European Journal of Oncology Nursing最新文献

{"title":"A phenomenological study of the cultural lived experiences among Angolan women with breast cancer","authors":"Naira Sousa-Martins ,&nbsp;Luís Azevedo ,&nbsp;Lygia Vieira Lopes ,&nbsp;Maria do Céu Barbieri-Figueiredo","doi":"10.1016/j.ejon.2025.102885","DOIUrl":"10.1016/j.ejon.2025.102885","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to explore and describe the lived experiences of Angolan women with breast cancer, considering the socio-cultural context and health care challenges they face.</div></div><div><h3>Method</h3><div>Eighteen semi-structured interviews were conducted among Angolan women with breast cancer. Purposeful sampling was utilised to select participants with diverse age groups and ethnic backgrounds. We performed a qualitative study using Giorgi's descriptive phenomenological approach.</div></div><div><h3>Results</h3><div>The present study found cultural views of breast cancer, family support, and religious-spiritual coping to be essential themes. The results offer significant insights into the cultural framework of health in Angolan society, encompassing the information, perceptions, and cognitions employed to describe, comprehend, and elucidate illness, as well as the pursuit of therapy that seldom aligns biological criteria.</div></div><div><h3>Conclusions</h3><div>The present study has implications for nursing, as it recognises that individuals have unique behaviours and thoughts related to their current understanding of the illness, their personal experience with the illness, and their specific beliefs about health and healing.</div><div>The findings of this study provide essential insights into how Angolan women's cultural beliefs and practices shape their experiences with breast cancer, offering nurses a foundation to develop culturally competent care approaches.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102885"},"PeriodicalIF":2.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747285","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":"Heterogeneity of depression trajectories and associated risk factors during radiotherapy in patients with gastrointestinal cancer: A longitudinal study","authors":"Ke Wang ,&nbsp;Mengjia Liu ,&nbsp;Lin Yang ,&nbsp;Hong Li ,&nbsp;Yaxin Chang ,&nbsp;Min Diao ,&nbsp;Jordan Tovera Salvador ,&nbsp;Zhaoxia Yang","doi":"10.1016/j.ejon.2025.102886","DOIUrl":"10.1016/j.ejon.2025.102886","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify the heterogeneity in depression trajectories and factors influencing depression during radiotherapy in patients with gastrointestinal cancer.</div></div><div><h3>Methods</h3><div>Between August 2023 and May 2024, we longitudinally tracked the symptoms of 146 patients with gastrointestinal cancer at T0 (pre-radiotherapy), T1 (mid-radiotherapy), and T2 (1-month post-radiotherapy). Group-based trajectory models were used to identify subgroups of depression trajectories. A fit-criteria assessment plot was used to assess the accuracy of grouping, and univariate and multivariate logistic regression models were used to analyze the potential independent factors associated with the subgroups.</div></div><div><h3>Results</h3><div>Patients were categorized into three subgroups: no depression (31.5 %), mild depression (54.1 %), and moderate depression (14.4 %) group. Patients aged &gt;65 years (<em>P</em> &lt; 0.05), those with a malnutrition-inflammation complex (<em>P</em> &lt; 0.05), and those accompanied by children (<em>P</em> &lt; 0.05) were more likely to belong to the moderate depression group. Between-group and within-group differences in psychoneurologic symptoms, such as fatigue, remained consistent with depression. Depressive symptoms were most severe mid-radiotherapy, and moderately depressed patients were at risk of developing major depression.</div></div><div><h3>Conclusions</h3><div>There was significant heterogeneity in depression during radiotherapy among patients with gastrointestinal cancer. Clinicians should focus on identifying high-risk patients with depression aged &gt;65 years, those with a malnutrition-inflammation complex, and those accompanied by children. They should actively implement pharmacological and non-pharmacological treatments and refer them to specialized psychological clinics, if necessary, to prevent the occurrence of major depression.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102886"},"PeriodicalIF":2.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143767940","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":"Factors influencing advance care planning among cancer patients: A qualitative study","authors":"Yin Yan ,&nbsp;Tan Derong ,&nbsp;Tong Qin ,&nbsp;Xu Zhi ,&nbsp;Liu Xia","doi":"10.1016/j.ejon.2025.102884","DOIUrl":"10.1016/j.ejon.2025.102884","url":null,"abstract":"<div><h3>Purpose</h3><div>The study aims to explore the factors influencing advance care planning among cancer patients, recognizing the importance of understanding these factors to enhance patient outcomes and ensure that patients' preferences are honored.</div></div><div><h3>Methods</h3><div>Conducted from May to November 2023, this qualitative descriptive study employed a phenomenological research approach. In-depth face-to-face interviews and observations were utilized to gather insights into the factors influencing participation in advance care planning, guided by a semi-structured interview outline based on social ecosystem theory. Content analysis and thematic analysis were applied to identify and interpret key themes from the data.</div></div><div><h3>Results</h3><div>A total of 17 cancer patients participated in the interviews. The analysis revealed four main themes. Facilitating factors included optimistic health views and positive attitudes toward advance care planning, which encouraged engagement. Conversely, barriers such as a lack of understanding of advance care planning, misconceptions, and negative attitudes hindered participation. Family dynamics played a significant role; trust in family decisions facilitated discussions, while family pressure created challenges. Economic burdens and cultural taboos surrounding death, along with reliance on healthcare providers, impeded open conversations. These findings highlight the necessity for targeted strategies to enhance patient involvement in advance care planning.</div></div><div><h3>Conclusion</h3><div>Cancer patients' advance care planning is influenced by positive factors like optimistic health views and supportive family dynamics, as well as obstacles such as misconceptions, cultural taboos, and economic burdens. Targeted interventions are needed to empower patients and better align care with their values.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102884"},"PeriodicalIF":2.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759846","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":"Divergent perspectives: A cross-sectional study unveiling disparities in cancer patients' and oncology nurses' perceptions on communication and empathy","authors":"Che-Ming Chang ,&nbsp;Jhen-Jhen Li ,&nbsp;In-Fun Li ,&nbsp;Yun-Hsiang Lee","doi":"10.1016/j.ejon.2025.102877","DOIUrl":"10.1016/j.ejon.2025.102877","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the relationship between cancer patients' perceptions and oncology nurses' self-assessments of communication skills and empathy, and investigate the influence of patients' factors on these perceptions.</div></div><div><h3>Methods</h3><div>This cross-sectional study used a paired sampling approach (1:2 ratio) with 168 oncology nurses and 336 cancer patients. It assessed patients' perceptions and nurses' self-assessments of nurse-expressed communication and empathy. The study examined the relationship with patients' demographic (age, gender, education level, occupational status, and marital status), clinical (length of hospital stay and physical functional status), and psychosocial factors (religious beliefs and presence of family caregiver).</div></div><div><h3>Results</h3><div>Patients reported moderate levels of communication (Mean [M] = 54.73, Standard deviation [SD] = 8.97) and empathy (M = 21.94, SD = 6.93). No significant correlation was found between patients' and nurses' perceptions of communication (r = −.041, p = .362) and empathy (r = −.014, p = .419). Lower patient-perceived communication and empathy were associated with higher education level, poor physical functional status, longer hospital stays (&gt;15 days), being unmarried, and absence of family caregivers (only in communication perception) (all p &lt; .05).</div></div><div><h3>Conclusion</h3><div>Cancer patients' and oncology nurses' perceptions of communication and empathy were not significantly correlated. Length of hospital stay, physical functional status, marital status, presence of family caregivers, and education level significantly influenced patients' perceptions. Future interventions should focus on vulnerable groups and adapting to patients' changing needs during extended hospital stays.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102877"},"PeriodicalIF":2.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777215","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":"Coping with the unthinkable: A qualitative metasynthesis of patients’ experiences with incurable cancer","authors":"Anu Viitala ,&nbsp;Mira Palonen ,&nbsp;Juho T. Lehto ,&nbsp;Päivi Åstedt-Kurki","doi":"10.1016/j.ejon.2025.102876","DOIUrl":"10.1016/j.ejon.2025.102876","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to address the coping experiences of adult patients with incurable cancer palliative and hospice care. The objective of the study was to provide information that can help improve their support.</div></div><div><h3>Methods</h3><div>The study used a qualitative research design, including a literature review and semi-structured interviews with 56 adult patients. Data were analyzed using inductive content analysis and metasynthesis.</div></div><div><h3>Results</h3><div>Key coping factors identified were managing everyday life, maintaining the best possible health, utilizing support options, and accepting the incurable nature of their disease. Emotional coping and inconsistencies in the healthcare support network also played significant roles.</div></div><div><h3>Conclusions</h3><div>The study highlighted the coping experiences, expectations, and problems faced by patients with incurable cancer, aiming to make their needs more visible in public healthcare. The findings can help healthcare sectors design better services and support for these patients and their families.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102876"},"PeriodicalIF":2.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785661","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":"Couple-based group intervention for social isolation in colorectal cancer couples: A pilot study","authors":"Can Wang ,&nbsp;Xiaoke Qiu ,&nbsp;Jiayu Mao ,&nbsp;Xueli Yang ,&nbsp;Yi Lin ,&nbsp;Jie Zhao ,&nbsp;Qiuping Li","doi":"10.1016/j.ejon.2025.102878","DOIUrl":"10.1016/j.ejon.2025.102878","url":null,"abstract":"<div><h3>Purpose</h3><div>Colorectal cancer (CRC) patients and their spousal caregivers frequently experience social isolation. Nevertheless, interventions targeting social isolation mitigation in CRC dyads remain limited. This pilot study aimed to evaluate the feasibility, acceptability, and preliminary effects of couple-based group intervention for alleviating social isolation in Chinese CRC couples.</div></div><div><h3>Methods</h3><div>The study utilized a single-arm pre-post intervention design, comprising a structured six-session group program that blended face-to-face and online components. Feasibility was evaluated through recruitment and retention rates. Acceptability was assessed via a mixed-methods approach combining post-intervention surveys with open-ended interviews. Outcome measures included validated instruments: the General Alienation Scale, Lubben Social Network Scale-6, Medical Outcomes Study 12-item Short-Form version 2, Dyadic Coping Inventory, and Perceived Social Support Scale.</div></div><div><h3>Results</h3><div>The program demonstrated feasibility with a 62.5 % recruitment rate and an 85 % retention rate. Quantitative and qualitative data supported its acceptability through CRC couples' overall satisfaction. Effectiveness was evidenced by medium effect sizes (Cohen's d = 0.54–0.59) on both subjective and objective measures of social isolation and most secondary outcomes in CRC patients and spousal caregivers. Notably, spousal caregivers showed borderline significant improvements in physical health (d = 0.50, <em>P</em> = 0.056) and social support (d = 0.49, <em>P</em> = 0.063).</div></div><div><h3>Conclusion</h3><div>The feasibility, acceptability, and preliminary effects of the couple-based group intervention for social isolation in CRC couples were confirmed. These findings warrant a large-scale randomized controlled trial to rigorously evaluate the intervention's long-term effectiveness and potential for clinical implementation.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102878"},"PeriodicalIF":2.7,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747286","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":"Needs of bereaved families of patients with cancer towards artificial intelligence in palliative care: A web-based survey","authors":"Kento Masukawa ,&nbsp;Hideyuki Hirayama ,&nbsp;Keita Tagami ,&nbsp;Arisa Kawashima ,&nbsp;Shih-Wei Chiu ,&nbsp;Keiichiro Ito ,&nbsp;Sakiko Matsuzaka ,&nbsp;Maho Aoyama ,&nbsp;Masanori Mori","doi":"10.1016/j.ejon.2025.102875","DOIUrl":"10.1016/j.ejon.2025.102875","url":null,"abstract":"<div><h3>Purpose</h3><div>Artificial intelligence (AI) systems in palliative care have garnered attention and popularity in recent years. Understanding patient and family needs is crucial for developing and implementing AI systems in palliative care. Few studies in palliative care have focused on the demands of terminal patients with cancer and their families toward AI. This study aimed to explore the application of advanced AI in palliative care, focusing on high priority areas, while also analyzing bereaved relatives' perspectives on AI's role in supporting patients with cancer during end-of-life care.</div></div><div><h3>Methods</h3><div>We conducted a web-based questionnaire survey among bereaved family members of deceased patients with cancer. We explored the needs and opinions of the bereaved families regarding using AI for end-of-life care.</div></div><div><h3>Results</h3><div>We analyzed responses from 610 bereaved families. More than 80 % of mourning families wanted AI solutions that could offer the best approach to treat symptoms to health care providers, patients, or informal caregivers, with 79.7 % wishing for AI recommendations for discussions with health care providers. Furthermore, 74.4 % supported AI use in the medical field, while 79.7 % were concerned about accountability and 61.6 % about data leakage.</div></div><div><h3>Conclusion</h3><div>The survey found that development of AI solutions focusing on symptom management and facilitating discussion is the highest priority. Furthermore, this study suggested developing principles and guidance to ensure ethical AI usage is essential.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102875"},"PeriodicalIF":2.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891523","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":"Experiences of cancer patients in palliative care with advanced care planning: A systematic review and meta-synthesis of qualitative studies","authors":"Mauricio Arias-Rojas ,&nbsp;Nikol Leiserovich ,&nbsp;Mariceli Castaño ,&nbsp;Sonia Carreño-Moreno","doi":"10.1016/j.ejon.2025.102868","DOIUrl":"10.1016/j.ejon.2025.102868","url":null,"abstract":"<div><h3>Purpose</h3><div>This systematic review and meta-synthesis aims to synthesize the perspectives and experiences of patients with advanced cancer of advanced care planning and advanced directives in a PC setting.</div></div><div><h3>Methods</h3><div>Qualitative studies published between 1991 and 2024 were included. A comprehensive search was performed across six electronic databases: CINAHL, Cochrane, OVID, PubMed, Scopus, and ScienceDirect. The Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research was applied for quality assessment. Thematic synthesis was applied to analyze data from 20 selected studies, involving 534 participants.</div></div><div><h3>Results</h3><div>Six key themes emerged: (1) Meaning of advanced care planning (ACP), (2) Initiating ACP, (3) Barriers and facilitators, (4) Communication in ACP, (5) Outcomes of ACP, and (6) Needs and wishes in ACP. Findings highlight ACP as a complex and dynamic process shaped by emotional, social, and institutional factors. While ACP promotes patient autonomy and reduces anxiety, reluctance, avoidance, and cultural barriers limit engagement. Effective clinician-patient communication, emotional readiness, and tailored interventions enhance ACP participation.</div></div><div><h3>Conclusions</h3><div>Understanding the perspectives of advanced cancer patients is essential for improving ACP implementation in PC settings. Healthcare professionals must foster trust, provide culturally sensitive communication, and adapt ACP approaches to patients’ evolving needs. Future research should focus on addressing emotional and systemic barriers to increase ACP participation and improve end-of-life care quality.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102868"},"PeriodicalIF":2.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143759938","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":"Benchmarking vulvar cancer wound care practice in Australia and New Zealand: A cross-sectional study","authors":"Natalie Williams ,&nbsp;Megan Wall ,&nbsp;Emma Allanson ,&nbsp;Sharon MacLean","doi":"10.1016/j.ejon.2025.102874","DOIUrl":"10.1016/j.ejon.2025.102874","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate current vulvar cancer wound care practices in Australia and New Zealand, identify knowledge of evidence supporting practice, explore enablers and barriers and determine areas for future improvement and research.</div></div><div><h3>Methods</h3><div>An online cross-sectional survey collected quantitative and qualitative data from 64 nurses and doctors between May and July 2023. Descriptive statistics and content analysis were conducted. A consumer advisory group contextualised findings within lived experiences.</div></div><div><h3>Results</h3><div>Common vulvar wound care practices included wound irrigation (n = 48, 83 %) and perineal drying (n = 40, 69 %), along with urinary catheters (n = 50, 86 %) and drains (n = 33, 57 %). Not using a wound dressing was common (n = 41, 71 %). Using silver (n = 25, 39 %), topical (n = 11, 17 %) or prophylactic (n = 2, 3 %) antibacterial agents were less common. Only 23 % (n = 15) of respondents reported knowledge of organisational guidance and care was commonly determined by practitioner preference, clinical assessment, and specialist wound nurse review. Reported enablers included guidance documents, clear instructions, clinician expertise, effective communication, and a well-informed patient. Reported barriers included infection, comorbidities, clinician variability, lack of evidence, systematic barriers, poor communication, and wound access challenges. The most common suggestion for improvement was the development of evidence based guidance. Four priority areas for future research were identified as; building an evidence base, evaluating the patient experience, investigating the impact of reducing risk factors and evaluating education interventions.</div></div><div><h3>Conclusions</h3><div>By benchmarking current wound care practices following surgery for vulvar cancer in Australia and New Zealand, priorities to direct future research and practice change efforts are supported.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102874"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777214","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":"Perceived stress and cognitive function in breast cancer chemotherapy patients: A latent profile analysis","authors":"Xiaotong Ding ,&nbsp;Hongli Chen ,&nbsp;Houming Kan ,&nbsp;Mingyue Zhu ,&nbsp;Qing Wang ,&nbsp;Xuan Xia ,&nbsp;Fang Zhao ,&nbsp;Zheng Li","doi":"10.1016/j.ejon.2025.102867","DOIUrl":"10.1016/j.ejon.2025.102867","url":null,"abstract":"<div><h3>Purpose</h3><div>Cognitive performance in patients with breast cancer is significantly impacted by perceived stress. However, there is a lack of attention to individual heterogeneity in perceived stress and its association with cognitive function among these patients. Therefore, the study aimed to identify the latent profiles of perceived stress in breast cancer patients and evaluate the relationship between perceived stress and cognitive function.</div></div><div><h3>Methods</h3><div>Data was collected from a sample of 418 breast cancer patients from the internal medicine ward of a tertiary oncology hospital in Beijing, using the Perceived Stress Scale and the Functional Assessment of Cancer Therapy-Cognitive Function. Latent profile analysis revealed the potential profile fit with lower AIC, BIC, aBIC, and higher entropy. Subsequent inter-group comparisons (chi-square test, Mann-Whitney U, <em>t</em>-test) were conducted to examine differences in sociodemographic characteristics and cognitive function across perceived stress profiles. Binary logistic regression was used to explore demographic variables perceived stress latent profiles.</div></div><div><h3>Results</h3><div>The potential profile analysis indicated that the two profiles of perceived stress consist of the “high self-esteem-low stress group” and the “low sense of control-high stress group,” which exhibited disparities in cognitive function. The “low sense of control-high stress group” was characterized by a large proportion of patients falling within the age range of 40–55 years old. The “high self-esteem-low stress group” may be characterized by advanced-age patients with high levels of social support or social networks</div></div><div><h3>Conclusions</h3><div>These findings underscore the interplay of age and psychosocial resources (e.g., social networks) in shaping stress perception and cognitive health. However, the role of psychosocial resources and employment status still needs further exploration. Targeted interventions to enhance perceived control in middle-aged working populations and strengthen social support systems may mitigate stress-related cognitive decline</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102867"},"PeriodicalIF":2.7,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143873611","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}