European Journal of Oncology Nursing最新文献

{"title":"Decision-making process for risk-reducing salpingo-oophorectomy among Korean women with hereditary breast cancer: A grounded theory study","authors":"Sun Young Park ,&nbsp;Juhye Jin ,&nbsp;Hyangkyu Lee ,&nbsp;Myongcheol Lim ,&nbsp;Eun Ji Nam ,&nbsp;Sue Kim","doi":"10.1016/j.ejon.2024.102710","DOIUrl":"10.1016/j.ejon.2024.102710","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the decision-making process regarding Risk-Reducing Salpingo-Oophorectomy (RRSO) among women with hereditary breast cancer in Korea, with a focus on complex interpersonal interactions and sociocultural influences.</div></div><div><h3>Method</h3><div>This qualitative, grounded theory study conducted semi-structured and in-depth interviews with 17 women with hereditary breast cancer between March and December 2021. Theoretical sampling and constant comparison were utilized for data analysis.</div></div><div><h3>Results</h3><div>The core concept identified was ‘Navigating optimal trajectories for preserving myself,’ encompassing four stages: (1) conflicting between cancer-free health and maintaining integrated self; (2) recognizing the decision-maker: myself vs. physician; (3) seeking meaningful information; and (4) evaluating decision results and prioritizing values. Women’s conflict was influenced by the time given to decide, the timing of <em>BRCA</em> results, complexity of surgical choices, diverse perspectives, and the quality of information. This process often reiterated until RRSO was undertaken.</div></div><div><h3>Conclusion</h3><div>Women with hereditary breast cancer grapple with conflicting decisions to preserve their integrated selves. The decision-making process is complex and subjective, influenced by physician-dominated decision-making culture, subjective meaningful information, individual values, and decisional circumstances. Supporting women in prioritizing their values and providing comprehensive information on the physical, emotional, relational, and social impacts of each option are crucial. Oncology nurses can play a vital role in bridging the gap between physician-dominated decision-making and patient autonomy by facilitating communication and supporting patient-centered care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102710"},"PeriodicalIF":2.7,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142553089","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":"Effect of an integrated narrative program (INP) on quality of life among patients with non-small cell lung cancer (NSCLC): An experimental trial","authors":"Jie Zhu ,&nbsp;Shi-Hao Chen ,&nbsp;Jia-Yi Guo ,&nbsp;Wei Li ,&nbsp;Xu-Ting Li ,&nbsp;Li-Hua Huang ,&nbsp;Man Ye","doi":"10.1016/j.ejon.2024.102706","DOIUrl":"10.1016/j.ejon.2024.102706","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the effectiveness of an integrated narrative program (INP) in enhancing the resilience, self-efficacy and quality of life of postoperative NSCLC patients.</div></div><div><h3>Methods</h3><div>135 patients participated in this trial. 45 participants were recruited into the integrated narrative program group and received both the digital storytelling intervention and narrative therapy after a randomized controlled trial, while the control group (n = 45) received routine care and the intervention group (n = 45) underwent the digital storytelling intervention (DST). Questionnaires were administered to assess resilience, self-efficacy and quality of life at baseline (T0) (within 3 days before surgery), immediately after intervention (T1), one month post-intervention (T2), and three months post-intervention (T3). A linear mixed effects model was conducted via the intention-to-treat analysis.</div></div><div><h3>Results</h3><div>During follow-up assessments, the INP group exhibited significantly greater increase in resilience, self-efficacy, and quality of life (all P &lt; 0.001) compared to both DST group and control group, which were consistent with the sensitivity analysis results (all P &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>The INP was more effective than DST in improving the resilience, self-efficacy, and quality of life of postoperative NSCLC patients, and these benefits could persist for at least three months post-intervention. Due to the fact that the INP process is relatively complicated, so we recommend the use of web-based platforms for INP interventions in future clinical work.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102706"},"PeriodicalIF":2.7,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433681","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":"Effect of training based on Orem's self-care deficit theory on breast cancer patients' management of chemotherapy-related side effects and self-care behaviors: A randomized controlled trial","authors":"Dilek Urtekin ,&nbsp;Semiha Akin Eroglu","doi":"10.1016/j.ejon.2024.102698","DOIUrl":"10.1016/j.ejon.2024.102698","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the effects of training based on Orem's self-care deficit theory on breast cancer patient's physical, social, and psychological well-being and self-care behaviors during chemotherapy.</div></div><div><h3>Methods</h3><div>This randomized controlled trial was based on a pretest–posttest experimental design. The study sample consisted of 62 breast cancer patients (n = 31 for each of the intervention and control groups) receiving cyclophosphamide–epirubicin or cyclophosphamide–adriamycin treatment in the medical oncology department of a university hospital in Tekirdağ, Turkey. The breast cancer patients in the intervention group received training based on Orem's self-care deficit theory regarding physical, social, and psychological well-being and self-care behaviors during chemotherapy. The researcher conducted two face-to-face follow-ups (during the second and third chemotherapy cycles, 3 weeks apart) and a posttest assessment. Pretest and posttest symptom scores and self-care survey results were compared for both groups.</div></div><div><h3>Results</h3><div>The Nightingale Symptom Assessment Scale (N-SAS) first follow-up, second follow-up, and posttest scores showed that the intervention group experienced fewer negative changes in quality of life than the control group based on the physical, social, and psychological subdimension and total scale scores (<em>p</em> &lt; .05). The most positive changes in the intervention group's self-care behaviors were observed for items about caring for and protecting hair, using protective gloves when doing chores, monitoring weight, and limiting social meetings when blood values were low to protect against possible infection.</div></div><div><h3>Conclusion</h3><div>Training based on Orem's self-care deficit theory positively influenced breast cancer patients' management of chemotherapy-related side effects and self-care behaviors. Chemotherapy-related side effects should be evaluated frequently. Moreover, patients' needs should be determined, and training should be tailored to their needs.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102698"},"PeriodicalIF":2.7,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423247","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":"Effectiveness of cardiac rehabilitation in cancer survivors: A meta-analysis of randomized controlled trials","authors":"Yingtong Chen ,&nbsp;Jingfang Xiao ,&nbsp;Manzhi Gao ,&nbsp;Zhihe Deng ,&nbsp;Minjuan Xie ,&nbsp;Rui Wang","doi":"10.1016/j.ejon.2024.102707","DOIUrl":"10.1016/j.ejon.2024.102707","url":null,"abstract":"<div><h3>Purpose</h3><div>This meta-analysis aimed to evaluate available data regarding the potential benefits of cardiac rehabilitation (CR) in cancer survivors.</div></div><div><h3>Methods</h3><div>Relevant studies published from inception to April 2024 were retrieved from PubMed, Embase, Web of Science, CENTRAL, CINAHL, PsycINFO, Scopus, CNKI, WanFang, VIP, and CBM databases. Seven randomized controlled trials (RCTs) involving 526 cancer survivors were included in this meta-analysis.</div></div><div><h3>Results</h3><div>CR increased muscle strength (standardized mean difference (SMD) = 0.39, 95% confidence interval (CI): 0.06 to 0.72, P = 0.020), quality of life (QoL) (SMD = 0.61, 95% CI: 0.40 to 0.82, P <span><math><mrow><mo>&lt;</mo></mrow></math></span> 0.001), and led to a decrease in Body Mass Index (BMI) (mean difference (MD) = −1.11, 95% CI: −2.02 to −0.19, P = 0.020), total cholesterol (TC) (MD = −0.41, 95% CI: −0.69 to −0.14, P = 0.003), triglyceride (TG) (MD = −0.33, 95% CI: −0.63 to −0.03, P = 0.030) and low-density lipoprotein (LDL) (MD = −0.34, 95% CI: −0.57 to −0.12, P = 0.003). The meta-analysis revealed that CR had no statistically significant impact on cardiorespiratory fitness (CRF) and high-density lipoprotein (HDL) levels.</div></div><div><h3>Conclusions</h3><div>CR may represent an effective strategy to evaluate cancer survivors because it improves muscle strength and QoL and reduces BMI, TC, TG and LDL levels. Further RCTs with strict study designs and larger sample sizes are required to determine the effects of CR on cancer survivors.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102707"},"PeriodicalIF":2.7,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433682","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":"Depression, anxiety, stress and related factors among husbands of Iranian women with cancer: A cross-sectional study","authors":"Nasrin Shabani ,&nbsp;Negin Masoudi Alavi ,&nbsp;Mohammad Aghajani","doi":"10.1016/j.ejon.2024.102697","DOIUrl":"10.1016/j.ejon.2024.102697","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to determine the prevalence of depression, anxiety, and stress and their related factors in husbands of women with cancer.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 400 husbands of women with cancer who referred to two cancer referral centers in Kashan (Isfahan, Iran) from April to August 2022. The demographic and medical data, the Larson Satisfaction Questionnaire (LSQ), and the Depression, Anxiety, Stress Scale-21 (DASS-21) were collected.</div></div><div><h3>Results</h3><div>The mean age of the husbands was 50.47 ± 10.16 years, and the prevalence of depression, anxiety, and stress was 15%, 17.5%, and 17.8%, respectively. Multiple regression analysis revealed significant associations between husbands' depression and age, involvement rate in caring for their wife, sexual satisfaction, and education level (p &lt; 0.05). The rate of anxiety was also related to education level, economic status, housing status, the rate of involvement in caring for one's wife, sexual satisfaction, the duration of the woman's cancer, the degree of cancer progression, and the length of hospitalization due to cancer (p &lt; 0.05). The stress rate also showed a significant correlation with age, educational level, degree of involvement in caring for one's wife, and duration of cancer (p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>The prevalence of psychological problems among husbands of women with cancer is remarkable. Therefore, based on the identified factors associated with these complications, supportive care programs can designed by health care professionals to improve mental health and reduce the suffering of husbands of patients with cancer.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102697"},"PeriodicalIF":2.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433683","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 use of immersive virtual reality for managing physical and psychological distress in children and adolescents with cancer undergoing chemotherapy via implanted vascular access device needle insertion: A systematic review","authors":"Theologia Tsitsi ,&nbsp;Koralia A. Michail ,&nbsp;Frederick G. Christou ,&nbsp;Andreas Charalambous","doi":"10.1016/j.ejon.2024.102695","DOIUrl":"10.1016/j.ejon.2024.102695","url":null,"abstract":"<div><h3>Purpose</h3><div>Children and adolescents undergoing cancer treatment often endure distressing procedures, leading to pain and anxiety. Immersive virtual reality (VR) is a novel distraction technique for distress management, but research in pediatric oncology remains limited. This systematic review aims to assess the effectiveness of IVR intervention utilizing advanced head-mounted displays, in alleviating physical and psychological distress among Children and Adolescents diagnosed with malignancies undergoing chemotherapy treatment via Implantable Venous Access Device/Port (IVAD/P) (P) needle insertion. Additionally, the study evaluates the usability and acceptability of the IVR intervention among healthcare professionals, patients, and their parents.</div></div><div><h3>Method</h3><div>A thorough database search (PubMed, Medline, Embase, CINHAL, and APA Psycinfo) identified seven relevant quantitative studies published until April 2024.</div></div><div><h3>Results</h3><div>In five studies, VR significantly reduced physical distress, especially pain, though the other two showed positive trends without statistical significance. For psychological distress, two studies reported significantly lower levels in the VR group, while three showed promising but statistically insignificant results. Children and adolescents, as well as healthcare professionals, found VR user-friendly and expressed willingness to use it again.</div></div><div><h3>Conclusions</h3><div>The review suggests that immersive VR has significant potential as a distraction method for children and adolescents undergoing CMT via IVAD/P. It shows promise in reducing physical and psychological distress and is well-received by patients and healthcare professionals.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102695"},"PeriodicalIF":2.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142586386","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":"Nurses’ experiences of palliative end-of-life care in patients at risk of a carotid blowout syndrome: A qualitative exploration","authors":"Christien Beiboer ,&nbsp;Richtsje Andela ,&nbsp;Leonora Q. Schwandt ,&nbsp;Margreet C.J.M. van der Cingel","doi":"10.1016/j.ejon.2024.102694","DOIUrl":"10.1016/j.ejon.2024.102694","url":null,"abstract":"<div><h3>Purpose</h3><div>Hospital nurses play an important role in providing palliative end-of-life care, for example for patients with carotid blowout<strong>.</strong> In such cases, dying is a severe event in which exsanguination occurs. Little is known about nurses’ experiences regarding care to patients at risk of a carotid blowout. This study aims to explore thoughts, experiences, and opinions of nurses about what they consider to be quality end-of-life nursing care for patients and their relatives, specifically those at risk of carotid blowout syndrome and the impact of providing such care on their professional and emotional well-being.</div></div><div><h3>Methods</h3><div>This study employed a qualitative design using audio-recorded, semi-structured focus group interviews. Three focus groups were conducted, comprising 11 nurses who worked on a head and neck unit. Interview transcripts were analyzed using thematic analysis.</div></div><div><h3>Results</h3><div>Participants reported nursing priorities in end-of-life carotid blowout care, comprising patients’ wishes, emotional support, preparing patients and dying care. Participants mentioned that a carotid blowout event was rare and impactful. A comprehensive protocol and scenario-based training facilitated the provision of end-of-life care. This study identified areas for improvement, such as the opportunity for moral support and debriefing after a blowout event for involved nurses.</div></div><div><h3>Conclusion</h3><div>Remarkable knowledge emerged about nurses’ experiences regarding end-of-life care and frequently used nursing interventions. Being prepared and having a workable protocol to deliver end-of-life care emerge as key. This exploratory study facilitates discussion of areas important to nurses providing end-of-life care in rare and impactful conditions.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102694"},"PeriodicalIF":2.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433685","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":"Exploring the emotional labour of paediatric oncology nurses and its impact on their well-being: An integrative review","authors":"Wejdan Shaqiqi ,&nbsp;Pam Smith ,&nbsp;Rawan Shaqiqi","doi":"10.1016/j.ejon.2024.102693","DOIUrl":"10.1016/j.ejon.2024.102693","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore emotional labour in paediatric oncology nurses along with the negative impact of emotional labour on these nurses.</div></div><div><h3>Methods</h3><div>The MEDLINE, CINALH, ScienceDirect, and PubMed databases were searched for relevant evidence published from 2000 to 2023. Selected studies were evaluated for quality and synthesized into themes. The Preferred Reporting Items for Systematic reviews and Meta-Analyses literature search extension was followed.</div></div><div><h3>Results</h3><div>Eighteen empirical studies were reviewed. Nurses acknowledged the importance of managing and displaying emotions through emotional labour to gain patients' and families' trust and provide care in a safe and comfortable environment. They described emotional labour in the forms of empathy and close relationships. The frequency and intensity of performing emotional labour vary among nurses based on different factors. Nurses reported feelings associated with burnout, compassion fatigue, secondary traumatic stress, and emotional dissonance. The three main coping behaviours were avoidance, changing practice and sharing feelings.</div></div><div><h3>Conclusion</h3><div>Although using emotional labour facilitates high-quality care, it may negatively influence nurses' well-being without implementing effective supportive interventions. A considerable number of paediatric oncology nurses intended to leave the unit. The proposed solutions are to address this issue at the organizational level by providing training and support services to enhance nurses' competence in performing this high-level skill and minimize its negative impacts.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102693"},"PeriodicalIF":2.7,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433686","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":"“Oh when's your treatment ending?” “Never!” The unmet needs of cancer patients treated with immunological, biological and precision therapies: A qualitative interview study","authors":"L. Crowe ,&nbsp;M.C. Brown ,&nbsp;J. Lecouturier ,&nbsp;A. Greystoke ,&nbsp;A. Bojke ,&nbsp;R. Bojke ,&nbsp;J. Richardson ,&nbsp;M. Wells ,&nbsp;E. Ezeala ,&nbsp;L. Carter ,&nbsp;L. Sharp ,&nbsp;A. Todd","doi":"10.1016/j.ejon.2024.102696","DOIUrl":"10.1016/j.ejon.2024.102696","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the unmet supportive care needs of patients with advanced cancer receiving immuno-, biological and precision (IBP) therapies.</div></div><div><h3>Methods</h3><div>We conducted semi-structured interviews with: (1) adults diagnosed with advanced cancer (lung, colorectal, ovary, breast, renal, melanoma) treated with an IBP therapy (<em>e.g.</em> tyrosine kinase inhibitors, monoclonal antibodies, immunotherapy), for at least one month; (2) healthcare professionals involved in providing hospital care for patients receiving IBP therapies. Interviews were audio-recorded, transcribed and analysed using the Framework Analysis approach; the framework comprised of 11 domains of unmet need: activities of daily living, autonomy, economic, healthcare, information, physical, psychological, role, sexual, social; and an “other” category (to capture data relating to unmet needs that did not fit within pre the-defined domains).</div></div><div><h3>Results</h3><div>Thirty-one patients and 22 healthcare professionals were interviewed. Ten domains of unmet needs (exceptions: spiritual, other) were evident in the data. Identified unmet needs related to: (1) utilising the IBP therapies (<em>e.g.</em> specific treatment side effects [physical domain], living long-term with uncertainty [psychological], others not understanding why they were not cured [social]; and (2) living with (advanced) cancer (<em>e.g.</em> retiring from work [role], loss of independence [autonomy]).</div></div><div><h3>Conclusions</h3><div>Patients with advanced cancer being treated with IBP therapies have a diverse range of often inter-related unmet needs. It is vital that healthcare professionals involved in the care of cancer patients using IBP therapies are alert to the unmet needs among this patient group. Interventions and services should be developed to address these needs.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102696"},"PeriodicalIF":2.7,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578874","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":"Integrating the symptom experience and coping in patients with stage I-III breast cancer in China: A qualitative study","authors":"Minyu Liang ,&nbsp;Ying Xiong ,&nbsp;Siying Zhu ,&nbsp;Yishu Wang ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2024.102692","DOIUrl":"10.1016/j.ejon.2024.102692","url":null,"abstract":"<div><h3>Purpose</h3><div>To develop an in-depth understanding of the meaning of symptoms in the context of how women with stage I-III breast cancer in China cope with the effects of primary and adjuvant therapies for breast cancer.</div></div><div><h3>Method</h3><div>A qualitative descriptive approach was used. A purposive sample of women diagnosed with stage I-III breast cancer were recruited from the “Be Resilient to Breast Cancer” study between November 2023 and March 2024. Data was collected from in person interviews using a semi-structured interview guide. Interviews were audio-recorded and transcribed verbatim. The framework analysis method was used to generate codes and themes.</div></div><div><h3>Results</h3><div>A sample of 17 women with breast cancer agreed to participate. The average age was 50.1 years (SD = 8.45), and the majority (65%) had stage III. The overarching theme was <em>Confronting Physical and Psychological Symptoms</em>. The four themes explaining the experience were Changed Identity, Uncertainty, Finding Meaning and Seeking Support and Solace. Changed Identity and Uncertainty reflected the challenges of coping with multiple symptoms from the treatment. The themes of Finding Meaning and Seeking Support and Solace captured how women adapted a positive perspective to cope with the experience.</div></div><div><h3>Conclusions</h3><div>This study contributed to the evidence of the integration of the symptom experience in coping with breast cancer treatment in the context of a collectivist Chinese culture. It enhanced the understanding of the physical and psychological symptom experience of curative intent breast cancer therapy and offered insight into how women from China cope in early survivorship.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102692"},"PeriodicalIF":2.7,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433680","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}