European Journal of Oncology Nursing最新文献

“You're not the only one who went through this”: Cancer survivors' reflections on peer encounters during the Desert Journey program “你不是唯一一个经历过这些的人”：在沙漠之旅项目中，癌症幸存者对同伴遭遇的反思

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-02 DOI: 10.1016/j.ejon.2025.103073

I. Levkovich , L. Hamama , S. Kuperman , M. Bar- Doron , Y. Hamama-Raz

Purpose

This study explores how peer support within Desert Journey, a nature-based group intervention developed by an Israeli non-governmental organization, shapes coping, belonging, and meaning among young cancer survivors. Grounded in a biopsychosocial and ecopsychological framework, we examine survivors’ lived experiences to identify that support rehabilitation.

Method

A qualitative approach was used to explore participants’ subjective experiences. In-depth, semi-structured interviews were conducted with 21 participants who had completed Desert Journey within the past two years. Participants aged 29–44 years, all in the recovery stage, represented a range of cancer diagnoses. The interviews were conducted between March–May 2025, audio-recorded, transcribed verbatim, and analyzed thematically.

Results

Three central themes emerged: (1) “A group of strangers who just got it.” Participants described a profound sense of belonging and emotional validation through honest dialogue and nonverbal connection; (2) “An intimate space.” The desert setting fostered reflection on family, parenthood, and romantic relationships, allowing participants to voice complex emotions often silenced in daily life; (3) “There's something very overwhelming about being together all the time.” Some participants experienced emotional flooding, anxiety, and a need for solitude as the group process intensified.

Conclusions

Nature-based group interventions such as Desert Journey provide a unique therapeutic context for young cancer survivors by fostering emotional connection, peer support, and self-reflection. The findings highlight the potential of such programs to complement traditional survivorship care. Oncology nurses can play a critical role in identifying suitable patients, advocating for the integration of holistic interventions, and collaborating with interdisciplinary teams to enhance survivorship care.

本研究探讨了以色列非政府组织开发的基于自然的群体干预项目“沙漠之旅”中的同伴支持如何塑造年轻癌症幸存者的应对、归属感和意义。在生物心理社会和生态心理学框架的基础上，我们检查幸存者的生活经历，以确定支持康复。方法采用定性方法探讨被试的主观体验。我们对21位在过去两年内完成《沙漠之旅》的参与者进行了深入的半结构化访谈。参与者年龄在29-44岁之间，都处于康复阶段，代表了一系列癌症诊断。访谈在2025年3月至5月期间进行，录音，逐字抄写，并按主题进行分析。结果出现了三个中心主题：(1)“一群刚刚得到它的陌生人”。参与者通过诚实的对话和非语言联系描述了深刻的归属感和情感认可；(2)“私密空间。”沙漠环境培养了对家庭、亲子关系和浪漫关系的反思，让参与者表达在日常生活中经常被压抑的复杂情感；(3)“总在一起让人有种难以抗拒的感觉。”随着小组过程的加剧，一些参与者经历了情绪泛滥、焦虑和独处的需要。结论：沙漠之旅等基于自然资源的群体干预通过培养情感联系、同伴支持和自我反思，为年轻的癌症幸存者提供了独特的治疗环境。研究结果强调了这类项目补充传统生存护理的潜力。肿瘤科护士可以在确定合适的患者、倡导整合整体干预措施以及与跨学科团队合作以加强生存护理方面发挥关键作用。

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引用次数: 0

Corrigendum to “Acceptance and commitment therapy effectiveness for fear of cancer recurrence: A systematic review and meta-analysis” [Europ. J. Oncol. Nurs. 76 (2025) 102862] “接受和承诺治疗对癌症复发恐惧的有效性：一项系统回顾和荟萃分析”的更正[欧洲]。j .杂志。护理，76(2025)102862]。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.ejon.2025.103032

Yin Yuyan , Li Jiaqi , Wang Ting , Xu Juan , Wu Jinfeng , Luo Jing

引用次数: 0

Corrigendum to “Dyadic appraisal and dyadic coping in breast cancer couples: Family resources as mediators in an actor‒partner interdependence mediation model” [Europ. J. Oncol. Nurs. 78 (2025) 102959] 对“乳腺癌夫妇的二元评价和二元应对：家庭资源在行为者-伴侣相互依赖中介模型中的中介作用”的更正[欧洲]。j .杂志。护理，78(2025)102959]。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.ejon.2025.103021

Jiangyan Song , Xiangxiang Tang , Zaharah Sulaiman , Miao Zhang , Tengku Alina Tengku Ismail , Shumei Li , Yun Ye

引用次数: 0

“You've got to exercise more … What does that mean?” understanding experiences of physical activity during chemotherapy (EPAC): A mixed methods study informed by the COM-B model “你必须多锻炼……这意味着什么？”了解化疗期间身体活动的经历（EPAC）： COM-B模型提供的混合方法研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-28 DOI: 10.1016/j.ejon.2025.103067

Rebecca Cesnik , Alanah Pike , Kellie Toohey , Nicole Freene , Stuart Semple

Purpose

While the benefits of physical activity (PA) during cancer are well known, people undergoing chemotherapy are insufficiently active. This study aims to understand the experiences of PA throughout chemotherapy (EPAC).

Methods

The EPAC study used a mixed methods design informed by the capability, opportunity, motivation-behaviour (COM-B) model. Participants currently undergoing outpatient chemotherapy for the treatment of cancer, their carers or cancer care clinicians participated in a semi-structured interview or focus group and a questionnaire. The Godin-Shepard Leisure-Time Questionnaire identified current and pre-chemotherapy PA levels. Qualitative data were analysed using reflexive thematic analysis, and deductively mapped to the COM-B. Descriptive analysis was used for quantitative data.

Results

Despite 91 % of people undergoing chemotherapy expressing a desire to be more active, only 17 % were classified as 'active'. Additionally, 78 % of participants reported a decrease in PA during chemotherapy. Ten focus groups and 37 interviews were completed with 40 clinicians, 23 patients, and ten carers. From these, eight themes were developed: PA is part of life; All too much; Physical capacity; Inconsistent education; A desire for PA to be integrated; Tailored access to services; Organisational design and resources; and Workforce sustainability. Subthemes mapped to all components of the COM-B framework.

Conclusion

Overall, people undergoing chemotherapy wanted to be more active. Experiences across the groups emphasise the need for increased support to improve opportunities, capability and motivation for PA. These findings demonstrate the need for changes to clinical practice to embed PA into routine chemotherapy care through models that reflect the realities of treatment and its side effects, the workforce, and service design.

目的：虽然癌症期间身体活动（PA）的好处是众所周知的，但接受化疗的人活动不足。本研究旨在了解PA在化疗过程中的经验（EPAC）。方法：EPAC研究采用能力、机会、动机-行为（COM-B）模型为基础的混合方法设计。目前正在接受门诊化疗治疗癌症的参与者，他们的护理人员或癌症护理临床医生参加了半结构化访谈或焦点小组和问卷调查。Godin-Shepard闲暇时间问卷确定了当前和化疗前的PA水平。定性数据使用反身性主题分析进行分析，并演绎映射到COM-B。定量资料采用描述性分析。结果：尽管91%接受化疗的人表达了更积极的愿望，但只有17%的人被归类为“积极”。此外，78%的参与者报告在化疗期间PA降低。完成了10个焦点小组和37个访谈，包括40名临床医生、23名患者和10名护理人员。在此基础上，形成了八个主题：PA是生活的一部分；太多了；物理能力;不一致的教育;渴望PA被整合；有针对性地获得服务；组织设计和资源；劳动力可持续性。子主题映射到COM-B框架的所有组件。结论：总的来说，接受化疗的人希望更活跃。各小组的经验强调需要增加支持，以改善私人助理的机会、能力和动机。这些发现表明，需要改变临床实践，通过反映治疗现实及其副作用、劳动力和服务设计的模型，将PA纳入常规化疗护理。

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引用次数: 0

Preoperative intrinsic capacity phenotypes forecast adverse physical resilience trajectories following surgery in older bladder cancer patients 术前内在能力表型预测老年膀胱癌患者手术后不良的身体恢复能力轨迹。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-27 DOI: 10.1016/j.ejon.2025.103068

Siyu Liu , Jin Zheng , Jingyi Sun

Purpose

This study assessed the predictive value of preoperative intrinsic capacity (IC) phenotypes for physical resilience (PR) trajectories in older adults undergoing elective bladder cancer surgery.

Methods

A prospective study was conducted from October 2024 to March 2025 on 327 elderly patients (mean age 69.71 ± 6.96 years) who underwent elective bladder cancer surgery. Latent class analysis (LCA) was used to identify different intrinsic capacity types based on the five domains: vitality, locomotion, cognition, psychology, and sensory. Latent class growth model (LCGM) was applied to identify different trajectories of physical resilience over time. Multiple correspondence analysis (MCA) and multivariate logistic regression were used to study the association between intrinsic capacity types and physical resilience trajectories.

Results

LCA identified three intrinsic capacity phenotypes: High intrinsic capacity (35.2 %), Moderate intrinsic capacity-Low Vitality (28.4 %), and Low intrinsic capacity-Low Mobility and Cognition (36.4 %). LCGM identified four physical resilience trajectories: Moderate-Stable (30.6 %), Moderate-Increasing (31.2 %), High-Increasing (28.1 %), and Low-Stable (10.0 %). A significant association was found between intrinsic capacity phenotypes and physical resilience trajectories. After adjustment, the Low Mobility-Cognition and Low Vitality phenotypes were associated with significantly higher risks of adverse recovery trajectories. Poorer self-rated health, lower BMI, and lower education level also predicted worse resilience.

Conclusions

Preoperative intrinsic capacity phenotypes, particularly those characterized by deficits in mobility, cognition, and vitality, independently predict physical resilience trajectories in older adults after bladder cancer surgery. Assessing these phenotypes enables early identification of high-risk patients and supports targeted prehabilitation strategies.

目的：本研究评估了术前内在容量（IC）表型对选择性膀胱癌手术的老年人身体恢复力（PR）轨迹的预测价值。方法：对2024年10月至2025年3月行择期膀胱癌手术的327例老年患者（平均年龄69.71±6.96岁）进行前瞻性研究。基于活力、运动、认知、心理和感觉五个领域，采用潜类分析（LCA）识别不同的内在能力类型。应用潜在类别增长模型（LCGM）来识别身体弹性随时间变化的不同轨迹。采用多重对应分析（MCA）和多元逻辑回归研究了内在能力类型与身体弹性轨迹之间的关系。结果：LCA鉴定出三种内在容量表型：高内在容量（35.2%）、中等内在容量-低活力（28.4%）和低内在容量-低流动性和认知（36.4%）。LCGM确定了四种物理弹性轨迹：中度稳定（30.6%）、中度增加（31.2%）、高增加（28.1%）和低稳定（10.0%）。内在能力表型与身体弹性轨迹之间存在显著关联。调整后，低活动-认知和低活力表型与不良恢复轨迹的风险显著升高相关。较差的自我评估健康状况、较低的身体质量指数和较低的教育水平也预示着较差的恢复能力。结论：术前内在能力表型，特别是那些以活动能力、认知和活力缺陷为特征的表型，可以独立预测膀胱癌手术后老年人的身体恢复能力轨迹。评估这些表型有助于早期识别高危患者，并支持有针对性的康复策略。

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引用次数: 0

Efficacy of topical anesthetic cream, cold angiocath, and their combination on pain and fear during pediatric oncology venipuncture: A double-blind randomized controlled trial 表面麻醉膏、冷置血管导管及其联合应用对小儿肿瘤静脉穿刺疼痛和恐惧的疗效：一项双盲随机对照试验。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-27 DOI: 10.1016/j.ejon.2025.103065

Fateme Borzoee , Ali Ghasemi , Sara Jahangiri , Narjes Heshmati Far , Mohammad Sahebkar

Purpose

This study aimed to evaluate the efficacy of topical anesthetic cream, cold angiocath, and their combination in reducing pain and fear during venipuncture in young children with cancer.

Methods

A double-blind, randomized controlled trial was conducted with 87 children aged 2–6 years receiving outpatient chemotherapy in a outpatient chemotherapy department in Mashhad, Iran. Participants were randomized into four groups: control, cold angiocath, Xylap cream, or combination. Pain and fear were assessed at baseline and three intervention sessions using the Face, Legs, Activity, Cry, Consolability (FLACC) scale and the Children's Fear Scale (CFS).

Results

The combination group showed the greatest reductions in pain (−4.40, 95 % CI: −5.04 to −3.75) and fear (−1.39, 95 % CI: −1.75 to −1.03) compared with control (p < 0.001). Xylap cream alone also significantly reduced pain (−3.52, 95 % CI: −4.15 to −2.90, p < 0.001) and fear (−0.96, 95 % CI: −1.34 to −0.58, p < 0.001). Cold angiocath yielded smaller but significant reductions in pain (−1.62, 95 % CI: −2.26 to −0.98) and fear (−0.87, 95 % CI: −1.24 to −0.49, p < 0.001).

Conclusions

Topical anesthetic cream and cold angiocath, alone or combined, reduced venipuncture pain and fear in young children with cancer. The combination strategy was most effective, supporting its use as a simple, safe, and practical intervention in pediatric oncology care.

目的：本研究旨在评价表面麻醉乳膏、冷置血管导管及其联合应用对减轻幼儿癌症患者静脉穿刺时疼痛和恐惧的效果。方法：对伊朗马什哈德某门诊化疗科接受门诊化疗的87例2-6岁儿童进行双盲、随机对照试验。参与者随机分为四组：对照组、冷血管插管组、Xylap乳膏组或组合组。疼痛和恐惧在基线和三个干预阶段使用面部，腿部，活动，哭泣，安慰（FLACC）量表和儿童恐惧量表（CFS）进行评估。结果：与对照组相比，联合组在疼痛（-4.40,95% CI: -5.04至-3.75）和恐惧（-1.39,95% CI: -1.75至-1.03）方面表现出最大的减轻(p结论：表面麻醉膏和冷血管导管，单独或联合使用，减少了癌症幼儿的静脉穿刺疼痛和恐惧。联合策略是最有效的，支持其作为一种简单，安全，实用的干预儿童肿瘤护理。

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引用次数: 0

Towards integrated palliative care for cancer patients: A qualitative study of case management using the Chronic Care Model 迈向综合姑息治疗癌症患者：使用慢性护理模式个案管理的定性研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-25 DOI: 10.1016/j.ejon.2025.103063

Shima Yadegar Tirandaz , Leila Valizadeh , Vahid Zamanzadeh , Maryam Rassouli , Mohammad Esmaeil Akbari

Purpose

Although palliative care plays a vital role in improving the quality of life for cancer patients and their caregivers, its delivery often involves considerable complexity. Case management has been recommended as a systematic and collaborative approach. Understanding experiences and perceptions of case management in palliative cancer care can provide valuable insights for the development of coordinated, continuous, and patient-centered interventions.

Methods

A qualitative study was conducted based on the Chronic Care Model framework. Data were collected through semi-structured, in-depth interviews with 40 participants, including patients, family caregivers, care providers, and policymakers in the field of cancer care. They were analyzed using the directed content analysis approach described by Hsieh and Shannon (2005) and coded using MAXQDA 10 software.

Results

Analysis of the interviews guided by the Chronic Care Model components yielded six main categories comprising 16 subcategories: community policies and resources; self-management support; decision support; delivery system design; clinical information systems; and healthcare organizations.

Conclusions

The findings indicate that all Chronic Care Model components are essential for a ‘palliative care case management’ framework. This study provides a conceptual extension of the Chronic Care Model and can be used as a sound reference for the development of cancer-related policies and interventions in the healthcare system.

目的虽然姑息治疗在改善癌症患者及其照护者的生活质量方面起着至关重要的作用，但其实施往往涉及相当复杂的过程。建议将病例管理作为一种系统和协作的方法。了解姑息性癌症治疗中病例管理的经验和观念可以为协调、持续和以患者为中心的干预措施的发展提供有价值的见解。方法基于慢性护理模式框架进行定性研究。通过对40名参与者的半结构化深度访谈收集数据，包括患者、家庭照顾者、护理提供者和癌症护理领域的政策制定者。使用Hsieh和Shannon（2005）描述的定向内容分析方法对它们进行分析，并使用MAXQDA 10软件进行编码。结果对访谈进行的慢性护理模型成分分析得出六个主要类别，包括16个子类别：社区政策和资源；自我管理支持;决策支持;输送系统设计；临床信息系统；还有医疗机构。研究结果表明，所有慢性护理模式的组成部分对于“姑息治疗病例管理”框架至关重要。本研究提供了慢性照护模式的概念延伸，并可为医疗系统中癌症相关政策和干预措施的制定提供良好的参考。

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引用次数: 0

Strengthening theory-driven approaches to cancer pain management in older adults with cognitive decline 在认知能力下降的老年人中加强理论驱动的癌症疼痛管理方法

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-25 DOI: 10.1016/j.ejon.2025.103062

Iman Nurjaman , Iin Inayah , Setiawati , Intihan Nurzaeni

引用次数: 0

“It is like he abandoned me in a war” – A qualitative study of relationship distress in parents of children diagnosed with cancer “就像他在战争中抛弃了我”——一项对患有癌症的孩子的父母关系困扰的定性研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-22 DOI: 10.1016/j.ejon.2025.103064

Astrid Kuylenstierna , Pia Enebrink , Ulrika Kreicbergs , Gustaf Ljungman , Malin Lövgren , Renita Sörensdotter , Anna Wikman , Lisa Ljungman

Purpose

Up to 40 % of parents of children with cancer experience relationship distress; a significantly higher proportion compared to the general population. Despite this elevated risk, there are few in-depth qualitative studies investigating relationship distress in the paediatric oncology context. Therefore, this study aimed to explore how parents of children with cancer experience relationship distress to thereby generate an in-depth understanding of the phenomenon.

Method

A sample of 25 parents (17 mothers, 8 fathers) who had experienced relationship distress related to their child's cancer participated in semi-structured interviews exploring relationship dynamics, communication, conflict management, and relational changes following the child's diagnosis. The interviews were audio-recorded, transcribed verbatim, and analysed using inductive content analysis.

Results

Three categories and nine subcategories were identified. In addition to these, one overarching theme emerged. The first category ‘Pressure on the relationship’, illustrated factors that placed strain on the couple relationship. The second category ‘When unity fails’ included parents' experiences of challenges in dealing with the situation together as a couple. The third category ‘Fractured togetherness’ highlighted relationship deterioration as a result of the cancer experience. The theme ‘Fighting together, yet drifting apart’ linked the categories by illustrating the process of experiencing joint hardships, of trying to manage these together, but ending up with a wounded relationship.

Conclusion

This study contributes with an in-depth understanding of relationship distress in parents of children with cancer. Thereby, it can contribute to the development of currently limited interventions to support parents’ couple relationships in paediatric oncology care.

目的：高达40%的癌症儿童的父母经历过关系困扰；与一般人群相比，这一比例明显更高。尽管这种风险升高，但很少有深入的定性研究调查关系困扰在儿科肿瘤学的背景下。因此，本研究旨在探讨癌症儿童的父母如何经历关系困扰，从而深入了解这一现象。方法：选取25位因孩子患癌症而经历过关系困扰的父母（17位母亲，8位父亲）进行半结构化访谈，探讨孩子患癌症后的关系动态、沟通、冲突管理和关系变化。访谈录音，逐字转录，并使用归纳内容分析进行分析。结果：鉴定出3大类9亚类。除此之外，还出现了一个总体主题。第一类“夫妻关系的压力”，说明了导致夫妻关系紧张的因素。第二类“当夫妻关系破裂时”包括父母在处理夫妻关系时遇到的挑战。第三类“破碎的团聚”强调了癌症经历导致的关系恶化。“一起战斗，却又渐行渐远”的主题将这些类别联系在一起，展示了共同经历困难的过程，试图一起管理这些困难，但最终却以受伤的关系告终。结论：本研究有助于深入了解癌症患儿父母的关系困扰。因此，它可以为目前有限的干预措施的发展做出贡献，以支持儿科肿瘤护理中父母的夫妻关系。

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引用次数: 0

Hematology nurses’ perceptions of implementing primary palliative care for patients with multiple myeloma: A qualitative study 血液科护士对多发性骨髓瘤患者实施初级姑息治疗的看法：一项定性研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-20 DOI: 10.1016/j.ejon.2025.103050

Shulamit Ohana , Adir Shaulov , Freda DeKeyser Ganz

Purpose

Current palliative care (PC) often relies on specialist consultation. This study focuses on a newer model: integrative PC (primary PC), delivered by regular staff (specifically hematology nurses) who are trained to deliver basic palliative interventions alongside routine clinical care. While established in solid tumors, PC integration lags in hematology. The aim is to describe the hematology nurses' perceptions and experiences providing this integrative PC model to patients with Multiple Myeloma (MM).

Methods

A qualitative exploratory study was conducted using a phenomenological-hermeneutic approach. Ten hematology nurses who participated in the implementation were purposively selected and interviewed individually through semi-structured, in-depth interviews conducted by a female nurse researcher experienced in qualitative methods six months after the implementation of an integrative palliative care model. Thematic analysis was applied to identify key patterns and meanings in the data.

Results

Three main themes emerged: (1) Becoming a Therapeutic Anchor, (2) Transforming the Role from Clinical Technician to Holistic Caregiver, and (3) Bridging Systemic Gaps as the Care Coordinator. Nurses described enhanced relationships with patients, earlier symptom detection, culturally responsive holistic care, and greater involvement in emotional support and care coordination. They also highlighted the emotional burden of sustaining such care and emphasized the need for institutional support.

Conclusion

The findings suggest that hematology nurses may play a significant role in implementing integrative PC for patients with MM. Their involvement enhances holistic care and symptom management. However, sustaining this model requires attention to the emotional demands on nurses and the need for institutional support.

目的：目前姑息治疗（PC）往往依赖于专家咨询。本研究侧重于一种较新的模式：综合PC（初级PC），由常规工作人员（特别是血液科护士）提供，他们经过培训，可以在常规临床护理的同时提供基本的姑息干预。虽然在实体肿瘤中已建立，但PC整合在血液学中滞后。目的是描述血液科护士的看法和经验，为多发性骨髓瘤（MM）患者提供这种综合PC模型。方法：采用现象学-解释学方法进行定性探索性研究。在实施综合姑息治疗模式6个月后，有目的地选择10名参与实施的血液科护士，并通过半结构化的深度访谈对其进行单独访谈。访谈由一名具有定性方法经验的女护士研究员进行。专题分析用于识别数据中的关键模式和含义。结果：出现了三个主要主题：(1)成为治疗锚；(2)从临床技术人员转变为整体护理人员；(3)作为护理协调员弥合系统差距。护士描述了与患者的关系增强，早期症状发现，文化响应整体护理，更多地参与情感支持和护理协调。他们还强调了维持这种照顾的情感负担，并强调需要机构支持。结论：血液科护士可能在MM患者实施综合PC方面发挥重要作用，他们的参与可以促进整体护理和症状管理。然而，维持这种模式需要关注护士的情感需求和机构支持的需要。

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引用次数: 0