European Journal of Oncology Nursing最新文献

{"title":"Examining the emotional healing process through bibliotherapy in adolescents with cancer: A qualitative descriptive study","authors":"Ting-Yen Yu ,&nbsp;Tsai-Jung Wu ,&nbsp;Shiann-Tarng Jou ,&nbsp;Chih-Ying Lee ,&nbsp;Chen Su-may Sheih ,&nbsp;Chi-Wen Chen","doi":"10.1016/j.ejon.2024.102653","DOIUrl":"10.1016/j.ejon.2024.102653","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to investigate how interactive bibliotherapy impacted the emotional healing process of adolescents with cancer, drawing upon the three-stage emotional healing process theory–identification, catharsis, and insight.</p></div><div><h3>Method</h3><p>A qualitative descriptive study was conducted on data from 14 adolescents, aged 10–19 years, diagnosed with or relapsing from leukemia or osteosarcoma within the past two years. Participants received two interactive bibliotherapy sessions using <em>The Rabbit Listened</em> and <em>You Are Special</em>. Data were collected through semistructured interviews and content analyzed.</p></div><div><h3>Results</h3><p>Analysis identified six themes in <em>The Rabbit Listened</em> and eight in <em>You Are Special</em>. Adolescents primarily engaged in identification, empathizing with protagonists and recalling personal experiences. They underwent catharsis, releasing negative emotions and fostering positivity. Insights emerged on companionship, listening, and others’ criticism.</p></div><div><h3>Conclusions</h3><p>Our study validates the use of the three-stage emotional healing process in interdisciplinary bibliotherapy for understanding emotional changes in adolescents with cancer. It sheds light on their concerns and coping strategies. Healthcare practitioners can utilize interactive bibliotherapy based on this framework to initiate therapeutic communication with adolescent cancer patients and improve interventions and care.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591984","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":"Body image, self-efficacy, and sleep quality among patients with breast cancer: A latent profile and mediation analysis","authors":"Shuhan Li ,&nbsp;Yuxuan Xiang ,&nbsp;Hongman Li ,&nbsp;Chunmin Yang ,&nbsp;Wenting He ,&nbsp;Jiahua Wu ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2024.102652","DOIUrl":"10.1016/j.ejon.2024.102652","url":null,"abstract":"<div><h3>Purpose</h3><p>As a sign of femininity, impaired breast after surgery causes particularly confusion for patients with breast cancer resulting in increased body image distress, which has negative impacts on sleep quality. And self-efficacy enables patients to use positive and effective coping strategies to maintain a favorable night’s sleep. Therefore, our study is to explore the heterogeneity in body image experienced by patients with breast cancer and to examine the mediation effects of self-efficacy between body image and sleep quality.</p></div><div><h3>Method</h3><p>Between July 2023 and October 2023, 251 patients with breast cancer were recruited for the Be Resilient to Breast Cancer program. They responded to the General Perceived Self-Efficacy Scale, Body Image Scale, and Pittsburgh Sleep Quality Index Scale. Data were analyzed using a latent profile analysis (LPA) and mediation analysis.</p></div><div><h3>Results</h3><p>Results of the LPA indicated that body image could be classified into three subgroups as follows: low (43.0%), moderate (45.5%), and high (11.5%). Furthermore, the mediation analysis demonstrated two partially mediated effects upon comparing the low and moderate (standard error, SE = 0.548, 95% confidence interval, CI = 0.009, 0.366) and the high and low (SE = 0.848, 95% CI = 0.570, 3.909) body image groups.</p></div><div><h3>Conclusion</h3><p>Heterogeneity exists in body image, and self-efficacy mediates the relationship between body image and sleep quality. Hence, promoting self-efficacy can buffer the negative impacts of body image on sleep quality in patients with breast cancer, and self-efficacy-orientated interventions should also receive more attention in clinic.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141538900","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":"Home-based aerobic exercise feasibility in oxaliplatin-receiving newly-diagnosed cancer survivors","authors":"Grace A. Kanzawa-Lee ,&nbsp;Janet L. Larson ,&nbsp;Kenneth Resnicow ,&nbsp;Robert Ploutz-Snyder ,&nbsp;John C. Krauss ,&nbsp;Ellen M. Lavoie Smith","doi":"10.1016/j.ejon.2024.102649","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102649","url":null,"abstract":"<div><h3>Purpose</h3><p>Physical activity (PA) is beneficial but difficult to maintain during chemotherapy. This pilot RCT explored the feasibility of the MI-Walk intervention—an 8-week motivational enhancement therapy- and home-based brisk walking intervention—among gastrointestinal (GI) cancer survivors receiving chemotherapy.</p></div><div><h3>Methods</h3><p>Sixty stage II-IV GI cancer survivors were recruited from 5 sites at their second infusion visit. Participants were randomized to receive PA education alone or the MI-Walk intervention: motivational enhancement therapy consisting of 3 motivational interviewing and self-efficacy-enhancing counseling sessions, a Fitbit Charge 2, exercise diaries, telephone follow-up, scripted motivational email messages, and optional weekly walking groups.</p></div><div><h3>Results</h3><p>The enrollment and completion rates were 62% and 90%, respectively. The MI-Walk participants (<em>n</em> = 29; mean age = 56.79, <em>SD</em> = 11.72; 97% white; 79% male) reported a baseline moderate-vigorous PA duration of 250.93 (<em>SD</em> = 636.52) min/wk. The mean MI-Walk Intervention acceptability score was 50.32 (<em>SD</em> = 12.02) on a scale of 14–70. Mean Fitbit and counseling helpfulness scores on a 5-point scale were 3.67 (<em>SD</em> = 1.43) and 3.44 (<em>SD</em> = 1.36), respectively. Participants’ Fitbit moderate-vigorous PA 8-week averages ranged from 0 to 716.88 min/wk; 64% of participants adhered to ≥127 min/wk. Several characteristics (e.g., age, comorbidity, PA level, employment status, BMI, education level, gender, symptoms) were associated with enrollment, attrition, and intervention acceptability and adherence (<em>p</em> &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Enrollment and retention were adequate. The Fitbit and counseling were the most helpful. Acceptability and adherence varied based on participant characteristics; therefore, intervention tailoring and further research among cancer survivors less physically active at baseline and most in need of complex exercise intervention are needed.</p><p>ClinicalTrials.gov <span>NCT03515356</span><svg><path></path></svg>.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478675","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":"Predicting lower limb lymphedema after cervical cancer surgery using artificial neural network and decision tree models","authors":"","doi":"10.1016/j.ejon.2024.102650","DOIUrl":"10.1016/j.ejon.2024.102650","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to develop and validate accessible artificial neural network and decision tree models to predict the risk of lower limb lymphedema after cervical cancer surgery.</p></div><div><h3>Methods</h3><p>We selected 759 patients who underwent cervical cancer surgery at the Hunan Cancer Hospital from January 2010 to January 2020, collecting demographic, behavioral, clinicopathological, and disease-related data. The artificial neural network and decision tree techniques were used to construct prediction models for lower limb lymphedema after cervical cancer surgery. Then, the models’ predictive efficacies were evaluated to select the optimal model using several methods, such as the area under the receiver operating characteristic curve and accuracy, sensitivity, and specificity tests.</p></div><div><h3>Results</h3><p>In the training set, the artificial neural network and decision tree model accuracies for predicting lower limb lymphedema after cervical cancer surgery were 99.80% and 88.14%, and the sensitivities 99.50% and 74.01%, respectively; the specificities were 100% and 95.20%, respectively. The area under the receiver operating characteristic curve was 1.00 for the artificial neural network and 0.92 for the decision tree model. In the test set, the artificial neural network and decision tree models’ accuracies were 86.70% and 82.02%, and the sensitivities 65.70% and 67.11%, respectively; the specificities were 96.00% and 89.47%, respectively.</p></div><div><h3>Conclusion</h3><p>Both models had good predictive efficacy for lower limb lymphedema after cervical cancer surgery. However, the predictive performance and stability were superior in the artificial neural network model than in the decision tree model.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141622608","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":"Socioeconomic inequities in care experienced by women with breast cancer in England: An intersectional cross-sectional study","authors":"","doi":"10.1016/j.ejon.2024.102648","DOIUrl":"10.1016/j.ejon.2024.102648","url":null,"abstract":"<div><h3>Purpose</h3><p>Guided by the Intersectionality Framework, we examined the differential in breast cancer care experience across population subgroups in England.</p></div><div><h3>Methods</h3><p>Secondary data analysis using the 2017/2018 National Cancer Patient Experience Surveys. We used disaggregated descriptive statistics (mean, standard errors, 95% confidence interval) to analyse 26,030 responses from female breast cancer patients to a question relating to overall care experience categorised by age, ethnicity, and sexual orientation in their intersection with social position. We then used logistic regression to investigate the odds (Odds Ratio (OR), 95% confidence intervals) of reporting positive care experience adjusting for patient, clinical, and Trust level factors.</p></div><div><h3>Results</h3><p>Poorer care experience was predominantly reported by the most deprived younger and minoritised ethnic groups. Statistically significant findings were observed in adjusted multivariable analyses. Compared to patients aged 65–74 years, younger respondents were less likely to rate their care favourably (16–34 years old OR_adj. = 0.55 (0.36–0.84). Compared to White British, Asian (OR_adj. = 0.51 (0.39–0.66)) and Black African women (OR_adj. = 0.53 (0.33–0.88)) were less likely to rate their care favourably. The least affluent respondents were less likely to rate their care favourably (OR_adj. = 0.79 (0.64–0.97)).</p></div><div><h3>Conclusion</h3><p>There is evidence of inequity in overall cancer care experience among female breast cancer patients in England, particularly among women living at the specific intersection of age, ethnicity, and socioeconomic position. Future research is necessary to understand the mechanisms underlying breast cancer inequities. Policymakers, commissioners, and providers should consider the existence of multiple forms of marginalisation to inform improvement initiatives targeting patients at higher risk of vulnerability.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001467/pdfft?md5=bca2f271b0a07c7820ef8017681e1cc2&pid=1-s2.0-S1462388924001467-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898864","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":"Spiritual needs of women with breast cancer: A structural equation model","authors":"Shiyuan Du ,&nbsp;Zijun Zhou ,&nbsp;Canfei Wang ,&nbsp;Ze Luan ,&nbsp;Nan Wu ,&nbsp;Yulu Chen ,&nbsp;Xin Peng","doi":"10.1016/j.ejon.2024.102647","DOIUrl":"10.1016/j.ejon.2024.102647","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to develop a structural equation model (SEM) to explore the factors influencing the spiritual needs of breast cancer patients.</p></div><div><h3>Methods</h3><p>A cross-sectional study was conducted in the breast surgery department of a tertiary hospital in China from September 2020 to December 2020; convenience sampling and questionnaires were used to facilitate sampling and data collection. A total of 220 female breast cancer patients were included in the study. The data were analysed using multiple linear regression and structural equation modelling.</p></div><div><h3>Results</h3><p>Compared with patients with other diseases, patients with breast cancer have greater spiritual needs (76.16 ± 13.19). Multivariate analysis revealed that religious beliefs, education level, social support, and resilience are important factors affecting the mental health of women with cancer (p &lt; 0.05). The structural equation model fit well (RMSEA = 0.056, χ²p = 0.002). Social support directly affected spiritual needs (β = 0.607, p &lt; 0.001) and indirectly affected spiritual needs through resilience (β = 0.353, p &lt; 0.001). Resilience directly affected spiritual needs (β = 0.386, p &lt; 0.05). Education level indirectly affected spiritual needs through social support (β = 0.307, p &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>This study provides a theoretical basis for intervention measures to improve the spiritual needs of female breast cancer patients. Paying more attention to social support and resilience may help solve the problem of meeting the high spiritual needs of breast cancer patients. Further research is needed to develop interventions.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141591985","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":"Latent profile analysis and related factors for fear of cancer recurrence among Chinese breast cancer patients in rehabilitation","authors":"Yinjie Bai ,&nbsp;Jing Zhang ,&nbsp;Yujing Sun ,&nbsp;Yingying Wang ,&nbsp;Huangfei Xu","doi":"10.1016/j.ejon.2024.102651","DOIUrl":"10.1016/j.ejon.2024.102651","url":null,"abstract":"<div><h3>Purpose</h3><p>Fear of cancer recurrence (FCR) is a psychological problem often faced by breast cancer patients in the rehabilitation period. The aim of this study was to identify FCR subgroups of Chinese breast cancer patients in rehabilitation and to analysis the factors affecting each subgroup. The effects of the subgroups on quality of life (QoL) were also explored.</p></div><div><h3>Methods</h3><p>Cross-sectional data were collected from 300 breast cancer patients in a rehabilitation setting. The researchers invited the subjects to complete questionnaires on FCR, fatigue, anxiety depression, perception of illness and QoL. The researchers conducted a latent profile analysis. The factors influencing the subgroups of FCR were identified using ANOVA and multinomial logistic regression analyses. Linear regression analyses were used to explore the effect of subgroups on QoL.</p></div><div><h3>Results</h3><p>There were three subgroups of FCR: profile 1 ‘Low FCR Group’ (42.3%), profile 2 ‘Moderate FCR Group’ (45.6%), and profile 3 ‘High FCR Group’ (12.1%). Cancer stage II was a protective factor for FCR patients (OR = 0.107, <em>P</em> &lt; 0.01) and was more likely to be categorized among the low FCR group. Anxiety depression was a risk factor for FCR patients and was more likely to be categorized in the medium FCR group (OR = 1.764, <em>P</em> &lt; 0.001) and in the high FCR group (OR = 2.911, <em>P</em> &lt; 0.001). In addition, patients subjected to a high perception of illness were more likely to be considered in the medium FCR group (OR = 1.041, <em>P</em> &lt; 0.05), a risk factor affecting patients with FCR. Linear regression analysis showed that subgroups with higher FCR had a stronger negative predictive effect on their QoL (all <em>P</em> &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>The FCR was identified as three subgroups among breast cancer patients in rehabilitation, which suggests that healthcare professionals should give full consideration to the impact of cancer stage, anxiety and depression, and illness perceptions on the FCR subgroups in order to improve their QoL.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477912","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":"Expectations and needs of patients with esophageal cancer during curative treatment regarding self-management, self-management support and eHealth: a qualitative study","authors":"Daniëlle J.M. Adriaans ,&nbsp;Mariëlle Rosendaal ,&nbsp;Grard A.P. Nieuwenhuijzen ,&nbsp;Fanny B.M. Heesakkers ,&nbsp;Loes Notenboom ,&nbsp;Joep A.W. Teijink ,&nbsp;Hanneke W.M. van Laarhoven ,&nbsp;Angelique T.M. Dierick-van Daele","doi":"10.1016/j.ejon.2024.102638","DOIUrl":"10.1016/j.ejon.2024.102638","url":null,"abstract":"<div><h3>Purpose</h3><p>Self-management is an essential component of the curative treatment trajectory of esophageal cancer patients. The aims of this study were to explore expectations and needs of esophageal cancer patients during curative treatment regarding self-management, relevant aspects of self-management in which they need additional support, and to explore their willingness to use eHealth.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with esophageal cancer patients, who had been treated with neoadjuvant chemo(radio)therapy followed by surgery, maximally 1 year after surgery. Based on the general model of self-management, the following themes were discussed: experience-based knowledge, contribution to care, living with the condition, and organization of care and support. A stepwise systematic text condensation guided the data analysis.</p></div><div><h3>Results</h3><p>All four domains of the general model of self-management were identified. All participants described a remarkable difference between the pre-operative pathway, when it felt like they were taken by the hand, and the postoperative pathway, when it felt like they were thrown into the deep end. They adjusted to their new life situation by learning new experiences, while dealing with their diminished confidence in their bodies. Patients expressed the need for support from different sources, and were open to the idea of using eHealth in addition to usual care. (digital) Self-management support should be easily accessible, person-centered, confidential, and include personal contact.</p></div><div><h3>Conclusion</h3><p>Differences were found among esophageal cancer patients regarding self-management, self-management support and eHealth for self-management purposes, indicating there is no one approach that will meet the needs of all patients at all times.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001364/pdfft?md5=ee577fba648dd8c0dd92d29d08bf46b4&pid=1-s2.0-S1462388924001364-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472387","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":"Representations of illness and treatments in patients with desmoid tumors: A thematic content analysis of a qualitative study","authors":"Valentyn Fournier ,&nbsp;Camille Vansimaeys ,&nbsp;Marie-Annick Le Borgne ,&nbsp;Anne-Emmanuelle Krieger ,&nbsp;Cécile Flahault","doi":"10.1016/j.ejon.2024.102644","DOIUrl":"10.1016/j.ejon.2024.102644","url":null,"abstract":"<div><h3>Purpose</h3><p>Desmoid tumors are a rare and complex disease characterized by a great diversity in its forms, localizations, and prognosis. Both the disease and the treatment can have a significant impact on quality of life in patients. Given the complexity of the disease and its rarity, the literature on patients’ experience with the disease scarce. The purpose of this study is to investigate illness representations and subjective experience in participants affected with desmoid tumors.</p></div><div><h3>Methods</h3><p>Telephonic semi-directive interviews were used in French patients over 18 years, diagnosed with desmoid tumor. Data were analyzed through a general inductive method to identify emergent general themes in participants’ discourse.</p></div><div><h3>Results</h3><p>Participants (8 women, 7 men) in this study were aged between 27 and 71. The analysis revealed eight major themes relative to representations of illness and treatment, live with the illness, the impact of illness on relationships with others, the illness and medical pathways, and the identity changes caused by the illness. The two most salient themes were illness and treatment representations and life with the illness. Those themes were chosen for this study.</p></div><div><h3>Conclusions</h3><p>The results provide new insights on representation of and experience with desmoid tumors in patients. It brings arguments for the necessity of development wider systematic study to explore those variables in a larger sample during all the illness pathway. Indeed, this population meets particular issues appealing for the development of a specific psychosocial support.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S146238892400142X/pdfft?md5=edbd5a305886492716e5ac626b07a006&pid=1-s2.0-S146238892400142X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472316","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":"Impact of spiritual interventions in individuals with cancer: A systematic review and meta-analysis","authors":"Nur Izgu ,&nbsp;Zehra Gok Metin ,&nbsp;Hacer Eroglu ,&nbsp;Remziye Semerci ,&nbsp;Hatice Pars","doi":"10.1016/j.ejon.2024.102646","DOIUrl":"10.1016/j.ejon.2024.102646","url":null,"abstract":"<div><h3>Purpose</h3><p>This meta-analysis aimed to determine how spiritual interventions affect cancer patients’ physical, emotional, and spiritual outcomes and quality of life.</p></div><div><h3>Methods</h3><p>Between 2012 and May 2024, the Cochrane Library, Scopus, PubMed, and Web of Science were searched considering the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Twenty-six randomized controlled trials were included, and 16 were synthesized in the meta-analysis. Bias risk was evaluated using the Cochrane risk-of-bias methodology for randomized studies. The Grading of Recommendations, Assessment, Development, and Evaluations tool was employed for evidence certainty. Heterogeneity was expressed through I² and Q statistics. Hedge's g was calculated for effect sizes. Egger's and Kendall's Tau were used for publication bias.</p></div><div><h3>Results</h3><p>Spiritual interventions yielded beneficial effects on fatigue (Hedges's g = 0.900, p &lt; 0.001) and pain (Hedges's g = 0.670, p &lt; 0.001) but not for overall symptom burden (Hedges's g = 0.208, p = 0.176). Significant effects were found for anxiety (Hedges's g = 0.301, p &lt; 0.001), depression (Hedges's g = 0.175, p = 0.016), and psychological distress (Hedges's g = 0.178, p = 0.024), except for hopelessness (Hedges's g = 0.144, p = 0.091). Spiritual interventions enhanced faith (Hedges's g = 0.232, p = 0.035), the meaning of life (Hedges's g = 0.259, p = 0.002), spiritual well-being (Hedges's g = 0.268, p &lt; 0.001), and quality of life (Hedges's g = 245, p &lt; 0.001). Moderator analysis pointed out that cancer stage, total duration, delivery format, providers' qualification, content, and conceptual base of spiritual interventions significantly affect physical, emotional, and spiritual outcomes and quality of life.</p></div><div><h3>Conclusion</h3><p>This meta-analysis highlighted the benefits of spiritual interventions with varying effect sizes on patients’ outcomes, as well as quality of life in cancer, and shed on how to incorporate these approaches into clinical practice.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472388","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}