European Journal of Oncology Nursing最新文献

{"title":"Post-traumatic stress disorder symptoms and associated factors in newly diagnosed breast cancer survivors: A cross-sectional study","authors":"Yingqi Xiao ,&nbsp;Kaihan Yang ,&nbsp;Feifei Zhang ,&nbsp;Zhuyue Li ,&nbsp;Xiaolian Jiang","doi":"10.1016/j.ejon.2024.102776","DOIUrl":"10.1016/j.ejon.2024.102776","url":null,"abstract":"<div><h3>Purpose</h3><div>The research aimed to investigate the prevalence of PTSD in newly diagnosed Chinese women with breast cancer and to distinguish a munber of sociodemographic, disease-related and psychosocial factors connected with the severity of PTSD symptom.</div></div><div><h3>Methods</h3><div>This cross-sectional study recruited 674 newly diagnosed Chinese women with breast cancer at three tertiary level a general hospitals in Chengdu, China between August 2022 and May 2023. And questionnaires about general information, locus of control, social support, coping styles, emotional regulation and PTSD were filled out. Multiple linear regression analysis was applied to probe factors related to PTSD.</div></div><div><h3>Results</h3><div>The prevalence of PTSD was 13.95%. Significant differences were in PTSD among participants of different ethnicities (t = -2.474,<em>p</em> = 0.017), education levels (F = 8.532,<em>p</em> &lt; 0.001), per capita monthly household income (F = 6.027,<em>p</em> &lt; 0.001), stages of the disease (F = 12.972,<em>p</em> &lt; 0.001). Pearson correlation analysis showed that locus of control, social support, coping style, emotional regulation, and PTSD were significantly correlated. The multiple regression model showed that ethnicity, internality of locus of control, subjective support, negative coping, cognitive reappraisal and expression inhibition can interpret 36% of the variation in PTSD.</div></div><div><h3>Conclusions</h3><div>The research was one of the early attempts in assessing PTSD symptom in newly diagnosed Chinese women with breast cancer and confirmed some important, possible changeable factors (internality, subjective support, negative coping, cognitive reappraisal and expression inhibition) were related to PTSD, supplying an significant guidance for formulating valid psychosocial interventions for such female population.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102776"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015729","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":"Advancing global cancer symptom science: Insights and strategies from the inaugural Cancer Symptom Science Expert Meeting","authors":"Sara Colomer-Lahiguera ,&nbsp;Rachel A. Pozzar ,&nbsp;Carolyn S. Harris ,&nbsp;Jeannine M. Brant ,&nbsp;Yvette P. Conley ,&nbsp;Mary E. Cooley ,&nbsp;Manuela Eicher ,&nbsp;Pamela S. Hinds ,&nbsp;Doris Howell ,&nbsp;Sandra A. Mitchell ,&nbsp;Karin Ribi ,&nbsp;Margaret Quinn Rosenzweig ,&nbsp;Susan W. Wesmiller ,&nbsp;Christine Miaskowski ,&nbsp;Marilyn J. Hammer","doi":"10.1016/j.ejon.2025.102824","DOIUrl":"10.1016/j.ejon.2025.102824","url":null,"abstract":"<div><h3>Purpose</h3><div>The inaugural “Cancer Symptom Science Expert Meeting”, held in Lausanne Switzerland on October 11–12, 2023, brought together 40 nurse scientists from seven countries. The event aimed to enhance collaboration across the global symptom science community; identify common research interests, gaps in knowledge, and opportunities for research; and develop strategies to address challenges and accelerate symptom science research internationally. This White Paper summarizes discussions and recommendations deliberated during the meeting and introduces the Global Research Alliance in Symptom Science (GRASS).</div></div><div><h3>Methods</h3><div>Two-day meeting including presentations on critical issues and unanswered questions in cancer symptom science and other chronic conditions. Four working groups (WGs) identified gaps and opportunities associated with each topic and outlined strategic directions and essential actions to advance symptom science.</div></div><div><h3>Results</h3><div>Recommendations from WGs included: WG1) optimal approaches to collect, analyze, and use symptom data for research and clinical purposes; WG2) development of a minimum dataset or common data model for symptom science; WG3) enhancement of best practices in implementation science strategies to improve utilization of evidence-based symptom management in routine care; and WG4) capacity building and infrastructure for the creation of a global alliance in symptom science (GRASS).</div></div><div><h3>Conclusions</h3><div>There is a global commitment to advance symptom science. The symposium established the groundwork for the development of GRASS, dedicated to symptom science in cancer and other chronic conditions. Future directions include establishing regular scientific meetings, fostering interdisciplinary collaboration, and engaging with symptom scientists.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102824"},"PeriodicalIF":2.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757553","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":"Contact nurses’ experiences of supporting patients following cancer treatment: A qualitative study","authors":"Sonja Marklund ,&nbsp;Senada Hajdarevic ,&nbsp;Stina Evars Lindgren ,&nbsp;Ulf Isaksson ,&nbsp;Per Fransson ,&nbsp;Rebecca Baxter","doi":"10.1016/j.ejon.2025.102936","DOIUrl":"10.1016/j.ejon.2025.102936","url":null,"abstract":"<div><h3>Purpose</h3><div>Cancer rehabilitation guidelines emphasise the importance of providing individualised support to meet each patient's unique needs. Contact nurses have an essential role in providing such support. This study aims to explore contact nurses' experiences of supporting patients after cancer treatment.</div></div><div><h3>Method</h3><div>This descriptive qualitative study was undertaken between February 2022 and January 2024. Semi-structured individual interviews were conducted with 12 contact nurses who were purposively recruited from seven hospitals in northern Sweden. Data were analysed using qualitative content analysis with an inductive approach.</div></div><div><h3>Results</h3><div>Three themes were revealed. <em>Providing a sense of stability</em> was achieved through creating order despite chaos, always being reachable and giving information to reassure patients. <em>Creating trustful relationships</em> involved being a confidant who assisted patients to cope and acknowledged their challenged existence. <em>Navigating within limitations</em> meant that contact nurses provided support while dealing with the unknown and facing their own inadequacy. The results highlight the ways that contact nurses support patients’ self-management and well-being after curative cancer treatment.</div></div><div><h3>Conclusion</h3><div>Contact nurses experienced that patients had multifaceted physical, psychosocial and relational needs following cancer treatment. They described their role as inherently solitary and struggled to uphold care ideals while lacking support themselves. It was challenging to provide person-centred support when patient needs were not clearly identified or expressed, or when the required support was beyond the contact nurses’ scope of practice. The contact nurse role was extensive but lacked clarity regarding how it could be optimised to best support patients following cancer treatment.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102936"},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703983","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":"Demoralization and depression in breast cancer: A Bayesian network and computer-simulated intervention study","authors":"Ying Xiong ,&nbsp;Hongman Li ,&nbsp;Miao Yu ,&nbsp;Yiguo Deng ,&nbsp;Qihan Zhang ,&nbsp;Siyu Li ,&nbsp;Jiaying Li ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2025.102938","DOIUrl":"10.1016/j.ejon.2025.102938","url":null,"abstract":"<div><h3>Objective</h3><div>Demoralization frequently co-occurs with depression among breast cancer survivors, yet the symptom-level interactions and causal pathways remain poorly understood. We aimed to map these interrelationships and pinpoint the most effective targets for intervention.</div></div><div><h3>Methods</h3><div>We enrolled 413 breast cancer survivors (42.9 % stage II) and assessed demoralization with the Demoralization Scale II and depressive symptoms with the Depression subscale of the Hospital Anxiety and Depression Scale. A Gaussian graphical model was used to identify core symptoms and bridge nodes linking the two syndromes. We then constructed a Bayesian network to infer potential causal directions. Finally, each symptom was modulated in computer simulation to evaluate its impact on overall network connectivity.</div></div><div><h3>Results</h3><div>In the Gaussian graphical model, the “optimistic” symptom exhibited the highest bridge centrality (bridge strength = 0.338), serving as the primary conduit between demoralization and depression clusters. The Bayesian network positioned “distressed” as a parent node, initiating a directional cascade from demoralization to depression. Simulation experiments revealed that reducing “distressed” yielded the greatest overall decrease in global network strength (from 4.93 to 2.20).</div></div><div><h3>Conclusion</h3><div>Demoralization may precipitate depression via key symptom interactions, particularly distress and optimism. Interventions that prioritize alleviating distress and fostering optimism are likely to produce the most efficient dual benefit, mitigating both demoralization and depression in breast cancer patients.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"78 ","pages":"Article 102938"},"PeriodicalIF":2.7,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703698","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":"ChatGPT-4o vs. oncologists in addressing endometrial cancer patient inquiries: A prospective comparative study in primary and secondary care","authors":"Serra Akar İnan ,&nbsp;Muhammed İnan ,&nbsp;Osman Türkmen","doi":"10.1016/j.ejon.2025.102930","DOIUrl":"10.1016/j.ejon.2025.102930","url":null,"abstract":"<div><h3>Purpose</h3><div>This prospective comparative study aimed to evaluate the performance of ChatGPT-4o in answering questions about endometrial cancer, with a focus on accuracy, empathy, and completeness in comparison to gynecologic oncologist. Additionally, it sought to explore potential differences in AI-generated responses between primary and secondary care settings, providing insights into its role at different levels of healthcare.</div></div><div><h3>Method</h3><div>A total of 100 questions relevant to endometrial cancer were selected and validated by specialists. Fifty questions pertained to primary care (e.g., risk factors and prevention) and fifty to secondary care (e.g., diagnosis and treatment). Both ChatGPT-4o and a gynecologic oncologist answered these questions. Responses were evaluated by two independent oncologists based on accuracy, empathy, completeness. Also readability scores and word counts are calculated.</div></div><div><h3>Results</h3><div>ChatGPT achieved significantly higher scores in accuracy (3.86 vs. 3.36; p &lt; 0.001), empathy (3.47 vs. 1.66; p &lt; 0.001), and completeness (3.00 vs. 1.97; p &lt; 0.001) than the oncologist. Its answers, however, were much longer (403.51 vs. 25.06 words). Readability scores indicated that both ChatGPT and physician responses were similarly challenging to comprehend, requiring a high level of literacy.</div></div><div><h3>Conclusion</h3><div>ChatGPT-4o demonstrated superior accuracy, empathy, and completeness in addressing questions about endometrial cancer compared to gynecologic oncologist. However, its lengthy responses could be overwhelming for patients. These findings suggest <span>AI</span> tools like ChatGPT-4o could support oncology nurses in delivering accurate patient education and empathetic communication, enhancing supportive care in endometrial cancer management. Future efforts should balance detail with clarity, enhancing AI's practical applicability in healthcare.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102930"},"PeriodicalIF":2.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686326","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":"Reinforcing the humanity in childhood cancer settings: A qualitative feasibility and acceptability study of a tailored compassion-based care intervention for parents","authors":"Camilla Littau Nielsen ,&nbsp;Kristina Garne Holm ,&nbsp;Michael Thude Callesen ,&nbsp;Claus Sixtus Jensen ,&nbsp;Jane Clemensen","doi":"10.1016/j.ejon.2025.102935","DOIUrl":"10.1016/j.ejon.2025.102935","url":null,"abstract":"<div><h3>Purpose</h3><div>Parents of children with cancer often experience long-term psychological distress. While early adaptive coping is crucial, emotional strain and practical demands can make it difficult to prioritise parental needs. Therefore, we developed and tested a flexible, Compassion-based Psychosocial Care Intervention (CPCI) tailored to parents’ needs. This study explored its feasibility and acceptability.</div></div><div><h3>Methods</h3><div>This qualitative study was undertaken within a compassion paradigm, guided by Heidegger's and Gadamer's philosophies. CPCI included the facilitation of compassion and self-compassion (knowledge, tools, and exercises) through an average of seven encounters with a skilled facilitator. Tools and exercises included breathing, brief and longer meditations, loving-kindness, poetry, and journaling (gratitude and diary). The evaluation, based on parents' perspectives, included a pre-post self-compassion questionnaire, tool and exercise ratings, and final interviews.</div></div><div><h3>Results</h3><div>Nine out of ten participating parents (five mothers and four fathers; two couples) completed CPCI, questionnaires, ratings, and interviews. They appreciated the intervention form, facilitator interactions, and exercises and tools—apart from longer meditations. They experienced calmness, better handling of thoughts, enhanced sleep, body–mind interconnection, and a more balanced life view. Further, they valued the facilitator's sensitive, non-judgemental, and humble attitude and ability to act flexibly and “read the unsaid.” However, integrating this tailored and flexible approach to care into daily hospital routines was challenging due to busy schedules and limited space.</div></div><div><h3>Conclusion</h3><div>A compassionate approach to care seems to support parents in caring for themselves. Although adjustments are needed, the CPCI appears feasible and highly acceptable, offering promising tools for strengthening parental resilience.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102935"},"PeriodicalIF":2.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686465","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":"Bridging the gap: An online survey on how suicide prevention training shapes oncology professionals’ confidence, practice, and training needs","authors":"Tamara Schwinn ,&nbsp;Judith Hirschmiller ,&nbsp;Jörg Wiltink ,&nbsp;Rüdiger Zwerenz ,&nbsp;Elmar Brähler ,&nbsp;Manfred E. Beutel ,&nbsp;Mareike Ernst","doi":"10.1016/j.ejon.2025.102933","DOIUrl":"10.1016/j.ejon.2025.102933","url":null,"abstract":"<div><h3>Purpose</h3><div>Cancer patients have an elevated risk of suicidal thoughts and behavior (STBs). Therefore, healthcare professionals (HCPs) caring for them have a central role as gatekeepers in suicide prevention. However, there is considerable heterogeneity in whether and how they address patients’ suicidality in practice. This study explored these variations, and the relevance of training.</div></div><div><h3>Methods</h3><div>An online survey was conducted among 228 oncology HCPs from several professions. The study examined sociodemographic differences in key variables (subjective knowledge, confidence, being emotionally overwhelmed, perceived control, self-efficacy, stigmatization) along with previous participation in and need for further training, routine exploration of STBs, and their interrelations. A Latent-Class Analysis (LCA) examined associations between HCPs' reports surrounding the active exploration of suicidality and their personal characteristics. A qualitative content analysis identified content recommendations.</div></div><div><h3>Results</h3><div>The majority of HCPs (81 %) reported a need for further training. Differences were found based on sociodemographic characteristics and profession. Previous participation in training was indirectly related to routine exploration through confidence and subjective knowledge. Self-efficacy statistically predicted less reported need for further training. The LCA identified three classes: (1) high exploration with low knowledge/confidence, (2) high exploration with high knowledge/confidence, and (3) less exploration with high knowledge/confidence. Participants also reported preferred training characteristics and content.</div></div><div><h3>Conclusions</h3><div>The findings underscore the need to include all cancer care professionals in suicide prevention training. Training should enhance confidence as well as evidence-based knowledge, and evaluate both. Actual clinical behavior such as the routine exploration of STBs is a crucial outcome in real-world practice.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102933"},"PeriodicalIF":2.7,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686466","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":"The impact of dignity therapy on demoralization syndrome in patients undergoing chemotherapy: A randomized controlled trial exploring a nurse-led psychotherapeutic approach in oncology care","authors":"Mohammad Ali Soleimani,&nbsp;Zainab Alimoradi,&nbsp;Sima Kazemi","doi":"10.1016/j.ejon.2025.102934","DOIUrl":"10.1016/j.ejon.2025.102934","url":null,"abstract":"<div><h3>Purpose</h3><div>Demoralization is a common psychological distress experienced by cancer patients undergoing chemotherapy. This study aimed to evaluate the effectiveness of nurse-led dignity therapy in reducing demoralization syndrome among this patient population.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 84 patients undergoing chemotherapy, who were allocated to either an intervention group (n = 42) receiving three sessions of dignity therapy by a trained oncology nurse, or a control group (n = 42) receiving standard care. Assessments were performed at baseline, one month, and three months post-intervention using a demographic questionnaire and the Demoralization Scale (DS). Data were analyzed using repeated-measures multivariate analysis of variance (MANOVA-RM) to examine changes in demoralization over time and between groups.</div></div><div><h3>Results</h3><div>The intervention group showed a significant reduction in demoralization symptoms compared to controls (P &lt; 0.001, standardized mean difference = −1.65). The group-by-time interaction was significant (P = 0.006), indicating that the effects were maintained at follow-up.</div></div><div><h3>Conclusions</h3><div>Nurse-led dignity therapy is an effective psychotherapeutic intervention to alleviate demoralization syndrome in patients undergoing chemotherapy. Its integration into oncology nursing practice may enhance psychological outcomes and overall patient care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102934"},"PeriodicalIF":2.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686328","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 accuracy of nursing diagnoses in patients with malignant bronchial and lung cancer: A retrospective observational study","authors":"Manuele Cesare ,&nbsp;Erasmo Magliozzi ,&nbsp;Fabio D’Agostino ,&nbsp;Valentina Zeffiro ,&nbsp;Antonello Cocchieri","doi":"10.1016/j.ejon.2025.102931","DOIUrl":"10.1016/j.ejon.2025.102931","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the prevalence and accuracy of nursing diagnoses (NDs) in adult patients with malignant bronchial and lung cancer.</div></div><div><h3>Methods</h3><div>A retrospective, observational, monocentric study was conducted at the largest university hospital in Rome, Italy. Electronic health records (EHRs) of adult inpatients (≥18 years) hospitalized in 2022 with malignant bronchial and lung cancer were analyzed. NDs were documented using the Professional Assessment Instrument (PAI), a clinical nursing information system based on the Clinical Care Classification (CCC) standardized nursing terminology. The accuracy of nursing documentation was assessed with the D-Catch instrument, evaluating record structure, admission data, ND formulation, interventions, progress/outcome evaluations, and legibility. Descriptive statistics were used to analyze ND prevalence and documentation accuracy.</div></div><div><h3>Results</h3><div>A total of 682 EHRs were examined, identifying 3510 NDs across 34 distinct labels. Patients had a mean of 5.15 NDs (SD: 2.99; range: 1–16). Ten high-frequency NDs were identified, with Infection Risk (76.7 %), Fall Risk (66.6 %), and Acute Pain (53.1 %) emerging as the most prevalent. Overall documentation accuracy was high across most dimensions; however, ND formulation showed comparatively lower accuracy (mean score: 6.38; SD: 0.98).</div></div><div><h3>Conclusions</h3><div>Evaluating the prevalence and accuracy of nursing diagnoses enhances the understanding of the complex care needs of patients with malignant bronchial and lung cancer, a population marked by significant clinical vulnerability and multidimensional care requirements. Strengthening diagnostic reasoning—through structured documentation systems and continuous training—may improve care planning, facilitate interdisciplinary communication, and ultimately optimize patient outcomes.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102931"},"PeriodicalIF":2.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696591","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":"Resilience and its association with caregiving and psychosocial factors among lung cancer caregivers in Vietnam","authors":"Thinh Toan Vu ,&nbsp;Sasha Fleary ,&nbsp;Glen Johnson ,&nbsp;Victoria Khanh Ngo","doi":"10.1016/j.ejon.2025.102932","DOIUrl":"10.1016/j.ejon.2025.102932","url":null,"abstract":"<div><h3>Purpose</h3><div>Lung cancer is the second-most widely diagnosed cancer and is also the second leading contributor cancer mortality in Vietnam. With limited formal caregiving systems, family caregivers are essential in providing care for lung cancer patients. This study examined resilience and its association with various psychosocial and caregiving factors in lung cancer caregivers.</div></div><div><h3>Methods</h3><div>A cross-sectional survey with 213 adult family caregivers was conducted at a provincial-level hospital between June 2023 and August 2024. The Connor-Davidson Resilience Scale was administered to measure resilience, wherein higher scores denoted greater resilience. Multivariable linear regression examined associations between psychosocial and caregiving factors with resilience.</div></div><div><h3>Results</h3><div>The caregivers had a mean age of 50.4 years and primarily consisted of women (68.1%) and farmers (48.8%). Overall, the mean resilience score was 25.1 out of 40, with 50.2% reporting low resilience. Positive associations with better resilience included better caregiving preparation (β = 2.82, 95 %CI: 1.63, 4.00), enhanced family social support (β = 1.40, 95 %CI: 0.28, 2.51) and better quality of life (β = 0.15, 95 %CI: 0.07, 0.22). Interestingly, caregivers with mild-to-moderate (β = 3.11, 95 %CI: 1.24, 4.98) and high (β = 4.12, 95 %CI: 1.14, 7.11) caregiving burden reported higher resilience scores compared to those with no-to-mild burden. Higher depression symptom severity (β = −0.32, 95 %CI: −0.57, −0.06) and longer hospital stays (β = −0.03, 95 %CI: −0.06, −0.003) were negatively associated with resilience.</div></div><div><h3>Conclusions</h3><div>Our study revealed the significant prevalence of low resilience among family caregivers. Resilience-focused initiatives should prioritize mental health screening and treatment, emphasize strengthening support networks, and provide adequate caregiving training, particularly in caregivers of patients experiencing prolonged hospitalization.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"77 ","pages":"Article 102932"},"PeriodicalIF":2.7,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144686327","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}