Xiaoge He , Chunlei Liu , Huanxi Li , Wei Wang , Mengying Sun , Yanjuan Lu , Yanru Song , Qian Lu
{"title":"Symptoms among patients with breast cancer undergoing endocrine therapy: Application of latent profile analysis and network analysis","authors":"Xiaoge He , Chunlei Liu , Huanxi Li , Wei Wang , Mengying Sun , Yanjuan Lu , Yanru Song , Qian Lu","doi":"10.1016/j.ejon.2025.102797","DOIUrl":"10.1016/j.ejon.2025.102797","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify the subgroups and symptom networks associated with endocrine therapy in patients with breast cancer.</div></div><div><h3>Methods</h3><div>This study was a cross-sectional design using convenience sampling to select patients from a tertiary hospital in China. A total of 406 patients were invited to complete demographic and clinical questionnaires and the Chinese Breast Cancer Prevention Trial Symptom Scale was used to assess their symptoms. Latent profile analysis was used to classify the symptom subgroups of patients with breast cancer undergoing endocrine therapy. Univariate and binary multivariate logistic regression analyses were used to analyze the influence of these factors on different subgroups. Network analysis was used to identify the core symptoms of different subgroups.</div></div><div><h3>Results</h3><div>The analysis revealed two distinct subgroups: low symptom distress (74%; Class 1) and high symptom distress (26%; Class 2). Patients who were older, had a lower monthly family income per capita, and had not received radiotherapy were more likely to belong to Class 2. Furthermore, the network analysis results revealed that “difficulty concentrating” was a core symptom of the entire sample. The core symptom for Class 1 was “lack of energy,” and the core symptom for Class 2 was “joint pain.”</div></div><div><h3>Conclusion</h3><div>The symptoms of patients with breast cancer undergoing endocrine therapy were heterogeneous. Different subgroups exhibited different core symptoms. Therefore, targeted interventions should be provided according to the characteristics of the different symptom subgroups and their core symptoms to achieve precise and effective symptom management.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102797"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015640","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}
Xiaoke Qiu , Can Wang , Yi Zhang , Jiayu Mao , Xueli Yang , Jie Zhao , Yi Lin , Qiuping Li
{"title":"A feasibility study of a coping-focused, couple-based family resilience intervention (CCFRI) in supporting couples experiencing colorectal cancer","authors":"Xiaoke Qiu , Can Wang , Yi Zhang , Jiayu Mao , Xueli Yang , Jie Zhao , Yi Lin , Qiuping Li","doi":"10.1016/j.ejon.2025.102821","DOIUrl":"10.1016/j.ejon.2025.102821","url":null,"abstract":"<div><h3>Purpose</h3><div>Colorectal cancer patients and their spousal caregivers possess the potential to build family resilience and navigate the challenges of the cancer journey. However, few intervention studies have focused on enhancing family resilience among colorectal cancer couples. This study aimed to evaluate the feasibility, acceptability, and preliminary effects of a coping-focused, couple-based family resilience intervention guided by the Walsh Family Resilience Model.</div></div><div><h3>Methods</h3><div>A one-group, six-week pre- and post-intervention study was conducted. Six intervention sessions were delivered either face-to-face or by telephone. Quantitative data were collected using self-report questionnaires assessing family resilience, hope, family sense of coherence, spiritual well-being, perceived social support, and couple communication quality. Qualitative data were gathered through semi-structured interviews with open-ended questions and note-taking.</div></div><div><h3>Results</h3><div>A total of 24 colorectal cancer patient-spousal caregiver dyads were initially recruited for the intervention, but only 19 couples completed all six intervention sessions. Feasibility outcomes indicated a couple recruitment rate of 68.6% and a retention rate of 79.2%. Small to moderate improvements were identified in family resilience, hope, family sense of coherence, perceived social support, and couple communication quality, though spiritual well-being showed limited change. The majority of participants were satisfied with the intervention and provided valuable suggestions for future improvements.</div></div><div><h3>Conclusions</h3><div>This study showed that the coping-focused, couple-based family resilience intervention may effectively support colorectal cancer couples, improving adaptation and coping. Future research with larger samples is needed to confirm long-term effects and further refine intervention components.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102821"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324179","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}
Claire Hannah , Lars E. Eriksson , Andrew Ramwell , Sofia Llahana
{"title":"Experiences and perspectives of patients undergoing colorectal cancer surgery: A qualitative study","authors":"Claire Hannah , Lars E. Eriksson , Andrew Ramwell , Sofia Llahana","doi":"10.1016/j.ejon.2025.102794","DOIUrl":"10.1016/j.ejon.2025.102794","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore the experiences of patients with colorectal cancer undergoing surgical treatment, capturing their perspectives from diagnosis through to post-discharge recovery.</div></div><div><h3>Methods</h3><div>A qualitative methodology was adopted, utilising semi-structured virtual interviews with ten patients recruited from a specialist colorectal clinic. Interviews were transcribed verbatim, and data analysed by the process of inductive thematic analysis, using interpretive description.</div></div><div><h3>Results</h3><div>Themes emerged across the domains of clinical and external, patient-level, and interpersonal and social factors affecting patient experience at diagnosis, surgery, and recovery stages. Clinical and external factors included the impact of the hospital environment, resource limitations, and the attributes of the clinical team, including ward nurses, clinical nurse specialists, and consultant surgeons, in providing compassionate support. Patient-level factors encompassed perceptions and emotional impacts of the diagnosis, and physical challenges post-surgery. Interpersonal and social factors included family support and the psychosocial impact of role changes during recovery.</div></div><div><h3>Conclusions</h3><div>Findings highlight the need for comprehensive, compassionate communication and tailored support across the patient journey. Recommendations include enhanced patient education on lifestyle impacts, resources to support family and peer networks, and more attention to psychosocial and emotional challenges in patient-centred care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102794"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069391","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}
Xuanxuan Ma, Yaping Ge, Xue Zhang, Shaoxue Li, Shuwen Li
{"title":"Individualized symptom experience and predictors in cancer patients after oesophagectomy: A latent profile analysis","authors":"Xuanxuan Ma, Yaping Ge, Xue Zhang, Shaoxue Li, Shuwen Li","doi":"10.1016/j.ejon.2025.102806","DOIUrl":"10.1016/j.ejon.2025.102806","url":null,"abstract":"<div><h3>Purpose</h3><div>In the care for oesophageal cancer, symptom assessment was mainly carried out from the perspective of the total score using scales, which ignored individual differences in symptom experience among patients. To provide personalized symptom management, individual differences among patients with oesophageal cancer warranted further investigation. The objective was to identify the different symptom profiles of patients after oesophagectomy and examine the risk factors affecting the symptom profiles.</div></div><div><h3>Methods</h3><div>It was a descriptive study with cross-sectional design. A total of 258 participants were recruited. Latent profile analysis was used to identify different profile of symptoms, and multiple logistic regression was used to identify risk factors.</div></div><div><h3>Results</h3><div>Three distinct profiles were identified: the \"complex symptoms group\" (32.6%), the \"throat symptoms group\" (25.2%), and the \"single fatigue group\" (42.2%). Patients with higher prognostic nutritional index (OR = 0.797), higher resilience scale score (OR = 0.907), living in city or town (OR = 0.396), and stage II cancer (OR = 0.413) were more likely to be classified as \"single fatigue group\". Patients with higher prognostic nutritional index (OR = 1.233) and cervical anastomosis (OR = 4.586) tended to be classified as the \"throat symptoms group\". Unemployed patients (OR = 0.204) tended to belong to the \"complex symptoms group,\" whereas patients with higher prognostic nutritional index were less likely to be in the \"complex symptoms group.\"</div></div><div><h3>Conclusion</h3><div>Individual differences existed in the symptom experience of patients undergoing surgery for oesophageal cancer. Precise symptom management programs should be designed and implemented according to the individualized characteristics of the patient's symptom experience to promote patients' recovery.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102806"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034151","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}
Chencheng Zhu , Nianqin Wang , Feng Xu , Hongyan Song , Jingjing Li , Biaoxin Zhang
{"title":"Exploration of symptom cluster patterns and their trajectory in esophageal cancer surgery patients","authors":"Chencheng Zhu , Nianqin Wang , Feng Xu , Hongyan Song , Jingjing Li , Biaoxin Zhang","doi":"10.1016/j.ejon.2025.102801","DOIUrl":"10.1016/j.ejon.2025.102801","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate symptom burden and symptom cluster trajectories in patients undergoing surgery for esophageal cancer.</div></div><div><h3>Methods</h3><div>A convenience sample of 210 patients who underwent thoracoscopic surgery for esophageal cancer was included from July to December 2023. The symptoms of the patients were evaluated at the following time points: preoperatively (T0), 1–3 days postoperatively (T1), 7 days postoperatively (T2), 1 month postoperatively (T3), and 3 months postoperatively (T4). This was done via the Chinese version of the MD Anderson Symptom Scale and the Supplementary Questionnaire for Perioperative Esophageal Cancer Symptoms. Exploratory factor analysis was used to identify symptom clusters, and latent class growth modeling was used to analyze the trajectories of each different symptom cluster.</div></div><div><h3>Results</h3><div>Exploratory factor analysis revealed the presence of four symptom clusters: mood-related symptom clusters (worst at T1, T2, and T4), gastrointestinal symptom clusters (worst at T0), fatigue-related symptom clusters (worst at T3), and surgery-related symptom clusters, with cumulative variance contribution rates of 64.34%, 62.29%, 68.23%, 70.29%, and 63.82%, respectively. The latent category growth model identified the existence of 2–3 distinct trajectories in each symptom cluster.</div></div><div><h3>Conclusion</h3><div>This study identified 4 distinct symptom clusters in patients undergoing esophageal cancer surgery. The mood-related and gastrointestinal symptom clusters exhibited worsening and recurrence within 7 days post-surgery, necessitating particular attention. A subset of patients in the fatigue-related symptom cluster showed a tendency for continued exacerbation, emphasizing the need for long-term monitoring. Furthermore, symptom management strategies can be prioritized based on the severity of the symptom clusters.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102801"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069392","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":"Exploring factors influencing body acceptance in women with breast cancer: A cross-sectional study","authors":"Younghee Yun , Jeonghee Ahn","doi":"10.1016/j.ejon.2025.102802","DOIUrl":"10.1016/j.ejon.2025.102802","url":null,"abstract":"<div><h3>Purpose</h3><div>Body acceptance in women with breast cancer is a crucial factor related to their physical, psychological health, and quality of life. However, research on the factors influencing body acceptance in this population is lacking. This study aims to identify these factors to provide insights for developing tailored interventions.</div></div><div><h3>Methods</h3><div>We conducted a cross-sectional study with 258 participants via an online survey in September 2023. Variables measured included general and disease-related characteristics, self-esteem, resilience, social support, objectified body consciousness, and body acceptance. We analyzed the data using descriptive statistics, frequency analysis, independent <em>t</em>-test, one-way ANOVA, Scheffé’s test, Pearson’s correlation coefficient, and hierarchical regression analysis.</div></div><div><h3>Results</h3><div>Among participants’ characteristics, we identified age, religion, menstruation status, elapsed period after diagnosis, cancer stage at diagnosis, and current treatment as factors influencing body acceptance. Additionally, higher resilience (β = 0.35, <em>p</em> < .001), increased social support (β = 0.13, <em>p</em> = .037), and lower objectified body consciousness (β = −0.31, <em>p</em> < .001) positively influenced body acceptance. Collectively, these variables accounted for 78.9% of variance in body acceptance.</div></div><div><h3>Conclusion</h3><div>This study offers valuable insights into the factors affecting body acceptance in women with breast cancer. The findings highlight the need for tailored interventions that enhance resilience, foster social support, and address objectified body consciousness. Future research should validate these findings across diverse populations and refine personalized care strategies in clinical practice.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102802"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061080","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":"Examining psychosocial vulnerability in caregivers of individuals with a chronic haematological malignancy: A cross sectional survey","authors":"Orlaith Cormican, Maura Dowling, Duygu Sezgin","doi":"10.1016/j.ejon.2024.102709","DOIUrl":"10.1016/j.ejon.2024.102709","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate psychosocial vulnerability in informal caregivers of chronic haematological cancer patients and determine the level of psychosocial vulnerability among carers of people living with a chronic haematological malignancy (CHM).</div></div><div><h3>Methods</h3><div>An international cross – sectional study including caregivers of individuals with a chronic haematological cancer (n = 64) from Ireland (n = 29), Australia (n = 21), the UK (n = 4), the USA (n = 4), and India (n = 6). Caregivers completed scales for loneliness, resilience, stress and caregiver strain using the UCLA Loneliness scale, Brief Resilience scale, Perceived Stress scale and Modified Caregiver Strain Index scale. Descriptive statistics and non-parametric techniques were used.</div></div><div><h3>Results</h3><div>The results show that younger carers (aged between 18 and 40) report higher levels of loneliness, stress and caregiver strain. Carers who have left their paid employment due to caregiving and are in receipt of carers’ allowance or social welfare report high levels of loneliness and caregiver strain. Lower stress levels were reported in those who received paid professional caring support. Finally, higher levels of loneliness in carers were associated with the patient currently being on some form of treatment and higher levels of caregiver strain were associated with caring for someone for more than 8 h per day and having all social, mental, and financial areas of life affected.</div></div><div><h3>Conclusion</h3><div>Caregivers of patients with chronic haematological cancers experience psychosocial vulnerability, which is associated with their age, socioeconomic status, gender and health and wellbeing.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102709"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814848","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":"Return to work and its predictors among nasopharyngeal carcinoma survivors in the early post-treatment period: A prospective, observational study","authors":"Tingting Xie , Yuying Fan , June Zhang","doi":"10.1016/j.ejon.2024.102754","DOIUrl":"10.1016/j.ejon.2024.102754","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to investigate return to work (RTW) status and identify its predictors in the early post-treatment period among nasopharyngeal carcinoma (NPC) survivors.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted. A convenience sample of 209 NPC survivors were recruited from a tertiary cancer center in Southern China between July 2021 and March 2022. The research instruments comprised the Readiness for Return to Work Scale, M.D. Anderson Symptom Inventory - Head and Neck, Work Motivation Scale, and demographic, disease-related, and work-related questionnaire. Return to work status and current job characteristics were assessed via telephone interview three months after completing treatment. Logistic regression analysis was conducted to determine the predictive factors.</div></div><div><h3>Results</h3><div>Approximately 31.1% of NPC survivors returned to work in the early post-treatment period. Logistic regression analysis showed that NPC survivors who were male, had one child, had higher family monthly income per capita, were in the stages of prepared for action-self-evaluation/prepared for action-behavior, and had stronger work motivation were more likely to return to work in the early post-treatment period.</div></div><div><h3>Conclusions</h3><div>The RTW is low among NPC survivors in the early post-treatment period. Factors predicting RTW are complex under Chinese culture context. Healthcare professionals should prioritize the early identification of survivors with low RTW intention and provide culturally sensitive interventions to enhance their work motivation and readiness. These efforts are crucial to supporting NPC survivors in achieving successful early RTW.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102754"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822956","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":"Symptom experience of unrelated haematopoietic stem cell donors: A descriptive qualitative study","authors":"Hangting Li , Wei Zhao , Lingxi Chen , Jiayin Ruan , Xiaolian Wu","doi":"10.1016/j.ejon.2024.102772","DOIUrl":"10.1016/j.ejon.2024.102772","url":null,"abstract":"<div><h3>Purpose</h3><div>Unrelated haematopoietic stem cell donors face physical and psychological discomforts, which aggravate their fear and hesitation and reduce their consent rate and donation efficiency. However, the available experience in the management of these symptoms is insufficient, and strong evidence and guidance are lacking. The symptom experiences of Chinese unrelated haematopoietic stem cell donors were explored.</div></div><div><h3>Method</h3><div>A descriptive qualitative study was conducted, and the COREQ checklist was used. Between July and December 2023, 14 Chinese unrelated haematopoietic stem cell donors were selected through purposive sampling and underwent semi-structured interviews. Conventional content analysis was used for data analysis.</div></div><div><h3>Results</h3><div>Three themes and 10 sub-themes were identified as follows: 1) feelings towards symptoms (symptoms appear in clusters, symptoms fluctuate over time, and psychological burden outweigh physical burden); 2) attitude towards symptoms (acceptance, ambivalence, and persistence); 3) needs derived from symptoms (information needs, emotional needs, physiological needs, and expectations for the specialised support provider).</div></div><div><h3>Conclusions</h3><div>This study provide a basis for healthcare providers to conduct targeted and effective symptom interventions. We emphasise not only helping unrelated donors alleviate symptoms, but also improving their ability to cope with and accept symptoms through the provision of information and emotional support, thus reducing the adverse impact of symptoms on their quality of life and the efficiency of haematopoietic stem cell collection.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102772"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973154","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":"Decision fatigue among cancer patients with recurrence: A qualitative study","authors":"Sook Jung Kang, Bu Youn Kim, Hae Jeong An","doi":"10.1016/j.ejon.2025.102778","DOIUrl":"10.1016/j.ejon.2025.102778","url":null,"abstract":"<div><h3>Purpose</h3><div>Cancer recurrence requires patients to make many decisions regarding treatment and daily life, possibly causing decision fatigue. This study interpreted and understood the experience of decision fatigue among patients with cancer recurrence.</div></div><div><h3>Method</h3><div>This research utilized a qualitative study approach with semi-structured interviews. Online interviews were conducted for 15 patients with recurrent cancer. Data were analyzed using content analysis.</div></div><div><h3>Results</h3><div>Four analytic themes were extracted: decision fatigue related to treatment, decision fatigue in daily life, coping with decision fatigue, and expectations for healthcare providers to reduce decision fatigue.</div></div><div><h3>Conclusion</h3><div>Cancer patients with recurrence experience decision fatigue, especially regarding treatment options and choices about exercise and nutrition. Managing this psychosocial burden is needed to empower patients for treatment and recovery. Healthcare providers must provide sufficient information with constant empathy during the care process.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102778"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142967291","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}