European Journal of Oncology Nursing最新文献

{"title":"Regional economic level moderates the impact of patients' and family carers’ cancer-related work changes and hospital level on financial toxicity in China: A multi-centre cross-sectional study","authors":"Binbin Xu ,&nbsp;Winnie K.W. So ,&nbsp;Kai Chow Choi","doi":"10.1016/j.ejon.2025.102782","DOIUrl":"10.1016/j.ejon.2025.102782","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore how regional economic levels moderate the relationships between cancer-related financial toxicity (FT) and its associated risk factors.</div></div><div><h3>Methods</h3><div>A secondary analysis was conducted using data from a cross-sectional survey of 1208 adult patients with cancer, conducted in six tertiary and six secondary hospitals across three Chinese provinces from February to October 2022. The interactions between the regional economic level-categorised as high- or low-/middle-income based on the gross domestic product per capita- and 13 previously identified risk factors for FT were examined via moderation analysis using the PROCESS macro for SPSS software.</div></div><div><h3>Results</h3><div>Regional economic level moderated the impacts of both patients' and family carers’ negative work changes due to cancer and the hospital level on FT (all p-values for interaction effect &lt;0.05). Job changes had more severe effects on FT in high-income regions (patients: B = −2.07, standard error [SE] = 0.67, p = 0.002; carers: B = −1.58, SE = 0.66, p = 0.017), while treatment in tertiary hospitals had a stronger negative impact on FT in low-/middle-income regions (B = 1.81, SE = 0.87, p = 0.037).</div></div><div><h3>Conclusions</h3><div>These findings highlight the need for region-specific FT mitigation strategies. In high-income regions, more attention could be paid to managing the adverse work-related effects of cancer on patients and their families. In low-/middle-income regions, increased awareness and management of cancer-related FT in tertiary hospitals is needed. Future research should explore other risk factors associated with FT that may be moderated by regional economic levels.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102782"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985743","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":"A randomized controlled trial of an intervention for unmet supportive care needs addressing colorectal cancer couples","authors":"Zheng Sun ,&nbsp;Yi Zhang ,&nbsp;Xueli Yang ,&nbsp;Ye Wang ,&nbsp;Qiuping Li ,&nbsp;Jie Zhao","doi":"10.1016/j.ejon.2025.102805","DOIUrl":"10.1016/j.ejon.2025.102805","url":null,"abstract":"<div><h3>Purpose</h3><div>Supported by the Supportive Care Needs Framework (SCNF), we developed a colorectal cancer (CRC) couple-based unmet supportive care needs (USCNs) intervention program, which has been proven to be feasible. The intention was to assess what the clinical efficacy of this intervention would be in CRC couples.</div></div><div><h3>Methods</h3><div>One hundred and sixty-eight CRC couples were randomly assigned to one of two groups: a control group (receiving normal care) or an intervention group (receiving normal care plus a five-week USCNs intervention). Information on USCNs, mutual communication, quality of life, and psychological adjustment was gathered from CRC couples both at baseline and right after the intervention. The collected data were examined using repeated measures analysis of variance (ANOVA).</div></div><div><h3>Results</h3><div>There were 135 CRC couples who completed the five-week intervention and post-intervention outcome measures (retention rate: 80.4%). Combining with the ANOVA results (p &lt; 0.001 for both couples) and the intervention effect sizes Cohen's d (d = 0.33–0.60 for patients, d = 0.22–0.59 for spousal caregivers), the USCNs intervention is effective in improving USCNs, mutual communication, mental health, positive emotions, and negative emotions in CRC couples.</div></div><div><h3>Conclusion</h3><div>The CRC couple-based USCNs intervention effectively reduces USCNs and promotes cancer adjustment among CRC couples. This intervention can assist clinical staff in refining routine care components to enable couples to manage CRC more effectively. In the future, it will be essential to lengthen the follow-up duration to assess the efficacy of the intervention in the long term.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102805"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061073","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":"Behind the scenes of palliative care: Qualitative study with oncology family caregivers","authors":"Carolina Oliveira ,&nbsp;Isabel C. Lisboa ,&nbsp;Luciana Sotero ,&nbsp;Ana Paula Relvas","doi":"10.1016/j.ejon.2025.102789","DOIUrl":"10.1016/j.ejon.2025.102789","url":null,"abstract":"<div><h3>Purpose</h3><div>Long-term caregiving tasks can be exhausting for family caregivers, resulting in high psychological morbidity. The study aims to explore the experiences, challenges, and strengths of family caregivers providing care for cancer patients in palliative care, in-patient or at home.</div></div><div><h3>Method</h3><div>Nine caregivers were included, predominantly women aged 34 to 70, from various regions of Portugal. They participated in four focus groups between May 2021 and May 2022, held online due to COVID-19 restrictions. A qualitative research methodology was employed, using semi-structured interviews conducted through focus groups. Data were analyzed using thematic analysis to identify key themes in caregivers' experiences.</div></div><div><h3>Results</h3><div>The study revealed several challenges, categorized into three main themes, listed in order of frequency: (lack of) communication, pain and suffering, and caregiver burden. Death emerged as a meta-category. Despite these difficulties, caregivers identified sources of strength and support that helped them cope during this time.</div></div><div><h3>Conclusions</h3><div>The findings underscore the profound impact of caregiving on family members and highlight the need for enriched support systems and interventions to reduce caregiver burden and suffering, boosting their resources. Despite its limitations, the study's diverse and rich content illustrate the value of group settings in fostering belonging and comfort among caregivers.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102789"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061075","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":"End-of-life care preferences among cancer patients: A cross-sectional study in Vietnam","authors":"Sen Hoang Thi Ngoc ,&nbsp;Duyen Duong Vy ,&nbsp;Huyen Ngo Thi Thu ,&nbsp;Huong Hoang Thi Xuan","doi":"10.1016/j.ejon.2025.102813","DOIUrl":"10.1016/j.ejon.2025.102813","url":null,"abstract":"<div><h3>Purpose</h3><div>Honoring the end-of-life care preferences of cancer patients is indispensable for improving both the quality of life of patients and the quality of care they receive. This study aimed to explore end-of-life care preferences among cancer patients and related factors.</div></div><div><h3>Methods</h3><div>The cross-sectional study was conducted in a primary oncology hospital. G∗power was used to calculate the sample size. Convenience and proportional sampling methods were applied to collect data. Data collection was conducted from December 2023 to May 2024. Three instruments were used to investigate: 1) general and health information, 2) experiences and attitudes with end-of-life care for relatives, and 3) end-of-life care preferences. Data were analyzed using by the Fisher exact test.</div></div><div><h3>Results</h3><div>There were 280 participants in the study. The most important preferences of cancer patients were receiving the full truth regarding their illness, relieving distressing symptoms, having loved ones around when needed, being treated both physically and psychologically, not being a physical or psychological burden to family, and feeling meaningful life. The lowest percentage of agreement was for using active euthanasia. The findings showed difference in end-of-life care preferences between satisfaction with life, the experience of witnessing the relatives passing away at home, and attitude toward being remembered after death (p-values of 0.03, 0.02, and 0.04, respectively).</div></div><div><h3>Conclusion</h3><div>It is vital for medical staff to understand end-of-life care preferences in order to provide appropriate support for cancer patients, thereby optimizing their quality of life in the final stage and improving the quality of care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102813"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076304","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":"Perspectives of healthcare professionals on frailty assessment among older patients with colorectal cancer: A qualitative study","authors":"Marian Winters ,&nbsp;Janita Bakker ,&nbsp;Vera Ardesch ,&nbsp;Sanneke van der Zwaag ,&nbsp;Ad Kamper ,&nbsp;Henk Bilo ,&nbsp;Petrie Roodbol ,&nbsp;Evelyn Finnema","doi":"10.1016/j.ejon.2025.102827","DOIUrl":"10.1016/j.ejon.2025.102827","url":null,"abstract":"<div><h3>Purpose</h3><div>Exploring the perspectives of healthcare professionals (HCPs) working at the outpatient clinic on the value and practice of standardized frailty assessment in older adults with colorectal cancer (CRC). In current practice, frailty assessment comprises initial frailty screening using the G8 measurement, followed by a comprehensive geriatric assessment (CGA) to further evaluate frailty detected during screening.</div></div><div><h3>Methods</h3><div>This is a qualitative study involving semi-structured interviews with 17 HCPs, conducted from February to July 2023. Physicians specializing in oncology, surgery, gastroenterology, and geriatrics were asked to participate as well as nurses and nurse practitioners at the outpatient clinic of a large teaching hospital involved in frailty assessment of patients with CRC.</div></div><div><h3>Results</h3><div>Two main themes emerged: 1) the perceived value of the G8 measurement for frailty screening and 2) the perceived value of the CGA. The moment, content, and outcome of the G8 and CGA were discussed. Other issues discussed were the complexity of frailty appreciation and collaboration between HCPs. The integration of perspectives proved important to the overall added value of frailty assessment. The CGA is considered most beneficial in patients with suspected cognitive impairment or if there is uncertainty about the degree of frailty or about the optimal treatment.</div></div><div><h3>Conclusion</h3><div>We conclude that the G8 is not an appropriate screening instrument for this patient population. CGA adds value in a specific subset of patients if it is conducted before treatment decisions are made and integrated into an efficient, multidisciplinary pathway, focusing on collaborative decision-making, including with the patient.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102827"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403429","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":"Clinical and economic impact of the advanced practice nurse in lung cancer patients receiving immunotherapy-based treatments: A quantitative study","authors":"Jorgina Serra-López ,&nbsp;Clara Pujol-Besora ,&nbsp;Sergio Martínez-Recio ,&nbsp;Andrés Barba Joaquín ,&nbsp;Mariona Riudavets Melià ,&nbsp;Ivana Sullivan ,&nbsp;Jordi Torralbas-Ortega ,&nbsp;Gina Lladó-Jordan ,&nbsp;Margarita Majem ,&nbsp;Maria-Antonia Martínez-Momblan","doi":"10.1016/j.ejon.2025.102809","DOIUrl":"10.1016/j.ejon.2025.102809","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the impact of an advanced practice nurse (APN) intervention on the reduction of emergency department visits due to immune-related adverse events (irAEs) in patients receiving immunotherapy-based treatments. Also, to analyze changes in hospitalization and hospital costs due to adverse effects of treatment and in the time to action against these.</div></div><div><h3>Methods</h3><div>The study compared a prospective sample of patients who received APN support (intervention) and a retrospective sample of patients with lung cancer without APN support (control). Toxicity-related emergency room visits, time to action on an irAE, and need for hospitalization were the most relevant key health indicators. Data were collected partly retrospectively from a patient database before the implementation of the APN role and partly through a consecutive convenience sampling of patients who had access to the APN in the consultation. Data were analyzed using descriptive statistics and comparisons between the two samples.</div></div><div><h3>Results</h3><div>Key results indicated a 92% reduction in emergency department visits with APN monitoring (OR 0.08), 73% reduction in hospital admission, 78.57% faster action on an irAE, and €195,982.8 (54.8%) cost savings over 12 weeks.</div></div><div><h3>Conclusion</h3><div>APN intervention improves the management of irAEs and the quality of care for lung cancer patients. There is a decrease in the need for emergency care and hospitalizations. Also, reduced hospital costs.</div></div><div><h3>Study Registration</h3><div>Registered with Clinical Trials Network (NCT04619810).</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102809"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076297","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":"Patient clusters based on demographics, clinical characteristics and cancer-related symptoms: A cross-sectional pilot study","authors":"Greta Ghizzardi ,&nbsp;Stefano Maiandi ,&nbsp;Donatella Vasaturo ,&nbsp;Carmelo Collemi ,&nbsp;Alessandra Laurano ,&nbsp;Arianna Magon ,&nbsp;Silvia Belloni ,&nbsp;Debora Sidoli ,&nbsp;Cristina Cascone ,&nbsp;Lorena Stefania Bassani ,&nbsp;Savizza Calvanese ,&nbsp;Rosario Caruso","doi":"10.1016/j.ejon.2025.102796","DOIUrl":"10.1016/j.ejon.2025.102796","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to identify and preliminary validate distinct clusters of patients with cancer based on demographics, clinical characteristics, and symptoms and to inform future research on sample size requirements for achieving sufficient power in clustering analyses.</div></div><div><h3>Methods</h3><div>This cross-sectional pilot study involved 114 patients with cancer from two hospitals in northern Italy. Data were collected on demographics, clinical characteristics, and 20 symptoms using the Edmonton Symptom Assessment System in October 2022. t-distributed stochastic neighbor embedding (t-SNE) was used to reduce the symptom data and demographics (e.g., age) into two components, which were then clustered using Ward's method. A Monte Carlo simulation was conducted based on the t-SNE components to estimate the sample size needed to achieve 80% power for different cluster solutions (k = 2, 3, 4).</div></div><div><h3>Results</h3><div>Two distinct clusters were identified: Cluster 1 (Higher Symptom Burden Cluster) and Cluster 2 (Lower Symptom Burden Cluster). Cluster 1 patients had a higher prevalence of depression, anxiety, and drowsiness. Monte Carlo simulations indicated that 50 patients per cluster were sufficient for k = 2 clusters to achieve 80% power, whereas 90 patients per cluster were needed for k = 3 clusters and 120 patients per cluster for k = 4 clusters.</div></div><div><h3>Conclusion</h3><div>This study identified distinct patient clusters and provided preliminary evidence on the sample size required for clustering analyses in cancer research. Understanding patient clusters enables nurses to provide tailored interventions, potentially improving symptom management and overall patient care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102796"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069394","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":"Marital adjustment, depression and quality of life of women with breast cancer and their intimate partners","authors":"Díaz-Heredia Luz Patricia ,&nbsp;Bueno-Robles Luz Stella ,&nbsp;Sansoni Julita ,&nbsp;Bejarano Beltrán Martha Patricia ,&nbsp;Pardo Torres Myriam Patricia ,&nbsp;Rosero Otero Mildred ,&nbsp;Erazo Martínez Myriam","doi":"10.1016/j.ejon.2024.102765","DOIUrl":"10.1016/j.ejon.2024.102765","url":null,"abstract":"<div><h3>Purpose</h3><div>Among all the types of cancer, breast cancer occurs most frequently in women. The diagnosis and treatments for this disease generate physical and emotional discomfort that affects the quality of life of both the woman and her intimate partners. Aim. The aim was to establish the relationship between marital adjustment, depression and quality of life of both women with breast cancer and their intimate partners.</div></div><div><h3>Methods</h3><div>A cross-sectional study with 143 couples composed of women diagnosed with breast cancer and their respective intimate partners, living in Colombia and Italy, were evaluated about Sociodemographic characteristics, marital adjustment, depression, and quality of life. Measures of central tendency, correlational coefficients and both simple and multiple regression analysis were applied.</div></div><div><h3>Results</h3><div>Significant correlations were reported for the variable marital adjustment (t: 0.35; p &lt; 0.001) and depression (t:0.49; p &lt; 0.001) between women and their intimate partners in Colombia, while the variables depression (t: 0.77; p &lt; 0.001) and quality of life (t: 0.50; p &lt; 0.001) showed significant correlations between couples in Italy.</div><div>Regarding the multiple regression model, it was found that the quality of life of the couples was not affected by the behavior observed in the variable depression and marital adjustment. However, when including the variable country of origin (Colombia and Italy), a significant effect on quality of life was observed (t = −2.126; p &lt; 0.034).</div></div><div><h3>Conclusions</h3><div>The quality of life of the woman and her intimate partner was related to the country where they live, a variable that is related to the timeliness and quality of health services. This result invites all professionals who care for this group of women to offer the best possible care by optimizing the resources available.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102765"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899247","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":"To get through to survive: Exploring the symptom cluster management process during oncological treatment from the perspective of patients with lung cancer – A grounded theory study","authors":"Katarina Karlsson ,&nbsp;Maria Larsson ,&nbsp;Karin Ahlberg ,&nbsp;Ann Erlandsson ,&nbsp;Cecilia Olsson","doi":"10.1016/j.ejon.2024.102764","DOIUrl":"10.1016/j.ejon.2024.102764","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the symptom cluster management process from the perspective of patients with lung cancer within the oncological care context.</div></div><div><h3>Methods</h3><div>We used a constructivist grounded theory methodology to collect and analyze rich data from 15 patients with lung cancer via individual interviews and a two-dimensional symptom assessment scale.</div></div><div><h3>Results</h3><div>A situational theoretical model describes the symptom cluster management process through the main category ‘To get through to survive’, with the category ‘Handling symptom clusters’ together with six sub-categories concerning the patients' management strategies and the category ‘Living with symptom clusters,’ together with two sub-categories describing the outcome in their daily life. Impacting conditions are incorporated in the model.</div></div><div><h3>Conclusions</h3><div>Patients often feel left to their own devices to deal with symptom clusters and may not understand or foresee problematic circumstances as they manage their situations on a day-to-day basis. When symptoms are normalized and accepted, patients do not ask for support, or support is not being offered to them. Healthcare professionals should consider the peril of normalizing symptoms and the patients’ altered time perspective that stems from their approach of living one day at a time, in further development of nursing interventions and person-centered care for this population.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102764"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of a psychoeducational intervention on caregivers of colorectal cancer patients: A meta-analysis of randomized controlled trials","authors":"Menghan Zhang ,&nbsp;Yanyan Xue ,&nbsp;Mengwei Shao ,&nbsp;Yi Yang ,&nbsp;Lulu Yu ,&nbsp;Bin Ma ,&nbsp;Dunhui Li ,&nbsp;Huiyue Zhou ,&nbsp;Kun Wang ,&nbsp;Changying Chen ,&nbsp;Mengzhuo Cheng ,&nbsp;Tao Wang","doi":"10.1016/j.ejon.2024.102739","DOIUrl":"10.1016/j.ejon.2024.102739","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the impacts of psychoeducational interventions in adjusting the physical and psychological statuses of caregivers of CRC patients.</div></div><div><h3>Methods</h3><div>Nine electronic databases, including Medline, Web of Science, Embase, Cochrane Library, CINAHL Complete, CNKI, Wan Fang Database, VIP Database, and CBM, were searched to identify eligible randomized controlled trials from January 2000 to July 2023. From 1498 articles, 9 articles that met the inclusion criteria were identified and systematically analyzed. Effect sizes and moderator variables were tested using both fixed-effect models and random-effect models.</div></div><div><h3>Results</h3><div>Our results clearly showed that although psychoeducational interventions could improve all aspects of the physical health of caregivers of CRC patients, resulting in improved quality of life, reduced caregiver burden, and enhanced caregiver ability, they only partly affect the psychological conditions of caregivers. For example, while it led to improved positive coping, alleviated negative coping, and decreased disruption in the caring schedule, there were quite a few key aspects of the psychological status that did not show responses, including perception of family support, financial burden, self-esteem, and distress.</div></div><div><h3>Conclusion</h3><div>Psychoeducational interventions can significantly improve the status of caregivers of CRC both physically and psychologically and encourage active lifestyles. However, there are still outstanding problems to be solved in the psychological aspects of caregivers, such as how to improve their social support, and how to relieve their financial pressure. Even so, we firmly believe developing a standardized psychoeducational intervention mode is of great significance in improving the general well-being of caregivers of CRC patients.</div></div><div><h3>Systematic review registration</h3><div>PROSPERO (<span><span>http://www.crd.york.ac.uk/PROSPERO</span><svg><path></path></svg></span>), number CRD42023484775.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102739"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899731","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}