European Journal of Oncology Nursing最新文献

{"title":"The congruence and interrelationships of family resilience in couples coping with colorectal cancer: A cross-sectional study from a dyadic perspective","authors":"Xiaoke Qiu ,&nbsp;Ye Wang ,&nbsp;Jiayu Mao ,&nbsp;Can Wang ,&nbsp;Xueli Yang ,&nbsp;Jie Zhao ,&nbsp;Qiuping Li","doi":"10.1016/j.ejon.2024.102767","DOIUrl":"10.1016/j.ejon.2024.102767","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the congruence and interdependent impacts of family resilience in colorectal cancer couples using the Walsh Family Resilience Model, focusing on coping domains of the shared beliefs system, organizational patterns, and communication/problem-solving.</div></div><div><h3>Methods</h3><div>220 colorectal cancer couples were recruited from two hospitals in China, assessing family resilience, hope, family sense of coherence, spiritual well-being, social support, and couple communication quality. Congruence was assessed using intraclass correlation coefficients and paired t-tests. Pearson correlations, multiple stepwise linear regression, and structural equation modeling examined the effects of coping domains on family resilience. Actor-Partner Independence Model was used to further explore actor and partner effects of these coping domains on family resilience in colorectal cancer couples.</div></div><div><h3>Results</h3><div>Moderate congruence in family resilience was observed, with spousal caregivers reporting higher family resilience. Key coping domains, including shared beliefs system (hope, family sense of coherence, spiritual well-being), organizational patterns (social support), and mutual communication/problem-solving, were significant predictors of family resilience. Importantly, both patients' and spousal caregivers’ coping domains exhibited notable actor and partner effects on family resilience of their own family resilience and partners.</div></div><div><h3>Conclusion</h3><div>This study highlights the interdependent influences on family resilience in colorectal cancer couples, supporting family-centered interventions to strengthen positive coping mechanisms.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102767"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899420","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":"Influence of oncology nurses' decision-making and personality traits on missed nursing care and related factors: A correlational study","authors":"Ivo C.S. Paiva ,&nbsp;Filipa I.Q.S. Ventura ,&nbsp;António C.L. Vilela ,&nbsp;Isabel M.P.B. Moreira","doi":"10.1016/j.ejon.2024.102749","DOIUrl":"10.1016/j.ejon.2024.102749","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify Missed Nursing Care (MNC) and related factors, as well as analyze the influence of nurses’ decision-making and personality traits on MNC in two Portuguese hospitals dedicated to cancer care.</div></div><div><h3>Methods</h3><div>A cross-sectional, multicentric, descriptive-correlational study was conducted using a convenience sample of 298 nurses working in two hospitals dedicated to cancer care. Data were collected in the first semester of 2023 using a questionnaire that included sociodemographic and professional questions and the Portuguese versions of the MISSCARE Survey, the Nursing Decision-Making Instrument (NDMI-PT), and the Ten-Item Personality Inventory (TIPI-P).</div></div><div><h3>Results</h3><div>Nurses missed care occasionally, namely in the dimensions related to <em>Patient empowerment/autonomy care</em> and <em>Efficacy of feeding and medication</em>. <em>Staffing, Patient volume and acuity,</em> and <em>Management and organization</em> were moderate to significant reasons for MNC. The flexible decision-making style was predominant (81.5%). The most prevalent personality traits were <em>Conscientiousness</em>, <em>Agreeableness,</em> and <em>Openness to experience</em>. Significant correlations were found between the four stages of the decision-making process and the personality traits and several dimensions of MNC. <em>Data collection to assess a patient's condition</em> was negatively correlated with <em>Team communication and Material resources</em>. Similarly, the <em>Emotional stability</em> trait was negatively correlated with <em>Team communication</em> and <em>Patient volume and acuity.</em></div></div><div><h3>Conclusions</h3><div>This study identified MNC and factors that can influence the quality of care. It is crucial to promote nurses’ training and specialization within healthcare teams, with a particular focus on enhancing some of their personality traits to make them more effective and efficient therapeutic agents.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102749"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808478","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":"Social support, fear of cancer recurrence and sleep quality in breast cancer: A moderated network analysis","authors":"Yingting Jiang ,&nbsp;Xinyu Wu ,&nbsp;Hongman Li ,&nbsp;Ying Xiong ,&nbsp;M. Tish Knobf ,&nbsp;Zengjie Ye","doi":"10.1016/j.ejon.2025.102799","DOIUrl":"10.1016/j.ejon.2025.102799","url":null,"abstract":"<div><h3>Purpose</h3><div>Fear of cancer recurrence (FCR) contributes to sleep problems and social support is a buffering factor in the literature. However, the moderating effect of social support between FCR and sleep quality is unclear.</div></div><div><h3>Methods</h3><div>The moderating role of social support was examined in a cohort of 460 breast cancer patients from the 2024 Be Resilient to Breast Cancer (BRBC) program from a microscopic perspective using moderated network analysis, and then assessed macroscopically by Johnson-Neyman and response surface analysis. The Fear of Progression Questionnaire-Short Form, Perceived Social Support Scale and Pittsburgh Sleep Quality Index scale were employed in this study.</div></div><div><h3>Results</h3><div>Social support significantly moderated the relationship between general anxiety and sleep efficiency. General anxiety was positively correlated with sleep efficiency at high levels of social support (t = 3.774, <em>P</em> &lt; 0.001). Patients with high social support and low FCR experienced better sleep (F = 6.166, <em>P</em> &lt; 0.01).</div></div><div><h3>Conclusion</h3><div>Our study deepens the understanding of the association between FCR, social support, and sleep quality, and emphasizes social support as a positive strategy for cancer patients to improve their physical and mental health.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102799"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025125","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":"Evaluation of therapy support through a standardized nursing consultation for patients undergoing oral tumor therapy in gynecological oncology within the prospective CAMPA initiative","authors":"Lisa Hirschberg ,&nbsp;Franziska Henze ,&nbsp;Kerstin Paradies ,&nbsp;Sophie Winkler ,&nbsp;Timo Schinköthe ,&nbsp;Renate Haidinger ,&nbsp;Ronald Kates ,&nbsp;Dirk Hempel ,&nbsp;Sven Mahner ,&nbsp;Bernd Kost ,&nbsp;Alexander Koenig ,&nbsp;Kristina Lippach ,&nbsp;Fabian Trillsch ,&nbsp;Sebastian Theurich ,&nbsp;Nadia Harbeck ,&nbsp;Valeria Milani ,&nbsp;Rachel Wuerstlein","doi":"10.1016/j.ejon.2024.102770","DOIUrl":"10.1016/j.ejon.2024.102770","url":null,"abstract":"<div><h3>Purpose</h3><div>The increase of oral tumor therapies (OTT) poses new challenges in patient care. Within CAMPA (Care improvement for advanced or metastatic breast and ovarian cancer patients treated with PARP-inhibitors), additional nursing support for patients treated with PARP-inhibitors was developed.</div></div><div><h3>Methods</h3><div>Additional nursing support (1 year) was evaluated in breast and gynecooncological cancer patients at an academic and a non-academic outreach center. From 02/22 to 02/24, quality of life, contacts, adherence, documentation of drug intake, hospitalization, and adverse events were evaluated, using CANKADO-ePRO and validated questionnaires reviewed by the Ethics Committee of Medical Faculty, LMU Munich. Satisfaction with care was recorded from 03/23 to 02/24. Supporting materials and interprofessional checklists were explored.</div></div><div><h3>Results</h3><div>The collective (n = 50) included 41 patients with ovarian, 4 with fallopian tube and 5 with breast cancer. Adherence measured by continuous documentation of medication intake was high among patients (78.0%). Quality of life improved from 68.6% to 81.4%, strongly correlating with decreasing numbers of side effects (p = 0.003) (Spearman |ρ| = 0.93). Satisfaction with care was very high (4.97 out of 5 points). 94.6% agreed that nursing consultation was essential for therapy safety compared to the doctor's consultation alone (p &lt; 0.05). The reduction in time and care effort was significant (p &lt; 0.05), having its maximum within the first three months.</div></div><div><h3>Conclusion</h3><div>Standardized nursing consultation was highly appreciated with an important contribution to adherence and improvement in quality of life. Delegation of therapy management to nurses reduces time effort and increases their responsibility, improving interprofessional care at academic and non-academic institutions.</div></div><div><h3>Trial registration</h3><div>Clinical Trials Registry, LMU university hospital, Germany, Healthcare research project, number: 21–0848.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102770"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973151","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":"Illness behavior and its predictors in young and middle-aged colorectal cancer patients: A latent profile analysis","authors":"Xinxin Li ,&nbsp;Xiaodan Wu ,&nbsp;Qianqian Du ,&nbsp;Jingyue Xie ,&nbsp;Xiaoxuan Wang ,&nbsp;Lu Cui ,&nbsp;Chen Yuan ,&nbsp;Meifen Zhang","doi":"10.1016/j.ejon.2025.102811","DOIUrl":"10.1016/j.ejon.2025.102811","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the characteristics of sick role adaptation and understand the differences in young and middle-aged colorectal cancer (CRC) patients.</div></div><div><h3>Methods</h3><div>225 colorectal cancer patients aged 18–59 admitting to a specialized oncology hospital in Guangzhou, China were involved from January to April 2022. Socio-demographic characteristics, disease-related characteristics, scores of Illness Behavior Questionnaire, Hospital Anxiety and Depression Scale, the Brief Illness Perception Questionnaire, Mishel Uncertainty in Illness Scale and Medical Coping Modes Questionnaire were applied to collect quantitative data. Latent profile analysis (LPA) of illness behavior, analysis of variance (ANOVA) and multiple logistic regression were performed.</div></div><div><h3>Results</h3><div>Three latent classes of illness behavior were identified: low maladaptive illness behavior group, moderate maladaptive illness behavior group, and high maladaptive illness behavior group. Univariate analysis revealed statistically significant differences among the three latent classes with respect to education level, anxiety and depression, illness perception, uncertainty in illness and coping modes. Multiple logistic regression analysis revealed that marital status, family history of cancer, education level, family monthly income, anxiety and depression, illness perception, uncertainty in illness and coping modes were predictors of maladaptive illness behaviors among young and middle-aged CRC patients.</div></div><div><h3>Conclusions</h3><div>The results of the study raise a concern of maladaptive illness behaviors in young and middle-aged colorectal cancer patients, highlighting the need for age-appropriate psychosocial care approaches to promote adjustment of the illness behaviors followed by the diagnosis and treatment of CRC.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102811"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069393","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":"Multi-center randomized controlled trial on advance care planning for adolescents with cancer and their parents: Impact on parent-adolescent communication","authors":"Anne van Driessche ,&nbsp;Joachim Cohen ,&nbsp;Luc Deliens ,&nbsp;Marijke C. Kars ,&nbsp;Leen Willems ,&nbsp;Stefanie De Buyser ,&nbsp;Joris Verlooy ,&nbsp;Marleen Renard ,&nbsp;Kim Eecloo ,&nbsp;Aline De Vleminck ,&nbsp;Kim Beernaert","doi":"10.1016/j.ejon.2025.102823","DOIUrl":"10.1016/j.ejon.2025.102823","url":null,"abstract":"<div><h3>Purpose</h3><div>This study evaluates whether the <strong>B</strong>enefits of <strong>O</strong>btaining <strong>O</strong>wnership <strong>S</strong>ystematically <strong>T</strong>ogether in <strong>p</strong>ediatric <strong>A</strong>dvance <strong>C</strong>are <strong>P</strong>lanning (BOOST pACP) intervention improves parent-adolescent communication compared to care as usual.</div></div><div><h3>Methods</h3><div>In this multi-center parallel-group superiority trial, adolescent patients (10–18 years old) diagnosed with cancer and their parent(s) were randomized with a 1:1 allocation to a pACP intervention or care as usual. The primary endpoint was the adolescents’ assessment of quality of parent-adolescent communication at 3 months, and the secondary was quality of parent-adolescent communication at 7 months.</div></div><div><h3>Results</h3><div>Forty-nine families were enrolled (28% enrollment rate) between March 2021 and March 2023. No significant differences in parent-adolescent communication were observed between the BOOST and care as usual groups at 3 months (T1) (baseline-adjusted mean difference = 1<strong>.</strong>4; 95% CI -4<strong>.</strong>1 to 6.9; p = 0<strong>.</strong>608), effect size 0<strong>.</strong>13. Similarly, at 7 months (T2) differences were not significant (baseline-adjusted mean difference = 5<strong>.</strong>2; 95% CI -0<strong>.</strong>6 to 11<strong>.</strong>0; p = 0<strong>.</strong>077), effect size 0<strong>.</strong>49 (and 0.67 for father-adolescent communication). No significant differences in anxiety scores of adolescents and parents were found and no adverse events were reported.</div></div><div><h3>Conclusion</h3><div>The BOOST pACP intervention did not significantly improve parent-adolescent communication for adolescents with cancer and their parents at 3 months after baseline. However, the results indicate it might have a clinical impact in later stages of the follow-up period. Limitations of this study are the underpowered sample size and the lack of validated questionnaires for specific ACP communication.</div></div><div><h3>Clinical trial registration</h3><div>ISRCTN, number 33228289 <span><span>https://doi.org/10.1186/ISRCTN33228289</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102823"},"PeriodicalIF":2.7,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177779","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":"Psychosocial adjustment and influencing factors in patients with newly diagnosed colorectal cancer: A latent profile analysis","authors":"Chen Yuan ,&nbsp;Jingyue Xie ,&nbsp;Lu Cui ,&nbsp;Qianqian Du ,&nbsp;Xinxin Li ,&nbsp;Xiaoxuan Wang ,&nbsp;Jianfei Liu ,&nbsp;Xiaodan Wu ,&nbsp;Meifen Zhang","doi":"10.1016/j.ejon.2025.102818","DOIUrl":"10.1016/j.ejon.2025.102818","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify subgroups of psychosocial adjustment among patients with newly diagnosed colorectal cancer, and to examine the inflencing factors of different subgroups.</div></div><div><h3>Methods</h3><div>The study surveyed 490 participants in Guangzhou from July 2022 to June 2023 using face-to-face method. The scales measured psychosocial adjustment, resilience, and coping styles. Statistical analysis included latent profile analysis and multinomial logistic regression. The STROBE guidelines were followed in this study.</div></div><div><h3>Results</h3><div>Three subgroups of psychosocial adjustment were identified: the low adjustment (23.7%), the moderate adjustment (44.5%), and the high adjustment (31.8%). Factors influencing psychosocial adjustment included optimism, resignation coping style, household per capita monthly income, and tumor metastasis.</div></div><div><h3>Conclusions</h3><div>This study employed a human-centered approach to identify three types of psychosocial adjustment in newly diagnosed colorectal cancer patients. Variations were observed in optimism, resignation coping, tumor metastasis, and household income. Prompt identification of high-risk groups and tailored interventions are essential for improving psychosocial adjustment.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102818"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177320","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":"Associations between postoperative pulmonary interventions based on enhanced recovery programs and outcomes in patients with lung cancer: A retrospective propensity score matching study","authors":"Jishan Yin ,&nbsp;Jialing Zhou ,&nbsp;Linying Cao ,&nbsp;Guihua Chen","doi":"10.1016/j.ejon.2025.102817","DOIUrl":"10.1016/j.ejon.2025.102817","url":null,"abstract":"<div><h3>Purpose</h3><div>The purpose of the study was to assess the impact of postoperative pulmonary interventions based on enhanced recovery programs (PPIE) on patients undergoing lung cancer surgery using a retrospective propensity score matching (PSM).</div></div><div><h3>Methods</h3><div>The non-PPIE group only received the enhanced recovery programs, while the PPIE group received additional postoperative pulmonary interventions, including the active cycle of breathing techniques, oscillatory positive expiratory pressure therapy, incentive spirometry training, and early mobilization, conducted by nurses.</div></div><div><h3>Results</h3><div>656 patients with lung cancer were identified from January 2020 to December 2022. PSM resulted in 253 patients in each group. The PPIE group showed significant improvements in the presence of postoperative pulmonary complications within the first 30-day (4.7% vs. 11.9%, OR 0.37, 95% CI 0.19–0.74, p = 0.004) and in-hospital postoperative pulmonary complications (3.2% vs. 11.1%, OR 0.26, 95% CI 0.12–0.59, p = 0.001). PPIE was associated with an estimated median reduction in the postoperative hospital length of stay by 1 day (P &lt; 0.001). Moreover, the duration of chest tube indwelling didn't significantly differ between groups (p = 0.394).</div></div><div><h3>Conclusion</h3><div>PPIE is beneficial to the outcomes of patients after lung cancer surgery, except for the duration of postoperative chest tube indwelling. Postoperative pulmonary interventions could be integrated into the ERPs to enhance rehabilitation. Moreover, nurses play a role in facilitating the recovery of patients who have undergone lung cancer surgery.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102817"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177781","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":"Balancing intimacy, family life and cancer – A qualitative study on the impact of parental cancer on the couple relationship in couples with dependent children","authors":"Anna Wikman ,&nbsp;Siri Örnéus ,&nbsp;Greta Melzi ,&nbsp;Pia Enebrink ,&nbsp;Maria Romare Strandh ,&nbsp;Lisa Ljungman","doi":"10.1016/j.ejon.2025.102814","DOIUrl":"10.1016/j.ejon.2025.102814","url":null,"abstract":"<div><h3>Purpose</h3><div>In-depth exploration of how the couple relationship is affected by parental cancer in couples with dependent children.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were carried out with a convenience sample of 17 parents with cancer who were in a couple relationship and had children aged 18 years or younger. Data were analysed using qualitative content analysis.</div></div><div><h3>Results</h3><div>The content analysis resulted in three categories representing areas in the couple relationship that had changed following the cancer diagnosis: <em>Altered communication; Adapting to new roles;</em> and <em>A change in sex life, intimacy and fertility.</em> The results illustrate a significant increase in the need for constructive communication when couples face a range of emotionally-charged topics that were made difficult to talk about due to the children being present. The results also showed that the experience of cancer had forced couples to adapt to new roles in their relationship, and in the family, in order to manage the complex practical issues of simultaneously being parents and dealing with cancer. Lastly, both physical and psychological aspects of cancer had affected the couples’ sex life, intimacy and fertility including decreased sexual engagement and changed conditions impacting family planning.</div></div><div><h3>Conclusions</h3><div>Results highlight the specific areas that are challenging for couples facing cancer who are parents of dependent children. Couples may need support to cope with these challenges due to the complexity of parenthood when managing cancer as a couple.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102814"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177782","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":"Prostate cancer patient experience of prehabilitation prior to radical prostatectomy – A hermeneutical phenomenological study","authors":"Malene Blumenau Pedersen ,&nbsp;Brigitta Rasmussen Villumsen ,&nbsp;John M. Saxton ,&nbsp;Sara Birch ,&nbsp;Jørgen Bjerggaard Jensen ,&nbsp;Anne Højager Nielsen","doi":"10.1016/j.ejon.2025.102810","DOIUrl":"10.1016/j.ejon.2025.102810","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore patient experience of participating in a multimodal prehabilitation program prior to nerve-sparing radical prostatectomy (RP).</div></div><div><h3>Methods</h3><div>We used an exploratory hermeneutical phenomenological approach where qualitative interview data were analysed, building on the theory of Paul Ricoeur. Six weeks after surgery, we interviewed eight patients that had been recruited for a randomised controlled feasibility study of a multimodal prehabilitation program prior to a nerve sparing RP.</div></div><div><h3>Results</h3><div>Prehabilitation offered patients a chance to actively contribute to their own well-being. Beliefs about its benefits evolved as the patients progressed through the prehabilitation period, indicating that their own experiences gave a broader understanding of potential benefits. Crucially, the findings highlighted the necessity of tailoring prehabilitation programs to individual needs. For patients to fully engage with the program, it was essential that it adapted to their unique circumstances rather than expecting them to conform to a standardized approach.</div></div><div><h3>Conclusion</h3><div>Personalizing prehabilitation interventions for prostate cancer patients prior to RP requires active patient engagement and recognition of their desire for autonomy and control in their treatment. Integrating prehabilitation with perioperative care may present an opportunity to improve long-term outcomes and support patient-centered care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102810"},"PeriodicalIF":2.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143176893","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}