European Journal of Oncology Nursing最新文献

{"title":"Effects of expressive writing of positive emotions on mental health among patients with ovarian cancer undergoing postoperative chemotherapy","authors":"Hui Ren ,&nbsp;Shanshan Meng ,&nbsp;Xin Yin ,&nbsp;Pan Li ,&nbsp;Yingchun Xue ,&nbsp;Wenhao Xin ,&nbsp;Hongyan Li","doi":"10.1016/j.ejon.2024.102756","DOIUrl":"10.1016/j.ejon.2024.102756","url":null,"abstract":"<div><h3>Purpose</h3><div>Patients with ovarian cancer often experience significant psychological distress during postoperative chemotherapy, including anxiety and depression. Expressive writing of positive emotions has shown potential in improving psychological health and fostering post-traumatic growth (PTG) in cancer patients. However, its application to ovarian cancer patients undergoing chemotherapy remains under-explored.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted with 82 ovarian cancer patients undergoing postoperative chemotherapy at a tertiary hospital in Changchun, China. Patients were divided into an experimental group (n = 40) receiving expressive writing intervention and a control group (n = 42) receiving routine care. Outcomes were assessed using the Post-Traumatic Growth Inventory (PTGI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) at baseline and after a 6-week intervention.</div></div><div><h3>Results</h3><div>After the intervention, the experimental group exhibited significantly higher PTGI scores (mean ± SD: 73.43 ± 6.95) compared to the control group (63.19 ± 5.91, <em>P</em> &lt; 0.001), with improvements observed across all five PTG dimensions (<em>P</em> &lt; 0.05). The experimental group also showed a greater reduction in SAS (mean ± SD: 38.25 ± 4.31 vs. 45.12 ± 5.17, <em>P</em> &lt; 0.001) and SDS scores (mean ± SD: 42.10 ± 3.86 vs. 48.75 ± 4.62, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Expressive writing of positive emotions significantly enhances PTG and reduces anxiety and depression in ovarian cancer patients undergoing chemotherapy. This intervention offers a cost-effective and feasible approach for psychological support in clinical settings.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102756"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958388","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":"Psychological resilience, dyadic coping, and dyadic adjustment in couples dealing with cervical cancer in Northwest China: A cross-sectional study","authors":"TianRuiXue Zhang ,&nbsp;Ping Yan ,&nbsp;Cho Lee Wong ,&nbsp;Zhisheng Huang ,&nbsp;li Liu ,&nbsp;YuQiao Xiao ,&nbsp;GuiYuan Ma ,&nbsp;ZiXuan Liu ,&nbsp;Jia Xu ,&nbsp;Can Gu","doi":"10.1016/j.ejon.2025.102785","DOIUrl":"10.1016/j.ejon.2025.102785","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the relationship between dyadic coping and dyadic adjustment in patients with cervical cancer and their spouses in northwest China, and explore the mediating role of psychological resilience in this relationship.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from June to October 2024 in two tertiary hospitals in Xinjiang Province, China; 260 patients with cervical cancer and their spouses were enrolled. Participants independently completed demographic and clinical questionnaires as well as Chinese versions of the Resilience Scale, Dyadic Coping Inventory, and Locke-Wallace Marital Adjustment Scale. The Actor-Partner Interdependence Model was employed to analyze dyadic data.</div></div><div><h3>Results</h3><div>Patients with cervical cancer and their spouses both exhibited actor effects (<em>β</em> = 0.197, <em>P</em> &lt; 0.001; <em>β</em> = 0.342, <em>P</em> &lt; 0.001) and partner effects (<em>β</em> = 0.276, <em>P</em> &lt; 0.001; <em>β</em> = 0.264, <em>P</em> &lt; 0.001) in the association between dyadic coping and dyadic adjustment. Regarding the mediating role of psychological resilience, spouses' dyadic coping directly affected patients' psychological resilience, and patients’ psychological resilience indirectly influenced their own dyadic adjustment (<em>β</em> = 0.061, 95% CI = 0.019, 0.121; <em>β</em> = 0.074, 95% CI = 0.019, 0.144).</div></div><div><h3>Conclusions</h3><div>Our findings suggested that psychological resilience plays an essential role in enhancing dyadic coping and cultivating dyadic adjustment among patients with cervical cancer and their spouses. Healthcare professionals should identify couples who have difficulty coping and adapting, and consider couple-centered dyadic resilience interventions to improve these behaviors.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102785"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069395","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":"Multidimensional fatigue and its predictive factors in patients with radiation-induced brain injury after radiotherapy for nasopharyngeal carcinoma: A cross-sectional study","authors":"Yifan Ye ,&nbsp;Qian Yang ,&nbsp;Wenze Lu ,&nbsp;Cheuk Yin So ,&nbsp;Xiaofen Qiu ,&nbsp;Lifeng Zhang","doi":"10.1016/j.ejon.2025.102803","DOIUrl":"10.1016/j.ejon.2025.102803","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate and compare the multidimensional fatigue between nasopharyngeal carcinoma (NPC) patients with radiation-induced brain injury (RBI) and without RBI after radiotherapy, and further explore the predictive factors in NPC patients with RBI.</div></div><div><h3>Methods</h3><div>This prospective study included 135 NPC patients with RBI and 135 group matched NPC patients without RBI from June 2023 to October 2023 in Guangzhou, China. The patients were asked to complete paper questionnaires by themselves, including socio-demographic characteristics, anxiety, depression, sleep quality, and multidimensional fatigue with five dimensions: general fatigue, mental fatigue, physical fatigue, reduced activity, and reduced motivation, while their cognitive function were assessed by professionals. NPC patients without RBI completed questionnaires about socio-demographic characteristics and multidimensional fatigue on their own.</div></div><div><h3>Results</h3><div>The total fatigue and all dimensions of fatigue in NPC patients with RBI were comparably increased than NPC patients without RBI. There were significant differences between two groups in total fatigue and three dimensions, including general fatigue, physical fatigue and reduced activity (<em>p</em> &lt; 0.05). In NPC patients with RBI, the predictive factors of five dimensions were different. Employment status, coexisting cardiovascular disease, coexisting endocrine disease, anxiety, depression, PSQI subjective sleep quality dimension, and cognitive function were significant predictors of the total fatigue, accounting for 44.10% of the total variance [<em>F</em>(<em>p</em>) = 16.102 (&lt;0.001)].</div></div><div><h3>Conclusions</h3><div>Our data demonstrated that fatigue showed more severe in all dimensions in NPC patients with RBI compared to NPC patients without RBI, with significant differences in total fatigue and three dimensions, general fatigue, physical fatigue, reduced activity.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102803"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076310","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":"Adaptive digital and non-digital self-management in permanent enterostomy patients: A qualitative study based on the Chronic Illness Trajectory framework","authors":"Qian Li ,&nbsp;Yu Lu ,&nbsp;Yan Hao ,&nbsp;Yuan Zhao ,&nbsp;Xin-Xi Qi ,&nbsp;Jia Qiao","doi":"10.1016/j.ejon.2024.102733","DOIUrl":"10.1016/j.ejon.2024.102733","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the adaptive self-management strategies of enterostomy patients across different health trajectory phases and explore how patients utilize a combination of digital tools and traditional practices to manage their condition effectively within the Chronic Illness Trajectory Framework (CITF).</div></div><div><h3>Methods</h3><div>Participants were recruited from Qingdao Municipal Hospital's Stoma Clinic between October 2022 and August 2024. A total of 26 adults who had undergone permanent enterostomy surgery at least six months prior were selected through purposeful sampling to capture diverse experiences across different health trajectory phases. Semi-structured interviews were conducted, and data were analyzed using thematic analysis, with saturation reached when no new insights emerged.</div></div><div><h3>Results</h3><div>Three primary trajectory types emerged: (1) Living with a Stable Enterostomy Condition, where structured routines and preventive practices helped patients maintain health stability; (2) Experiencing Cycles of Deterioration and Recovery, characterized by proactive monitoring and recovery practices, often supported by family and telemedicine; and (3) Responding to Unstable Changes, requiring immediate actions, real-time adjustments, and crisis planning, with patients relying on both wearable monitors and established self-care routines. Across all phases, a balanced use of digital and non-digital methods enhanced adaptability and resilience.</div></div><div><h3>Conclusion</h3><div>The findings underscore the importance of phase-specific, adaptive self-management strategies that blend digital innovations with foundational self-care practices. CITF offers a valuable framework for clinicians to assess patients’ trajectory phases and provide tailored support that aligns with their unique health needs. This approach can promote patient autonomy, improve quality of life, and inform the development of comprehensive, patient-centered care models for enterostomy and other chronic conditions.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102733"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787748","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":"Association between psychological flexibility and self-perceived burden in patients with cervical cancer: A computer-simulated network analysis","authors":"Furong Chen ,&nbsp;Ying Xiong ,&nbsp;Siyu Li ,&nbsp;Yiguo Deng ,&nbsp;Qihan Zhang ,&nbsp;Zhirui Xiao ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2025.102822","DOIUrl":"10.1016/j.ejon.2025.102822","url":null,"abstract":"<div><h3>Purpose</h3><div>The study aimed to identify the profiles of psychological flexibility in patients with cervical cancer and how self-perceived burden networked to different psychological flexibility profiles.</div></div><div><h3>Methods</h3><div>The Personalized Psychological Flexibility Index and the Self-Perceived Burden for Cancer Patients were used to measure psychological flexibility and self-perceived burden in patients from the “Be Resilient to Cancer” project. Latent profile analysis was used to identify profiles and computer-simulated network analysis was conducted to determine if self-perceived burden networked to any of the psychological flexibility profiles.</div></div><div><h3>Results</h3><div>A total of 325 patients with cervical cancer were recruited in this study. Mean age was 42.26 years, the majority were married (71%) and 75.4% had early stage disease (I or II). Three profiles of psychological flexibility were identified: moderate avoidance-low acceptance/harnessing (34.8%), high avoidance-moderate acceptance/harnessing (36.9%), low avoidance and high acceptance/harnessing (28.3%). Furthermore, “worrying about damaging family relationships” and “feeling guilty about affecting family's life plans” were the most bridge symptoms as well as the targeted intervention symptoms for alleviating and aggravating the self-perceived burden respectively.</div></div><div><h3>Conclusion</h3><div>Three patterns of psychological flexibility were recognized with two symptoms might be targeted to improve the self-perceived burden in women with cervical cancer.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102822"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081369","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":"Identifying and responding to domestic abuse in cancer care: A mixed methods service evaluation of a training and support intervention","authors":"Sandi Dheensa ,&nbsp;Ruth Hendy ,&nbsp;Linda Finn ,&nbsp;Marion Goodchild ,&nbsp;Estela Capelas Barbosa","doi":"10.1016/j.ejon.2024.102724","DOIUrl":"10.1016/j.ejon.2024.102724","url":null,"abstract":"<div><h3>Purpose</h3><div>This article reports on a service evaluation of a domestic abuse intervention for hospital-based cancer professionals in two sites. The core component was a training and monitoring process, which hospital-based domestic abuse coordinators led. This role was adapted from a generic hospital role to be cancer specific. Pre-training preparedness to identify and respond to domestic abuse, domestic abuse identifications, and changes ∼6 months post-training are presented.</div></div><div><h3>Methods</h3><div>We used an explanatory sequential design including a survey pre-training (Time 1), immediately post-training (Time 2) (with follow-up semi-structured interviews) and ∼6 months post-training (Time 3). Sites were asked to share domestic abuse identification numbers pre- and post-coordinator hire.</div></div><div><h3>Results</h3><div>Coordinators trained 1080 staff (17% of staff across two sites). Survey 1 (Time 1 &amp; 2) response rate was 44.9% (n = 485) and survey 2 8.8% (n = 95) (Time 3). All confidence scores significantly increased from pre- (Time 1) to post-training (Time 2). Time 3 also saw significant gains. There were also highly significant decreases in the perception of most barriers to asking about and responding to domestic abuse post-training. We were unable to determine Site 2's identification rate but Site 1's increased. Qualitative findings shed light on key moderators between intervention components and outcomes, and additional components needed to change practice.</div></div><div><h3>Conclusion</h3><div>Our evaluation contributes further evidence of the benefit of hospital-based domestic abuse coordinator roles; contributes new evidence for the feasibility of adapting the role for a specific context; and illustrates the need for a domestic abuse response in the cancer setting.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102724"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885695","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":"Profiles of chemotherapy-induced peripheral neuropathy in breast cancer patients undergoing taxane-based chemotherapy: A latent class analysis","authors":"Ruo-lin Li ,&nbsp;Li-xiao Bai ,&nbsp;Yu Liu ,&nbsp;Ai-ling Yang ,&nbsp;Lu Chen ,&nbsp;Fu-yun Zhao ,&nbsp;Ling Zhang ,&nbsp;Jun-E Liu","doi":"10.1016/j.ejon.2024.102758","DOIUrl":"10.1016/j.ejon.2024.102758","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to identify the potential subgroups of chemotherapy-induced peripheral neuropathy (CIPN) in breast cancer patients undergoing taxane-based chemotherapy and examine the association of the latent subtype with patient characteristics.</div></div><div><h3>Methods</h3><div>This multi-center, cross-sectional investigation was conducted between April 2022 and March 2023. CIPN was evaluated using the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity scale. Latent class analysis was employed to identify distinct CIPN subgroups, and multinomial logistic regression was used to analyze the associations between these subgroups and patient characteristics.</div></div><div><h3>Results</h3><div>In total, 397 individuals were categorized into three subgroups: high symptoms with high dysfunction (Class 1; 25.4%), moderate symptoms with low dysfunction (Class 2; 39.2%), and low symptoms with low dysfunction (Class 3; 35.3%). Taxane type, chemotherapy cycles, fatigue, β-blocker use, and depression were significant predictors of the subgroups (<em>P</em> &lt; .05).</div></div><div><h3>Conclusion</h3><div>CIPN symptoms in breast cancer patients are heterogeneous. Significant factors for the latent subgroups included taxane type, chemotherapy cycles, β-blocker use, fatigue, and depression. Identifying different subgroups of chemotherapy-induced peripheral neuropathy would help develop interventions tailored to the patients.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102758"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822953","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":"Navigating specific targets of breast cancer symptoms: An innovative computer-simulated intervention analysis","authors":"Minyu Liang ,&nbsp;Yichao Pan ,&nbsp;Jingjing Cai ,&nbsp;Ying Xiong ,&nbsp;Yanjun Liu ,&nbsp;Lisi Chen ,&nbsp;Min Xu ,&nbsp;Siying Zhu ,&nbsp;Xiaoxiao Mei ,&nbsp;Tong Zhong ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2024.102708","DOIUrl":"10.1016/j.ejon.2024.102708","url":null,"abstract":"<div><h3>Purpose</h3><div>To pinpoint optimal interventions by dissecting the complex symptom interactions, encompassing both their static and temporal dimensions.</div></div><div><h3>Methods</h3><div>The study incorporated a cross-sectional survey utilizing the MD Anderson Symptom Inventory. Participants with breast cancer undergoing chemotherapy were recruited from the “Be Resilient to Breast Cancer” from April 2023 to June 2024. Static symptom interrelationships were elucidated using undirected and Bayesian network models, complemented by an exploration of their dynamic counterparts through computer-simulated interventions.</div></div><div><h3>Results</h3><div>The study included 602 patients with breast cancer. Both undirected networks and computer-simulated interventions concurred on the symptoms of distress and fatigue as optimal alleviation targets. The Bayesian network and computer-simulated interventions both emphasized “shortness of breath” as preventive care. Notably, Distress appeared to be the most effective target for interventions, and compared to fatigue (decreasing score = 1.84–2.20, decreasing prevalence = 14.2–16.7%). Conversely, disturbed sleep, despite its high position in Bayesian network, had no propelling effects on increasing the network's overall symptom activity levels (increasing score&lt;1).</div></div><div><h3>Conclusions</h3><div>Computer-simulated intervention integrating with traditional network analysis can improve intervention precision and efficacy by prioritizing individual symptom impacts, both statically and dynamically.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102708"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781855","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":"Comparative impact of exercise variants on depressive symptoms in cancer patients: A systematic review and network meta-analysis","authors":"Hao Zhang ,&nbsp;Zeyong Hu ,&nbsp;Jiao Tong ,&nbsp;Jianhong Hu ,&nbsp;Xinchao Wang ,&nbsp;Bingnan Wang","doi":"10.1016/j.ejon.2024.102773","DOIUrl":"10.1016/j.ejon.2024.102773","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to conduct a network meta-analysis to assess the effectiveness of various forms of exercise as an intervention for post-cancer depression and to provide a guiding program based on evidence-based medicine for subsequent clinical practice.</div></div><div><h3>Methods</h3><div>This review was registered on the PROSPERO website with ID CRD42023485407. Pubmed, Embase, Cochrane Library, and Web of Science were comprehensively searched to obtain published articles from the establishment of the database until October 7, 2023. Bayesian network meta-analysis was conducted. Statistical analysis was conducted using R4.3.2 and Stata 15.1.</div></div><div><h3>Results</h3><div>This study ultimately included 51 articles and 4956 samples. Aerobic exercise (SMD = −0.33, 95%CI: 0.58, −0.08), combined exercise (SMD = −0.48, 95%CI: 0.71, −0.26), and mind-body exercise (SMD = −0.35, 95%CI: 0.6, −0.09) significantly improved depression compared with usual care (UC). According to the SUCRA value and cumulative probability, the rank of depression improvement effect of various sports interventions is as follows: combined exercise (90.71%), mind-body exercise (69.64%), aerobic exercise (65.81%), resistance training (35.86%).</div></div><div><h3>Conclusion</h3><div>Exercise intervention can significantly improve post-cancer depression, but there is no significant difference in the effectiveness of various forms of exercise in improving post-cancer depression.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102773"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967276","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":"A cross-sectional analysis to characterise treatment decision making for advanced cancer at a tertiary treatment centre: Where can we improve the process?","authors":"Grant Punnett ,&nbsp;Melissa Perry ,&nbsp;Charlotte Eastwood ,&nbsp;Laura Green ,&nbsp;Florian Walter ,&nbsp;Janelle Yorke","doi":"10.1016/j.ejon.2024.102762","DOIUrl":"10.1016/j.ejon.2024.102762","url":null,"abstract":"<div><h3>Purpose</h3><div>In decisions relating to cancer treatment, the risks and benefits of treatment and the patient's preferences must be considered to ensure concordance with goals of care. Shared decision making (SDM) can facilitate these discussions and is associated with reduced decision conflict. This study aimed to characterise decision making for advanced cancer patients at a UK tertiary cancer centre and identify who may be at risk of suboptimal SDM and increased decision conflict.</div></div><div><h3>Methods</h3><div>Participants completed the SDM-Q-9, decision conflict and decision self-efficacy scale following a consultation where an advanced cancer treatment decision was made. Pearson's chi-square test identified patient characteristics associated with SDM-Q-9, decision self-efficacy and decision conflict score categories; odds ratios were calculated to determine which patients were at increased probability of experiencing suboptimal SDM, low decision self-efficacy or high decision conflict.</div></div><div><h3>Results</h3><div>Participant's (n = 211) scores indicated predominantly high SDM, high decision self-efficacy and low decision conflict. Patient gender and the presence of an informal caregiver in consultation were significantly associated with SDM-Q-9 score category (p &gt; 0.05). Female patients (OR = 2.466, 95% CI: 1.223–4.974) and those attending consultations alone (OR = 0.440, 95% CI: 0.222–0.874) had greater odds of reporting lower SDM scores.</div></div><div><h3>Conclusion</h3><div>High SDM scores indicate either effective SDM behaviours or satisfaction with care biasing responses. Greater support to engage with SDM is required for female patients and those who attend alone in advanced cancer treatment decision consultations.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102762"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973129","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}