European Journal of Oncology Nursing最新文献

{"title":"School-based social and educational support for siblings of children with cancer - Siblings' and parents’ feedback on an intervention proposal (SUPREME)","authors":"Minna Devantier ,&nbsp;Marianne Olsen ,&nbsp;Mette Asbjoern Neergaard ,&nbsp;Ayo Wahlberg ,&nbsp;Natasha Nybro Boensvang ,&nbsp;Hanne Bækgaard Larsen","doi":"10.1016/j.ejon.2024.102768","DOIUrl":"10.1016/j.ejon.2024.102768","url":null,"abstract":"<div><h3>Purpose</h3><div>Siblings of children with cancer experience the consequences of their brother or sister's disease and treatment firsthand, often causing social and school-related difficulties. This study aimed to gather parents' and siblings' feedback on a proposal for a school-based social and educational support intervention for siblings with the goal of tailoring the program to meet the needs of siblings.</div></div><div><h3>Method</h3><div>Adopting a criterion sampling strategy, we conducted interviews with 20 parents and 11 siblings, aged 7–19 years, of children with cancer. During the interviews, we introduced a proposal for a school-based intervention as part of a co-creation design. Data were examined by content analysis.</div></div><div><h3>Results</h3><div>The analysis showed that both parents and siblings recognized: 1) the need to inform the class about the family's situation, 2) the need for the timing and content of the support to align with the family's stage in the cancer journey. 3) Parents' concerns centered on potentially imposing experiences on siblings, losing school as a ‘free space’, and the risk of siblings standing out. 4) Siblings' concerns related to a fear of losing control over the cancer-related information at school and the reactions of peers. The final SUPREME intervention involved clarifying family meetings before two educational, nurse-led school visits addressing challenges relevant to siblings' academic and social lives.</div></div><div><h3>Conclusion</h3><div>The participants’ responses to the intervention proposal played a key role in shaping the final intervention, encompassing valuable insights into precautions necessary for implementing school-based support for siblings of children with cancer.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102768"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873349","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":"Posttraumatic growth trajectories of couples with gynecological cancer: A longitudinal study","authors":"Yongfeng Tang ,&nbsp;Yuanyuan Song ,&nbsp;Dinghua Yang ,&nbsp;Yuan Qin ,&nbsp;Lei Wang ,&nbsp;Xiaolian Jiang","doi":"10.1016/j.ejon.2025.102795","DOIUrl":"10.1016/j.ejon.2025.102795","url":null,"abstract":"<div><h3>Purpose</h3><div>We aimed to describe and compare posttraumatic growth (PTG) levels among gynecological cancer patients and spouses at various time points within one year of diagnosis, as well as to investigate the association, trajectory, and subgroup characteristics of their PTG.</div></div><div><h3>Methods</h3><div>Couples in a longitudinal observational study filled out questionnaires within 1 month of gynecological cancer diagnosis, as well as 3, 6, and 12 months later. A growth mixture model (GMM) was utilized to explore PTG trajectories. Statistical analyses included Spearman rank correlation, chi-square test, nonparametric test, and post-hoc test.</div></div><div><h3>Results</h3><div>A significant positive correlation was found between the PTG scores of patients and spouses at different times (<em>P</em> &lt; 0.01), with the patients' scores being significantly higher (<em>P</em> &lt; 0.001). Within a year of diagnosis, patients' and their spouses' PTG showed an overall upward trend. The GMM identified three categories for patients' PTG trajectories: high stability (33.7%), decline (19.1%), and low growth (47.2%). Similarly, spouses' PTG trajectories fell into three categories: medium growth (42.8%), decline (8.6%), and low stability (48.6%). Subgroup analysis of patients and spouses with different PTG trajectories indicated significant differences concerning educational attainment, residence location, per capita monthly family income, payment method of patients' medical expenses, and subjective severity of patients' diseases (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>This study represents the inaugural effort to investigate the levels and correlations of PTG between gynecological cancer patients and their spouses from a longitudinal perspective. Furthermore, three distinct trajectories were identified for both partners. Patients and spouses exhibiting different PTG trajectories possess unique demographic and disease characteristics.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102795"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015604","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 mediating effect of psychosomatic symptoms between physical activity and cognitive function among breast cancer patients: A path analysis","authors":"Yu Liu ,&nbsp;Yali Su ,&nbsp;Lixiao Bai ,&nbsp;Ailing Yang ,&nbsp;Shaohua Chen","doi":"10.1016/j.ejon.2024.102761","DOIUrl":"10.1016/j.ejon.2024.102761","url":null,"abstract":"<div><h3>Purpose</h3><div>Psychosomatic symptoms are frequently observed side effects in breast cancer (BC) patients and significantly influence cognitive function. However, limited research has addressed the role of psychosomatic symptoms in the relationship between physical activity and cognitive function. This study aimed to examine the mediating effect of psychosomatic symptoms on the relationship between physical activity and cognitive function in BC patients.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted across 10 hospitals in China from April 2022 to February 2023. Cognitive function was assessed using the Functional Assessment of Cancer Therapy-Cognitive Function scale. Exercise frequency, sleep quality, fatigue, anxiety, and depression were measured using the Pittsburgh Sleep Quality Index questionnaire, Cancer Fatigue Scale, Generalized Anxiety Disorder Questionnaire–7, and Patient Health Questionnaire–9, respectively, among 741 BC patients. Correlation analysis and path analysis were performed to explore associations between variables.</div></div><div><h3>Results</h3><div>The prevalence of cognitive impairment in BC patients was found to be 9.58%. The path model demonstrated the best fit when age was included as a moderating variable, and the association between age and sleep disorders was controlled. Physical activity showed a negative correlation with both psychosomatic symptoms and cognitive impairment (<em>p</em> &lt; 0.05). It exerted a direct impact on cognitive impairment (20.3%, <em>p</em> &lt; 0.001) and an indirect impact mediated through anxiety and depression (6.3%, <em>p</em> &lt; 0.001). The total effect in the model was 38.6% (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Physical activity has a pivotal role in improving cognitive function in BC patients, both through direct mechanisms and indirectly by reducing anxiety and depression. While enhancements in sleep quality and fatigue levels were observed, their influence on cognitive function did not reach statistical significance, indicating the need for further research. These findings underscore the importance of incorporating psychological symptom management into supportive care plans to aid cognitive recovery. A combination of physical activity and psychological interventions could provide synergistic benefits, potentially boosting cognitive improvement and enhancing the overall quality of life in BC patients.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102761"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822653","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":"Formative evaluation of a mobile chat-based intervention (ChatEx) for promoting exercise behaviour in older cancer survivors","authors":"Denise Shuk Ting Cheung ,&nbsp;Chun Kit Chan ,&nbsp;Ryan E. Rhodes ,&nbsp;Pui Hing Chau ,&nbsp;Chi-Leung Chiang ,&nbsp;Michael Tse ,&nbsp;Man Ping Wang ,&nbsp;Doris Sau Fung Yu ,&nbsp;Chia-Chin Lin","doi":"10.1016/j.ejon.2024.102774","DOIUrl":"10.1016/j.ejon.2024.102774","url":null,"abstract":"<div><h3>Purpose</h3><div>To conduct a formative evaluation of ChatEx to increase and maintain exercise among older cancer survivors.</div></div><div><h3>Methods</h3><div>ChatEx is a blended intervention involving 12 weeks of theory-based instant messages and two in-person training sessions. This pilot study comprises three phases: (1)intervention development: developing a message library reviewed by experts; (2)message library pretesting: exploring the views of older cancer survivors toward the message library and making modifications (<em>n</em> = 20); and (3)intervention pilot testing: piloting the ChatEx using a non-randomized quasi-experimental design using quantitative and qualitative methods among cancer survivors aged 65+ who do not meet current exercise guidelines and have completed treatment (<em>n</em> = 40). Feasibility, Acceptability, aerobic and resistance exercise, exercise capacity, grip strength, frailty, quality of life, exercise self-efficacy were assessed as the main outcomes.</div></div><div><h3>Results</h3><div>ChatEx had a retention rate of 80%, with most participants having moderate/high levels of engagement with messaging, and 100% attendance at in-person sessions. Compared to wait-list control, the intervention group significantly increased the time spent in aerobic exercise at 24 weeks, as well as resistance exercise at both 12 weeks and 24 weeks. The intervention group also had significantly greater improvement in exercise capacity and exercise self-efficacy than control at 24 weeks. Participant interviews revealed five major themes: positive feedback, facilitators of exercise adherence, barriers to exercise adherence, negative feedback, and suggestions for improvement.</div></div><div><h3>Conclusion</h3><div>The findings support the feasibility, acceptability, and potential efficacy of ChatEx in increasing exercise behaviour among older cancer survivors. A full-scale trial with a larger and more diverse sample is now warranted.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102774"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973152","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":"“Are you ready?” A longitudinal interpretative phenomenological analysis of couples’ experiences with breast reconstruction decision-making","authors":"Léa Demeulenaere ,&nbsp;Aurélie Untas ,&nbsp;Cécile Flahault ,&nbsp;Léonor Fasse ,&nbsp;Kristopher Lamore","doi":"10.1016/j.ejon.2025.102781","DOIUrl":"10.1016/j.ejon.2025.102781","url":null,"abstract":"<div><h3>Purpose</h3><div>In this study, we aimed to explore women's and their male partners' experiences with breast reconstruction (BR) decision and to study the evolution of their experiences since undergoing mastectomy to one year after.</div></div><div><h3>Methods</h3><div>Unstructured individual interviews with four couples facing mastectomy for breast cancer and BR decision-making were conducted following mastectomy (T1) and one year after mastectomy (T2). Longitudinal interpretative phenomenological analysis (LIPA) was conducted on the data.</div></div><div><h3>Results</h3><div>A total of 16 interviews were conducted, revealing seven group experiential themes: six applicable across time and one related to a specific timepoint. The results highlight two critical aspects: the ambivalence surrounding BR and the perceived importance of moving forward. Women and their partners expressed mixed feelings about BR, weighing the potential for improved quality of life and body image against fears of surgery and medical complications. The decision to undergo BR evolved over time, influenced by experiences related to body acceptance, aesthetic considerations, practical concerns, and societal norms for femininity. Partners played a significant role in the decision-making process, offering emotional support and influencing the decision both directly and indirectly. Moreover, the interpretative accounts underline how couples may see BR as a strategy for repairing both physical and psychological damage.</div></div><div><h3>Conclusion</h3><div>Our findings emphasize the importance of understanding BR not only as a medical procedure but also as a deeply psychosocial process shaped by individual and relational factors. Furthermore, we provide reflections on the use of LIPA since it is a rarely used method.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102781"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015286","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":"“Try to keep things going” – Use of various resources to balance between caregiving and other aspects of life: An interview study with informal caregivers of persons living with brain tumors in Sweden","authors":"Marie Dahlberg ,&nbsp;Carolina Wannheden ,&nbsp;Stefan Andersson ,&nbsp;Ami Bylund","doi":"10.1016/j.ejon.2025.102779","DOIUrl":"10.1016/j.ejon.2025.102779","url":null,"abstract":"<div><h3>Purpose</h3><div>Persons living with brain tumors may experience severe impairment, requiring social support (i.e., informal care). Although informal caregiving can be rewarding, it can also lead to physical or psychological burdens. The aim of this study was to explore how informal caregivers of persons living with brain tumors use resources available to them, including social support, to balance caregiving with other aspects of life.</div></div><div><h3>Methods</h3><div>Sixteen informal caregivers (14 partners, two adult children) of persons living with brain tumors, varied in gender (10 female, six male), age (26–79 years), and caregiving experience (1–20 years) were interviewed. Data were analyzed using conventional content analysis.</div></div><div><h3>Findings</h3><div>We generated nine categories representing informal caregivers’ strategies grouped by resources used. Intrapersonal resources were used for: <em>Flexibly adjusting to changing life situations</em>; <em>Separating the care recipient from the illness</em>; and <em>Reflectively renegotiating self-expectations</em>. Interpersonal resources were used for: <em>Coping together with the care recipient</em>; <em>Sharing responsibilities within the family</em>; <em>Seeking guidance from persons in similar situations</em>; and <em>Grouping social relations by function</em>. Healthcare and community resources were used for: <em>Active collaborations with healthcare staff</em> and <em>Accessing professional and community resources for mental well-being</em>.</div></div><div><h3>Conclusions</h3><div>Informal caregivers used their intrapersonal, interpersonal, and healthcare and community resources in various ways for mainly emotional and instrumental support. More informational support from healthcare was desired, indicating that healthcare services, along with patient and caregiver organizations, may be able to enhance such support for informal caregivers. This could, in turn, allow more flexibility to manage caregiving alongside other life commitments.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102779"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015446","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":"Effects of expressive writing of positive emotions on mental health among patients with ovarian cancer undergoing postoperative chemotherapy","authors":"Hui Ren ,&nbsp;Shanshan Meng ,&nbsp;Xin Yin ,&nbsp;Pan Li ,&nbsp;Yingchun Xue ,&nbsp;Wenhao Xin ,&nbsp;Hongyan Li","doi":"10.1016/j.ejon.2024.102756","DOIUrl":"10.1016/j.ejon.2024.102756","url":null,"abstract":"<div><h3>Purpose</h3><div>Patients with ovarian cancer often experience significant psychological distress during postoperative chemotherapy, including anxiety and depression. Expressive writing of positive emotions has shown potential in improving psychological health and fostering post-traumatic growth (PTG) in cancer patients. However, its application to ovarian cancer patients undergoing chemotherapy remains under-explored.</div></div><div><h3>Methods</h3><div>A quasi-experimental study was conducted with 82 ovarian cancer patients undergoing postoperative chemotherapy at a tertiary hospital in Changchun, China. Patients were divided into an experimental group (n = 40) receiving expressive writing intervention and a control group (n = 42) receiving routine care. Outcomes were assessed using the Post-Traumatic Growth Inventory (PTGI), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) at baseline and after a 6-week intervention.</div></div><div><h3>Results</h3><div>After the intervention, the experimental group exhibited significantly higher PTGI scores (mean ± SD: 73.43 ± 6.95) compared to the control group (63.19 ± 5.91, <em>P</em> &lt; 0.001), with improvements observed across all five PTG dimensions (<em>P</em> &lt; 0.05). The experimental group also showed a greater reduction in SAS (mean ± SD: 38.25 ± 4.31 vs. 45.12 ± 5.17, <em>P</em> &lt; 0.001) and SDS scores (mean ± SD: 42.10 ± 3.86 vs. 48.75 ± 4.62, <em>P</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Expressive writing of positive emotions significantly enhances PTG and reduces anxiety and depression in ovarian cancer patients undergoing chemotherapy. This intervention offers a cost-effective and feasible approach for psychological support in clinical settings.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102756"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958388","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":"Identifying and responding to domestic abuse in cancer care: A mixed methods service evaluation of a training and support intervention","authors":"Sandi Dheensa ,&nbsp;Ruth Hendy ,&nbsp;Linda Finn ,&nbsp;Marion Goodchild ,&nbsp;Estela Capelas Barbosa","doi":"10.1016/j.ejon.2024.102724","DOIUrl":"10.1016/j.ejon.2024.102724","url":null,"abstract":"<div><h3>Purpose</h3><div>This article reports on a service evaluation of a domestic abuse intervention for hospital-based cancer professionals in two sites. The core component was a training and monitoring process, which hospital-based domestic abuse coordinators led. This role was adapted from a generic hospital role to be cancer specific. Pre-training preparedness to identify and respond to domestic abuse, domestic abuse identifications, and changes ∼6 months post-training are presented.</div></div><div><h3>Methods</h3><div>We used an explanatory sequential design including a survey pre-training (Time 1), immediately post-training (Time 2) (with follow-up semi-structured interviews) and ∼6 months post-training (Time 3). Sites were asked to share domestic abuse identification numbers pre- and post-coordinator hire.</div></div><div><h3>Results</h3><div>Coordinators trained 1080 staff (17% of staff across two sites). Survey 1 (Time 1 &amp; 2) response rate was 44.9% (n = 485) and survey 2 8.8% (n = 95) (Time 3). All confidence scores significantly increased from pre- (Time 1) to post-training (Time 2). Time 3 also saw significant gains. There were also highly significant decreases in the perception of most barriers to asking about and responding to domestic abuse post-training. We were unable to determine Site 2's identification rate but Site 1's increased. Qualitative findings shed light on key moderators between intervention components and outcomes, and additional components needed to change practice.</div></div><div><h3>Conclusion</h3><div>Our evaluation contributes further evidence of the benefit of hospital-based domestic abuse coordinator roles; contributes new evidence for the feasibility of adapting the role for a specific context; and illustrates the need for a domestic abuse response in the cancer setting.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102724"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885695","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":"Adaptive digital and non-digital self-management in permanent enterostomy patients: A qualitative study based on the Chronic Illness Trajectory framework","authors":"Qian Li ,&nbsp;Yu Lu ,&nbsp;Yan Hao ,&nbsp;Yuan Zhao ,&nbsp;Xin-Xi Qi ,&nbsp;Jia Qiao","doi":"10.1016/j.ejon.2024.102733","DOIUrl":"10.1016/j.ejon.2024.102733","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the adaptive self-management strategies of enterostomy patients across different health trajectory phases and explore how patients utilize a combination of digital tools and traditional practices to manage their condition effectively within the Chronic Illness Trajectory Framework (CITF).</div></div><div><h3>Methods</h3><div>Participants were recruited from Qingdao Municipal Hospital's Stoma Clinic between October 2022 and August 2024. A total of 26 adults who had undergone permanent enterostomy surgery at least six months prior were selected through purposeful sampling to capture diverse experiences across different health trajectory phases. Semi-structured interviews were conducted, and data were analyzed using thematic analysis, with saturation reached when no new insights emerged.</div></div><div><h3>Results</h3><div>Three primary trajectory types emerged: (1) Living with a Stable Enterostomy Condition, where structured routines and preventive practices helped patients maintain health stability; (2) Experiencing Cycles of Deterioration and Recovery, characterized by proactive monitoring and recovery practices, often supported by family and telemedicine; and (3) Responding to Unstable Changes, requiring immediate actions, real-time adjustments, and crisis planning, with patients relying on both wearable monitors and established self-care routines. Across all phases, a balanced use of digital and non-digital methods enhanced adaptability and resilience.</div></div><div><h3>Conclusion</h3><div>The findings underscore the importance of phase-specific, adaptive self-management strategies that blend digital innovations with foundational self-care practices. CITF offers a valuable framework for clinicians to assess patients’ trajectory phases and provide tailored support that aligns with their unique health needs. This approach can promote patient autonomy, improve quality of life, and inform the development of comprehensive, patient-centered care models for enterostomy and other chronic conditions.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102733"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787748","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":"Psychological resilience, dyadic coping, and dyadic adjustment in couples dealing with cervical cancer in Northwest China: A cross-sectional study","authors":"TianRuiXue Zhang ,&nbsp;Ping Yan ,&nbsp;Cho Lee Wong ,&nbsp;Zhisheng Huang ,&nbsp;li Liu ,&nbsp;YuQiao Xiao ,&nbsp;GuiYuan Ma ,&nbsp;ZiXuan Liu ,&nbsp;Jia Xu ,&nbsp;Can Gu","doi":"10.1016/j.ejon.2025.102785","DOIUrl":"10.1016/j.ejon.2025.102785","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine the relationship between dyadic coping and dyadic adjustment in patients with cervical cancer and their spouses in northwest China, and explore the mediating role of psychological resilience in this relationship.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted from June to October 2024 in two tertiary hospitals in Xinjiang Province, China; 260 patients with cervical cancer and their spouses were enrolled. Participants independently completed demographic and clinical questionnaires as well as Chinese versions of the Resilience Scale, Dyadic Coping Inventory, and Locke-Wallace Marital Adjustment Scale. The Actor-Partner Interdependence Model was employed to analyze dyadic data.</div></div><div><h3>Results</h3><div>Patients with cervical cancer and their spouses both exhibited actor effects (<em>β</em> = 0.197, <em>P</em> &lt; 0.001; <em>β</em> = 0.342, <em>P</em> &lt; 0.001) and partner effects (<em>β</em> = 0.276, <em>P</em> &lt; 0.001; <em>β</em> = 0.264, <em>P</em> &lt; 0.001) in the association between dyadic coping and dyadic adjustment. Regarding the mediating role of psychological resilience, spouses' dyadic coping directly affected patients' psychological resilience, and patients’ psychological resilience indirectly influenced their own dyadic adjustment (<em>β</em> = 0.061, 95% CI = 0.019, 0.121; <em>β</em> = 0.074, 95% CI = 0.019, 0.144).</div></div><div><h3>Conclusions</h3><div>Our findings suggested that psychological resilience plays an essential role in enhancing dyadic coping and cultivating dyadic adjustment among patients with cervical cancer and their spouses. Healthcare professionals should identify couples who have difficulty coping and adapting, and consider couple-centered dyadic resilience interventions to improve these behaviors.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102785"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069395","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}