Psycho‐Oncology最新文献

{"title":"Interventions for Children of Parents With Cancer From the Time of Cancer Diagnosis Through Bereavement: Two Systematic Reviews.","authors":"Paige K Malinowski, Cristina Pozo-Kaderman, Anna C Muriel, Joan Hanania, William F Pirl, Anna Dorste, Chloe Rotman, Greta Jankauskaite, Eileen K Joyce, Sue E Morris","doi":"10.1002/pon.70105","DOIUrl":"10.1002/pon.70105","url":null,"abstract":"<p><strong>Objective: </strong>While there has been increasing attention on caring for children following a parent's cancer diagnosis or death, few studies include scalable evidence-based interventions to facilitate adjustment. The aim of this review was to summarize recent empirical studies that included interventions for minor children (0-18 years) with clear pre- and post-assessments of the child's psychological functioning from the time a parent is diagnosed with cancer through bereavement.</p><p><strong>Methods: </strong>Two separate systematic reviews were conducted for interventions during either a parent's illness or bereavement. We searched Ovid Medline, PsycINFO, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Sociological Abstracts, and Social Services Abstracts for articles published in 2015 and beyond.</p><p><strong>Results: </strong>For the first review, 113 articles were reviewed at the full-text level. Of those, 11 met study inclusion criteria. All were published between 2015-2023 and the sample size ranged from 16-176, including 534 children in total, aged 4-18 years. Thirteen validated measures were used. For the second review, 49 articles were reviewed at the full text level, and only one met criteria. This study, published in 2023, included 20 children aged 7-12 years. Two validated measures were used. Quality assessment indicated a generally low risk of bias and high methodological quality for both reviews.</p><p><strong>Conclusions: </strong>Evidence-based interventions for minor children whose parents have been diagnosed with cancer or who are bereaved during childhood are limited. To standardize and move the field forward, we propose a model to guide the development of interventions for children whose parents have been diagnosed with cancer through bereavement.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70105"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication Interventions Targeting Both Patients and Clinicians in Oncology: A Systematic Review of Randomized Controlled Trials.","authors":"Meghan McDarby, Emily Mroz, Leah E Walsh, Charlotte Malling, Marina Chilov, William E Rosa, Amanda Kastrinos, Kelly M McConnell, Patricia A Parker","doi":"10.1002/pon.70108","DOIUrl":"10.1002/pon.70108","url":null,"abstract":"<p><strong>Background: </strong>High quality communication between individuals with cancer and their clinicians is a cornerstone of patient-centered oncology practice. Many communication skills training interventions have been evaluated to support either oncology clinicians or patients. However, there is little information regarding the scope and efficacy of combined communication interventions in oncology, or communication interventions targeting both patients and clinicians.</p><p><strong>Aims: </strong>To systematically examine randomized controlled trials of combined communication interventions in oncology settings.</p><p><strong>Methods: </strong>Four databases (Pubmed, Embase, PsycINFO, and Cochrane Central Register of Controlled Trials) were searched using strategies developed by an expert librarian. All years were searched through May 2024. We followed PRISMA guidelines for reporting and used the Risk of Bias 2.0 assessment tool.</p><p><strong>Results: </strong>The search yielded 3983 records. We assessed 52 full text articles, 13 of which were eligible (8 describing cluster randomized controlled trials, 5 describing individual randomized controlled trials). Results indicate that combined communication interventions may increase patient-centered communication in oncology settings but may be less effective in improving patient care and related outcomes.</p><p><strong>Conclusions: </strong>Combined communication interventions in oncology settings and the outcomes measured to evaluate them are heterogeneous. This makes it difficult to determine the efficacy of combined communication interventions, the mechanisms by which these interventions improve patient-clinician communication as well as patient care and related outcomes, and which outcomes are most likely to be improved. Future work should clarify key targets of change for combined communication interventions and outcomes expected to be associated with patient-focused and clinician-focused intervention components.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70108"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Dyadic Associations in Benefit Finding and in Fear of Cancer Recurrence Between Childhood Cancer Survivors and Their Parents: Examining Actor and Partner Effects.","authors":"Elise Van Laere, Janne Vanderhaegen, Sofie Prikken, Jurgen Lemiere, Anne Uyttebroeck, Koen Luyckx","doi":"10.1002/pon.70113","DOIUrl":"10.1002/pon.70113","url":null,"abstract":"<p><strong>Background and aim: </strong>Childhood cancer survivors and their parents report both positive and negative psychological late effects, such as fear of cancer recurrence (FCR) and benefit finding. The current study investigated longitudinal dyadic associations among childhood cancer survivors, their mothers, and fathers in benefit finding and FCR to obtain an in-depth understanding of family functioning after pediatric cancer.</p><p><strong>Methods: </strong>This three-wave longitudinal study (covering 2 years) included survivors (aged 14-24, time since diagnosis 2-22 years at T1) and their parents; all reported on benefit finding and FCR. Reciprocal effects in three dyads were examined: (1) survivor-mother dyad (n = 114 at T1), (2) survivor-father dyad (n = 82 at T1), and (3) mother-father dyad (n = 80 at T1). Cross-lagged panel models examined actor and partner effects across time for benefit finding and FCR separately.</p><p><strong>Results: </strong>Actor effects were significant in all models. Dyadic partner effects were found between parents. First, mothers' benefit finding predicted relative increases in fathers' benefit finding across both time intervals. Second, mothers' FCR predicted relative increases in fathers' FCR from T1 to T2, and fathers' FCR predicted relative increases in mothers' FCR from T2 to T3. Moreover, significant correlated changes were found between parents' FCR at T2 and T3.</p><p><strong>Conclusion: </strong>Results support substantial actor effects and some dyadic partner effects between parents in experiencing psychological late effects. To improve survivorship care for families, psychological late effects of each family member and their interplay between members-especially among parents-needs to be taken into account, both in research and clinical practice.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70113"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Behavioral Research in Post-Treatment Cancer Care in Sub-Saharan Africa: A Scoping Review.","authors":"Motolani E Ogunsanya, Jessica Saintibert, Opeyemi O Bolajoko, Danetta Hooks, Shari Clifton, Folakemi T Odedina","doi":"10.1002/pon.70106","DOIUrl":"10.1002/pon.70106","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review explores the multifaceted experience of cancer survivorship in Sub-Saharan Africa (SSA), with a focus on the post-treatment phase. The primary objective is to examine the psychosocial, cultural, and economic factors that influence post-treatment survivorship care and outcomes.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted using databases such as Web of Science Core Collection to identify studies published between 2000 and 2023. Eligible studies focused on post-treatment cancer survivorship in SSA. Data were extracted, analyzed, and synthesized to identify key themes and research gaps.</p><p><strong>Results: </strong>The review identified substantial psychological distress among survivors, including depression, anxiety, and insomnia, often exacerbated by financial toxicity and limited access to psychosocial support services. Cultural factors, such as spiritual beliefs, reliance on traditional healers, and cancer-related stigma, influenced healthcare-seeking behaviors and overall well-being. Despite these challenges, social support networks, religiosity, and targeted psychosocial interventions improved emotional resilience and quality of life. However, major gaps remain, including insufficient integration of cultural beliefs into survivorship care, inadequate long-term follow-up (LTFU) programs, limited oncofertility support, and a lack of regionally diverse and longitudinal data.</p><p><strong>Conclusions: </strong>Cancer survivorship in SSA is shaped by intricate psychosocial, cultural, and economic dynamics that extend beyond clinical care. Addressing these challenges requires culturally sensitive, evidence-based interventions, including financial counseling, spiritual care integration, and the establishment of structured LTFU programs. Additionally, expanding access to oncofertility support and integrating culturally relevant psychosocial services can further enhance survivorship outcomes. Strengthening collaboration between policymakers, healthcare providers, and researchers-through interdisciplinary task forces, psycho-oncology workforce development, and community-driven initiatives-is essential for improving post-treatment outcomes and advancing cancer survivorship care in SSA.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70106"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11902885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and Caregiver Education to Support Self-Efficacy and Self-Management During Immunotherapy-An Integrative Review.","authors":"Camilla S Rothausen, Karin B Dieperink, Christina H Ruhlmann, Helle Pappot, Lærke K Tolstrup","doi":"10.1002/pon.70100","DOIUrl":"10.1002/pon.70100","url":null,"abstract":"<p><strong>Background: </strong>Immune checkpoint inhibitors (ICI) have improved cancer treatment, but this treatment can lead to immune-related adverse events (irAEs). Effective patient and caregiver education is essential to better management of irAEs and improved treatment outcomes.</p><p><strong>Objective: </strong>This integrative review aimed to elucidate how patient education on ICI efficacy and toxicity management affects patients with cancer and their family caregivers' self-efficacy and self-management when dealing with irAEs.</p><p><strong>Methods: </strong>An integrative review was conducted. EMBASE, MEDLINE, CINAHL, PsycINFO, and Scopus were searched for original research articles. Studies on educational interventions related to ICI and how it affects self-efficacy and self-management of irAEs were included. Data were analyzed using thematic analysis.</p><p><strong>Results: </strong>Of 4182 references screened; seven studies were included. Three themes emerged: (a) Feasibility of various strategies in patient education, (b) The effect of patient education on self-efficacy, and (c) Determinants to improve self-management of irAEs.</p><p><strong>Conclusion: </strong>While traditional patient education methods (oral and/or written information) remain valuable, integrating digital technologies is promising to enhance understanding of ICI. Patient education, especially when combined with follow-up, can improve health-related quality of life and self-efficacy. However, health literacy plays a critical role in treatment and management of irAEs, emphasizing the need for personalized education approaches.</p><p><strong>Trial registration: </strong>The protocol is registered with PROSPERO (No. CRD42024511513).</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70100"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143516517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Influence of Virtual Reality on Psychological Variables Within Paediatric Oncology Treatment: A Systematic Review.","authors":"Edward Philcox, Emily Watson, Nicholas Hudson","doi":"10.1002/pon.70118","DOIUrl":"10.1002/pon.70118","url":null,"abstract":"<p><strong>Introduction: </strong>Virtual reality (VR) is a burgeoning technology with applications across healthcare. It remains unclear what the effect of VR on psychological factors within paediatric oncology is.</p><p><strong>Method: </strong>A systematic review was conducted according to PRISMA guidelines. 436 records were screened against the inclusion and exclusion criteria, with adult focused studies, those with an unclear definition of VR, and non-oncology-based studies excluded. Once final studies were identified, an effect direction plot and narrative review was completed.</p><p><strong>Results: </strong>Seventeen records met criteria. Ten studies were RCTs, the remaining studies (n = 7) were various designs. Psychological factors included impact on anxiety, distress, depression, and positive psychological variables.</p><p><strong>Conclusions: </strong>Some studies indicated some positive effects on psychological variables whilst other results from the studies were mixed, with non-significant findings. It is difficult to reach firm conclusions regarding the effect of VR, given the poor quality of studies, risk of bias, and the unresolved issue of how the quality of VR platform may influence outcomes.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70118"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pancreatic Cancer Patients Supportive Care Needs: A Qualitative Analysis.","authors":"Sara E Fleszar-Pavlovic, Roberto M Benzo, Rui Gong, Amber Browder, Aria Nawab, Arianna E Brito, Nipun B Merchant, Frank J Penedo","doi":"10.1002/pon.70135","DOIUrl":"10.1002/pon.70135","url":null,"abstract":"<p><strong>Objective: </strong>Pancreatic cancer (PaCa) patients face a 5-year survival rate of just 13%. Most patients present with unresectable disease and endure aggressive treatments with significant chronic and debilitating side effects. PaCa patients also experience significant unmet supportive care needs (e.g., physical, psychological, informational/educational); however, limited qualitative studies have explored the specific needs of racially and ethnically diverse PaCa populations.</p><p><strong>Aims: </strong>This study identified supportive care needs in a racially and ethnically diverse sample of PaCa survivors.</p><p><strong>Methods: </strong>As part of a larger project to develop a psychosocial symptom management intervention, semi-structured qualitative interviews were conducted with PaCa survivors to explore the supportive care needs at diagnosis and after treatment. Qualitative data were analyzed using Rapid Qualitative Analysis, and personal/medical characteristics were analyzed using descriptive statistics.</p><p><strong>Results: </strong>PaCa survivors (n = 18; M_age = 64) participated, with the majority identifying as female (66.7%), White (88.9%), and Hispanic (55.6%). Over one-third completed interviews in Spanish. Four themes emerged: (1) information/health system needs, including difficulty understanding complex medical concepts, limited holistic care, post-treatment symptom management, and health behaviors; (2) psychosocial needs related to quality of life and relationships with family and healthcare providers; (3) physical and functional needs, including persistent side effects and lifestyle changes; and (4) positivity and gratitude.</p><p><strong>Conclusions: </strong>We emphasize the themes of unmet supportive care needs in a racially and ethnically diverse sample of PaCa survivors. These findings underscore the importance of developing interventions to address these gaps and improve the overall quality of life for diverse PaCa patients.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70135"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions About Care and Support Among Cancer Survivors With Severe Mental Health Conditions.","authors":"Anat Vass, Marc Gelkopf, Adi Ivzori-Erel, Mordechai Alperin, Hadass Goldblatt, Miri Cohen","doi":"10.1002/pon.70117","DOIUrl":"10.1002/pon.70117","url":null,"abstract":"<p><strong>Background: </strong>Research on the attitudes and support received by cancer survivors with preexisting severe mental health conditions (SMHC) from their families and oncology professionals is lacking.</p><p><strong>Aims: </strong>To explore how individuals with SMHC perceive and experience family and oncology team attitudes and care.</p><p><strong>Methods: </strong>Participants were 25 cancer survivors, 6 men and 18 women, aged 26-86 with preexisting SMHC. The interpretive phenomenological approach and reflexive thematic analysis were used to capture participants' lived experiences.</p><p><strong>Results: </strong>Two themes emerged: (a) \"They don't take us seriously\": perceived family attitudes and support; and (b) \"It was basically like ice\": perceived care from oncology professionals. From these two themes, a core typology was developed, exemplifying the parallel experience and perceptions of care of family members and oncology team: negative attitudes and inadequate support reported by most participants; receiving the essential but unemotional and detached care reported by some participants; and experiencing positive attitudes and adequate support expressed by a few. In some cases, following a cancer diagnosis, family members became more positive. Many participants experienced the oncology professionals' attitudes as affected by stigma and lack of attention to their unique situation.</p><p><strong>Conclusion: </strong>Oncology professionals should address survivors' needs for equality, dignity, humanity, and privacy in terms of care to improve their psychological well-being. In addition, family members supporting a patient with SMHC should receive sufficient information and tools to promote better care.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70117"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11911293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health Challenges in Cancer Survivors From Diverse Backgrounds During COVID-19 Pandemic: Insights From the All of Us Research Program.","authors":"Zhiyu Qian, Mansoo Cho, Kevin Zhangxu, Faith Morley, Henry K Onyeaka, Daniel R Stelzl, Filippo Dagnino, Hanna Zurl, Stephan M Korn, Alexander P Cole, Hermioni L Amonoo, Kevin H Kensler, Quoc-Dien Trinh","doi":"10.1002/pon.70119","DOIUrl":"10.1002/pon.70119","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic exacerbated mental health challenges. This study aimed to investigate the mental health impact of the pandemic on cancer survivors from diverse backgrounds using the All of Us Research Program's COVID-19 Participant Experience (COPE) survey.</p><p><strong>Methods: </strong>This analysis included respondents of the COPE survey with average depression, anxiety, and self-harm metrics computed for individuals completing multiple survey iterations. Multivariable logistic regression assessed the relationship between cancer survivorship, demographic factors, and mental health outcomes. Sensitivity analyses were conducted to investigate peak mental health challenges and time trend.</p><p><strong>Results: </strong>Among 100,203 respondents, 20,561 (20.5%) were cancer survivors. Cancer survivors differed demographically from the general population, tending to be older and more likely to report higher socioeconomic status. Cancer survivors exhibited significantly higher odds of self-harm (aOR = 1.09, 95% CI 1.01-1.18). Sensitivity analyses focusing on peak mental health scores revealed that cancer survivors had significantly increased odds of experiencing anxiety (aOR = 1.11, 95% CI 1.06-1.17), depression (aOR = 1.11, 95% CI 1.06-1.17), and self-harm tendencies (aOR = 1.09, 95% CI 1.01-1.18) compared to non-cancer survivors. Within the cancer survivor subgroup, younger age, gender and sexual minority status, lower income, and widowed/separated/divorced status were associated with worse mental health outcomes.</p><p><strong>Conclusion: </strong>During the COVID-19 pandemic, cancer survivors exhibited significantly higher odds of depression, anxiety, and self-harm compared to non-survivors, with certain subgroups demonstrating heightened vulnerability. Our study highlights the critical need for integrated mental health services in cancer survivorship care programs, especially among those from underserved groups who are at high risk, as we continue to evolve with the pandemic.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70119"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Life Experience of Patients Living With Urostomy: A Meta-Synthesis of Qualitative Research.","authors":"Yanqing Kang, Yingying Zhu, Gaoting Zhong, Aili Lv, Rui Gao, Ning Li, Cong Li, Tianmeng Wang, Ya Zhang","doi":"10.1002/pon.70096","DOIUrl":"10.1002/pon.70096","url":null,"abstract":"<p><strong>Objective: </strong>Urostomy profoundly alters the body image of bladder cancer patients, leading to a series of physiological, psychological, social, and functional changes. This review aims to synthesize qualitative research on urostomy patients' life experiences to provide healthcare professionals with a complete understanding of the patient's problems and needs, thereby guiding the development of interventions and continuous care services.</p><p><strong>Methods: </strong>This review adhered to the ENTREQ guide. The Cochrane, EMBASE, Ovid (Medline), Web of Science Core Collection, PubMed, EBSCO, CNKI, VIP, and Wan Fang databases were searched for qualitative studies on the life experience of urostomy patients. The search period was from the earliest available records in each database to June 2024. This review selected studies based on the study's objectives and predetermined criteria. The data was synthesized using a meta-aggregation method.</p><p><strong>Results: </strong>A total of 17 studies were included in the synthesis. This review included 242 patients. The 32 qualitative findings were distilled into nine new categories and synthesized into three findings: (1) Facing multiple pressures and challenges that disrupt normalcy; (2) The existence of multidimensional unmet needs; and (3) Growing up after trauma and achieving life reconstruction.</p><p><strong>Conclusions: </strong>Urostomy patients face complex physiological, psychological, and social challenges. These challenges require a comprehensive understanding of patients' experiences, life adjustments, and unmet needs. Healthcare professionals should address these aspects, support patients through their adjustment to stoma life, and enhance their self-care abilities to improve their quality of life.</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 3","pages":"e70096"},"PeriodicalIF":3.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}