European Journal of Oncology Nursing最新文献

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The trajectories of psychosocial adjustment among young to middle-aged women with breast cancer: A prospective longitudinal study 中青年女性乳腺癌患者的社会心理适应轨迹:前瞻性纵向研究
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-22 DOI: 10.1016/j.ejon.2024.102617
Yiheng Zhang , Jingwen Yan , Haiyan He , Lijuan Zhang , Lili Chen , Na Li , Huan Li , Xueying Zhang , Ni Zhang , Shihao Sun , Baoyi Zhang , Meifen Zhang
{"title":"The trajectories of psychosocial adjustment among young to middle-aged women with breast cancer: A prospective longitudinal study","authors":"Yiheng Zhang ,&nbsp;Jingwen Yan ,&nbsp;Haiyan He ,&nbsp;Lijuan Zhang ,&nbsp;Lili Chen ,&nbsp;Na Li ,&nbsp;Huan Li ,&nbsp;Xueying Zhang ,&nbsp;Ni Zhang ,&nbsp;Shihao Sun ,&nbsp;Baoyi Zhang ,&nbsp;Meifen Zhang","doi":"10.1016/j.ejon.2024.102617","DOIUrl":"10.1016/j.ejon.2024.102617","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to explore heterogeneous trajectories of psychosocial adjustment among young to middle-aged women with breast cancer and determine the predictive factors influencing these trajectories.</p></div><div><h3>Methods</h3><p>This study was conducted from October 2019 to October 2022 across two hospitals in Guangzhou. Demographic and disease characteristics, psychosocial adjustment, self-efficacy, social support, and coping modes were collected at baseline. Follow-up evaluations of psychosocial adjustment occurred at 1, 3, and 6 months post-surgery. Latent class growth modeling identified distinct patterns of psychosocial adjustment trajectories. Logistic regression analysis determined the predictive factors.</p></div><div><h3>Results</h3><p>A total of 377 young to middle-aged women with breast cancer participated in this study, with 289 participants completing the 6-month follow-up. Three distinct trajectories of psychosocial adjustment were identified including a \"sustained severe maladjustment\" trajectory, comprising 22.5% of participants, a \"sustained moderate maladjustment\" trajectory, comprising 50.4% of participants, and a \"well-adjusted class\" trajectory, comprising 27.1% of participants. Predictors of psychosocial adjustment trajectories included affected side, surgical type, chemotherapy, self-efficacy, social support, and coping modes.</p></div><div><h3>Conclusions</h3><p>This study revealed three distinct trajectories of psychosocial adjustment among young to middle-aged women with breast cancer. Those with right-sided breast cancer, undergoing total mastectomy, receiving chemotherapy, low self-efficacy, limited social support, and relying on confrontation or avoidance coping modes may experience sustained maladjustment.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141135895","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
Social determinants of health in post-treatment cancer survivors: Scoping review 癌症治疗后幸存者健康的社会决定因素:范围界定审查
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-22 DOI: 10.1016/j.ejon.2024.102614
Alfredo Lara-Morales , Nelia Soto-Ruiz , Andrés A. Agudelo-Suárez , Cristina García-Vivar
{"title":"Social determinants of health in post-treatment cancer survivors: Scoping review","authors":"Alfredo Lara-Morales ,&nbsp;Nelia Soto-Ruiz ,&nbsp;Andrés A. Agudelo-Suárez ,&nbsp;Cristina García-Vivar","doi":"10.1016/j.ejon.2024.102614","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102614","url":null,"abstract":"<div><h3>Purpose</h3><p>To identify, analyze and describe the available scientific evidence about the influence of social determinants of health on cancer survivors.</p></div><div><h3>Methods</h3><p>A scoping review was outlined according to the steps described by the Joanna Brigs Institute Reviewer's Manual: selection of studies, data mapping, and results grouping, synthesis and report, was conducted. PubMed, CINAHL, Scopus and LILACS databases were searched from 2011 to 2023.</p></div><div><h3>Results</h3><p>Out of a total of 1783 papers initially screened, only 19 studies met the inclusion criteria for the scoping review, focusing on the primary social determinants impacting the health of cancer survivors. These studies were categorized into six main themes: a) employment (challenges in work reintegration and work-place difficulties); b) variations among different ethnic groups; c) disparities based on sex; d) barriers and facilitators in accessing health and social security services; e) the role of support networks and social environments; and f) socioeconomic lever (influence of income and socioeconomic status).</p></div><div><h3>Conclusions</h3><p>Understanding the impact of social determinants on the post-treatment quality of life for cancer survivors is crucial. Comprehensive survivorship care should address not just medical needs but also holistic aspects like social support, education, overall well-being, and improvements in physical and social environments. This multifaceted approach ensures the well-rounded support needed for optimal survivorship outcomes.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001121/pdfft?md5=70ec7679846f2b7f40930c8f84e31303&pid=1-s2.0-S1462388924001121-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089723","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
Factors associated with perceived cognitive function in breast cancer patients treated with chemotherapy: A multicenter cross-sectional study 中国乳腺癌化疗患者认知功能的相关因素:一项多中心横断面研究
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-21 DOI: 10.1016/j.ejon.2024.102623
Yu Liu , Jun-E Liu , Tie-Ying Shi , Li-Xiao Bai , Ai-Ling Yang , Ruo-Lin Li , Ya-Li Su , Pi-Lin Wang , Juan Liu , Ling Zhang
{"title":"Factors associated with perceived cognitive function in breast cancer patients treated with chemotherapy: A multicenter cross-sectional study","authors":"Yu Liu ,&nbsp;Jun-E Liu ,&nbsp;Tie-Ying Shi ,&nbsp;Li-Xiao Bai ,&nbsp;Ai-Ling Yang ,&nbsp;Ruo-Lin Li ,&nbsp;Ya-Li Su ,&nbsp;Pi-Lin Wang ,&nbsp;Juan Liu ,&nbsp;Ling Zhang","doi":"10.1016/j.ejon.2024.102623","DOIUrl":"10.1016/j.ejon.2024.102623","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to investigate the factors associated with perceived cognitive function among breast cancer patients treated with chemotherapy in China.</p></div><div><h3>Methods</h3><p>The study was a multicenter cross-sectional design. Data were collected from 10 public hospitals in China between April 2022 and February 2023. A total of 741 participants completed questionnaires assessing sociodemographic and medical characteristics, perceived cognitive function, sleep quality, fatigue, anxiety, and depression. Hierarchical multiple regression analysis was used to assess the determinants of cognitive function.</p></div><div><h3>Results</h3><p>The hierarchical multiple regression model accounted for 31.5% of variation in perceived cognitive function (sociodemographic 4.5%; medical 6.6%; exercise frequency 6.6%; sleep quality 2.1%; fatigue 2.8%; anxiety combined with depression 9.0%). Education level, chemotherapy type, number of chemotherapy cycles, and cyclophosphamide drug use were significant predisposing factors of perceived cognitive function (<em>p</em> &lt; 0.001). Exercising ≥3 times/week (<em>p</em> &lt; 0.001) was a significant factor positively influencing perceived cognitive function, meanwhile, anxiety (<em>p</em> &lt; 0.001) and depression (<em>p</em> &lt; 0 0.001) were negative factors.</p></div><div><h3>Conclusion</h3><p>Our findings suggest that patients with low education levels, postoperative chemotherapy, cyclophosphamide treatment, and a greater number of chemotherapy cycles need more assessment. Sedentary patients, those who have never exercised, and those with anxiety or depression all showed greater cognitive decline. By identifying susceptible populations, encouraging regular exercise, and addressing anxiety and depression, healthcare professionals can contribute significantly to prevent patients’ cognitive decline throughout chemotherapy.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141135441","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
A randomized controlled trial of the effectiveness of a one-to-one peer support intervention on resilience, social support, and salivary cortisol in recently diagnosed women with breast cancer 随机对照试验:一对一同伴支持干预对新近确诊的乳腺癌妇女的复原力、社会支持和唾液皮质醇的影响
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-21 DOI: 10.1016/j.ejon.2024.102616
Ibane Aizpurua-Perez , Amaia Arregi , David Gonzalez , Ander Urruticoechea , Ainitze Labaka , Xavier Minguez-Alcaide , Gurutze Ugartemendia , Eider Pascual-Sagastizabal , Raquel Echeverria , Joana Perez-Tejada
{"title":"A randomized controlled trial of the effectiveness of a one-to-one peer support intervention on resilience, social support, and salivary cortisol in recently diagnosed women with breast cancer","authors":"Ibane Aizpurua-Perez ,&nbsp;Amaia Arregi ,&nbsp;David Gonzalez ,&nbsp;Ander Urruticoechea ,&nbsp;Ainitze Labaka ,&nbsp;Xavier Minguez-Alcaide ,&nbsp;Gurutze Ugartemendia ,&nbsp;Eider Pascual-Sagastizabal ,&nbsp;Raquel Echeverria ,&nbsp;Joana Perez-Tejada","doi":"10.1016/j.ejon.2024.102616","DOIUrl":"10.1016/j.ejon.2024.102616","url":null,"abstract":"<div><h3>Purpose</h3><p>Peer support has been suggested as a way to help women diagnosed with breast cancer to better cope with their situation, but studies on its effectiveness have conflicting results. This randomized controlled trial aimed to study the effectiveness of a one-to-one peer support intervention on psychological resilience, social support, and salivary cortisol among breast cancer patients.</p></div><div><h3>Methods</h3><p>The sample consisted of 121 newly diagnosed women at Onkologikoa Hospital. Patients who were prescribed chemotherapy were randomly assigned to Intervention Group 1 (IG1) or Control Group 1 (CG1). Similarly, those prescribed adjuvant radiotherapy were assigned to IG2 or CG2. Women in IG1 received 8 biweekly social support sessions from volunteer survivors who had successfully overcome breast cancer, while IG2 received 6 biweekly sessions. CG1 and CG2 only received standard care. Resilience, social support, and salivary cortisol were assessed at baseline (T1) and at the end of the intervention (T2).</p></div><div><h3>Results</h3><p>We found a non-significant, yet a small to moderate size increase in resilience from T1 to T2 in IG1 (p = 0.246; dDc = 0.47). Upon regression analysis, we observed that this increase was determined by changes in cortisol (β = −0.658, p = 00.010), affective support (β = −0.997, p = 00.014), and emotional support (β = 0.935, p = 00.008). We also found a significant decrease in resilience levels in CG2 from T1 to T2 (p = 0.003; dDc = 0.88).</p></div><div><h3>Conclusion</h3><p>The present study suggests that peer support can exert a protective psychological influence on women diagnosed with breast cancer, and further indicates an exciting avenue for future intervention development in the breast cancer care continuum.</p></div><div><h3>Trial registration</h3><p>ClinicalTrials.gov NCT05077371.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144917","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
Women's experiences of health care providers when choosing flat closure after breast cancer: An interview study 妇女在乳腺癌术后选择平卧位缝合时对医疗服务提供者的体验:访谈研究
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-21 DOI: 10.1016/j.ejon.2024.102613
Susanne Ahlstedt Karlsson , Linda Myrin Westesson , Emma Hansson , Anna Paganini
{"title":"Women's experiences of health care providers when choosing flat closure after breast cancer: An interview study","authors":"Susanne Ahlstedt Karlsson ,&nbsp;Linda Myrin Westesson ,&nbsp;Emma Hansson ,&nbsp;Anna Paganini","doi":"10.1016/j.ejon.2024.102613","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102613","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to explore women's experiences with healthcare providers previous to a flat closure after breast cancer.</p></div><div><h3>Methods</h3><p>Data was collected using individual semi-structured interviews by telephone or teleconferencing systems with 18 women who shared their experience with health care before and during flat closure operation after breast cancer or a breast gene mutation. The interviews were transcribed verbatim and analyzed using thematic analysis.</p></div><div><h3>Results</h3><p>The analysis generated three specific themes: (1) <em>Striving to be recognized as a person</em>, (2) <em>Barriers to shared decision making</em> and (3) <em>A need to be empowered</em>, indicating that women's views are not always illuminated and enquired about by health care providers. The care agenda was also more often regulated by norms and standard care than the individual women's intended goals. Furthermore, when the agenda for surgery had been previously set, the women were not presented with viable options to choose from for the upcoming surgery. For these women to influence the reality they face, they have to seek support outside of healthcare. This indicates the important role of patient networks and relatives in empowering the individual women to stand up for their choice and body.</p></div><div><h3>Conclusion</h3><p>In order to offer feasible surgery for women diagnosed with breast cancer or a breast mutation gene, the women's wishes regarding flat closure and what matters to her in her life must be identified. Also emphasized is the need for a more systematic approach in involving the affected women in shared decision-making.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S146238892400111X/pdfft?md5=39080c84eae34003f46d7f9e6d36e833&pid=1-s2.0-S146238892400111X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141096065","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 role of resilience and coping strategies as predictors of well-being in breast cancer patients 复原力和应对策略对乳腺癌患者幸福感的预测作用
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-20 DOI: 10.1016/j.ejon.2024.102620
Ainhoa Ulibarri-Ochoa , Patricia Macía , Begoña Ruiz-de-Alegría , Cristina García-Vivar , Ioseba Iraurgi
{"title":"The role of resilience and coping strategies as predictors of well-being in breast cancer patients","authors":"Ainhoa Ulibarri-Ochoa ,&nbsp;Patricia Macía ,&nbsp;Begoña Ruiz-de-Alegría ,&nbsp;Cristina García-Vivar ,&nbsp;Ioseba Iraurgi","doi":"10.1016/j.ejon.2024.102620","DOIUrl":"10.1016/j.ejon.2024.102620","url":null,"abstract":"<div><h3>Purpose</h3><p>This study investigated the role of resilience and coping strategies on breast cancer patients' well-being using a structural equation model. To achieve this objective, a model previously developed by Mayordomo's group was partially replicated using a longitudinal study design in an oncological sample.</p></div><div><h3>Methods</h3><p>The study was a longitudinal observational survey. Patients with breast cancer were recruited (<em>N</em> = 166). Resilience was measured with the Mexican Resilience Measurement Scale, coping strategies with the Forms of Coping and Dimensions Scale and perception of the psychological well-being with a short-form of Ryff's Scales of Psychological Well-Being at the start and end of adjuvant chemotherapy (T1 and T2 respectively).</p></div><div><h3>Results</h3><p>The results showed stability in the variables over time and revealed differences with respect to Mayordomo's model. The best predictor of well-being at T2 was well-being at T1. In addition, the model indicated that resilience had a direct impact on well-being through problem-focused coping. Indeed, resilience and problem-focused coping best explained well-being at T2.</p></div><div><h3>Conclusions</h3><p>Both at the start and end of adjuvant chemotherapy for breast cancer, problem-focused coping positively predicted resilience, which in turn was a positive predictor of well-being. On the other hand, emotion-focused coping showed no association with resilience or well-being. As part of the multidisciplinary cancer team, oncology nurses have a key role to play in promoting resilience and problem-focused coping as an important goal of psychosocial interventions in breast cancer patients.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140838","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
Financial toxicity and its influencing factors in patients with non-Hodgkin lymphoma: A cross-sectional study 非霍奇金淋巴瘤患者的经济毒性及其影响因素:横断面研究
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-20 DOI: 10.1016/j.ejon.2024.102619
Ting Li , Panpan Cui , Mengwei Shao , Shengjie Guo , Menghan Zhang , Changying Chen
{"title":"Financial toxicity and its influencing factors in patients with non-Hodgkin lymphoma: A cross-sectional study","authors":"Ting Li ,&nbsp;Panpan Cui ,&nbsp;Mengwei Shao ,&nbsp;Shengjie Guo ,&nbsp;Menghan Zhang ,&nbsp;Changying Chen","doi":"10.1016/j.ejon.2024.102619","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102619","url":null,"abstract":"<div><h3>Purpose</h3><p>Financial toxicity has emerged as a prevalent psychosocial problem in cancer patients, but data on non-Hodgkin lymphoma patients receiving chemotherapy remain limited. The present study aims to explore financial toxicity and its influencing factors among non-Hodgkin lymphoma patients.</p></div><div><h3>Methods</h3><p>A total of 236 non-Hodgkin lymphoma patients were enrolled from March to June 2023 in the oncology department of a tertiary grade-A hospital in China. Hierarchical regression analysis was used to analyze potential influences on financial, including general information, symptom burden, family and social support.</p></div><div><h3>Results</h3><p>The financial toxicity score for non-Hodgkin lymphoma patients was (19.24 ± 6.97). Among them, 92 participants (38.98%) were classified as experiencing high levels of financial toxicity, with a COST score of ≤17.5 points. Hierarchical regression analysis revealed that symptom burden accounting for 11.0% of the variance in financial toxicity, while family functioning and social support explained 5.8% and 4.9%, respectively.</p></div><div><h3>Conclusion</h3><p>The financial toxicity of non-Hodgkin lymphoma patients needs to be further improved. Patients with low household income, unemployment, high symptom burden, and inadequate family and social support may experience severe financial toxicity. Financial toxicity of non-Hodgkin's lymphoma patients must be assessed and targeted interventions must be implemented to reduce their financial burden.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141096066","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
A nurse-led multidomain intervention to improve the management of chemotherapy-induced nausea and vomiting in patients with head and neck cancers: A randomized controlled trial 以护士为主导的多领域干预,改善头颈部癌症患者化疗所致恶心和呕吐的管理:随机对照试验
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-20 DOI: 10.1016/j.ejon.2024.102615
Jiayan Cao, Changlian Chen, Yueyang Wang, Miaomiao Liu, Xuya Han, Hong Li
{"title":"A nurse-led multidomain intervention to improve the management of chemotherapy-induced nausea and vomiting in patients with head and neck cancers: A randomized controlled trial","authors":"Jiayan Cao,&nbsp;Changlian Chen,&nbsp;Yueyang Wang,&nbsp;Miaomiao Liu,&nbsp;Xuya Han,&nbsp;Hong Li","doi":"10.1016/j.ejon.2024.102615","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102615","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aimed to investigate the effect of a nurse-led multidomain intervention on chemotherapy induced nausea and vomiting (CINV) in patients with head and neck squamous cell carcinomas (HNSCC).</p></div><div><h3>Methods</h3><p>Ninety-two HNSCC patients who received cisplatin-based chemotherapy were divided into intervention group (n = 45) and control group (n = 47). The control group received usual care of CINV, which consisted of administration of antiemetics according to physicians' preference, education about CINV control and dietary recommendations provided by primary nurses. The intervention group received nurse-led, evidence-based multidomain management, including nurse-led CINV risk factors assessment, education on prevention and control of CINV, antiemetics following guidelines, dietary strategies, and relaxation therapy. The number of patients who experienced CINV was collected. The severity of CINV was graded according to the Common Terminology Criteria for Adverse Events v3.0. The influence of CINV on patient's quality of life was assessed by the Functional Living Index-Emesis (FLIE).</p></div><div><h3>Results</h3><p>The incidence and the severity of nausea and vomiting in the intervention group were significantly lower than those in the control group within 5 days after chemotherapy, and the scores of the dimension of nausea and vomiting in the intervention group were significantly higher than those in the control group [63.00 (50.00–63.00) vs 40.00(28.00–63.00), 63.00(63.00–63.00) vs 63.00 (43.00–63.00)], the differences were statistically significant (<em>P</em> &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>Nurse-led multidomain intervention can reduce the incidence and the severity of CINV in patients with HNSCC who were treated with cisplatin-based chemotherapy, and thus reduced the influence of CINV on patients' quality of life.</p></div><div><h3>The clinical trial registration number</h3><p>NCT05792228.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141096097","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
A latent profile analysis of psychological resilience in gastric cancer survivors: A cross-sectional study 胃癌幸存者心理复原力的潜在特征分析:横断面研究
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-19 DOI: 10.1016/j.ejon.2024.102612
Xiaoqing Wang , Xun Li , Ziyan Zhang , Yi Li , Yanling Zou , Lihua Yang , Peibei Duan , Rui Xu
{"title":"A latent profile analysis of psychological resilience in gastric cancer survivors: A cross-sectional study","authors":"Xiaoqing Wang ,&nbsp;Xun Li ,&nbsp;Ziyan Zhang ,&nbsp;Yi Li ,&nbsp;Yanling Zou ,&nbsp;Lihua Yang ,&nbsp;Peibei Duan ,&nbsp;Rui Xu","doi":"10.1016/j.ejon.2024.102612","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102612","url":null,"abstract":"<div><h3>Purpose</h3><p>To characterize patterns of psychological resilience in gastric cancer survivors using latent profile analyses and to explore the factors influencing these latent profiles based on Kumpfer's resilience framework.</p></div><div><h3>Methods</h3><p>Five hundred eighty-six gastric cancer survivors were recruited between July 30, 2021, and May 1, 2023. A demographic and clinical characteristics questionnaire, Connor and Davidson's Resilience Scale (CD-RISC), Fear of Progression Questionnaire Short Form (FoP-Q-SF), General Self-efficacy Scale (GSES), Medical Coping Modes Questionnaire (MCMQ), and Social Support Rating Scale (SSRS) were used for the investigation. Latent profile analysis of the resilience of gastric cancer survivors was conducted, and the factors influencing the latent profiles were explored by multivariate logistic regression analysis.</p></div><div><h3>Results</h3><p>A total of 586 questionnaires were collected, and 572 were valid, with an effective recovery rate of 97.61%. The results of latent profile analysis showed that the resilience of gastric cancer survivors was divided into four subgroups, namely, the low-resilience group (18.4%), moderate-resilience group (43.2%), medium-high-resilience group (30.2%), and high-resilience group (8.2%). Multivariate logistic regression analysis showed that fear of disease progression, self-efficacy, medical coping mode and social support were influencing factors of subgroups.</p></div><div><h3>Conclusions</h3><p>Psychological resilience in gastric cancer survivors is individualized. Nurses should assess risk and protective factors for survivor resilience based on Kumpfer's resilience framework, identify unique needs, and develop new approaches and interventions.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141090239","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
A couple-based unmet supportive care needs intervention for colorectal cancer couples: A preliminary feasibility study 针对结直肠癌夫妇的未满足支持性护理需求干预:初步可行性研究
IF 2.8 3区 医学
European Journal of Oncology Nursing Pub Date : 2024-05-11 DOI: 10.1016/j.ejon.2024.102608
Zheng Sun , Xueli Yang , Ye Wang , Rongyu Li , Yi Zhang , Qiuping Li , Jie Zhao
{"title":"A couple-based unmet supportive care needs intervention for colorectal cancer couples: A preliminary feasibility study","authors":"Zheng Sun ,&nbsp;Xueli Yang ,&nbsp;Ye Wang ,&nbsp;Rongyu Li ,&nbsp;Yi Zhang ,&nbsp;Qiuping Li ,&nbsp;Jie Zhao","doi":"10.1016/j.ejon.2024.102608","DOIUrl":"10.1016/j.ejon.2024.102608","url":null,"abstract":"<div><h3>Purpose</h3><p>To support colorectal cancer couples cope with cancer, we developed a couple-based unmet supportive care needs intervention program guided by the Supportive Care Needs Framework and examined the feasibility, acceptability, and initial effects of the unmet supportive care needs program.</p></div><div><h3>Methods</h3><p>The design of a pre-and post-intervention study was conducted among Chinese colorectal cancer couples. The intervention was delivered in five sessions through in-person and telephone interventions combined. To measure program feasibility through recruitment and retention rates, and to test program acceptability through quantitative and qualitative post-intervention program assessments. The complete data (N = 20 pairs) were used to calculate effect sizes to assess the initial intervention effect.</p></div><div><h3>Results</h3><p>There was evidence of the feasibility of the intervention program in terms of recruitment (66.7%) and retention (83.3%) rates. Participants' satisfaction with the program also attested to its acceptability. The intervention (Cohen's = 0.15–0.56) had a small-moderate effect size in improving unmet supportive care needs and most cancer-adapted outcomes for colorectal cancer couples, validating the initial effect of the program.</p></div><div><h3>Conclusions</h3><p>The unmet supportive care needs program is feasible, acceptable, and preliminarily effective in supporting Chinese colorectal cancer couples to improve unmet supportive care needs and cancer adaptability, as provided by this study.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141028850","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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