designYears experienceInfluence attitudesEducationPracticeAge differences
2015
Parental oxytocin responses during skin-to-skin contact in pre-term infants
Cong X, Ludington-Hoe S, Hussain N, Cusson R, Walsh S, Vazquez V, Briere C, Vittner D. Parental oxytocin responses during skin-to-skin contact in pre-term infants. Early Human Development 2015, 91: 401-406. PMID: 25988992, DOI: 10.1016/j.earlhumdev.2015.04.012.Peer-Reviewed Original ResearchConceptsPre-term infantsSkin-to-skin contactMaternal skin-to-skin contactAdverse consequences of prematurityDay 1Day 2Consequences of prematurityCross-over studyPost-partum periodMaternal oxytocinOxytocin responseOxytocin mechanismsAnxiety responsesMaternal cortisolOxytocin releaseReduce adverse consequencesOxytocin levelsPost-SSCInfantsOxytocinNeurobiological mechanismsStudy protocolMother-father dyadsReduce stressAnxiety levelsMaternal and Paternal Knowledge and Perceptions Regarding Infant Pain in the NICU
Vazquez V, Cong X, DeJong A. Maternal and Paternal Knowledge and Perceptions Regarding Infant Pain in the NICU. Neonatal Network The Journal Of Neonatal Nursing 2015, 34: 337-344. PMID: 26803015, DOI: 10.1891/0730-0832.34.6.337.Peer-Reviewed Original ResearchConceptsInfant painInfant pain managementPain managementInfant corrected ageSelf-efficacyCorrected ageParental knowledgeInvestigate parental knowledgeModerate to high self-efficacyResearcher-developed questionnairePainPainful proceduresHigher self-efficacyNICUPerceptions of self-efficacyInfantsParents' perceptionsAdequate knowledgeAgePaternal knowledgeSatisfactionParents
2013
Neonatal Nurses' Perceptions of Pain Assessment and Management in NICUs
Cong X, Delaney C, Vazquez V. Neonatal Nurses' Perceptions of Pain Assessment and Management in NICUs. Advances In Neonatal Care 2013, 13: 353-360. PMID: 24042143, DOI: 10.1097/anc.0b013e31829d62e8.Peer-Reviewed Original ResearchMeSH KeywordsAdultAttitude of Health PersonnelCross-Sectional StudiesEducation, Nursing, ContinuingFemaleHealth Care SurveysHumansInfant, NewbornIntensive Care Units, NeonatalIntensive Care, NeonatalMaleMiddle AgedNursing Staff, HospitalPain ManagementPain MeasurementSurveys and QuestionnairesUnited StatesConceptsNational Association of Neonatal NursesPain assessment toolsNeonatal nursesNurses' perceptionsPain toolsPain assessmentNurses' perceptions of knowledgeBarriers to effective pain managementSide effects of pain medicationsEffects of pain medicationsAssessment toolEffective pain managementLack of timeNeonatal nurses' perceptionsResearcher-developed questionnaireResearch-based protocolsPerception of knowledgeConvenience sampleNonpharmacological interventionsNursesLack of knowledgePain managementPain medicationPain protocolContinuing education
2012
Effects of Skin-to-Skin Contact on Autonomic Pain Responses in Preterm Infants
Cong X, Cusson R, Walsh S, Hussain N, Ludington-Hoe S, Zhang D. Effects of Skin-to-Skin Contact on Autonomic Pain Responses in Preterm Infants. Journal Of Pain 2012, 13: 636-645. PMID: 22595172, DOI: 10.1016/j.jpain.2012.02.008.Peer-Reviewed Original ResearchConceptsAutonomic pain responsesIncubator carePreterm infantsHeel stickLow frequency powerHigh frequency powerPain responseSpectral power analysis of heart rate variabilityEffect of skin-to-skin contactNeonatal intensive care unitSkin-to-skin contactLF/HF ratioHeart rateEffective pain interventionIntensive care unitAnalysis of heart rate variabilityKC conditionsBeat-to-beat heart rateRandomized crossover trialSpectral power analysisAffected infantsKangaroo carePretermPain interventionsCrossover trialMaternal consumption of a DHA-containing functional food benefits infant sleep patterning: An early neurodevelopmental measure
Judge M, Cong X, Harel O, Courville A, Lammi-Keefe C. Maternal consumption of a DHA-containing functional food benefits infant sleep patterning: An early neurodevelopmental measure. Early Human Development 2012, 88: 531-537. PMID: 22269042, DOI: 10.1016/j.earlhumdev.2011.12.016.Peer-Reviewed Original ResearchConceptsInfant sleep patternsPlacebo groupSleep organizationInfant sleep/wake stateMaternal DHA intakeFetal neural tissuePlacebo-controlled designPostnatal day 1Early neurobehavioral developmentSleep patternsPlacebo barWeeks gestationPostnatal hoursDouble-blindPregnancy complicationsQuiet sleepActive sleepMaternal consumptionDHA intakeSleep/wake statesDay 1Neurobehavioral developmentPrenatal supplyPregnancyOrganism sleep
2010
Supplementing Relaxation and Music for Pain After Surgery
Good M, Albert J, Anderson G, Wotman S, Cong X, Lane D, Ahn S. Supplementing Relaxation and Music for Pain After Surgery. Nursing Research 2010, 59: 259-269. PMID: 20585222, DOI: 10.1097/nnr.0b013e3181dbb2b3.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnalgesia, Patient-ControlledAttitude to HealthClinical Nursing ResearchCombined Modality TherapyFemaleHumansLaparotomyMaleMiddle AgedMidwestern United StatesMultivariate AnalysisMusic TherapyPain MeasurementPain, PostoperativePatient Education as TopicPostoperative CareRelaxation TherapyTreatment OutcomeConceptsPain managementPatient teachingPT reduces painPatient-controlled analgesiaMultivariate analysis of covarianceDistress ScaleAnalysis of covarianceUnrelieved painReduce painImmediate effectsPainPostoperative patientsMultivariate analysisNursesEffective modalityAnalgesiaDistressInterventionPostoperative painAnalgesicPatientsParticipantsMusicRM effectAbdominal surgery