Lilian J. Shin-Cho , Eunju Choi , Lenna Dawkins-Moultin , Celia C.Y. Wong , Maria Borjas , Fei Fei , Yusi Xu , Minxing Chen , Carlos H. Barcenas , Yisheng Li , Qian Lu
{"title":"Feasibility and acceptability of an online expressive writing intervention for rural breast cancer survivors: A randomized controlled trial","authors":"Lilian J. Shin-Cho , Eunju Choi , Lenna Dawkins-Moultin , Celia C.Y. Wong , Maria Borjas , Fei Fei , Yusi Xu , Minxing Chen , Carlos H. Barcenas , Yisheng Li , Qian Lu","doi":"10.1016/j.ejon.2025.102790","DOIUrl":"10.1016/j.ejon.2025.102790","url":null,"abstract":"<div><h3>Purpose</h3><div>Rural breast cancer survivors (BCS) have unique unmet psychosocial needs that affect quality of life (QOL). Expressive writing (EW) has been shown to improve QOL in cancer survivors, however, its applicability is unclear among rural individuals. This pilot study explores the feasibility and acceptability of an online expressive writing (EW) intervention among rural breast cancer survivors (BCS).</div></div><div><h3>Methods</h3><div>Participants (<em>N</em> = 34) were recruited from a cancer hospital's registry and randomly assigned to either a control group or the EW intervention group to read positive messages and to write about their cancer experience three times, once per week. Health outcomes were assessed at baseline and 1 month after the intervention. Feasibility and acceptability were also assessed.</div></div><div><h3>Results</h3><div>The study yielded a satisfactory response rate, adherence rate, and completion rate. The majority of the participants reported enjoying the study. Preliminary analyses also demonstrated promising efficacy of the intervention, with improvements (medium effect size) observed for QOL (<em>d</em> = 0.51) and fatigue (<em>d</em> = −0.64) in the intervention group compared to the control group at 1-month follow-up.</div></div><div><h3>Conclusions</h3><div>The study demonstrates feasibility and acceptability of an online EW intervention among rural BCS. Future research is warranted to examine the efficacy of the intervention in larger samples of rural cancer survivors.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102790"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Céspedes , Vanessa Sánchez-Martínez , Cristina Buigues
{"title":"Experience of hormone therapy among postmenopausal women diagnosed with early breast cancer receiving a multimodal exercise and health education programme: A qualitative study","authors":"Pedro Céspedes , Vanessa Sánchez-Martínez , Cristina Buigues","doi":"10.1016/j.ejon.2024.102763","DOIUrl":"10.1016/j.ejon.2024.102763","url":null,"abstract":"<div><h3>Purpose</h3><div>Hormone therapy (HT) is safe and effective in reducing breast cancer (BC) relapse rates and increasing disease-free periods. However, its various adverse physical and psychological effects could affect women's quality of life. These could be improved through a multimodal programme including physical exercise and health education. There is limited evidence regarding the experience of HT and the impact such a programme might have among women with breast cancer.</div></div><div><h3>Methods</h3><div>This is a qualitative phenomenological study with a descriptive approach. Data were collected using face-to-face semi-structured interviews; the content analysis technique was applied. The study population were women diagnosed with localized BC under treatment with HT, who were participating in a multimodal physical exercise and health education programme as a supplementary oncological therapy.</div></div><div><h3>Results</h3><div>Fifteen interviews were conducted. Four main themes emerged: adverse effects of the HT, experience with professionals, support from family and friends with the HT and the programme, and the impact of the multimodal exercise programme as a therapeutic complement.</div></div><div><h3>Conclusion</h3><div>The participants identified physical and psychological adverse effects of HT. Most of them reported that when receiving usual care, they received reduced attention to their mental health, observed a lack of time in their appointments with professionals, and an absence of information about HT and the self-care it entails to maintain health. The multimodal programme was seen as a tool for improving their physical, emotional and social health, reducing the adverse effects of the adjuvant HT, a comprehensive source of information and a motivational boost for performing their self-care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102763"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiali Gong , Meizhen Chen , Huamin Luo , Qiuping Li
{"title":"Effects of a couple-based self-efficacy intervention on health outcomes among colorectal cancer patients and spousal caregivers: A randomized controlled trial","authors":"Jiali Gong , Meizhen Chen , Huamin Luo , Qiuping Li","doi":"10.1016/j.ejon.2024.102737","DOIUrl":"10.1016/j.ejon.2024.102737","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to assess the feasibility and acceptability of a couple-based self-efficacy (SE) intervention, and to examine the effects of the intervention on health outcomes for CRC couples.</div></div><div><h3>Methods</h3><div>An assessor-blinded, two-armed, randomized controlled design was used. The study randomly assigned 144 patients hospitalized for colorectal cancer to receive either the SE intervention or the usual care. SE was the primary outcome. The secondary outcomes included quality of life and mental health (positive emotions and negative emotions). Repeated measures analysis of variance was used to examine the data.</div></div><div><h3>Results</h3><div>The recruitment and retention rates were 80% and 87.5%, respectively. First, we found that patients scored significantly higher on anxiety (<em>p</em> = 0.001), depression (<em>p</em> = 0.001) and benefit findings (<em>p</em> = 0.009) than did spousal caregivers, whereas spousal caregivers scored significantly higher than patients on the quality of life (<em>p</em> < 0.001 for both physical scores and mental scores) in the SE group. Second, immediately after the intervention, the SE group showed statistically significant improvements were found in SE (<em>p</em> < 0.001 for both couples), quality of life (mental scores) (<em>p</em> = 0.002 for spousal caregivers), negative emotion (anxiety, <em>p</em> < 0.05 for both couples; depression, <em>p</em> = 0.03 for patients), and positive emotion (benefit findings) (<em>p</em> < 0.001 for both couple) when compared to the control group.</div></div><div><h3>Conclusion</h3><div>A couple-based SE intervention significantly improved SE, quality of life (mental scores), and psychological well-being, suggesting a short-term intervention effect.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102737"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vicky Lehmann , Stephanie Both , Henk W. Elzevier , Jacqueline Tromp , Brenda den Oudsten
{"title":"“I wanna know what to expect” - Care needs regarding sexual and reproductive health after cancer in adolescence and young adulthood (AYA) and recommendations for providers","authors":"Vicky Lehmann , Stephanie Both , Henk W. Elzevier , Jacqueline Tromp , Brenda den Oudsten","doi":"10.1016/j.ejon.2025.102791","DOIUrl":"10.1016/j.ejon.2025.102791","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess care needs related to sexual and reproductive health of patients and survivors diagnosed with cancer during adolescence and young adulthood (AYA).</div></div><div><h3>Methods</h3><div>Participants (<em>N</em> = 190) were predominantly female (87.4%) and diagnosed with cancer between age 12–39 years. Common diagnoses included breast cancer (37.1%) or leukemia/lymphoma (27.2%). Cancer patients/survivors completed an online survey, which assessed care needs regarding sexual health and fertility/reproductive health. They provided written open answers, which were qualitatively analyzed.</div></div><div><h3>Results</h3><div>Care needs related to sexual health varied and included a need for more information about possible effects on sexual health, which will enable patients/survivors to better anticipate (physical and mental) side effects of cancer on sexual health. AYA patients/survivors need support from providers who normalize the topic of sex, who offer guidance in coping with numerous questions, who provide resources and practical tips and tricks, and who refer to specialists if needed. Participants would like providers to initiate conversations and communicate openly and honestly without taboo, bias, or shame. Care needs regarding reproductive health included needing support in navigating reproduction after cancer, while unmet information needs were central. This included needing information about fertility status and assessment options, reproduction/contraceptives, the safety of pregnancies, and the (im)possibility of alternatives to biological parenthood.</div></div><div><h3>Conclusion</h3><div>Communication is key in informing and supporting AYA cancer patients and survivors regarding their sexual and reproductive health. Providers should assess individual patients'/survivors’ needs and tailor information that is tangible accordingly. Additional recommendations for healthcare providers are presented.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102791"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Holm Gyldenvang , Karin Piil , Tina Helene Dahl , Tina Grace Paulsen , Charlotte Ebba Cathrina von Blixen Finecke , Ulla B. Mathiesen , Tom Møller , Christina Andersen
{"title":"Changing an exercise behaviour for physically inactive patients with breast cancer during chemotherapy- the critical role of nurse support: An implementation study","authors":"H. Holm Gyldenvang , Karin Piil , Tina Helene Dahl , Tina Grace Paulsen , Charlotte Ebba Cathrina von Blixen Finecke , Ulla B. Mathiesen , Tom Møller , Christina Andersen","doi":"10.1016/j.ejon.2025.102807","DOIUrl":"10.1016/j.ejon.2025.102807","url":null,"abstract":"<div><h3>Purpose</h3><div>This implementation study investigates the feasibility of a nurse-led pedometer intervention and motivational counselling for physically inactive people with breast cancer undergoing chemotherapy in a real-world oncology outpatient setting. It also evaluates the effectiveness of supportive conversations with specialized nurses in terms of behavior change.</div></div><div><h3>Methods</h3><div>Nurses were trained through an 8-h educational program to deliver the intervention. Patients received a pedometer at the start of chemotherapy and attended individual nurse-led counselling sessions every three weeks, focusing on activity levels, motivational factors, and goal setting. Follow-up continued until one year after baseline. The study comprises of qualitative data in form of interviews and quantitative data from a questionnaire to evaluate the feasibility.</div></div><div><h3>Results</h3><div>Twenty patients participated. Motivational counselling by nurses was seen as fundamental for increasing physical activity. Eight out of 19 patients increased or maintained the number of steps they took during chemotherapy. At one-year follow-up, 12 patients were still using the pedometer, and 16 patients felt motivated by the nurses’ conversations. Four themes emerged from interviews: 1) supportive and motivating conversations, 2) pedometers provide comfort and discomfort, 3) behavioral changes in everyday life, and 4) ownership and commitment.</div></div><div><h3>Conclusions</h3><div>Nurse-led conversations and pedometers have high impact on change health behaviors in physically inactive people undergoing oncological treatment for breast cancer. The intervention can be easily implemented as it required few resources and minor structural changes.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102807"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carolina Oliveira , Isabel C. Lisboa , Luciana Sotero , Ana Paula Relvas
{"title":"Behind the scenes of palliative care: Qualitative study with oncology family caregivers","authors":"Carolina Oliveira , Isabel C. Lisboa , Luciana Sotero , Ana Paula Relvas","doi":"10.1016/j.ejon.2025.102789","DOIUrl":"10.1016/j.ejon.2025.102789","url":null,"abstract":"<div><h3>Purpose</h3><div>Long-term caregiving tasks can be exhausting for family caregivers, resulting in high psychological morbidity. The study aims to explore the experiences, challenges, and strengths of family caregivers providing care for cancer patients in palliative care, in-patient or at home.</div></div><div><h3>Method</h3><div>Nine caregivers were included, predominantly women aged 34 to 70, from various regions of Portugal. They participated in four focus groups between May 2021 and May 2022, held online due to COVID-19 restrictions. A qualitative research methodology was employed, using semi-structured interviews conducted through focus groups. Data were analyzed using thematic analysis to identify key themes in caregivers' experiences.</div></div><div><h3>Results</h3><div>The study revealed several challenges, categorized into three main themes, listed in order of frequency: (lack of) communication, pain and suffering, and caregiver burden. Death emerged as a meta-category. Despite these difficulties, caregivers identified sources of strength and support that helped them cope during this time.</div></div><div><h3>Conclusions</h3><div>The findings underscore the profound impact of caregiving on family members and highlight the need for enriched support systems and interventions to reduce caregiver burden and suffering, boosting their resources. Despite its limitations, the study's diverse and rich content illustrate the value of group settings in fostering belonging and comfort among caregivers.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102789"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Charlotte Ryan , Dervla Kelly , Rajnish K. Gupta , Hilary O Leary , Ruth Clifford , Amirhossein Jalali , Firinna McKenna Beattie , Shirley Baker , Fidelma Hackett
{"title":"Lymphoma follow-up pathway: A 10-year study to guide practice","authors":"Charlotte Ryan , Dervla Kelly , Rajnish K. Gupta , Hilary O Leary , Ruth Clifford , Amirhossein Jalali , Firinna McKenna Beattie , Shirley Baker , Fidelma Hackett","doi":"10.1016/j.ejon.2024.102757","DOIUrl":"10.1016/j.ejon.2024.102757","url":null,"abstract":"<div><h3>Purpose</h3><div>Lymphoma survivors who have received curative intent treatment are currently followed up at defined time points in medical and nurse-led clinics often indefinitely. The follow up protocol is often at the discretion of the treating physician. The aim of the study was to explore the clinical, biochemical and radiological presentation of patients with Diffuse Large B-cell Lymphoma (DLBCL) and Hodgkin Lymphoma (HL) treated with curative intent at the point of recurrence from first remission, and to understand if recurrence was detected at scheduled follow up.</div></div><div><h3>Methods</h3><div>A cross-sectional study of patients with DLBCL & HL on surveillance was carried out. Statistical analysis was performed to describe the clinical, biochemical and radiological characteristics of patients with DLBCL and HL at recurrence and to estimate the time to reoccurrence using the Kaplan–Meier estimator.</div></div><div><h3>Results</h3><div>There was a substantial number of patients with DLBCL & HL treated with curative intent on surveillance programmes (N = 226). Small numbers of this patient group relapsed (13%) with most of these occurring within 5 years of achieving remission (73%). In all cases relapse was detected at an unscheduled appointment, most often initiated by a patient reported symptom (97%).</div></div><div><h3>Conclusion</h3><div>The evidence for a benefit of routine follow-up, particularly beyond 5 years, for detecting relapse is unsupported. However, the multiple survivorship benefits of routine follow-up visits must also be considered. A personalised follow up Lymphoma pathway with direct access, provision of an end of treatment care plan, and signposting to survivorship services is recommended.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102757"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and predictors of compassion fatigue among Australian oncology nurses caring for adult cancer patients: A cross-sectional study","authors":"Janneka Banks , Deependra Kaji Thapa , Violeta Lopez , Ashlyn Sahay , Michelle Cleary","doi":"10.1016/j.ejon.2025.102792","DOIUrl":"10.1016/j.ejon.2025.102792","url":null,"abstract":"<div><h3>Purpose</h3><div>Compassion fatigue can impact oncology nurse's personal and professional life, which may, in turn, affect the quality of patient care. The aim of this study was to estimate the prevalence of compassion fatigue and identify risk and protective factors among Australian oncology nurses caring for adult cancer patients.</div></div><div><h3>Methods</h3><div>170 Australian oncology nurses caring for adult cancer patients completed a cross-sectional online survey comprising demographic information, the Professional Quality of Life, the HEXACO Personality Inventory-Revised and the Practice Environment Scale of the Nursing Work Index. Scores for each subscale of the Professional Quality of Life and corresponding prevalence rates were identified. The association of demographic factors, personality domains, and work environments with the Professional Quality of Life subscales were analysed using multiple linear regression.</div></div><div><h3>Results</h3><div>The mean scores of compassion satisfaction, burnout, and secondary traumatic stress were 40.02, 24.72 and 22.68, respectively. The composite score of the Practice Environment Scale of the Nursing Work Index subscales was positively associated with compassion satisfaction and negatively associated with burnout and secondary traumatic stress. The only personality domain statistically significant to all subscales of the Professional Quality of Life was extraversion.</div></div><div><h3>Conclusion</h3><div>Oncology nurse's practice environment and personality traits, particularly extraversion, have been identified as key protective factors against compassion fatigue.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102792"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Regional economic level moderates the impact of patients' and family carers’ cancer-related work changes and hospital level on financial toxicity in China: A multi-centre cross-sectional study","authors":"Binbin Xu , Winnie K.W. So , Kai Chow Choi","doi":"10.1016/j.ejon.2025.102782","DOIUrl":"10.1016/j.ejon.2025.102782","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore how regional economic levels moderate the relationships between cancer-related financial toxicity (FT) and its associated risk factors.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted using data from a cross-sectional survey of 1208 adult patients with cancer, conducted in six tertiary and six secondary hospitals across three Chinese provinces from February to October 2022. The interactions between the regional economic level-categorised as high- or low-/middle-income based on the gross domestic product per capita- and 13 previously identified risk factors for FT were examined via moderation analysis using the PROCESS macro for SPSS software.</div></div><div><h3>Results</h3><div>Regional economic level moderated the impacts of both patients' and family carers’ negative work changes due to cancer and the hospital level on FT (all p-values for interaction effect <0.05). Job changes had more severe effects on FT in high-income regions (patients: B = −2.07, standard error [SE] = 0.67, p = 0.002; carers: B = −1.58, SE = 0.66, p = 0.017), while treatment in tertiary hospitals had a stronger negative impact on FT in low-/middle-income regions (B = 1.81, SE = 0.87, p = 0.037).</div></div><div><h3>Conclusions</h3><div>These findings highlight the need for region-specific FT mitigation strategies. In high-income regions, more attention could be paid to managing the adverse work-related effects of cancer on patients and their families. In low-/middle-income regions, increased awareness and management of cancer-related FT in tertiary hospitals is needed. Future research should explore other risk factors associated with FT that may be moderated by regional economic levels.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102782"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sen Hoang Thi Ngoc , Duyen Duong Vy , Huyen Ngo Thi Thu , Huong Hoang Thi Xuan
{"title":"End-of-life care preferences among cancer patients: A cross-sectional study in Vietnam","authors":"Sen Hoang Thi Ngoc , Duyen Duong Vy , Huyen Ngo Thi Thu , Huong Hoang Thi Xuan","doi":"10.1016/j.ejon.2025.102813","DOIUrl":"10.1016/j.ejon.2025.102813","url":null,"abstract":"<div><h3>Purpose</h3><div>Honoring the end-of-life care preferences of cancer patients is indispensable for improving both the quality of life of patients and the quality of care they receive. This study aimed to explore end-of-life care preferences among cancer patients and related factors.</div></div><div><h3>Methods</h3><div>The cross-sectional study was conducted in a primary oncology hospital. G∗power was used to calculate the sample size. Convenience and proportional sampling methods were applied to collect data. Data collection was conducted from December 2023 to May 2024. Three instruments were used to investigate: 1) general and health information, 2) experiences and attitudes with end-of-life care for relatives, and 3) end-of-life care preferences. Data were analyzed using by the Fisher exact test.</div></div><div><h3>Results</h3><div>There were 280 participants in the study. The most important preferences of cancer patients were receiving the full truth regarding their illness, relieving distressing symptoms, having loved ones around when needed, being treated both physically and psychologically, not being a physical or psychological burden to family, and feeling meaningful life. The lowest percentage of agreement was for using active euthanasia. The findings showed difference in end-of-life care preferences between satisfaction with life, the experience of witnessing the relatives passing away at home, and attitude toward being remembered after death (p-values of 0.03, 0.02, and 0.04, respectively).</div></div><div><h3>Conclusion</h3><div>It is vital for medical staff to understand end-of-life care preferences in order to provide appropriate support for cancer patients, thereby optimizing their quality of life in the final stage and improving the quality of care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102813"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}