European Journal of Oncology Nursing最新文献

Purpose: To explore the experiences and influencing factors of post-traumatic growth among young and middle-aged family caregivers of patients with advanced cancer.

Methods: Data were collected through semi-structured, face-to-face interviews with 20 participants recruited via purposive sampling from the oncology department of a hospital, between December 2024 and February 2025. Audio-recorded interviews were transcribed verbatim and analyzed in NVivo 13 software using thematic analysis guided by the ABC-X model.

Results: Five themes were identified. Themes 1-4 represent sequential stages, including diagnostic shock, facing the reality, physical and psychological exhaustion, and personal growth. These themes illustrate the dynamic trajectory from trauma to growth among young and middle-aged family caregivers. Themes 1-3 encompass specific stressors (Factor A) and perceptions (Factor C). Through the interaction of these factors, young and middle-aged family caregivers eventually achieve post-traumatic growth (Factor X), as reflected in Theme 4. Theme 5 represents cross-stage coping resources (Factor B), which provide protective support to mitigate stressors (Factor A) and, together with perceptions (Factor C), influence post-traumatic growth (Factor X).

Conclusion: This study revealed the dynamic trajectory from trauma to growth among young and middle-aged family caregivers, underscoring the need for interventions that are tailored to specific stages and implemented at multiple levels. Integrating early education and screening, coping skills training, policy support, and psychosocial interventions may collectively alleviate distress, strengthen positive perceptions, optimize the use of resources, and foster post-traumatic growth.

Objective: To assess the effectiveness of an electronic antiemetic device (EAD) stimulating the Neiguan acupoint (PC6) in preventing and alleviating chemotherapy-induced nausea and vomiting (CINV) in cancer patients, with a particular focus on delayed-phase CINV. The safety of the device was also assessed.

Methods: 126 cancer patients who were scheduled to undergo chemotherapy that was either moderately or highly emetogenic were enrolled in this single-centre, randomised controlled experiment. Block randomisation was used to allocate participants in a 1:1 ratio to either the control group (ondansetron alone) or the experimental group (EAD plus ondansetron). The experimental group received EAD stimulation at the PC6 prior to chemotherapy and continued its use throughout the entire chemotherapy cycle, in addition to ondansetron, whereas the control group received only ondansetron. The complete response rate (CRR) and no emesis rate of acute and delayed CINV, symptom severity, quality of life (QoL), and the incidence of adverse events were assessed.

Results: In the intention-to-treat population (n = 126), no significant differences were observed for acute nausea (CRR: ARR = 9.5%, 95% CI -1.0 to 20.0, P = 0.076; no emesis rate: ARR = 11.1%, 95% CI -0.5 to 22.7, P = 0.061). However, the experimental group had significantly higher delayed nausea CRR (ARR = 44.4%, 95% CI 29.8 to 59.1, P < 0.001) and delayed vomiting no emesis rate (ARR = 12.7%, 95% CI 1.2 to 24.2, P = 0.031). FLIE scores were higher in the experimental group during both acute (MD = 10.0, 95% CI -3.5 to 23.5, P = 0.146) and delayed phases (MD = 30.1, 95% CI 18.5 to 41.5, P < 0.001). The incidence of several gastrointestinal and systemic adverse events (CTCAE Grade≥2) was also lower in the experimental group (all P < 0.05).

Conclusion: Stimulation of the PC6 with an EAD significantly alleviates delayed CINV and lowers the incidence of adverse events, although its efficacy on acute CINV is less pronounced. These findings require validation in blinded, multicentre trials.

Background: Emotional support (ES) is a key psychosocial determinant of cancer adjustment. Emotional Support Receipt (ESR) is a nurse-assessable interpersonal resource linked to Health-Related Quality of Life (HRQoL) through a cognitive-affective processes.

Objective: To examine whether ESR relates to higher HRQoL through proactive coping strategies and lower emotional distress in adults undergoing cancer treatment.

Methods: Cross-sectional study at a tertiary hospital in Spain. Adults with cancer (n = 360) completed validated Spanish versions of Brief-COPE (ESR, active coping, informational support, planning, positive reframing, acceptance, humour), HADS (distress), and EORTC QLQ-C30 (global HRQoL), plus sociodemographic/clinical data. Analyses included descriptive statistics, correlations, hierarchical linear regression (Block 1: clinical covariates; Block 2: proactive coping skills; Block 3: distress), and serial mediation (PROCESS Model 6; 10,000 bias-corrected bootstraps; 95% CI).

Results: Positive reframing independently predicted higher HRQoL (Block 2); distress was the strongest negative predictor (Block 3). These variables were included as serial mediators. The total effect of ESR on HRQoL was significant (c = 4.087, p = 0.002), whereas the direct effect was not after including the mediators (c' = 1.713; p = 0.171). The serial processes ESR → positive reframing → emotional distress → HRQoL was significant (B = 1.665; 95% CI [0.980, 2.518]). The model explained 28.3% of HRQoL variance.

Conclusions: ESR related to better HRQoL via a serial cognitive-affective mechanism. Findings highlight scalable targets for nurse-led stepped care: routine screening of ESR and distress, brief training in cognitive reframing, and reinforcement of support networks, with HRQoL monitored as an outcome.

Purpose: Cancer survivors often face significant challenges when returning to work, as they must manage both the long-term and fluctuating side effects of cancer treatment and the job demands. Supporting return-to-work and long-term job retention is essential for restoring normalcy, self-esteem, and social integration, and promoting inclusive employment after a cancer diagnosis. This scoping review maps the literature on working conditions that promote sustained job retention of cancer survivors, reviews the methodologies used, and identifies knowledge gaps.

Methods: A systematic search across four international databases was conducted following PRISMA-ScR guidelines. Studies were included if they were published between 2014 and 2026, involved working-age individuals, focused on survivors and/or stakeholders, and addressed working conditions during return-to-work or job retention. The Eurofound's multidimensional job quality model was used to analyze working conditions and job accommodations post-diagnosis.

Results: Of 10 979 records, 43 articles were included. Most did not explicitly refer to the concept of sustained job retention, focusing mainly on factors that hinder or facilitate return-to-work properly said and its quality. Although the main criteria of Eurofound's job quality model have been mentioned in studies, including work intensity, working hours, and working time, few addressed the issue of sustainable working conditions influencing long-term job retention.

Conclusion: The concept of long-term job retention among cancer survivors is rarely addressed, as is the sustainability of their working conditions. This can be explained by the short- or medium-term objectives of most studies.

Purpose: This study uses latent profile analysis to explore the latent characteristics of body image and emotional response in postoperative breast cancer patients and its influencing factors.

Methods: From November 2023 to April 2024, a convenience sampling method was used to select 338 postoperative breast cancer patients for the study. A general information section, Chinese version of the Body Image and Relationships Scale, Positive and Negative Affect Scale, Impact on Participation and Autonomy, Social Support Rating Scale, and Medical Coping Mode Questionnaire were used to conduct the survey. Conducted latent profile analysis of body image and emotional response characteristics of postoperative breast cancer patients identified the influencing factors of their latent profiles through univariate and multivariate logistic stepwise regression analyses and combined with back propagation neural network.

Results: Three latent categories were identified: mild body image concerns with emotion stability group (37.8%), social-physical distress with emotion containment group (51.8%), and pronounced appearance-social barriers and affect ambivalence group (10.4%). The results of multivariate logistic stepwise regression and BPNN (AUC: 0.743-0.923) showed that the factors influencing the body image and emotional response patterns of postoperative breast cancer patients were, in descending order of importance: confrontation, resignation, social participation, social support, and chemotherapy.

Conclusions: Most postoperative breast cancer patients belonged to the social-physical distress with emotion containment group. Clinical staff should focus on the patients in the pronounced appearance-social barriers and affect ambivalence group, strengthening the core coping patterns of "Confrontation" and "Resignation".