European Journal of Oncology Nursing最新文献

{"title":"The effect of a nurse-led health education model for patients with temporary stomas: A randomized controlled trial","authors":"Liying Lin ,&nbsp;Na Lin ,&nbsp;Mengting Yan ,&nbsp;Jiaxu Xie ,&nbsp;Rongjin Lin ,&nbsp;Huayan Lin","doi":"10.1016/j.ejon.2025.102861","DOIUrl":"10.1016/j.ejon.2025.102861","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the impact of a nurse-led Skinner-based health education model on stoma readiness for hospital discharge, self-management, social impact, and complication rates.</div></div><div><h3>Methods</h3><div>In a tertiary care hospital's Gastrointestinal Surgery Unit in Fujian, China, a blinded assessor conducted a repeated-measures randomized controlled trial. A total of 124 participants were assigned to either the intervention or control group randomly. The intervention group was subjected to a structured, progressive stoma care protocol incorporating Skinner's procedural teaching principles across seven stages: preoperative education, stoma observation, care training, active participation, self-care, home management, and supportive guidance. Data collection occurred at four time points: pre-intervention (T0), hospital discharge (T1), and 1 (T2) and 3 months post-hospitalization (T3). Outcome measures included hospital discharge readiness, stoma self-management, social impact, and stoma-related complications. Medical records were reviewed for complication data. The impact of group, time, and their combined influence on the results was assessed using generalized estimating equations.</div></div><div><h3>Results</h3><div>Patients in the intervention group demonstrated significant improvements in readiness for hospital discharge (<em>p</em> &lt; 0.001), stoma self-management (<em>p</em> &lt; 0.001), social impact (<em>p</em> &lt; 0.05), and incidence of complications (<em>p</em> &lt; 0.05) compared to the control group.</div></div><div><h3>Conclusion</h3><div>The study indicates that the nurse-led Skinner-based health education model significantly enhances readiness for hospital discharge and self-management in stoma patients, while also mitigating social impact and complications. It is recommended that the nurse-led health education model be integrated into clinical practice to enhance successful self-management and psychosocial adaptation in stoma patients.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102861"},"PeriodicalIF":2.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674801","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":"Factors contributing to sexual dissatisfaction in women with breast cancer: The specific role of conjugal relationship quality","authors":"Kristopher Lamore ,&nbsp;Anna Maria Giardinelli ,&nbsp;Émilie Wawrziczny","doi":"10.1016/j.ejon.2025.102866","DOIUrl":"10.1016/j.ejon.2025.102866","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of this study was (1) to investigate the personal, interpersonal, social, and cultural factors related to sexual dissatisfaction in women with breast cancer and (2) to explore these differences regarding surgery (lumpectomy vs. mastectomy).</div></div><div><h3>Methods</h3><div>This cross-sectional study included women diagnosed with breast cancer (n = 87). Women were invited to complete questionnaires assessing sexual satisfaction, relationship satisfaction, conjugal support, quality of life, subjective health, anxiodepressive symptomatology, body image, self-esteem, and religiosity. Partial least squares path modeling (PLS‒PM) was used.</div></div><div><h3>Results</h3><div>No direct links were observed between resources (intraindividual and social) and sexual dissatisfaction (SD) or between vulnerability (physical and emotional) and SD. The quality of the conjugal relationship acted as a mediator between these different variables. Intraindividual resources are influenced directly by physical and emotional vulnerability. Age influenced only SD in women who had undergone a lumpectomy compared with those who had undergone a mastectomy. Finally, religiosity and the length of the couple relationship had no influence on SD.</div></div><div><h3>Conclusion</h3><div>The results highlight the importance of considering different levels of variables when considering SD in women with breast cancer, particularly the role of the conjugal relationship. Hence, these results encourage the need to promote conjugal relationship quality to improve sexual satisfaction.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102866"},"PeriodicalIF":2.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671660","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":"Siblings' lived experiences of transitions between hospital and home in paediatric oncology: A qualitative study","authors":"Josefine Tang Rørbech ,&nbsp;Kamilla Tofting-Olesen ,&nbsp;Karin Enskär ,&nbsp;Helle Haslund-Thomsen ,&nbsp;Claus Sixtus Jensen ,&nbsp;Pia Dreyer","doi":"10.1016/j.ejon.2025.102853","DOIUrl":"10.1016/j.ejon.2025.102853","url":null,"abstract":"<div><h3>Purpose</h3><div>Childhood cancer profoundly affects the entire family, with siblings experiencing significant changes. Transitions between paediatric oncology treatment centres and homes pose particular challenges, fragmenting family life and heightening uncertainty. This study aims to explore how siblings of children with cancer experience transitions between a paediatric oncology centre and home.</div></div><div><h3>Method</h3><div>A phenomenological-hermeneutic approach was employed to capture the lived experiences of eight siblings of children with cancer. Semi-structured interviews, supported by photo-elicitation methods, were conducted in the siblings' homes. The analysis was guided by PaulRicoeur's theory of interpretation, which provided a philosophical framework for understanding the deeper meanings of siblings' narratives.</div></div><div><h3>Results</h3><div>Three overarching themes on hospital and home transitions emerged: Grappling to find a new family position situated in the periphery, The risk of sudden family separation left with uncertainty and Adapting to a changing siblingship shaped by the illness. These findings highlight that siblings faced considerable demands to adjust and adapt to unpredictable family separations, representing particularly vulnerable periods, amplifying feelings of uncertainty, fear, and loneliness.</div></div><div><h3>Conclusion</h3><div>This study provides insights into how siblings adjust to the frequent family disruptions caused by cancer treatment. While siblings strive for family closeness, they often feel distanced and placed in a peripheral role. Siblings' needs during transitions must be prioritized and addressed adequately to ensure their overall adjustment during a cancer course.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102853"},"PeriodicalIF":2.7,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643251","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":"The effect of non-pharmacological supportive care interventions on patient-reported outcomes among patients with a brain tumour: A systematic review and meta-analysis","authors":"Deborah O'Doherty ,&nbsp;Mark O'Donovan ,&nbsp;Ros Lavery ,&nbsp;Art B. Kelleher ,&nbsp;Teresa Wills ,&nbsp;Mohamad M. Saab","doi":"10.1016/j.ejon.2025.102856","DOIUrl":"10.1016/j.ejon.2025.102856","url":null,"abstract":"<div><h3>Purpose</h3><div>Brain tumours are associated with significant disease burden with needs fluctuating throughout the disease trajectory. The aim of this systematic review and meta-analysis was to assess the effect of non-pharmacological supportive care interventions on patients with a primary brain tumour by means of patient-reported outcome measures.</div></div><div><h3>Methods</h3><div>The following electronic databases were systematically searched: Academic Search Complete, APA PsycInfo, APA PsycArticles, CINAHL Plus, Cochrane, PubMed, and Web of Science. Additional records were located from Google Scholar, reference tracking, and hand searching. Title, abstract, and full-text screenings were completed by two independent reviewers. Data were extracted using a standardised extraction table. Quality appraisal was conducted using the Mixed Method Appraisal Tool. Results were described via narrative synthesis or meta-analyses of standardised scores for randomised controlled trials.</div></div><div><h3>Results</h3><div>From 1261 records, nine studies were included. Various interventions were utilised including five exercise-based interventions (aerobics, Pilates, yoga, in-patient rehabilitation and out-patient rehabilitation), two cognitive rehabilitation programs, and two psychosocial interventions. Eight of the nine interventions benefitted patients with statistically significant improvement to at least one aspect of their wellbeing. Meta-analyses of randomised controlled trials for all interventions found standardised mean improvements to the outcomes of quality of life (0.34, <em>p</em>-value = 0.037), psychological wellbeing (0.35, <em>p</em>-value = 0.001), cognitive symptoms (0.41, <em>p</em>-value = 0.016), and fatigue (0.31, <em>p</em>-value &lt;0.001).</div></div><div><h3>Conclusion</h3><div>Non-pharmacological supportive care interventions showed positive effects in reducing symptom burden among patients with primary brain tumours. Further research with larger sample sizes is needed to confirm these findings.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102856"},"PeriodicalIF":2.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815670","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 role of psychosocial adjustment in the quality of life of patients with myeloproliferative neoplasms","authors":"A.A.M. Eppingbroek ,&nbsp;L. Lechner ,&nbsp;E.C. Bakker ,&nbsp;M.D. Nijkamp ,&nbsp;M.A. de Witte ,&nbsp;C.A.W. Bolman","doi":"10.1016/j.ejon.2025.102855","DOIUrl":"10.1016/j.ejon.2025.102855","url":null,"abstract":"<div><h3>Purpose</h3><div>Myeloproliferative neoplasms (MPNs) can cause a high symptom burden that negatively affects quality of life (QoL). The way patients deal with their disease and how this impacts their QoL is important to understand, yet virtually unknown. The aim of this study is to investigate whether and how psychosocial adjustment affects QoL in MPN patients.</div></div><div><h3>Methods</h3><div>A longitudinal study was conducted in 338 patients with MPN to investigate whether and how baseline measurements of psychosocial adjustment could predict QoL outcomes six months later. Psychosocial adjustment to illness was operationalized by: coping, self-management, resilience and illness identity (II). We tested the hypotheses that high scores on respectively problem-solving coping, self-management, resilience, II-subscales acceptance and enrichment, and low scores on II-subscales rejection and engulfment are associated with high scores on QoL. We performed a multiple hierarchical regression analysis including sociodemographic and disease-related variables and baseline QoL as control variables.</div></div><div><h3>Results</h3><div>II-subscale engulfment had the most pronounced negative impact on QoL (β.47, <em>p</em> &lt; .001). After the introduction of the control variables, the effect of engulfment remained statistically significant (β.16, <em>p</em> &lt; .01). Additionally, baseline QoL (β.32, <em>p</em> &lt; .001), treatment option wait-and-see (β.11, <em>p</em> &lt; .05), and MPN symptom burden at T2 (β.36, <em>p</em> &lt; .001) demonstrated significance. The other variables measuring psychosocial adjustment did not relate significantly to QoL.</div></div><div><h3>Conclusion</h3><div>The findings of this study illustrate the significant adverse effect of engulfment on patients' QoL, underscoring the importance of providing psychosocial guidance to mitigate the patients' feelings of being overwhelmed by the disease.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102855"},"PeriodicalIF":2.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674807","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":"Planned motherhood distress in women of reproductive age with breast cancer–impacts of partner relationship, fear of cancer recurrence, decision conflict, and fertility concerns","authors":"Hsing-Chan Chiu ,&nbsp;Chung-Ying Lin ,&nbsp;Bih-Ching Shu ,&nbsp;Kuo-Ting Lee ,&nbsp;Meng-Hsing Wu","doi":"10.1016/j.ejon.2025.102859","DOIUrl":"10.1016/j.ejon.2025.102859","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined the effects of partner relationships, fear of breast cancer recurrence (FBCR), decision conflict (DC), and fertility concerns (FC) on distress in planned motherhood (DPM) among women of reproductive age with breast cancer (WRABC).</div></div><div><h3>Methods</h3><div>A cross-sectional design was employed to recruit 100 WRABC aged 20–49 years, menstruating, newly diagnosed, and undergoing gonadotoxic therapies, from a medical center in southern Taiwan. Participants with multiple malignancies, chronic diseases, mental disorders, or infertility were excluded. All participants completed six questionnaires assessing demographics, personality, FBCR, DC, FC, and DPM. Structural equation modeling (SEM) was conducted.</div></div><div><h3>Results</h3><div>The SEM showed an acceptable fit (root mean square error of approximation = 0.07, comparative fit index = 0.99) with the following significant associations: Neuroticism with FBCR (β = 0.41, P &lt; 0.01); partner relationship with FBCR (β = −0.20, P &lt; 0.05); FBCR with DC (β = 0.29, P &lt; 0.05), which in turn was significantly associated with fertility concerns (β = 0.22, P &lt; 0.05); FC with DPM (β = 0.71, P &lt; 0.01). Moreover, FBCR, DC, and FC significantly mediated the relationship between partner relationship (coefficient = −0.003, 95% CI = −0.015, −0.0004) and personality (coefficient = 0.009, 95% CI = 0.002, 0.031) on DPM. Despite both partner relationship and personality influencing DPM through these mediators, partner relationship had a negative correlation with FBCR.</div></div><div><h3>Conclusions</h3><div>Planned motherhood distress in WRABC is driven by FBCR, DC, and FC, with personality and partner relationships influencing the process. Individualized care strategies addressing these factors are essential for supporting decision-making and improving quality of life.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102859"},"PeriodicalIF":2.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600507","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":"“Empty action: two heads are better than one”: Spiritual care provision for patients living with advanced cancer in Sub-Saharan Africa: A meta-synthesis","authors":"Emmanuel Kwadwo Anago ,&nbsp;Leah Macaden ,&nbsp;Lawrence Doi ,&nbsp;Michelle King-Okoye ,&nbsp;Anna Bovo ,&nbsp;Rowena Stewart","doi":"10.1016/j.ejon.2025.102854","DOIUrl":"10.1016/j.ejon.2025.102854","url":null,"abstract":"<div><h3>Purpose</h3><div>This meta-synthesis seeks to explore spiritual care provision by healthcare professionals and spiritual leaders to patients with advanced cancer and their families in Sub–Saharan Africa.</div></div><div><h3>Methods</h3><div>Studies were searched and retrieved from MEDLINE, EMBASE, PsycINFO, CINAHL, Global Health, Web of Science, and the Africa Index Medicus databases. The search was conducted on November 10, 2023 and repeated on October 18, 2024. This meta-synthesis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Enhancing transparency in reporting the synthesis of qualitative research (ENTREQ) statements. Two authors independently conducted the screening and data extraction process. Two authors independently assessed the quality of included studies using the Critical Appraisal Skill Programme Checklist for qualitative studies, and findings from the studies were analysed and synthesised thematically.</div></div><div><h3>Findings</h3><div>Twelve studies were included in the meta-synthesis. The analysis yielded six themes: metaphysical causes of cancer illness, patients and carers’ spiritual concerns, pluralistic therapy and nature of spiritual care provision, spirituality/religiosity in coping, positive reframing and pathways towards reconciliation, and integration of spiritual care into routine cancer care pathways.</div></div><div><h3>Conclusion</h3><div>Patients and families combine orthodox treatment and spiritual forms of healing. They would like to receive spiritual care from healthcare professionals and not relegate it entirely to their spiritual leaders and church members. Spiritual/religious leaders of patients and families are willing to collaborate with orthodox treatment in providing spiritual care. Incorporating spiritual care into primary healthcare and educational programs is significant to enhancing patients’ outcomes and healthcare delivery.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102854"},"PeriodicalIF":2.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143594212","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":"Factors associated with perceived medication safety during transitions of care in patients with cancer: A secondary data analysis of a cross-sectional survey","authors":"Youmin Cho ,&nbsp;Misun Hwang ,&nbsp;Yang Gong ,&nbsp;Yun Jiang","doi":"10.1016/j.ejon.2025.102857","DOIUrl":"10.1016/j.ejon.2025.102857","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate perceived medication safety in patients with cancer during transitions of care and identify factors associated with their safety perceptions.</div></div><div><h3>Methods</h3><div>A secondary data analysis was performed on a cross-sectional survey data of from patients with four types of cancer (i.e., colorectal, lung, prostate, and breast). Perceived medication safety was measured by the sum score of four survey items that assessed patients’ feelings about medication safety during transitions of care. Potential associated factors included sociodemographic and clinical factors (i.e., cancer types, taking oral anticancer agents), self-rated health, perceived safety in communicating with clinicians, beliefs about medications, and medication self-management ability. Descriptive statistics, bivariate correlations, and multiple linear regressions were performed.</div></div><div><h3>Results</h3><div>A total of 183 patients were included, with a mean (SD) age of 65.04 (11.07). Participants reported a moderate level of perceived medication safety (mean [SD] = 13.56 [1.85], median = 13, IQR: 12–15). Multiple linear regression analysis revealed that better medication self-management ability (coefficient = 0.29, p &lt; .001), feeling safer in communication with healthcare providers (coefficient = 0.87, p &lt; .001), and having less concern about medications (coefficient = −0.11, p &lt; .001) were significantly associated with higher perceived medication safety. Additionally, younger age (coefficient = −0.03, p = .02) was associated with higher perceived medication safety. The final model explained 43% of the variance.</div></div><div><h3>Conclusions</h3><div>The study's findings underscore the importance of effective communication and self-management in enhancing medication safety in patients with cancer during transitions of care, particularly for older adults needing additional support.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102857"},"PeriodicalIF":2.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580075","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":"Stigma, colorectal cancer knowledge and self-efficacy among colorectal cancer survivors: A cross-sectional study based on random forest analysis","authors":"Boya Mi ,&nbsp;Ying Jin ,&nbsp;Meichun Zheng ,&nbsp;Hongtao Cheng ,&nbsp;June Zhang","doi":"10.1016/j.ejon.2025.102858","DOIUrl":"10.1016/j.ejon.2025.102858","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the stigma levels among colorectal cancer (CRC) survivors, identify determinants, examine correlations with CRC knowledge and self-efficacy, and quantify the relative influence of various contributing factors.</div></div><div><h3>Methods</h3><div>In total, 301 CRC survivors were enrolled from a tertiary oncology center in southern China. The participants completed the Social Impact Scale (SIS), Bowel Cancer Awareness Measure (Bowel CAM), General Self-Efficacy Scale (GSES), and a demographic and disease-related questionnaire. The analytical framework included multiple linear regression to identify the factors influencing stigma, LASSO regression for variable refinement, and random forest modeling to construct hierarchies of factor importance.</div></div><div><h3>Results</h3><div>Participants demonstrated moderate levels across all measures: stigma (54.63 ± 8.37), CRC knowledge (8.25 ± 4.74), and self-efficacy (26.81 ± 5.95). Multiple linear regression identified type of medical insurance, support from peers, unwillingness to accept colonoscopy, CRC knowledge, and self-efficacy as significant factors influencing stigma. Random forest analysis ranked factor importance by Gini index: self-efficacy (4366.41), support from peers (1618.03), CRC knowledge (1029.04), type of medical insurance (886.66), and unwillingness to accept colonoscopy (750.16).</div></div><div><h3>Conclusions</h3><div>Healthcare providers should pay more attention to stigma among CRC patients. Effective stigma reduction necessitates culturally-sensitive psychosocial interventions, including enhancing patients’ confidence in managing their disease, strengthening professional-driven online popularization of science campaigns, and facilitating social support networks.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102858"},"PeriodicalIF":2.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609669","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":"Effects of a sexual health enhancement program for women with breast cancer: A quasi-experimental study","authors":"Hye Sook Kim ,&nbsp;Chaewon Yun","doi":"10.1016/j.ejon.2025.102852","DOIUrl":"10.1016/j.ejon.2025.102852","url":null,"abstract":"<div><h3>Objective</h3><div>This study evaluated the effectiveness of a culturally adapted Sexual Health Enhancement (SHE) program, grounded in the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model, in addressing sexual health challenges in women with breast cancer. It examined the program's impacts on sexual function, distress, body image, marital intimacy, and sexual knowledge.</div></div><div><h3>Methods</h3><div>A quasi-experimental pretest−posttest design included 50 married women diagnosed with breast cancer within five years post-mastectomy without reconstruction. Participants were divided into intervention (n = 24) and control (n = 26) groups. The intervention consisted of four weekly group sessions and phone consultations. Outcomes were assessed at baseline, one week, and five weeks posttest using validated tools.</div></div><div><h3>Results</h3><div>The intervention group showed significant improvements in sexual distress (F = 24.852, p &lt; 0.001), body image (F = 25.887, p &lt; 0.001), and sexual knowledge (F = 60.876, p &lt; 0.001). Marital intimacy improved over time (F = 7.050, p = 0.011), but no significant group-by-time interaction was found (F = 0.478, p = 0.493). Sexual function showed no significant differences (F = 0.748, p = 0.391).</div></div><div><h3>Conclusions</h3><div>The SHE program effectively improved sexual distress, body image, and knowledge in breast cancer survivors. Tailored interventions for body image and marital intimacy remain essential, and future research should explore digital solutions and spousal involvement to enhance outcomes.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102852"},"PeriodicalIF":2.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619399","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}