European Journal of Oncology Nursing最新文献_第10页

A latent profile analysis of psychosocial adjustment in patients with enterostomy after rectal cancer surgery 直肠癌术后肠造口术患者社会心理适应的潜在特征分析

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-29 DOI: 10.1016/j.ejon.2024.102626

Lu Zhou , Zhengyang Zhang , Hui Li , Ling Wang

Purpose

The aim of this study was to improve the level of psychosocial adjustment and quality of life of patients with enterostomy by analyzing the subgroups of psychosocial adjustment and its influencing factors.

Methods

This was a multi-center cross-sectional study. On the basis of investigating the level of psychosocial adjustment of enterostomy patients, a profile model of psychosocial adjustment of patients with enterostomy was established by using latent profile analysis. Univariate analysis and multinomial logistical regression were used to analyze the factors affecting the different psychosocial adjustment subgroups of enterostomy patients.

Results

Psychosocial adjustment of 3840 patients with enterostomy can be divided into three latent characteristics: Moderately high psychosocial adjustment level and high positive emotion in enterostomy patients (24.5%), Medium psychosocial but low social life adjustment (64.6%), low psychosocial adjustment level and high negative emotion (10.9%). Multinomial logistic regression showed that enterostomy self-care knowledge score, gender, medical payment method, educational background, carer, and self-care ability were affecting the subgroup classification of psychosocial adjustment of enterostomy patients.

Conclusion

The psychosocial adjustment level of enterostomy patients can be divided into three latent profiles, which have obvious classification characteristics. Future studies can provide individualized interventions for different subgroups of enterostomy patients to improve the psychosocial adjustment of enterostomy patients.

目的本研究旨在通过分析社会心理适应的亚组及其影响因素，提高肠造口患者的社会心理适应水平和生活质量。方法这是一项多中心横断面研究。在调查肠造口患者社会心理适应水平的基础上，采用潜变量分析法建立了肠造口患者社会心理适应的特征模型。结果 3840 名肠造口患者的社会心理适应可分为三个潜特征：肠造口患者的社会心理适应水平中等偏上，积极情绪较高（24.5%）；社会心理适应水平中等，但社会生活适应水平较低（64.6%）；社会心理适应水平较低，消极情绪较高（10.9%）。多项式逻辑回归显示，肠造口自我护理知识得分、性别、医疗支付方式、教育背景、护理者和自我护理能力影响肠造口患者社会心理适应的亚组分类。今后的研究可针对肠造口患者的不同亚组进行个体化干预，以提高肠造口患者的社会心理适应能力。

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引用次数: 0

Perceptions of utilizing a symptom self-management app for breast cancer patients receiving outpatient chemotherapy 接受门诊化疗的乳腺癌患者对使用症状自我管理应用程序的看法

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-28 DOI: 10.1016/j.ejon.2024.102624

Nuo Shi , Nan Zhang , Frances K.Y. Wong , Weiyi Zhu , Xiaobin Lai , Yufei Jin , Chengjia Gu , Lijing Nie , Xiaojing Dong , Arkers Kwan Ching Wong

Purpose

Breast cancer (BC) patients who are undergoing outpatient chemotherapy encounter difficulties in symptom self-management at home. We have developed a mobile app with the support of self-regulation activities and nurse-led social service to empower self-management of BC patients during outpatient chemotherapy. The study aimed to explore the perceptions of breast cancer patients and nurses in utilizing an app with the functions of proactive nursing support and empowerment.

Methods

This is a qualitative study including group interviews with nurses and patients with breast cancer receiving outpatient chemotherapy. A total of eleven patients and five nurses were enrolled from August 2022 to October 2022. Thematic analysis was adopted to analyze the interview transcripts. Main themes and related sub-themes were drawn from the transcripts.

Results

Barriers (the lack of a contractual spirit) and facilitators (social support and native high-adherence) to app usage were identified. Following the six-week program, patients underwent various transformations such as improved health awareness and a tendency to pay more attention to psychological symptoms. This program also led to various changes in the nurses, including a transformation from taking the reactive emergency calls to a proactive approach of incorporating a self-regulation process and social support.

Conclusions

The findings from the group interviews stressed the importance of integrating technology and nursing social support in facilitating patient symptom self-management.

目的接受门诊化疗的乳腺癌（BC）患者在家中进行症状自我管理时会遇到困难。我们开发了一款支持自我调节活动和护士主导的社会服务的移动应用程序，以增强乳腺癌患者在门诊化疗期间的自我管理能力。本研究旨在探讨乳腺癌患者和护士在使用具有主动护理支持和赋权功能的应用程序时的感知。方法这是一项定性研究，包括对护士和接受门诊化疗的乳腺癌患者进行小组访谈。从 2022 年 8 月到 2022 年 10 月，共有 11 名患者和 5 名护士参与了研究。研究采用主题分析法对访谈记录进行分析。结果确定了使用应用程序的障碍（缺乏契约精神）和促进因素（社会支持和本地高依从性）。在为期六周的项目结束后，患者发生了各种转变，如提高了健康意识，并倾向于更加关注心理症状。小组访谈的结果强调了技术与护理社会支持相结合在促进患者症状自我管理方面的重要性。

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引用次数: 0

An evidence-based breathing exercise intervention for chronic pain management in breast cancer survivors: A phase II randomized controlled trial 以证据为基础的呼吸运动干预，用于乳腺癌幸存者的慢性疼痛管理：第二阶段随机对照试验

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-27 DOI: 10.1016/j.ejon.2024.102625

Haiying Wang , Wai Hang Kwok , Li-Qun Yao , Xian-Liang Liu , Daniel Bressington , Meng-Ling Chen , Hou-Qiang Huang , Tao Wang , Jing-Yu (Benjamin) Tan

Objective

Explore the preliminary effects of a breathing exercise (BE) intervention on chronic pain among breast cancer survivors.

Methods

This two-parallel-arm, open-label pilot randomized controlled trial recruited 72 breast cancer survivors who were randomly allocated to either the control or intervention group (n = 36 each). Both groups received usual care and a pain information booklet, while the intervention group received 4 weeks of additional BE. The primary clinical outcome was measured using the Brief Pain Inventory (BPI), with secondary clinical outcomes measured by the Hospital Anxiety and Depression Scale (HADS), Quality of Life Patient/Cancer Survivor Version in Chinese (QOLCSV-C), and Functional Assessment of Cancer Therapy- Breast (FACT-B) immediately post-intervention and at 4-week follow-up. Both adjusted and unadjusted Generalized Estimating Equation models were utilized to assess the BE's potential effects, with safety assessed through participant self-report.

Results

Sixty-eight participants completed the study. Statistical significance was observed in BPI in both adjusted and unadjusted models at post-intervention and follow-up (p < 0.05). BE demonstrated positive effects on anxiety, depression and quality of life improvement across all measures and timepoints in both adjusted and unadjusted models (p < 0.05). The effect sizes were smaller in the adjusted model. Three mild transient discomforts were reported associated with BE practice including dizziness, tiredness and yawning, without requirement of medical treatment. No severe adverse events occurred.

Conclusion

This BE intervention appears effective in alleviating chronic pain, anxiety and depression, and improving quality of life for breast cancer survivors. Fully powered large-scale studies are required to confirm its effects.

目的探索呼吸运动（BE）干预对乳腺癌幸存者慢性疼痛的初步影响。方法这项两臂平行、开放标签的试验性随机对照试验招募了 72 名乳腺癌幸存者，他们被随机分配到对照组或干预组（各 36 人）。两组均接受常规护理和疼痛信息手册，而干预组则接受为期 4 周的额外 BE。主要临床结果采用简易疼痛量表（BPI）进行测量，次要临床结果采用医院焦虑抑郁量表（HADS）、生活质量患者/癌症幸存者中文版（QOLCSV-C）和癌症治疗功能评估-乳腺（FACT-B）进行测量。利用调整和未调整的广义估计方程模型来评估 BE 的潜在效果，并通过参与者的自我报告来评估其安全性。在干预后和随访期间，在调整和未调整模型中均观察到 BPI 具有统计学意义（p < 0.05）。在调整模型和未调整模型中，BE 对焦虑、抑郁和生活质量的改善都有积极影响（p < 0.05）。调整模型的效应大小较小。据报道，与 BE 实践相关的三种轻微短暂不适包括头晕、疲倦和打哈欠，但无需治疗。结论：这种 BE 干预似乎能有效缓解乳腺癌幸存者的慢性疼痛、焦虑和抑郁，并提高其生活质量。要确认其效果，还需要进行充分的大规模研究。

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引用次数: 0

Healthcare professionals’ knowledge, understanding and confidence to manage chronic pain after cancer treatment: A UK survey 医护人员对癌症治疗后慢性疼痛管理的认识、理解和信心：英国调查。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-23 DOI: 10.1016/j.ejon.2024.102610

J. Armoogum RN, PhD , D. Harcourt PhD , C. Foster PhD , A. Llewellyn PhD , J. Hepburn , M. Prior , C. McCabe RN, PhD

Introduction

Healthcare professionals are vital in preparing people living with and beyond cancer about the risks of chronic pain after cancer treatment. To do so, healthcare professionals need to be knowledgeable and confident about chronic pain after cancer treatment, yet little is known about their understanding or confidence of this common long-term and late side effect of cancer treatment.

Aim

To identify healthcare professionals’ knowledge and understanding of chronic pain after cancer treatment and consider how confident they are to inform, listen and signpost people living with and beyond cancer to appropriate information and support.

Method

A cross sectional online survey was distributed to healthcare professionals in the UK via cancer and primary care networks, cancer alliances and social media. The survey consisted of four domains: 1) knowledge and understanding, 2) information and support, 3) confidence and 4) barriers. Quantitative data were analysed with descriptive statistics and free text comments were analysed using qualitative content analysis.

Results

Healthcare professionals reported limited knowledge and understanding of chronic pain after cancer treatment. Healthcare professionals lacked confidence to talk to people about chronic pain after cancer treatment and viewed their lack of knowledge as a barrier. Additional barriers included ‘Limited service provision’, ‘Conflict between services’, ‘Not my role’ and ‘Challenges in diagnosing chronic pain in cancer survivors’.

Conclusion

Chronic pain after cancer can be a significant issue for those living with and beyond cancer, yet healthcare professionals report limited knowledge of it or understanding of the impact. More education is needed to increase healthcare professionals’ knowledge and confidence in chronic pain after cancer treatment.

导言医护人员在帮助癌症患者和癌症晚期患者了解癌症治疗后慢性疼痛的风险方面起着至关重要的作用。为此，医护人员需要对癌症治疗后的慢性疼痛有所了解并充满信心，然而，人们对医护人员对这种常见的长期和晚期癌症治疗副作用的了解或信心却知之甚少。方法通过癌症和初级保健网络、癌症联盟和社交媒体向英国的医护人员发放了一份横断面在线调查。调查包括四个方面：1）知识和理解；2）信息和支持；3）信心；4）障碍。定量数据采用描述性统计方法进行分析，自由文本评论采用定性内容分析方法进行分析。医护人员对与患者谈论癌症治疗后的慢性疼痛缺乏信心，并将缺乏相关知识视为一种障碍。其他障碍包括 "提供的服务有限"、"服务之间存在冲突"、"不是我的职责 "和 "诊断癌症幸存者慢性疼痛的挑战"。需要开展更多的教育，以增加医护人员对癌症治疗后慢性疼痛的了解和信心。

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引用次数: 0

Patient and staff perspectives on the concept of frailty and its role in assessment and decision making in treatment for older people with lung cancer 患者和医务人员对虚弱概念及其在老年肺癌患者治疗评估和决策中的作用的看法。

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-23 DOI: 10.1016/j.ejon.2024.102611

Clare Warnock , Janet Ulman , Julie Skilbeck , Angela Tod

Purpose

Frailty influences outcomes in patients with cancer and should be considered when making decisions about treatment but concerns have been raised about possible negative consequences of doing this. Many patients with lung cancer have attributes of frailty and this study explores patient and staff perspectives on its role in decision making in older people with lung cancer.

Methods

The study adopted a two-phase qualitative approach using semi-structured telephone interviews and an in-person focus group. Data was analysed using framework techniques.

Results

Three key themes were identified: describing frailty, assessing frailty and perceptions of frailty. Each presented opportunities and challenges for using frailty in the context of treatment decision making. Frailty was described in relation to diverse attributes which made it difficult to define and assess. It was also associated with negative connotations, particularly by patients.

Conclusion

Frailty has the potential to inform decision making that balances the wish to provide optimum treatment against risks to patients who may not be able to tolerate it. The challenge for healthcare staff is to incorporate frailty assessment into clinical practice in a way that is acceptable to patients and avoids potential unintended harms.

目的体弱会影响癌症患者的预后，因此在做出治疗决定时应考虑到这一点，但有人担心这样做可能会产生负面影响。许多肺癌患者都有体弱的特征，本研究探讨了患者和医务人员对体弱在老年肺癌患者决策中的作用的看法。方法本研究采用半结构化电话访谈和面对面焦点小组的两阶段定性方法。结果确定了三个关键主题：描述虚弱、评估虚弱和对虚弱的看法。每个主题都提出了在治疗决策中使用虚弱的机遇和挑战。对虚弱的描述涉及多种属性，因此很难对其进行定义和评估。结论虚弱有可能为决策制定提供依据，从而在提供最佳治疗的愿望与可能无法耐受治疗的患者所面临的风险之间取得平衡。医护人员面临的挑战是如何将虚弱评估纳入临床实践，使患者能够接受，并避免潜在的意外伤害。

{"title":"Patient and staff perspectives on the concept of frailty and its role in assessment and decision making in treatment for older people with lung cancer","authors":"Clare Warnock , Janet Ulman , Julie Skilbeck , Angela Tod","doi":"10.1016/j.ejon.2024.102611","DOIUrl":"10.1016/j.ejon.2024.102611","url":null,"abstract":"<div><h3>Purpose</h3><p>Frailty influences outcomes in patients with cancer and should be considered when making decisions about treatment but concerns have been raised about possible negative consequences of doing this. Many patients with lung cancer have attributes of frailty and this study explores patient and staff perspectives on its role in decision making in older people with lung cancer.</p></div><div><h3>Methods</h3><p>The study adopted a two-phase qualitative approach using semi-structured telephone interviews and an in-person focus group. Data was analysed using framework techniques.</p></div><div><h3>Results</h3><p>Three key themes were identified: describing frailty, assessing frailty and perceptions of frailty. Each presented opportunities and challenges for using frailty in the context of treatment decision making. Frailty was described in relation to diverse attributes which made it difficult to define and assess. It was also associated with negative connotations, particularly by patients.</p></div><div><h3>Conclusion</h3><p>Frailty has the potential to inform decision making that balances the wish to provide optimum treatment against risks to patients who may not be able to tolerate it. The challenge for healthcare staff is to incorporate frailty assessment into clinical practice in a way that is acceptable to patients and avoids potential unintended harms.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"71 ","pages":"Article 102611"},"PeriodicalIF":2.8,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141133854","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}

引用次数: 0

Relationship between family resilience and dyadic coping in colorectal cancer patients and their spouses, based on the actor-partner interdependence model 基于行为者-伙伴相互依存模式的结直肠癌患者及其配偶的家庭复原力与二人应对之间的关系

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-22 DOI: 10.1016/j.ejon.2024.102622

Fang Qin , Tianqi Wei , Xinyu Zhao , Siyu yuan , Yan He , Meifei Chen , Zhaolun Luo , Lei Shi , Guoxin Li

Purpose

To explore the relationship between dyadic coping and family resistance in colorectal cancer patients and their spouses.

Methods

178 pairs of colorectal cancer patients and their spouses hospitalized in a three tertiary hospital in Changsha were selected from July 2021 to March 2022. The Family Resilience Assessment Scale and the Dyadic Coping Inventory were used to investigate, which relationship was analyzed by APIM.

Results

The total score of patients' dyadic coping was 121.51 ± 16.8, and spouses' score was 123.72 ± 16.6. The total score of family resilience was 176.42 ± 16.0, and spouses' score was 182.72 ± 17.03. There was a significant positive relationship between dyadic coping and family resistance of colorectal cancer patients and their spouses (r > 0.7, P < 0.001). The positive dyadic coping of colorectal cancer patients and their spouses had a positive effect on their own and their spouses’ family resilience and the effect was the same. The negative dyadic coping of colorectal cancer patients and their spouses had a negative impact on their own family resilience, and the overall model showed a subject pattern.

Conclusions

The level of family resilience of colorectal cancer patients and their spouses was affected by the level of dyadic coping. Medical workers should regard patients and their spouses as a whole and formulate mutually supportive coping strategies with family as the center, so as to increase positive coping behavior and enhance their family's ability to cope with cancer.

方法选取2021年7月至2022年3月在长沙市某三级甲等医院住院治疗的结直肠癌患者及其配偶178对，采用家庭复原力评定量表和结直肠癌患者夫妇应对量表进行调查，并用APIM对两者之间的关系进行分析。采用家庭复原力评定量表和二元应对量表进行调查，并用 APIM 分析二者之间的关系。结果患者二元应对总分为（121.51±16.8）分，配偶二元应对总分为（123.72±16.6）分。家庭复原力总分为（176.42 ± 16.0），配偶得分为（182.72 ± 17.03）。结直肠癌患者及其配偶的双向应对与家庭抗病能力之间存在明显的正相关关系（r > 0.7, P < 0.001）。结直肠癌患者及其配偶的积极二元应对对其自身和配偶的家庭抗病能力有积极影响，且效果相同。结直肠癌患者及其配偶的负性二元应对对其自身的家庭复原力有负向影响，总体模型呈现受试模式。医务工作者应将患者及其配偶视为一个整体，制定以家庭为中心的相互支持的应对策略，以增加积极的应对行为，提高家庭应对癌症的能力。

{"title":"Relationship between family resilience and dyadic coping in colorectal cancer patients and their spouses, based on the actor-partner interdependence model","authors":"Fang Qin , Tianqi Wei , Xinyu Zhao , Siyu yuan , Yan He , Meifei Chen , Zhaolun Luo , Lei Shi , Guoxin Li","doi":"10.1016/j.ejon.2024.102622","DOIUrl":"https://doi.org/10.1016/j.ejon.2024.102622","url":null,"abstract":"<div><h3>Purpose</h3><p>To explore the relationship between dyadic coping and family resistance in colorectal cancer patients and their spouses.</p></div><div><h3>Methods</h3><p>178 pairs of colorectal cancer patients and their spouses hospitalized in a three tertiary hospital in Changsha were selected from July 2021 to March 2022. The Family Resilience Assessment Scale and the Dyadic Coping Inventory were used to investigate, which relationship was analyzed by APIM.</p></div><div><h3>Results</h3><p>The total score of patients' dyadic coping was 121.51 ± 16.8, and spouses' score was 123.72 ± 16.6. The total score of family resilience was 176.42 ± 16.0, and spouses' score was 182.72 ± 17.03. There was a significant positive relationship between dyadic coping and family resistance of colorectal cancer patients and their spouses (<em>r</em> > 0.7, <em>P</em> < 0.001). The positive dyadic coping of colorectal cancer patients and their spouses had a positive effect on their own and their spouses’ family resilience and the effect was the same. The negative dyadic coping of colorectal cancer patients and their spouses had a negative impact on their own family resilience, and the overall model showed a subject pattern.</p></div><div><h3>Conclusions</h3><p>The level of family resilience of colorectal cancer patients and their spouses was affected by the level of dyadic coping. Medical workers should regard patients and their spouses as a whole and formulate mutually supportive coping strategies with family as the center, so as to increase positive coping behavior and enhance their family's ability to cope with cancer.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"70 ","pages":"Article 102622"},"PeriodicalIF":2.8,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141089722","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}

引用次数: 0

The effect of a biofeedback-based virtual reality game on pain, fear and anxiety levels during port catheter needle insertion in pediatric oncology patients: A randomized controlled study 基于生物反馈的虚拟现实游戏对儿科肿瘤患者在插入端口导管针时的疼痛、恐惧和焦虑水平的影响：随机对照研究

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-22 DOI: 10.1016/j.ejon.2024.102621

Eyşan Hanzade Savaş , Remziye Semerci , Cengiz Bayram

Purpose

It is essential to control pain, fear, and anxiety related to medical procedures to improve the well-being of the child and family trying to cope with the disease process. This study investigated the impact of the biofeedback-based virtual reality game (BioVirtualPed) on pain, fear, and anxiety levels during port needle insertion in pediatric oncology patients (POPs).

Methods

This randomized controlled study was conducted at a hospital between August and December 2023 involving 62 POPs aged 6–12 and their mothers. The intervention group wore a virtual reality headset and a respiratory sensor during the procedure. Data were collected using the Descriptive Information Form, Wong-Baker Pain Assessment Scale, Child Fear Scale, Children's State Anxiety, Satisfaction Scoring-Visual Analog Scale, and ADXL354 Sensor. Statistical analysis was performed using IBM SPSS for Windows Version 24.0.

Results

The intervention group showed lower mean pain scores than the control group (p < 0.001). There was no difference in pre-procedure fear and anxiety scores between groups (p > 0.05 and p > 0.05, respectively). Post-procedure fear and anxiety scores were lower in the intervention group (p < 0.001 and p < 0.001, respectively). The intervention group's mean respiratory rates were lower (p < 0.001), and their satisfaction scores were higher (p < 0.001). Agreements between POPs and mothers on pain, fear, and anxiety scores were good and excellent across groups (p < 0.001).

Conclusions

The BioVirtualPed reduced procedure-related pain, anxiety, and fear, increased care satisfaction, and had a positive effect on the mean respiratory rate, hence it shows promising results, but these findings need further comfirmation.

目的控制与医疗程序相关的疼痛、恐惧和焦虑对改善儿童和家庭应对疾病过程的福祉至关重要。本研究调查了基于生物反馈的虚拟现实游戏（BioVirtualPed）对儿科肿瘤患者（POPs）插管针过程中疼痛、恐惧和焦虑水平的影响。方法这项随机对照研究于 2023 年 8 月至 12 月在一家医院进行，共有 62 名 6-12 岁的儿科肿瘤患者及其母亲参与。干预组在手术过程中佩戴虚拟现实耳机和呼吸传感器。使用描述性信息表、Wong-Baker 疼痛评估量表、儿童恐惧量表、儿童状态焦虑、满意度评分-视觉模拟量表和 ADXL354 传感器收集数据。结果干预组的平均疼痛评分低于对照组（P< 0.001）。两组患者术前的恐惧和焦虑评分无差异（分别为 p > 0.05 和 p > 0.05）。干预组的术后恐惧和焦虑评分较低（分别为 p < 0.001 和 p < 0.001）。干预组的平均呼吸频率较低（p <0.001），满意度评分较高（p <0.001）。结论 BioVirtualPed 减少了与手术相关的疼痛、焦虑和恐惧，提高了护理满意度，并对平均呼吸频率产生了积极影响，因此显示出良好的效果，但这些结果还需要进一步证实。

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引用次数: 0

The trajectories of psychosocial adjustment among young to middle-aged women with breast cancer: A prospective longitudinal study 中青年女性乳腺癌患者的社会心理适应轨迹：前瞻性纵向研究

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-22 DOI: 10.1016/j.ejon.2024.102617

Yiheng Zhang , Jingwen Yan , Haiyan He , Lijuan Zhang , Lili Chen , Na Li , Huan Li , Xueying Zhang , Ni Zhang , Shihao Sun , Baoyi Zhang , Meifen Zhang

Purpose

This study aims to explore heterogeneous trajectories of psychosocial adjustment among young to middle-aged women with breast cancer and determine the predictive factors influencing these trajectories.

Methods

This study was conducted from October 2019 to October 2022 across two hospitals in Guangzhou. Demographic and disease characteristics, psychosocial adjustment, self-efficacy, social support, and coping modes were collected at baseline. Follow-up evaluations of psychosocial adjustment occurred at 1, 3, and 6 months post-surgery. Latent class growth modeling identified distinct patterns of psychosocial adjustment trajectories. Logistic regression analysis determined the predictive factors.

Results

A total of 377 young to middle-aged women with breast cancer participated in this study, with 289 participants completing the 6-month follow-up. Three distinct trajectories of psychosocial adjustment were identified including a "sustained severe maladjustment" trajectory, comprising 22.5% of participants, a "sustained moderate maladjustment" trajectory, comprising 50.4% of participants, and a "well-adjusted class" trajectory, comprising 27.1% of participants. Predictors of psychosocial adjustment trajectories included affected side, surgical type, chemotherapy, self-efficacy, social support, and coping modes.

Conclusions

This study revealed three distinct trajectories of psychosocial adjustment among young to middle-aged women with breast cancer. Those with right-sided breast cancer, undergoing total mastectomy, receiving chemotherapy, low self-efficacy, limited social support, and relying on confrontation or avoidance coping modes may experience sustained maladjustment.

目的本研究旨在探讨中青年女性乳腺癌患者心理社会适应的异质性轨迹，并确定影响这些轨迹的预测因素。方法本研究于2019年10月至2022年10月在广州两家医院进行。基线收集人口学和疾病特征、社会心理适应、自我效能、社会支持和应对模式。术后1、3和6个月对心理适应进行随访评估。潜类成长模型确定了不同的社会心理适应轨迹模式。结果共有 377 名患有乳腺癌的中青年女性参加了这项研究，其中 289 人完成了 6 个月的随访。研究发现了三种不同的社会心理适应轨迹，包括 "持续严重不适应 "轨迹（占参与者的 22.5%）、"持续中度不适应 "轨迹（占参与者的 50.4%）和 "适应良好级 "轨迹（占参与者的 27.1%）。社会心理适应轨迹的预测因素包括患侧、手术类型、化疗、自我效能感、社会支持和应对模式。患有右侧乳腺癌、接受全乳房切除术、接受化疗、自我效能感低、社会支持有限、依赖对抗或回避应对模式的女性可能会出现持续的适应不良。

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引用次数: 0

Social determinants of health in post-treatment cancer survivors: Scoping review 癌症治疗后幸存者健康的社会决定因素：范围界定审查

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-22 DOI: 10.1016/j.ejon.2024.102614

Alfredo Lara-Morales , Nelia Soto-Ruiz , Andrés A. Agudelo-Suárez , Cristina García-Vivar

Purpose

To identify, analyze and describe the available scientific evidence about the influence of social determinants of health on cancer survivors.

Methods

A scoping review was outlined according to the steps described by the Joanna Brigs Institute Reviewer's Manual: selection of studies, data mapping, and results grouping, synthesis and report, was conducted. PubMed, CINAHL, Scopus and LILACS databases were searched from 2011 to 2023.

Results

Out of a total of 1783 papers initially screened, only 19 studies met the inclusion criteria for the scoping review, focusing on the primary social determinants impacting the health of cancer survivors. These studies were categorized into six main themes: a) employment (challenges in work reintegration and work-place difficulties); b) variations among different ethnic groups; c) disparities based on sex; d) barriers and facilitators in accessing health and social security services; e) the role of support networks and social environments; and f) socioeconomic lever (influence of income and socioeconomic status).

Conclusions

Understanding the impact of social determinants on the post-treatment quality of life for cancer survivors is crucial. Comprehensive survivorship care should address not just medical needs but also holistic aspects like social support, education, overall well-being, and improvements in physical and social environments. This multifaceted approach ensures the well-rounded support needed for optimal survivorship outcomes.

目的识别、分析和描述关于健康的社会决定因素对癌症幸存者的影响的现有科学证据。方法根据乔安娜-布里格斯研究所《审稿人手册》中描述的步骤：选择研究、数据映射、结果分组、综合和报告，进行范围界定综述。结果在初步筛选出的总共 1783 篇论文中，只有 19 项研究符合范围界定综述的纳入标准，重点关注影响癌症幸存者健康的主要社会决定因素。这些研究被分为六大主题：a) 就业（重返工作岗位的挑战和工作场所的困难）；b) 不同种族群体之间的差异；c) 性别差异；d) 获得医疗和社会保障服务的障碍和促进因素；e) 支持网络和社会环境的作用；f) 社会经济杠杆（收入和社会经济地位的影响）。全面的幸存者护理不仅应满足医疗需求，还应涉及社会支持、教育、整体福祉以及物质和社会环境改善等整体方面。这种多层面的方法可确保为幸存者提供所需的全面支持，以实现最佳的康复效果。

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引用次数: 0

Factors associated with perceived cognitive function in breast cancer patients treated with chemotherapy: A multicenter cross-sectional study 中国乳腺癌化疗患者认知功能的相关因素：一项多中心横断面研究

IF 2.8 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-05-21 DOI: 10.1016/j.ejon.2024.102623

Yu Liu , Jun-E Liu , Tie-Ying Shi , Li-Xiao Bai , Ai-Ling Yang , Ruo-Lin Li , Ya-Li Su , Pi-Lin Wang , Juan Liu , Ling Zhang

Purpose

This study aimed to investigate the factors associated with perceived cognitive function among breast cancer patients treated with chemotherapy in China.

Methods

The study was a multicenter cross-sectional design. Data were collected from 10 public hospitals in China between April 2022 and February 2023. A total of 741 participants completed questionnaires assessing sociodemographic and medical characteristics, perceived cognitive function, sleep quality, fatigue, anxiety, and depression. Hierarchical multiple regression analysis was used to assess the determinants of cognitive function.

Results

The hierarchical multiple regression model accounted for 31.5% of variation in perceived cognitive function (sociodemographic 4.5%; medical 6.6%; exercise frequency 6.6%; sleep quality 2.1%; fatigue 2.8%; anxiety combined with depression 9.0%). Education level, chemotherapy type, number of chemotherapy cycles, and cyclophosphamide drug use were significant predisposing factors of perceived cognitive function (p < 0.001). Exercising ≥3 times/week (p < 0.001) was a significant factor positively influencing perceived cognitive function, meanwhile, anxiety (p < 0.001) and depression (p < 0 0.001) were negative factors.

Conclusion

Our findings suggest that patients with low education levels, postoperative chemotherapy, cyclophosphamide treatment, and a greater number of chemotherapy cycles need more assessment. Sedentary patients, those who have never exercised, and those with anxiety or depression all showed greater cognitive decline. By identifying susceptible populations, encouraging regular exercise, and addressing anxiety and depression, healthcare professionals can contribute significantly to prevent patients’ cognitive decline throughout chemotherapy.

目的本研究旨在调查中国接受化疗的乳腺癌患者认知功能的相关因素。研究采用多中心横断面设计，在 2022 年 4 月至 2023 年 2 月期间从中国 10 家公立医院收集数据。共有741名参与者填写了调查问卷，对社会人口学和医学特征、认知功能、睡眠质量、疲劳、焦虑和抑郁进行了评估。结果分层多元回归模型解释了认知功能变化的 31.5%（社会人口学 4.5%；医学 6.6%；运动频率 6.6%；睡眠质量 2.1%；疲劳 2.8%；焦虑合并抑郁 9.0%）。教育程度、化疗类型、化疗周期数和环磷酰胺药物的使用是影响认知功能的重要诱因（p <0.001）。运动≥3次/周（p <0.001）是积极影响认知功能的重要因素，而焦虑（p <0.001）和抑郁（p <0.001）则是消极因素。久坐不动的患者、从未运动过的患者以及患有焦虑症或抑郁症的患者认知能力下降的程度都比较严重。通过识别易感人群、鼓励定期锻炼以及解决焦虑和抑郁问题，医护人员可以在整个化疗过程中为防止患者认知能力下降做出重要贡献。

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