European Journal of Cancer Care最新文献

Introduction: Cancer is a major global health concern with modifiable risk factors such as tobacco use, alcohol consumption, unhealthy diet, and physical inactivity. Low public awareness of evidence-based risk factors and common cancer myths hamper prevention efforts. This study evaluated the awareness of evidence-based risk factors and the prevalence of cancer myths among patients in Denizli, Türkiye.

Methods: This cross-sectional study was conducted at Pamukkale University Hospital between 1 February 2024 and 15 February 2024. A total of 747 participants were recruited. Data were collected using a structured questionnaire that assessed awareness of both evidence-based cancer risk factors and cancer myths. The questionnaire included the Cancer Awareness Measure Mythical Causes Scale (CAM-MYCS) and a scale assessing evidence-based cancer risk factors. Statistical analyses included Pearson correlation and backward linear regression.

Results: The mean CAM-MYCS score was 20.9 ± 26.4, reflecting substantial variability in beliefs about cancer myths. The mean score for the evidence-based cancer risk factor scale was 57.3 ± 23.1, suggesting a moderate awareness of evidence-based cancer risk factors. The mean total cancer awareness score was 44.1 ± 16.6, reflecting an overall moderate level of cancer awareness. Linear regression analysis identified higher education, seeking information from healthcare professionals and scientific books/articles, and self-perceived knowledge of cancer prevention as significant predictors of total cancer awareness.

Conclusion: This study highlights that despite a moderate level of awareness of evidence-based cancer risk factors, the high prevalence of cancer myths contributes to inadequate awareness of evidence-based cancer risk factors among the Turkish population. Targeted educational interventions are necessary to correct misconceptions and promote evidence-based knowledge to reduce the risk of cancer.

Background: This study aims to specifically review the efficacy of mindfulness-based interventions (MBIs) for breast cancer patients undergoing chemotherapy.

Methods: Five databases (PubMed, Embase, Cochrane, Web of Science, and CINAHL) were searched to collect relevant randomized controlled trials (RCTs). A total of 1869 articles were initially retrieved, of which 8 met the inclusion criteria. The search cutoff date was May 1, 2024. Included studies met prespecified inclusion and exclusion criteria. Data analysis was performed using RevMan 5.4 and STATA/SE 15.0 software.

Results: This study included 8 studies. The findings revealed statistically significant improvements in anxiety, depression levels, and quality of life among patients undergoing MBIs compared to those receiving standard care, with a statistically significant difference [SMD = −0.72, 95% CI (−1.07, −0.37), p = 0.040], [SMD = −0.72, 95% CI (−1.07, −0.38), p = 0.026], and [SMD = 0.51, 95% CI (0.22, 0.81), p = 0.037], respectively.

Conclusions: MBIs have been shown to significantly enhance the psychological well-being and quality of life in breast cancer patients undergoing chemotherapy. Despite certain limitations, MBIs hold substantial promise for clinical use as a complementary therapy and warrant further investigation through larger-scale RCTs. Moreover, future studies should examine the reactions of breast cancer patients from various cultural backgrounds to MBIs, with the goal of refining intervention strategies to better serve a diverse population.

Background: Palliative care focuses on end-of-life patients and their family members (caregivers) to control pain and discomfort symptoms in end-of-life patients and provides comprehensive physical, psychological, and spiritual care to improve quality of life and help patients die comfortably, peacefully, and with dignity. This study aims to develop a scientific and comprehensive palliative care service framework based on expert consensus to provide a reference and basis for palliative care practices for end-of-life adult patients in medical institutions.

Methods: This study designed three rounds of expert inquiry via the Delphi method, involving a total of 21 experts from diverse fields, including geriatrics, geriatric nursing, palliative care, hospice care, traditional Chinese medicine, death education, anesthesia, ethics, and psychology.

Results: The final framework comprises five first-level categories, namely, service process and requirements, symptom management, comfort care, psychological and social support, and complementary therapy, which are supported by 16 second-level and 37 third-level items. The expert authority coefficients (0.900–0.910) and Kendall’s W (0.330–0.489, p < 0.001) indicated high reliability and consensus.

Conclusions: This study, which is based on the Delphi method, has formulated a framework for palliative care services tailored to the needs of end-of-life adult patients in medical institutions. The content of the developed service framework is clear and relatively comprehensive. The results of this study are conducive to promoting the development and practice of Palliative Care and Hospice in China, thereby enhancing the quality of death for end-of-life adult patients.

Purpose: The aim of the study is to adapt the “Cancer Care Evaluation Scale” to Turkish and to test its validity and reliability.

Methods: The research was conducted methodologically. The data of the study were obtained from patients in a university hospital in eastern Türkiye between January and April 2023. The research was carried out with 350 people who met the inclusion criteria. The data were collected by the researchers using the “Patient Information Form” and the “Cancer Care Evaluation Scale.” Content validity index (CVI), Bartlett’s test of sphericity, Kaiser–Meyer–Olkin (KMO) index, and confirmatory factor analysis (CFA) were used to find out the content and construct validity. Cronbach’s alpha coefficient, split-half reliability analysis, and correlation analysis were used to test reliability.

Results: As a result of the evaluations and analyses, the CVI of the scale was found to be as 0.94. The Cronbach’s alpha value of the subdimensions of the scale ranged from 0.843 to 0.975 and the total Cronbach’s alpha value was found to be 0.948. In the split-half reliability analysis, Spearman–Brown’s coefficient was found to be 0.989. The fit index values were found to be as follows: X²/SD = 2.57, RMSEA = 0.067, GFI = 0.83, CFI = 0.955, and SRMR = 0.062. CFA results showed good fit index values.

Conclusion: As a result of the research, the factor structure of 35 items and 12 subdimensional scales was confirmed by CFA. It was determined that the Turkish version of the Cancer Care Evaluation Scale is a valid and reliable measurement tool to evaluate the care of cancer patients. The scale allows the care offered to cancer patients to be evaluated from the patient’s perspective. For this reason, it is thought that the scale will contribute to the identification of deficiencies in care and the improvement of the quality of care.

Introduction: The increasing survival rates among patients with advanced cancer have brought attention to the issue of work participation for working-age individuals, while current studies predominantly focus on early-stage cancer patients. The objective of this scoping review was to summarize the current knowledge regarding the work participation of patients diagnosed with advanced-stage cancer.

Methods: A scoping review was conducted following Mak and Thomas’s guidelines and adhering to PRISMA-ScR standards. Three databases (PubMed, Web of Science, and PsycINFO) were systematically searched for articles published up to December 2023. An update was performed in September 2024. We included English and French studies on patients with advanced cancer, aged 18 years and over, with a focus on their work participation. The results are presented according to the arena model, which provides a framework for understanding different dimensions of work participation.

Results: Ten studies, primarily focusing on breast cancer, were included after screening 239 records. Key findings revealed that older women and certain ethnic groups face greater challenges in maintaining employment, with treatment side effects such as pain, fatigue, and cognitive impairment having a significant impact on work participation. The research emphasized the need for improved support and information from the healthcare system regarding employment issues.

Conclusion: This scoping review addresses the challenges of work participation for patients with advanced cancer, identifying personal, psychological, and workplace barriers. It emphasizes the need for tailored interventions and highlights a significant gap in healthcare professionals’ guidance on employment issues. Expanding research beyond breast cancer is essential to improve work participation for this population. The predominance of breast cancer in the current literature underscores the urgent need for broader research that includes a wider range of tumor types and male patients, in order to ensure that work participation strategies are inclusive and equitable.