European Journal of Oncology Nursing最新文献

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Nurses’ experience of loss, grief, family health and care targeting patients and families in long-term cancer illness: A qualitative study 护士对长期癌症患者和家属的失落、悲伤、家庭健康和护理的体验:定性研究
IF 2.7 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-17 DOI: 10.1016/j.ejon.2024.102645
Sofie Hindhede Jansen , Mie Vesterborg , Karin Brochstedt Dieperink , Jette Marcussen
{"title":"Nurses’ experience of loss, grief, family health and care targeting patients and families in long-term cancer illness: A qualitative study","authors":"Sofie Hindhede Jansen ,&nbsp;Mie Vesterborg ,&nbsp;Karin Brochstedt Dieperink ,&nbsp;Jette Marcussen","doi":"10.1016/j.ejon.2024.102645","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102645","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to explore the experiences of registered nurses in hematology departments and primary care settings regarding loss, grief, and family health in adult patients and their families during long-term cancer illnesses.</p></div><div><h3>Method</h3><p>A qualitative study was conducted taking a phenomenological hermeneutic approach. Data were collected between February and March 2023 through individual, semi-structured interviews with 12 nurses working in hematology departments and primary care settings in Denmark. The interviews were recorded, transcribed, and analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>The analysis resulted in the identification of four main themes with related subthemes: (1) Patients' individual losses leading to grief reactions, (2) Nurses' experience of families grieving the loss of former daily living, (3) Supporting families with family health as an implicit concept, and (4) Overcoming barriers through nurses’ care interventions targeting family health. Results showed that nurses encountered various losses and grief reactions affecting both patients and families. Barriers such as experience levels and working conditions affected care quality. Despite challenges, nurses addressed these by utilizing communication, involving families, and directing them to additional healthcare services.</p></div><div><h3>Conclusion</h3><p>The study unveiled limited nurse awareness of family health, acknowledging its significance in patient and family care. The findings highlight the importance of improving nurses' comprehension of effectively supporting families as a cohesive unit in the context of long-term cancer illnesses.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001431/pdfft?md5=d2df1da1b1883b0e5578b574784eb5d6&pid=1-s2.0-S1462388924001431-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141478692","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}
引用次数: 0
Incidence rate and risk factors for suicide in patients with breast cancer in the USA: A surveillance, epidemiology, and end results analysis (SEER) 美国乳腺癌患者的自杀发生率和风险因素:监测、流行病学和最终结果分析 (SEER)。
IF 2.7 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-17 DOI: 10.1016/j.ejon.2024.102642
Feiping Yu , Yuqi Liu , Xin Li , Xinyue Zhang , Yinong Tian , Dan Zhang , Yonggang Su
{"title":"Incidence rate and risk factors for suicide in patients with breast cancer in the USA: A surveillance, epidemiology, and end results analysis (SEER)","authors":"Feiping Yu ,&nbsp;Yuqi Liu ,&nbsp;Xin Li ,&nbsp;Xinyue Zhang ,&nbsp;Yinong Tian ,&nbsp;Dan Zhang ,&nbsp;Yonggang Su","doi":"10.1016/j.ejon.2024.102642","DOIUrl":"10.1016/j.ejon.2024.102642","url":null,"abstract":"<div><h3>Purpose</h3><p>To investigate suicide mortality and the related factors among female breast cancer patients in the United States.</p></div><div><h3>Methods</h3><p>The SEER database was used to identify 716,422 patients diagnosed with breast cancer between 2010 and 2018 to calculate a standardized mortality rate (SMR). An analysis of risk factors for suicide death was conducted using the univariate and multivariate Cox proportional risk model. An estimation of suicide probability was performed through a nomogram model.</p></div><div><h3>Results</h3><p>Compared with the expected suicide cases (<em>n</em> = 155) in the general population of the United States at the corresponding period (a suicide death rate of 5.71 per 100,000 person-years), the suicide rate among 716,422 breast cancer patients was followed during 2010–2018 and showed a relatively higher rate of 9.02 per 100,000 person-years. The SMR was 1.58 (95%CI: 1.39–1.79). White and other races were nine and seven times more likely to complete suicide than Black race, respectively (aHR = 9.013, 95%CI: 3.335–24.36, <em>P</em> &lt; 0.001; aHR = 7.129, 95%CI: 2.317–21.931, <em>P</em> = 0.001); unmarried or single patients were at higher risk than married patients (aHR = 1.693, 95%CI: 1.206–2.377, <em>P</em> = 0.002). Patients receiving radiotherapy (aHR = 0.731, 95%CI: 0.545–0.980, <em>P</em> = 0.036) were less likely to complete suicide than those who did not.</p></div><div><h3>Conclusion</h3><p>Female breast cancer patients in the United States have a higher suicide rate than the general public, and the risk factors consist of non-black ethnicity, being single or unmarried, and not being treated with radiotherapy. As a result of this study, clinicians may be able to identify female breast cancer patients who are at high risk of suicide, thus providing appropriate psychological support at the early stage.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001406/pdfft?md5=3e71415c1108c4a4f82ead0a95ab9c70&pid=1-s2.0-S1462388924001406-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535929","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}
引用次数: 0
Effectiveness of a phone-based support program on self-care self-efficacy, psychological distress, and quality of life among women newly diagnosed with breast cancer: A randomized controlled trial 基于电话的支持计划对新诊断为乳腺癌的妇女的自我护理自我效能、心理压力和生活质量的影响:随机对照试验
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-15 DOI: 10.1016/j.ejon.2024.102643
Xi Chen , Yang Qin , Nujjaree Chaimongkol
{"title":"Effectiveness of a phone-based support program on self-care self-efficacy, psychological distress, and quality of life among women newly diagnosed with breast cancer: A randomized controlled trial","authors":"Xi Chen ,&nbsp;Yang Qin ,&nbsp;Nujjaree Chaimongkol","doi":"10.1016/j.ejon.2024.102643","DOIUrl":"10.1016/j.ejon.2024.102643","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to determine the effectiveness of a Phone-Based Support Program (PBSP) for newly diagnosed women with breast cancer.</p></div><div><h3>Methods</h3><p>A two-group repeated measures randomized controlled trial was designed. Participants included 94 patients aged 18–60 years who were newly diagnosed with breast cancer and undergoing chemotherapy in a tertiary hospital in China. They were randomly assigned to the intervention and the control groups. Participants in the intervention group were enrolled in a four-session PBSP, consisting of four interactive sections: learning, discussion, ask-the-expert, and personal stories, plus the routine care. Outcomes included patients’ self-care self-efficacy, psychological distress (including symptom distress, anxiety, and depression), and quality of life. These were assessed at three time points: pre-intervention (T1), post-intervention (T2), and follow-up (T3) by using the self-care self-efficacy scale, the M.D. Anderson Symptom Inventory, the hospital anxiety and depression scale, and the global health status scale.</p></div><div><h3>Results</h3><p>After completion of the intervention, participants in the intervention group had significantly (<em>p</em> &lt; .001) higher self-care self-efficacy (T2: M<sub><em>diff</em></sub> = 11.49, T3: M<sub><em>diff</em></sub> = 22.33), better quality of life (T2: M<sub><em>diff</em></sub> = 8.18, T3: M<sub><em>diff</em></sub> = 17.19), lower symptom distress (T2: M<sub><em>diff</em></sub> =</p><p>−26.68, T3: M<sub><em>diff</em></sub> = −54.76), less anxiety (T2: M<sub><em>diff</em></sub> = −2.52, T3: M<sub><em>diff</em></sub> = −5.11), and less depression (T2: M<sub><em>diff</em></sub> = −3.61, T3: M<sub><em>diff</em></sub> = −6.71) than those in the control group.</p></div><div><h3>Conclusion</h3><p>These findings indicate that the PBSP is effective. Healthcare professionals, especially nurses, could utilize it to enhance self-care self-efficacy and quality of life, as well as decrease psychological distress among women newly diagnosed breast cancer.</p></div><div><h3>Registration</h3><p>The Thai Clinical Trial Registry #TCTR20230321010.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141402773","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}
引用次数: 0
The effect of hand-foot exercises on chemotherapy-induced peripheral neuropathy-related pain, falls, and quality of life in colorectal cancer: A randomized controlled trial 手足锻炼对结直肠癌患者化疗引起的周围神经病变相关疼痛、跌倒和生活质量的影响:随机对照试验
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-15 DOI: 10.1016/j.ejon.2024.102641
İlayda Eroğlu, Sevinç Kutlutürkan
{"title":"The effect of hand-foot exercises on chemotherapy-induced peripheral neuropathy-related pain, falls, and quality of life in colorectal cancer: A randomized controlled trial","authors":"İlayda Eroğlu,&nbsp;Sevinç Kutlutürkan","doi":"10.1016/j.ejon.2024.102641","DOIUrl":"10.1016/j.ejon.2024.102641","url":null,"abstract":"<div><h3>Purpose</h3><p>The aim of this study is to determine the effect of hand-foot exercises on chemotherapy-induced peripheral neuropathy-related pain severity, falls, and quality of life in patients with colorectal cancer.</p></div><div><h3>Methods</h3><p>The study was conducted in the outpatient chemotherapy unit of a public hospital between 25 April-31 December 2022. The enrolled 39 patients were randomly assigned to the intervention (n:19) and control (n:20) groups. The hand-foot exercises program was applied to the intervention group in three sessions a day and three days a week fashion for 8 weeks at home. No intervention was applied to the control group other than routine treatment and care. Data were collected through face-to-face interviews in the first interview and the 2nd, 4th, 6th, 8th weeks. The exercise program adherence of the intervention group was followed up through telephone/face-to-face interviews in weeks 1–8. Data were collected using the Numerical Pain Rating Scale, Fall Follow-Up Form, the CIPNAT scale, EORTC QLQ-C30 and EORTC QLQ-CR29 scales. Mann-Whitney <em>U</em> Test, Chi-square test, Wilcoxon signed test, and Friedman test were used to analyze the data.</p></div><div><h3>Results</h3><p>The study found that as of week 4th, the intervention group experienced less pain severity than the control group (p &lt; 0.001); at week 8th, the peripheral neuropathy symptoms of the intervention group decreased compared to the control group (p &lt; 0.05); at weeks 2nd,4th,6th,8th, there was no statistically significant difference in falls (p &gt; 0.05); at week 8th, while there was no significant difference between the groups regarding colorectal cancer quality of life (p &gt; 0.05), the overall cancer quality of life improved in the intervention group (p &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>The hand-foot exercises program is effective in chemotherapy-induced peripheral neuropathy-related symptoms, pain severity, and overall cancer quality of life.</p></div><div><h3>Trial registration</h3><p><span>www.clinicaltrials.gov</span><svg><path></path></svg>, NCT05873829.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141408763","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}
引用次数: 0
Journey towards resiliency: A systematic review and meta-synthesis of cancer patients’ experiences 韧性之旅:癌症患者经历的系统回顾与元综合
IF 2.7 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-13 DOI: 10.1016/j.ejon.2024.102640
Xiu Wen Khok , Wai Hung Daniel Ng , Ang Yun Lee , Hyo Jin Yoon , M Kamala Devi , Bridget Johnston , Wei How Darryl Ang
{"title":"Journey towards resiliency: A systematic review and meta-synthesis of cancer patients’ experiences","authors":"Xiu Wen Khok ,&nbsp;Wai Hung Daniel Ng ,&nbsp;Ang Yun Lee ,&nbsp;Hyo Jin Yoon ,&nbsp;M Kamala Devi ,&nbsp;Bridget Johnston ,&nbsp;Wei How Darryl Ang","doi":"10.1016/j.ejon.2024.102640","DOIUrl":"10.1016/j.ejon.2024.102640","url":null,"abstract":"<div><h3>Purpose</h3><p>This systematic review and meta-synthesis seeks to explore cancer patients’ journey towards resiliency. The secondary aim of this review is to identify unique resilience protective factors among cancer patients.</p></div><div><h3>Methods</h3><p>A thorough search was conducted in eight electronic databases and the grey literature for published or unpublished qualitative and mixed methods studies. Studies that explored resilience among cancer patients were included. The studies were appraised using the Critical Appraisal Skill Programme Checklist. The overall certainty of evidence was further evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation's Confidence in Evidence from Reviews of Qualitative Research. Themes identified were synthesized using Sandelowski and Barroso's meta-synthesis method.</p></div><div><h3>Results</h3><p>A total of 34 studies comprising 987 cancer patients were included in this review. Three themes and nine subthemes were generated from the meta-synthesis. The themes were: (1) Confronting the cancer diagnosis, (2) personal adaptations to cancer, and (3) drawing strength from others. The findings highlighted how individuals overcame cancer adversities through resilience, which is influenced by various factors, including life experiences, social-cultural stigmas, spirituality, social support networks, coping strategies, motivation, acceptance of illness, positive mindset, and engagement with healthcare facilities.</p></div><div><h3>Conclusions</h3><p>This review highlights the role of resilience in a cancer patient's journey. It emphasizes on the importance of building resilience in both cancer patients and survivors to effectively overcome the challenges of their cancer diagnosis. These insights are essential for developing interventions that promote resilience and improve existing psychosocial oncology services. Future research should focus on longitudinal studies to better understand how resilience evolves and pinpoint factors that can further influence one's resilience.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403681","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}
引用次数: 0
Information needs of women with BRCA mutations regarding cancer risk management and decision-making BRCA 基因突变妇女在癌症风险管理和决策方面的信息需求
IF 2.7 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-07 DOI: 10.1016/j.ejon.2024.102627
{"title":"Information needs of women with BRCA mutations regarding cancer risk management and decision-making","authors":"","doi":"10.1016/j.ejon.2024.102627","DOIUrl":"10.1016/j.ejon.2024.102627","url":null,"abstract":"<div><h3>Purpose</h3><p>Providing women who have tested positive for a pathogenic variant in BRCA1 or BRCA 2 relevant information can help them to make informed decisions about managing their cancer risk. However, there is a lack of targeted informational support for BRCA positive women specific to the Irish context. The objective of this study is to identify the information needs of women diagnosed with a pathogenic variant in BRCA1 or BRCA 2 regarding cancer risk management and decision-making.</p></div><div><h3>Methods</h3><p>This is a descriptive qualitative study. Participants were recruited using purposive sampling and included women with a pathogenic variant in BRCA1 or BRCA2 without a history of breast or ovarian cancer. Two focus groups were held with women (n = 16) to enable them to generate ideas and understanding of their shared information needs. In addition, ten individual interviews were conducted to capture the additional perspectives of health care and relevant policy stakeholders. Interviews were analysed using inductive coding (Braun and Clarke, 2006), with NVivo software (Qsr international, 1999).</p></div><div><h3>Results</h3><p>Three main themes were identified, Cancer Risk Management, Receiving Information, and Implications to Health and Wellbeing. BRCA-positive women expressed a need for information about managing their cancer risk. They were particularly concerned with managing the impact of cancer risk-reducing interventions on their psychological and physical health, wellbeing, and family life. Many women felt they had to advocate for themselves to get treatment and receive information. Participants expressed a need for a comprehensive informational resource where all relevant information related to BRCA risk management could be accessed at a single location.</p></div><div><h3>Conclusion</h3><p>This study suggests that women diagnosed with a pathogenic variant in BRCA1 or BRCA2 in Ireland need more accessible information about managing their cancer risk, and the impact of a BRCA diagnosis on their family, health and wellbeing. These results will be used to identify relevant content for developing an informational decision aid for Irish women.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S146238892400125X/pdfft?md5=0557d605adb2466f58c5c7d36c4f259c&pid=1-s2.0-S146238892400125X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412516","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}
引用次数: 0
Rehabilitation including structured active play intervention for preschoolers with cancer during treatment: A RePlay qualitative study of parents’ experiences 为学龄前癌症儿童提供康复治疗,包括有组织的积极游戏干预:RePlay 对家长经验的定性研究
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-07 DOI: 10.1016/j.ejon.2024.102639
Anna Pouplier , Martin Kaj Fridh , Jan Christensen , Amalie Høyer , Peter Schmidt-Andersen , Helle Winther , Hanne Bækgaard Larsen
{"title":"Rehabilitation including structured active play intervention for preschoolers with cancer during treatment: A RePlay qualitative study of parents’ experiences","authors":"Anna Pouplier ,&nbsp;Martin Kaj Fridh ,&nbsp;Jan Christensen ,&nbsp;Amalie Høyer ,&nbsp;Peter Schmidt-Andersen ,&nbsp;Helle Winther ,&nbsp;Hanne Bækgaard Larsen","doi":"10.1016/j.ejon.2024.102639","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102639","url":null,"abstract":"<div><h3>Purpose</h3><p>Preschool children receiving cancer treatment experience decreased gross motor function and challenges in personal and social development. For preschoolers, parents are critical for their child's cancer treatment trajectory, including their participation in physical activity. This study aimed to explore the parents' experiences with a novel rehabilitation intervention, including structured active play for preschoolers with cancer during treatment.</p></div><div><h3>Method</h3><p>Through criterion sampling, 23 parents of 18 preschool children diagnosed with cancer were interviewed from August 2021 until April 2023. A hermeneutic-phenomenological-inspired inductive thematic analysis was performed.</p></div><div><h3>Results</h3><p>Based on 19 interviews with parents, three themes emerged: 1) pushing in the right direction, 2) sharing the responsibility, and 3) creating joyful experiences. The parents experienced that participation in the intervention resulted in physical progress for their child, and the child generally could develop personally and socially. The parents shared a common goal with a healthcare professional, who led the way in their child's physical development and gave them the space to participate with their child. The child actively chose to participate in structured active play, resulting in an altered perception of the hospital experience for both parents and children.</p></div><div><h3>Conclusion</h3><p>The parents’ experiences showed that with the support, knowledge, and expertise of an exercise professional, rehabilitation including structured active play can be a way to integrate movement and physical activity for preschoolers in their cancer treatment trajectory. The repetitive structure of the active play sessions was experienced as motivating for the children and simultaneously challenging their physical, social, and personal development.</p></div><div><h3>Trial and protocol registration</h3><p>ClinicalTrials.gov: <span>NCT04672681</span><svg><path></path></svg>. Registered December 17, 2020. <span>https://clinicaltrials.gov/ct2/show/NCT04672681</span><svg><path></path></svg>.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001376/pdfft?md5=820955568cda1a211ce9a23a53284ddf&pid=1-s2.0-S1462388924001376-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141326068","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}
引用次数: 0
A survey of UK nurses about their care of people with malignant fungating wounds 对英国护士护理恶性发霉伤口患者情况的调查。
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-01 DOI: 10.1016/j.ejon.2024.102609
Susy Pramod , Jo Dumville PhD , Gill Norman PhD , Jacqui Stringer
{"title":"A survey of UK nurses about their care of people with malignant fungating wounds","authors":"Susy Pramod ,&nbsp;Jo Dumville PhD ,&nbsp;Gill Norman PhD ,&nbsp;Jacqui Stringer","doi":"10.1016/j.ejon.2024.102609","DOIUrl":"10.1016/j.ejon.2024.102609","url":null,"abstract":"<div><h3>Purpose</h3><p>To gain an understanding of the nursing professionals who treat people with malignant fungating wounds (MFW) in the UK and their current practices, including perceived barriers and facilitators to providing MFW care.</p></div><div><h3>Method</h3><p>An online anonymous questionnaire was created with questions about the role of nursing professionals who reported caring for patients with MFW, the number of people with MFW they regularly cared for, treatment aims, treatments used, and challenges faced. These questions were developed with professional input and piloted. Using a convenience sampling method, we collected responses from UK nurses by distributing the questionnaire via social media and through relevant professional organisations. The questionnaire was constructed in QualtricsXM software and analysed using SPSS.</p></div><div><h3>Result</h3><p>We received 154 questionnaire responses, with three-quarters from tissue viability nurses and the rest from community and other specialist nurses. The most important treatment aim reported was pain management, followed by odour management. Almost all respondents used antimicrobial and standard dressings for these patients, with a range of products reported. Poor access to MFW care training and lack of local and national guidelines were reported as barriers to providing care for people with MFW. Availability of dressings, access to training, and good communication processes were reported as facilitators.</p></div><div><h3>Conclusion</h3><p>This is the first study to explore MFW wound care practices in the UK. A range of nurses are involved in care delivery with variations in the treatments used. Lack of access to MFW care training, resources, and standardised guidelines may impede care delivery.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001078/pdfft?md5=ba2e757560be9b45c5cef0ddebc9b301&pid=1-s2.0-S1462388924001078-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141174243","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}
引用次数: 0
The effect of breathing exercises on chemotherapy-induced nausea and vomiting in autologous hematopoietic stem cell transplantation patients: A randomized controlled trial 呼吸运动对自体造血干细胞移植患者化疗引起的恶心和呕吐的影响:随机对照试验
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-01 DOI: 10.1016/j.ejon.2024.102618
Zeliha Genç , Gülbeyaz Can , Ebru Koç Uyan , Ümit Barbaros Üre
{"title":"The effect of breathing exercises on chemotherapy-induced nausea and vomiting in autologous hematopoietic stem cell transplantation patients: A randomized controlled trial","authors":"Zeliha Genç ,&nbsp;Gülbeyaz Can ,&nbsp;Ebru Koç Uyan ,&nbsp;Ümit Barbaros Üre","doi":"10.1016/j.ejon.2024.102618","DOIUrl":"10.1016/j.ejon.2024.102618","url":null,"abstract":"<div><h3>Purpose</h3><p>This research was conducted as a randomized controlled study to examine the effect of breathing exercises on managing chemotherapy-related nausea and vomiting in patients who underwent autologous hematopoietic stem cell transplantation.</p></div><div><h3>Methods</h3><p>A randomized controlled trial design was used, including an intervention group doing breathing exercises and a control group receiving standard care for chemotherapy-induced nausea and vomiting. The sample was selected from patients hospitalized in the bone marrow transplantation unit. A total of 70 autologous hematopoietic stem cell transplantation patients (35 intervention and 35 control participants).</p><p>Several variables were evaluated, including the frequence and degree of nausea and vomiting, the patient's nutritional status, and the need for antiemetics. Data were analyzed and interpreted using Mann Whitney U, Pearson chi-square test, Independent <em>t</em>-test, Mann Whitney U, and multiple linear regression.</p></div><div><h3>Results</h3><p>It was found that there was a negative relationship between the number of breathing exercises, the number of nausea and vomiting and the severity of nausea. As the number of breathing exercises increased, the number nausea and vomiting, and severity of nausea decreased significantly (p &lt; 0.05). It was found that the use of antiemetics decreased in the intervention group. Furthermore, it was found that the intervention group had higher daily food consumption on the 3rd, 7th, and 9th days (p &lt; 0.05).</p></div><div><h3>Conclusion</h3><p>Breathing exercises were a practical approach to managing chemotherapy-related nausea and vomiting.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141138951","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}
引用次数: 0
Interventions strategies and their efficacy in illness perceptions in patients with cancer: A systematic review and meta-analysis 癌症患者疾病认知的干预策略和疗效:系统回顾和荟萃分析
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-06-01 DOI: 10.1016/j.ejon.2024.102599
Yi Zhang , Xuan Chen , Rongyu Li , Ye Wang , Zheng Sun , Qiuping Li
{"title":"Interventions strategies and their efficacy in illness perceptions in patients with cancer: A systematic review and meta-analysis","authors":"Yi Zhang ,&nbsp;Xuan Chen ,&nbsp;Rongyu Li ,&nbsp;Ye Wang ,&nbsp;Zheng Sun ,&nbsp;Qiuping Li","doi":"10.1016/j.ejon.2024.102599","DOIUrl":"10.1016/j.ejon.2024.102599","url":null,"abstract":"<div><h3>Purposes</h3><p>To identify intervention strategies for improving illness perception (IP) of cancer patients and/or family caregivers; and to examine the effects of IP interventions by meta-analysis.</p></div><div><h3>Methods</h3><p>A systematic search was performed to identify literature that focused on improving the IP of cancer patients and/or family caregivers from the establishment of eight databases to August 2023. Manual screening was also applied. The IP intervention strategies for cancer populations were synthesized basing the CSM. Meta-analysis was conducted to assess the effects of IP interventions on health outcomes. Multiple subgroup analyses of the same intervention conditions were conducted to explore the optimal IP-focused intervention.</p></div><div><h3>Results</h3><p>18 studies were included. 11 studies were conducted in a meta-analysis. No studies on family caregivers' IP were identified. Compared to general care, subgroup analysis revealed that IP interventions had favorable effects on cancer patients’ IP as well as quality of life and other outcomes. Six IP intervention strategies (information support, cognitive reframing, emotion adjustment, active coping, effective appraisal, and self-social identification) were generated. Meta-analysis showed that compared with theory-less studies (Z = 8.64, p &lt; 0.01) and single delivery formats (Z = 3.66, p &lt; 0.01), the theory-based interventions (Z = 10.86, p &lt; 0.01) and mixed delivery formats (Z = 7.15, p &lt; 0.01) had higher positive effects on IP outcomes.</p></div><div><h3>Conclusions</h3><p>The positive outcomes of IP intervention focusing on cancer patients were highlighted. IP traits and patients' and their caregivers’ needs in coping with specific cancer types should be explored before the intervention design. More IP interventions targeting cancer dyads are warranted to develop in the future.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141045252","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}
引用次数: 0
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