European Journal of Oncology Nursing最新文献

{"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":"Quality of outpatient palliative care assessed by direct service providers, regional palliative care organisations and healthcare authorities – A nationwide survey from Switzerland","authors":"T. Gisler ,&nbsp;S. Neuner-Jehle ,&nbsp;A. Schumacher Dimech ,&nbsp;S. Mantwill ,&nbsp;P.E. Beeler","doi":"10.1016/j.ejon.2025.102812","DOIUrl":"10.1016/j.ejon.2025.102812","url":null,"abstract":"<div><h3>Purpose</h3><div>A prior study used 13 indicators to assess overall palliative care quality: Switzerland scored 88 points (top quartile: 82–93). This study assessed the quality of outpatient palliative care in Switzerland, and identified criteria associated with higher quality.</div></div><div><h3>Method</h3><div>Cross-sectional study surveying direct service providers, 14 palliative care organisations, 26 healthcare authorities. The 13 indicators assessed outpatient palliative care quality. Multivariable regression analysed associations between established criteria and higher scores.</div></div><div><h3>Results</h3><div>The survey was completed by 141 participants (≥4 per canton) including 96 (68%) direct service providers, all palliative care organisations and cantonal authorities. Nurses accounted for 52% (n = 73, including 61 providers). Participants agreed with ‘treated kindly’ (98% agreed), ‘controlled pain and discomfort’ (98%), ‘appropriate levels of life extending treatments’ (95%) but disagreed with ‘costs are no barrier’ (44% disagreed), ‘good coordination’ (19%), ‘cared for/die at place of choice’ (14%). All 13 indicator questions were answered by 100 participants (71%), resulting in a median score of 82. Of participants seeing patients, 85% (82/97) answered all 13 questions, only 41% (18/44) of those without patient contact (p &lt; 0.001). ‘Recording desired place of death’ (odds ratio [OR] 6.7, 95% confidence interval [95%CI] 2.7–21.3), ‘preventing critical incidents’ (OR 5.8, 95%CI 2.8–13.0), ‘recording critical incidents’ (OR 2.1, 95%CI 1.3–3.7) were independently associated with higher scores.</div></div><div><h3>Conclusions</h3><div>A score of 82 indicates high quality. Recording desired place of death, preventing critical incidents, costs, and coordination require attention. Only those with patient contact are best suited to assess the quality of outpatient palliative care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102812"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510952","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":"A program to enhance family resilience through improved family communication for young and middle-aged breast cancer survivors and their spouses: A feasibility study","authors":"Yuzhou Liu ,&nbsp;Weiyi Lin ,&nbsp;Yaoyi Pan ,&nbsp;Jian Li ,&nbsp;Jingran Lyu ,&nbsp;Yuli Li","doi":"10.1016/j.ejon.2025.102819","DOIUrl":"10.1016/j.ejon.2025.102819","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to assess the feasibility, acceptability, and preliminary efficacy of a Family Communication-focused Family Resilience-enhancing Program (FC-FRP) for young and middle-aged breast cancer survivors and their spouses.</div></div><div><h3>Methods</h3><div>A pre- and post-test single-group pilot study was conducted in China. Survivors and their spouses received 5-week online courses on the topic of family resilience as well as related tasks. The feasibility of the program was assessed by calculating recruitment rates, sample attrition rates, and intervention adherence rates. Program acceptability was assessed through participant feedback post-intervention. Psychosocial variables were collected at baseline (T0), immediately post-intervention (T1), and 1 month post-intervention (T2) to evaluate the preliminary efficacy of FC-FRP.</div></div><div><h3>Results</h3><div>A total of 40 eligible survivor-spouse dyads were included, with a sample attrition rate of 22.5% at T1 and 35.0% at T2. The minimum completion rate for all tasks was 80.0%. Participant satisfaction with the program ranged from 82.7% to 92.3%. The intervention had a small to moderate effect size in improving family resilience and other outcomes for breast cancer survivors and spouses, validating the initial effects of the program.</div></div><div><h3>Conclusions</h3><div>The FC-FRP is feasible and acceptable with the promise of improving psychosocial outcomes in young and middle-aged breast cancer survivors and their spouses. A large-scale randomized controlled trial is needed to refine and validate the program further.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102819"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324404","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":"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":"Compassion training for healthcare professionals in oncology: A mixed-methods pilot study","authors":"Henriette Witte (PhD student) ,&nbsp;Lone Svenningsen ,&nbsp;Lea Ladegaard Grønkjær ,&nbsp;Frede Donskov","doi":"10.1016/j.ejon.2025.102808","DOIUrl":"10.1016/j.ejon.2025.102808","url":null,"abstract":"<div><h3>Purpose</h3><div>Care and treatment within oncology is characterized by significant emotional demands from healthcare professionals resulting in burnout and distress. We examined the effect of compassion training on healthcare professionals using a mixed-methods explanatory sequential design.</div></div><div><h3>Methods</h3><div>Oncology healthcare professionals underwent four weeks compassion training program. Participants completed the Self-Compassion and Professional Quality of Life Health questionnaires at baseline and post-training. Two focus group interviews were conducted using interpretive description methodology.</div></div><div><h3>Results</h3><div>A total of 22 healthcare professionals participated. Four weeks of compassion training resulted in significantly improved overall Self-Compassion score (3.8 vs 4.0; P = 0.019), Self-Kindness (3.7 vs 4.0; P = 0.028), Self-Judgement (3.7 vs 4.0; P = 0.05), and Common-Humanity (3.9 vs 4.1; P = 0.013). Participants who did not complete the training (N = 9) versus those who completed (N = 13) had statistically significantly lower overall Self-Compassion scores (3.0 vs. 3.8; P = 0.004) and lower Self-Kindness (2.8 vs. 3.7; P = 0.04), Self-Judgement (2.9 vs. 3.7; P = 0.036), Common-Humanity (3.0 vs. 3.9; P = 0.036), Isolation (2.9 vs. 4.1; P = 0.001), and Over-Identification (2.9 vs. 3.4; P = 0.030). They also scored lower in Professional Quality of Life Health measures, including Compassion-Satisfaction (22.7 vs. 26.9; P = 0.011) and Perceived-Support (19.6 vs. 24.8; P = 0.007), while scoring higher for Burnout (19.2 vs. 12.7; P = 0.001), Secondary-Traumatic-Stress (14.0 vs. 10.6; P = 0.036), and Compassion-Fatigue (15.4 vs. 11.6; P = 0.001). The focus group interviews revealed four themes: Impact of Leader Approval, Project Manager, Work-Related Stress, and Calm Mind.</div></div><div><h3>Conclusion</h3><div>Four weeks of compassion training significantly improved self-compassion. Healthcare professionals who did not complete the training had lower levels of self-compassion and professional quality of life.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102808"},"PeriodicalIF":2.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324177","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":"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}

{"title":"Efficacy of couple-based dyadic interventions on the relationship outcomes of couples with cancer: A systematic review and network meta-analysis","authors":"Wenjuan Gao ,&nbsp;Qian Zhang ,&nbsp;Linping Zhang,&nbsp;Mengjiao Xu,&nbsp;Ying Zhu,&nbsp;Jing Han","doi":"10.1016/j.ejon.2025.102798","DOIUrl":"10.1016/j.ejon.2025.102798","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare the effects of different couple-based dyadic interventions on patient-partner couple’s relationship outcomes.</div></div><div><h3>Methods</h3><div>A systematic search of the nine databases, Cochrane Library, MEDLINE, PubMed, Embase, Web of Science, CINHAL, PsyclINFO, China National Knowledge Infrastructure and WanFang was conducted from database inception to October 22, 2024 for randomized controlled trials (RCTs) of patients with cancer and their partners receiving couple-based dyadic interventions. The outcome indicators included couple relationship quality. The results were plotted and presented by Stata 14.0. The surface under the cumulative ranking area (SUCRA) was employed for intervention level estimation.</div></div><div><h3>Results</h3><div>This study included 2519 patients with cancer and their partners from 25 RCTs. For patients with cancer, supportive care demonstrated the largest effect size in improving couples’ relationships (standardized mean difference [SMD]: -0.69; 95% confidence intervals [CI]: -1.15,-0.23) and had the highest cumulative probability (SUCRA: 69.4%) compared to skills training. Mindfulness demonstrated the largest effect size for partners in improving relationships of couples (SMD: -0.51, 95% CI: -0.98,-0.05) and had the highest cumulative probability (SUCRA: 87.2%) compared to skills training.</div></div><div><h3>Conclusions</h3><div>Mindfulness represents the most promising couple-based dyadic intervention for improving relationship quality between partners of patients with cancer. However, no significantly effective interventions have been identified to enhance couple relationships for patients. Future research should consider the requirements of patients and partners who are the units, and develop more targeted programs to facilitate relationship adjustment. The results provide a low level of certainty, suggesting the need for further rigorous studies to validate these findings.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102798"},"PeriodicalIF":2.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324176","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":"The chain mediating effects of psychological capital and illness perception on the association between social support and acceptance of illness among Chinese breast cancer patients: A cross-sectional study","authors":"Shengjie Guo ,&nbsp;Panpan Cui ,&nbsp;Panpan Wang ,&nbsp;Wei Liu ,&nbsp;Mengwei Shao ,&nbsp;Ting Li ,&nbsp;Changying Chen","doi":"10.1016/j.ejon.2025.102800","DOIUrl":"10.1016/j.ejon.2025.102800","url":null,"abstract":"<div><h3>Purpose</h3><div>Acceptance of illness is crucial for effective breast cancer management and better health outcomes. Although social support is known to aid illness acceptance, the underlying mechanisms remain unclear. This study aims to examine the chain mediating role of psychological capital and illness perception in the relationship between social support and acceptance of illness among Chinese breast cancer patients.</div></div><div><h3>Methods</h3><div>239 breast cancer patients from a major public hospital in Henan Province were recruited to complete the general information questionnaire, the Acceptance of Illness Scale, the Perceived Social Support Scale, the Positive Psychological Capital Questionnaire, and the Brief Illness Perception Questionnaire. Data were analyzed using SPSS26.0 and PROCESS Macro.</div></div><div><h3>Results</h3><div>Social support, psychological capital, and illness perception had direct and statistically significant correlations with acceptance of illness (<em>P</em> &lt; 0.01). The mediation model revealed that social support indirectly impacted acceptance of illness through three distinct pathways: the independent mediating effect of psychological capital (<em>β</em> = 0.146, 95% confidence interval (CI) [0.086, 0.206]), the independent mediating effect of illness perception (<em>β</em> = 0.120, 95% CI [0.062, 0.184]), and the chain mediating effect of psychological capital and illness perception (<em>β</em> = 0.210, 95% CI [0.155, 0.272]). These indirect effects accounted for 20.80%, 17.09%, and 29.91% of the total effect, respectively.</div></div><div><h3>Conclusions</h3><div>This study underscores the chain mediating effects of psychological capital and illness perception in the relationship between social support and acceptance of illness in Chinese breast cancer patients. Enhancing social support, strengthening psychological capital, and addressing negative illness perceptions can effectively improve acceptance of illness.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102800"},"PeriodicalIF":2.7,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324168","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":"Post-traumatic stress disorder symptoms and associated factors in newly diagnosed breast cancer survivors: A cross-sectional study.","authors":"Yingqi Xiao, Kaihan Yang, Feifei Zhang, Zhuyue Li, Xiaolian Jiang","doi":"10.1016/j.ejon.2024.102776","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102776","url":null,"abstract":"<p><strong>Purpose: </strong>The research aimed to investigate the prevalence of PTSD in newly diagnosed Chinese women with breast cancer and to distinguish a munber of sociodemographic, disease-related and psychosocial factors connected with the severity of PTSD symptom.</p><p><strong>Methods: </strong>This cross-sectional study recruited 674 newly diagnosed Chinese women with breast cancer at three tertiary level a general hospitals in Chengdu, China between August 2022 and May 2023. And questionnaires about general information, locus of control, social support, coping styles, emotional regulation and PTSD were filled out. Multiple linear regression analysis was applied to probe factors related to PTSD.</p><p><strong>Results: </strong>The prevalence of PTSD was 13.95%. Significant differences were in PTSD among participants of different ethnicities (t = -2.474,p = 0.017), education levels (F = 8.532,p < 0.001), per capita monthly household income (F = 6.027,p < 0.001), stages of the disease (F = 12.972,p < 0.001). Pearson correlation analysis showed that locus of control, social support, coping style, emotional regulation, and PTSD were significantly correlated. The multiple regression model showed that ethnicity, internality of locus of control, subjective support, negative coping, cognitive reappraisal and expression inhibition can interpret 36% of the variation in PTSD.</p><p><strong>Conclusions: </strong>The research was one of the early attempts in assessing PTSD symptom in newly diagnosed Chinese women with breast cancer and confirmed some important, possible changeable factors (internality, subjective support, negative coping, cognitive reappraisal and expression inhibition) were related to PTSD, supplying an significant guidance for formulating valid psychosocial interventions for such female population.</p>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":" ","pages":"102776"},"PeriodicalIF":2.7,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015729","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":"Resilience mediates the impact of caregiver burden on quality of life among informal caregivers of gastrointestinal cancer patients receiving adjuvant chemotherapy: A cross-sectional study","authors":"Ruiwen Song ,&nbsp;Jian Sun ,&nbsp;Rui Xu ,&nbsp;Xing Jiang","doi":"10.1016/j.ejon.2024.102753","DOIUrl":"10.1016/j.ejon.2024.102753","url":null,"abstract":"<div><h3>Purpose</h3><div>The unclear relationships between caregiver burden, resilience, and quality of life among informal caregivers of patients with Gastrointestinal cancer receiving adjuvant chemotherapy prompted this study. The objective was to explore these relationships and investigate the mediating role of resilience.</div></div><div><h3>Methods</h3><div>Between June 2022 and March 2023, totally 206 informal caregivers, who were responsible for patients undergoing postoperative chemotherapy for Gastrointestinal cancer in a public hospital, participated in this study. They completed standardized questionnaires assessing demographic information, caregiver burden, resilience, and quality of life. We performed structural equation modeling with Amos 26.0 to validate the hypothesized relationship between resilience, caregiver burden, and quality of life, and used the bootstrapping method to detect resilience's mediating effect.</div></div><div><h3>Results</h3><div>Moderate caregiver burden existed for caregivers (42.11 ± 12.82), and caregivers reported lower quality of life, with physical health scores of 44.92 ± 10.61 and mental health scores of 45.62 ± 11.91. Moreover, caregiver burden exhibited a negative predictive relationship with mental health (rs = −0.329, <em>P</em> &lt; 0.01), physical health (rs = −0.236, <em>P</em> &lt; 0.01) and resilience (rs = −0.393, <em>P</em> &lt; 0.01). The structural equation modeling showed that resilience acted as a crucial role in mediating the adverse impact of caregiver burden on mental health (β = −0.210, <em>P</em> &lt; 0.001), and the tested model matches the data very well.</div></div><div><h3>Conclusions</h3><div>Regarding informal caregivers of patients undergoing chemotherapy for Gastrointestinal cancer, their caregiving burden negatively affects quality of life, while resilience partially mediates the impact of caregiving burden on mental health.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"76 ","pages":"Article 102753"},"PeriodicalIF":2.7,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143527073","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}