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

Understanding psychological financial hardship in lung cancer: latent profiles and correlates with patient and caregiver factors 了解肺癌患者的心理经济困难：潜在特征及其与患者和护理者因素的相关性。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1016/j.ejon.2025.102999

Shumin Jia , Pui Hing Chau , Denise Shuk Ting Cheung , Yongchun Cui , Chia-Chin Lin

Purpose

Lung cancer imposes a significant financial burden, including psychological financial hardship (PFH). This study aims to identify latent profiles of PFH in lung cancer patients and determine associated patient and caregiver factors.

Methods

A cross-sectional analysis was conducted with 305 lung cancer patient-caregiver dyads. PFH was measured using the Comprehensive Score for Financial Toxicity (COST), while quality of life (QoL) and distress were also assessed. Latent Profile Analysis (LPA) identified PFH profiles, and one-way ANOVA examined their associations with QoL and distress. Multinomial logistic regression examined correlates of PFH profiles.

Results

Three PFH profiles were identified: high-level (COST 0–13), low-level (COST 14–29), and no PFH (COST 30–44). These profiles had medium effects on mental QoL (η² = 0.204), physical QoL (η² = 0.150), and distress (η² = 0.230), indicating clinical significance. Compared with no PFH group, lower caregiver education increased the odds of patients being in high-level PFH groups (OR = 3.847, 95 % CI: 1.038–11.717, p = 0.043); farming occupation was strongly associated with high-level PFH (OR = 9.658, 95 % CI: 3.369–27.689, p < 0.001); in contrast, those not reporting financial sacrifices were substantially less likely to experience high-level PFH (OR = 0.066, 95 % CI: 0.022–0.195, p < 0.001).

Conclusions

Distinct PFH profiles and correlates were identified, highlighting the role of both patient and caregiver factors. Findings underscore the importance of early screening and family-centred interventions to mitigate financial hardship and support well-being in cancer care.

目的：肺癌带来了巨大的经济负担，包括心理经济困难（PFH）。本研究旨在确定肺癌患者PFH的潜在特征，并确定相关的患者和护理人员因素。方法：对305例肺癌患者-照护者进行横断面分析。使用财务毒性综合评分（COST）测量PFH，同时评估生活质量（QoL）和痛苦。潜在谱分析（LPA）确定了PFH谱，并通过单因素方差分析（one-way ANOVA）检验了它们与生活质量和痛苦的关系。多项逻辑回归检验了PFH谱的相关关系。结果：确定了三种PFH特征：高水平（COST 0-13）、低水平（COST 14-29）和无PFH （COST 30-44）。这些特征对精神生活质量（η2 = 0.204）、身体生活质量（η2 = 0.150）和痛苦（η2 = 0.230）均有中等影响，具有临床意义。与无PFH组相比，较低的照顾者教育水平增加了患者出现高水平PFH组的几率（OR = 3.847, 95% CI: 1.038 ~ 11.717, p = 0.043）；农业职业与高水平PFH密切相关（OR = 9.658, 95% CI: 3.369-27.689, p）结论：确定了不同的PFH概况和相关因素，突出了患者和护理人员因素的作用。研究结果强调了早期筛查和以家庭为中心的干预措施对于减轻癌症治疗中的经济困难和支持福祉的重要性。

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引用次数: 0

Effectiveness of digital therapeutics in improving health outcomes in cancer patients and survivors: A systematic review and meta-analysis 数字疗法在改善癌症患者和幸存者健康结果方面的有效性：系统回顾和荟萃分析。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1016/j.ejon.2025.103007

Rainier Yue Yang Goh , Si Xian Ng , Jing Heng Tan , Minna Pikkarainen , Hong-Gu He

Purpose

To assess the implementation of Digital Therapeutics in the care of cancer patients and survivors by synthesising the best available evidence regarding their efficacy in improving health outcomes compared to usual care or placebo control groups.

Methods

In this systematic review and meta-analysis, a comprehensive search of literature published between 2018 and 2023 was conducted in PubMed, Embase, Medline, CINAHL, Web of Science, Scopus, Google Scholar, WHO Publications, ISRCTN, and ClinicalTrials.gov. Randomised controlled trials published in English were eligible for inclusion if they employed Digital Therapeutics to treat adult cancer patients and survivors. Two independent reviewers conducted the database searches, data extraction, and risk of bias assessment according to Cochrane's guidelines. Meta-analyses were conducted using the RevMan Web software. This systematic review was registered with PROSPERO CRD42023491190.

Results

Twenty studies met the inclusion criteria. Digital Therapeutics demonstrated a significant reduction in fear of cancer recurrence (SMD = −0.43, p < 0.00001) and in fatigue (SMD = −0.23, p = 0.0005). Additionally, there was a significant reduction in Depression (SMD = −0.37, p < 0.00001) and Anxiety (SMD = −0.32, p = 0.0002) symptoms, along with significant improvements in Quality of Life (SMD = 0.23, p = 0.002) from Digital Therapeutics use. No publication bias was detected.

Conclusion

Given their benefits, the continued development of Digital Therapeutics for cancer patients and survivors is warranted. Future research should explore the geographical and socio-demographic influences on the accessibility of such interventions to meet the diverse needs of cancer populations worldwide.

目的：通过综合与常规治疗组或安慰剂对照组相比，数字治疗在改善健康结果方面的有效性，评估数字治疗在癌症患者和幸存者护理中的实施情况。方法：在本系统综述和荟萃分析中，对2018年至2023年在PubMed、Embase、Medline、CINAHL、Web of Science、Scopus、谷歌Scholar、WHO Publications、ISRCTN和ClinicalTrials.gov上发表的文献进行了全面检索。用英语发表的随机对照试验，如果使用Digital Therapeutics治疗成年癌症患者和幸存者，则符合纳入条件。两名独立审稿人根据Cochrane指南进行数据库检索、数据提取和偏倚风险评估。采用RevMan Web软件进行meta分析。本系统评价注册号为PROSPERO CRD42023491190。结果：20项研究符合纳入标准。结论：考虑到它们的益处，数字疗法对癌症患者和幸存者的持续发展是有必要的。未来的研究应探讨地理和社会人口对这些干预措施的可及性的影响，以满足全世界癌症人群的不同需求。

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引用次数: 0

The effect of interpersonal psychotherapy on depression, emotion regulation, and perceived social support in breast cancer patients at risk of depression: A randomized controlled trial 人际心理治疗对乳腺癌抑郁风险患者抑郁、情绪调节和感知社会支持的影响：一项随机对照试验。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-11-08 DOI: 10.1016/j.ejon.2025.103042

Tuğba Şahin Tokatlıoğlu , Fahriye Oflaz

Purpose

This study aimed to evaluate the effects of Interpersonal Psychotherapy (IPT) on depression, interpersonal emotion regulation skills, and perceived social support among patients diagnosed with breast cancer.

Methods

A randomized controlled experimental design was used. The study was conducted between February 2024 and April 2025 at University Hospital's Chemotherapy Unit. The sample consisted of 42 patients, randomly assigned to either an experimental group (n = 21) or a control group (n = 21). The experimental group received 12 weeks of individual IPT. Data were collected at three time points (pre-test, post-test, and follow-up) using the Beck Depression Inventory for Primary Care, the Interpersonal Emotion Regulation Questionnaire, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using descriptive statistics, correlation analysis, and multiple regression analysis.

Results

There were no statistically significant differences between the experimental and control groups in terms of sociodemographic and clinical characteristics (p > 0.05). A significant negative correlation was found between depression levels and both interpersonal emotion regulation and perceived social support (p < 0.001). GLM analyses revealed statistically significant effects of group, time, and group∗time interaction for all measures (p < 0.001). In the intervention group, depression levels significantly decreased while emotion regulation skills and perceived social support increased over time.

Conclusion

IPT was found to be effective in reducing depression levels and improving interpersonal emotion regulation and perceived social support among breast cancer patients. These findings suggest that IPT should be integrated into psycho-oncology care, and future studies should explore its application in diverse populations and cancer types with larger, multi-center, and long-term designs.

目的：探讨人际心理治疗（IPT）对乳腺癌患者抑郁、人际情绪调节技能和感知社会支持的影响。方法：采用随机对照试验设计。该研究于2024年2月至2025年4月在大学医院化疗部门进行。样本由42例患者组成，随机分为实验组（n = 21）和对照组（n = 21）。实验组接受12周的单独IPT治疗。采用贝克初级保健抑郁量表、人际情绪调节问卷和感知社会支持多维度量表，在测试前、测试后和随访三个时间点收集数据。数据分析采用描述性统计、相关分析和多元回归分析。结果：实验组与对照组在社会人口学及临床特征方面差异无统计学意义（p < 0.05）。抑郁水平与人际情绪调节和感知社会支持均呈显著负相关(p)。结论：IPT能有效降低乳腺癌患者的抑郁水平，改善人际情绪调节和感知社会支持。这些结果表明，IPT应纳入心理肿瘤治疗，未来的研究应以更大的、多中心的、长期的设计，探索其在不同人群和癌症类型中的应用。

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引用次数: 0

Experiences and perceptions of oncology patients with the care provided by clinical nurse specialists in an outpatient nurse-led clinic 在门诊护士主导的诊所中，由临床护理专家提供的肿瘤患者护理的经验和看法。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-07-23 DOI: 10.1016/j.ejon.2025.102942

Frauke Vanderhaeghe , Elsie Decoene , Annelies Courtens , Ine Decadt , Ann Van Hecke

Purpose

This study aimed to explore patients’ experiences, satisfaction and perceptions regarding the care provided by clinical nurse specialists (CNS) within a nurse-led clinic (NLC) that has been operational for two years. The study examined key aspects such as communication, accessibility, expertise, responsiveness and the therapeutic relationship between patients and the CNS, the oncologist, and other nursing professionals involved in their care. The study also examined differences in responses across demographics.

Methods

A mixed-methods study was conducted using questionnaires and semi-structured interviews with adult patients with gynaecological, urological, and head and neck cancer who were being followed by the CNSs. Consecutive sampling was applied, including participants at the oncology day hospital. A total of 30 questionnaires and ten interviews were conducted. The results from both research methods were described in an integrated manner.

Results

Patients reported high satisfaction with the care provided by the CNS. The identified themes include: general experience and significance of the CNS and consultations, role clarity of the CNS, the CNS as a confidant, advanced expertise in oncology, approach to patient communication, availability and continuity, relationship with the oncologist, and position towards other nursing profiles.

Conclusions

CNSs working in an outpatient NLC provide significant added value to oncology patients. They are professionals with advanced expertise which enables them to provide holistic, patient-centred care. CNSs should clearly communicate their role and distinction from other healthcare professionals. We suggest additional research, especially within Belgium, because of recent changes of the legal framework of the CNS.

目的：本研究旨在探讨在一家护士主导的诊所（NLC）中，患者对临床护理专家（CNS）提供的护理的体验、满意度和看法。该研究考察了关键方面，如沟通、可及性、专业知识、反应能力以及患者与中枢神经系统、肿瘤学家和其他护理专业人员之间的治疗关系。该研究还调查了人口统计学上的反应差异。方法：采用问卷调查和半结构化访谈的混合方法对CNSs随访的成年妇科、泌尿科和头颈癌患者进行研究。采用连续抽样，包括肿瘤日间医院的参与者。共进行问卷调查30份，访谈10次。两种研究方法的结果以综合的方式进行了描述。结果：患者对中枢神经系统的护理满意度较高。确定的主题包括：中枢神经系统和会诊的一般经验和意义，中枢神经系统的角色清晰度，中枢神经系统作为知己，肿瘤学方面的高级专业知识，患者沟通方法，可用性和连续性，与肿瘤学家的关系，以及对其他护理概况的立场。结论：CNSs在门诊NLC的工作为肿瘤患者提供了显著的附加价值。他们是具有先进专业知识的专业人员，能够提供全面的、以患者为中心的护理。CNSs应该清楚地传达他们的角色和与其他医疗保健专业人员的区别。我们建议进一步的研究，特别是在比利时，因为最近的变化的法律框架的中枢神经系统。

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引用次数: 0

How do GenAI and social media provide psychosocial information support for cancer survivors and professionals? An analysis using structural topic modeling for exploration and comparison GenAI和社交媒体如何为癌症幸存者和专业人员提供心理社会信息支持？采用结构主题模型进行分析探讨和比较

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-20 DOI: 10.1016/j.ejon.2025.103018

Ziqi Peng , Xiaohui Su , Yujie Hou

Purpose

Digital communication has transformed the landscape of psychosocial oncology information for survivors and professionals, potentially influencing the unmet informational needs and supports of cancer survivors and healthcare professionals. This study aims to explore the psychosocial oncology information on social media and generative artificial intelligence (GenAI) using a topic modeling approach.

Methods

A qualitative design incorporating structural topic modeling (STM) was utilized to analyze the psychosocial oncology information from social media (WeChat and Rednote) and GenAI (DeepSeek and ChatGPT). Social media data (n = 1177) were collected using the main keywords “cancer” and “psychosocial”, while GenAI data were collected through nine standardized prompts. STM identified topic prevalence, keywords, topic relations, and temporal trends specific to social media posts.

Results

Five topics were identified from social media, highlighting caregivers' reflection, psychological intervention and assessment, family dynamics, and pediatric cancer care. Sharing caregiving reflection as an emerging trend for social support. STM identified seven topics in DeepSeek and five in ChatGPT, commonly focusing on psychological distress, coping strategies and support systems, healthcare professional practices, and holistic care. DeepSeek demonstrated more critical reflection on survivorship challenges and psychosocial care barriers, but identified misinformation. Social media presents in-depth topics, whereas GenAI offers synthesized overviews. Help-seeking resources were limited across both sources.

Conclusions

Findings emphasized the significance of information strategies in psychosocial oncology care. GenAI should be fine-tuning/training with relevant data for improving practices. Social media and content creators are effective tools for promoting evidence-based information. A hybrid model that integrates professional oversight, GenAI, and cloud platforms is essential to ensure ethical compliance with psychosocial care.

目的数字通信改变了幸存者和专业人员的心理社会肿瘤学信息格局，可能影响癌症幸存者和医疗保健专业人员未得到满足的信息需求和支持。本研究旨在利用主题建模方法探索社交媒体和生成式人工智能（GenAI）上的社会心理肿瘤学信息。方法采用定性设计，结合结构主题模型（STM）对来自社交媒体（b微信和Rednote）和GenAI （DeepSeek和ChatGPT）的心理社会肿瘤信息进行分析。社交媒体数据（n = 1177）使用主要关键词“癌症”和“社会心理”收集，而GenAI数据通过9个标准化提示收集。STM确定了特定于社交媒体帖子的主题流行度、关键词、主题关系和时间趋势。结果从社交媒体中确定了五个主题，重点是照顾者的反思，心理干预和评估，家庭动态和儿科癌症护理。分享照顾反思是社会支持的新趋势。STM在DeepSeek中确定了7个主题，在ChatGPT中确定了5个主题，通常侧重于心理困扰、应对策略和支持系统、医疗保健专业实践和整体护理。DeepSeek对幸存者面临的挑战和心理社会护理障碍进行了更批判性的反思，但发现了错误信息。社交媒体呈现深度主题，而GenAI提供综合概述。这两个来源的求助资源都很有限。结论研究结果强调了信息策略在心理社会肿瘤护理中的重要性。GenAI应该使用相关数据进行微调/培训，以改进实践。社交媒体和内容创造者是促进循证信息的有效工具。整合专业监督、GenAI和云平台的混合模式对于确保社会心理护理符合道德规范至关重要。

{"title":"How do GenAI and social media provide psychosocial information support for cancer survivors and professionals? An analysis using structural topic modeling for exploration and comparison","authors":"Ziqi Peng , Xiaohui Su , Yujie Hou","doi":"10.1016/j.ejon.2025.103018","DOIUrl":"10.1016/j.ejon.2025.103018","url":null,"abstract":"<div><h3>Purpose</h3><div>Digital communication has transformed the landscape of psychosocial oncology information for survivors and professionals, potentially influencing the unmet informational needs and supports of cancer survivors and healthcare professionals. This study aims to explore the psychosocial oncology information on social media and generative artificial intelligence (GenAI) using a topic modeling approach.</div></div><div><h3>Methods</h3><div>A qualitative design incorporating structural topic modeling (STM) was utilized to analyze the psychosocial oncology information from social media (WeChat and Rednote) and GenAI (DeepSeek and ChatGPT). Social media data (n = 1177) were collected using the main keywords “cancer” and “psychosocial”, while GenAI data were collected through nine standardized prompts. STM identified topic prevalence, keywords, topic relations, and temporal trends specific to social media posts.</div></div><div><h3>Results</h3><div>Five topics were identified from social media, highlighting caregivers' reflection, psychological intervention and assessment, family dynamics, and pediatric cancer care. Sharing caregiving reflection as an emerging trend for social support. STM identified seven topics in DeepSeek and five in ChatGPT, commonly focusing on psychological distress, coping strategies and support systems, healthcare professional practices, and holistic care. DeepSeek demonstrated more critical reflection on survivorship challenges and psychosocial care barriers, but identified misinformation. Social media presents in-depth topics, whereas GenAI offers synthesized overviews. Help-seeking resources were limited across both sources.</div></div><div><h3>Conclusions</h3><div>Findings emphasized the significance of information strategies in psychosocial oncology care. GenAI should be fine-tuning/training with relevant data for improving practices. Social media and content creators are effective tools for promoting evidence-based information. A hybrid model that integrates professional oversight, GenAI, and cloud platforms is essential to ensure ethical compliance with psychosocial care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103018"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417952","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

Comparative efficacy of exercise interventions for managing cancer-related symptoms and enhancing quality of life: A systematic review and network meta-analysis 运动干预对控制癌症相关症状和提高生活质量的比较疗效：系统回顾和网络荟萃分析

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.ejon.2025.103022

Yuxin Wang , Ying Wang ([email protected]) , Yue Cui , Weiwei Su , Yajing Xue

Purpose

The objective of this study was to evaluate and compare the efficacy of available exercises for cancer-related symptoms in cancer survivors to provide references for healthcare professionals and clinicians.

Methods

This study was registered on PROSPERO. PubMed, Cochrane Library, Web of Science, EMBASE, and PsycInfo were searched from their inception to 16 August 2024. Reference lists of included trials and related reviews, the U.S. National Library of Medicine Clinical Trial Registry Platform and the World Health Organization International Clinical Trials Registry Platform were also searched. Study selection, data extraction and risk of assessment were independently performed by two researchers. STATA software version 16.0 was adopted to conduct the network meta-analysis.

Results

A total of 277 trials with 21,018 participants were included. The surface under the cumulative ranking curve values indicated that the best exercise intervention for fatigue was aerobic exercise (75.6 %), for quality of life (84.5 %) and pain (77.2 %) was resistance exercise, for anxiety was mind-body exercise (89.6 %), for depression was multi-component exercise (93.3 %). Values of the Surface Under the Cumulative Ranking Curve indicated that the best exercise for fatigue was aerobic exercise (75.6 %); for quality of life (84.5 %) and pain (77.2 %), it was resistance exercise; for anxiety, it was mind-body exercise (89.6 %); and for depression, it was multi-component exercise (93.3 %).

Conclusions

Resistance exercise has the highest probability of being the optimal exercise type for reducing quality of life and sleep disturbances. In the future, more strictly designed trials are needed to verify the conclusions of this network meta-analysis.

目的本研究的目的是评估和比较现有的运动对癌症幸存者癌症相关症状的疗效，为医疗保健专业人员和临床医生提供参考。方法本研究在PROSPERO上注册。PubMed, Cochrane Library, Web of Science， EMBASE和PsycInfo从其成立到2024年8月16日进行了检索。还检索了纳入试验和相关综述的参考列表、美国国家医学图书馆临床试验注册平台和世界卫生组织国际临床试验注册平台。研究选择、数据提取和风险评估由两位研究者独立完成。采用STATA软件16.0版本进行网络meta分析。结果共纳入277项试验，21,018名受试者。累积排序曲线下的表面值显示，对疲劳的最佳运动干预为有氧运动（75.6%），对生活质量的最佳运动干预为抵抗运动（84.5%），对疼痛的最佳运动干预为抵抗运动（77.2%），对焦虑的最佳运动干预为身心运动（89.6%），对抑郁的最佳运动干预为多成分运动（93.3%）。累积排序曲线下的曲面值表明，有氧运动是治疗疲劳的最佳运动（75.6%）；生活质量（84.5%）和疼痛（77.2%）以阻力运动为主；对于焦虑，是身心运动（89.6%）；而对于抑郁症，则是多组分运动（93.3%）。结论抗阻运动最有可能成为减少生活质量和睡眠障碍的最佳运动类型。在未来，需要更严格设计的试验来验证该网络荟萃分析的结论。

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引用次数: 0

German cancer nurses and occupational exposure to cytotoxic drugs: A cross-sectional study with a mixed-methods approach 德国癌症护士和职业暴露于细胞毒性药物：一项混合方法的横断面研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-17 DOI: 10.1016/j.ejon.2025.103014

Matthias Naegele

Purpose

Cytotoxic drugs (CDs) pose considerable occupational health risks to oncology nurses due to their carcinogenic, genotoxic, and teratogenic properties. This study investigates the prevalence of CD-related symptoms among German oncology nurses and assesses the implementation of safety measures in clinical practice.

Methods

A mixed-methods, cross-sectional survey was conducted among 400 oncology nurses attending 14 CD safety training courses in Germany. Quantitative data captured demographics, symptom prevalence, and workplace safety measures, while qualitative data were derived from open-ended questions on specific exposure events. Descriptive statistics and qualitative content analysis (Mayring method) were applied.

Results

One-third (33.75 %) of nurses reported symptoms attributed to CD handling, mainly skin reactions (51.58 %), headaches (41.48 %), and altered taste sensations (28.15 %). Qualitative data revealed that exposure mainly occurred during CD administration (35 %) and was linked to improper management (56 %), especially through defective or incorrectly handled infusion systems. Protective measures were inconsistently applied: while 80.47 % of institutions had SOPs, 64.12 % provided safety training, no site implemented all recommended measures. Only 60.42 % of the nurses used cytotoxic-proof gloves; other PPE components were rarely used. Subgroup analyses indicated that nurses with CD-related symptoms were more likely to work in settings with fewer technical and organizational safeguards.

Conclusion

This study highlights critical gaps in CD safety protocols in German oncology practice. Inadequate training, insufficient technical controls, and inconsistent PPE use contribute to occupational exposure risks. Enhancing protective strategies, promoting a strong safety culture, and improving institutional accountability are essential to safeguard oncology nurses and reduce CD related health risks.

目的：细胞毒性药物（CDs）因其致癌性、遗传毒性和致畸性，给肿瘤科护士带来了相当大的职业健康风险。本研究调查了德国肿瘤科护士cd相关症状的患病率，并评估了临床实践中安全措施的实施情况。方法：对在德国参加14个CD安全培训课程的400名肿瘤科护士进行混合方法横断面调查。定量数据包括人口统计、症状流行率和工作场所安全措施，而定性数据来自关于特定暴露事件的开放式问题。采用描述性统计和定性内容分析（Mayring法）。结果：三分之一（33.75%）的护士报告了与CD处理有关的症状，主要是皮肤反应（51.58%）、头痛（41.48%）和味觉改变（28.15%）。定性数据显示，暴露主要发生在给药期间（35%），与管理不当有关（56%），特别是通过有缺陷或处理不当的输液系统。防护措施执行不一致：80.47%的机构有标准操作规程，64.12%的机构提供安全培训，没有一个场所执行所有建议的措施。只有60.42%的护士使用细胞毒手套；很少使用其他个人防护装备组件。亚组分析表明，有cd相关症状的护士更有可能在技术和组织保障较少的环境中工作。结论：这项研究突出了德国肿瘤学实践中CD安全协议的关键差距。培训不足、技术控制不足和个人防护装备使用不一致导致职业暴露风险。加强保护策略，促进强大的安全文化，改善机构问责制对于保护肿瘤护士和减少与乳糜泻相关的健康风险至关重要。

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引用次数: 0

Experiences, support needs, and coping strategies of women with early-stage breast cancer in Singapore: A qualitative study 新加坡早期乳腺癌患者的经历、支持需求和应对策略：一项定性研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-16 DOI: 10.1016/j.ejon.2025.103017

Yan Pang , Fong-Seng Lim , Marie Ann Mae En Wong , Samuel Guan-Wei Ow , Minna Pikkarainen , Swee-Ho Lim , Hong-Gu He

Purpose

Despite medical advancements, early-stage breast cancer continues to impose significant emotional, physical and psychosocial strain on women. Understanding their evolving experiences and needs across the cancer trajectory is critical for developing culturally sensitive, patient-centered interventions to enhance quality of life.

Methods

A qualitative exploratory study was conducted with 20 women diagnosed with Stage 0-IIIA breast cancer who had completed curative-intent treatment. Participants were purposively recruited from an outpatient oncology clinic in a public hospital. Semi-structured interviews, guided by Lazarus and Folkman's stress and coping model, were conducted between August 2021 and August 2022. Qualitative data were analyzed thematically, and descriptive statistics summarized participant characteristics.

Results

Four core themes emerged: (i) Initial Reactions to Diagnosis and Treatment Decisions, (ii) Psychosocial and Physical Burdens of the Cancer Experience, (iii) Multidimensional Support Systems, and (iv) Inner Strength and Transformative Coping. Participants reported distress at diagnosis, evolving informational and emotional needs, and significant reliance on emotion- and meaning-focused coping. Cultural and religious beliefs shaped treatment decisions and adjustment. Fear of recurrence, body image concerns, and periods of social withdrawal were common but rarely disclosed to clinicians. Family involvement in decision making was notable, reflecting collectivist values.

Conclusion

Women with early-stage breast cancer in Singapore face complex and evolving psychosocial challenges shaped by sociocultural context. Healthcare professionals should provide timely, tailored information and integrate psychosocial support across the cancer trajectory. Recognizing cultural values, supporting patient autonomy, and involving family appropriately can enhance person-centered and culturally responsive cancer care.

目的：尽管医学取得了进步，但早期乳腺癌继续给妇女带来巨大的情感、身体和心理压力。了解他们在整个癌症发展过程中不断变化的经历和需求，对于开发具有文化敏感性的、以患者为中心的干预措施以提高生活质量至关重要。方法：对20例0-IIIA期乳腺癌患者进行定性探索性研究。参与者是有目的地从公立医院的肿瘤门诊诊所招募的。在Lazarus和Folkman的压力和应对模型的指导下，半结构化访谈于2021年8月至2022年8月进行。定性数据进行主题分析，描述性统计总结参与者特征。结果：出现了四个核心主题：(i)对诊断和治疗决定的初始反应，（ii）癌症经历的心理社会和身体负担，（iii）多维支持系统，以及（iv）内在力量和变革应对。参与者报告了诊断时的痛苦，不断变化的信息和情感需求，以及对以情感和意义为中心的应对的显著依赖。文化和宗教信仰影响了治疗决定和调整。对复发的恐惧、对身体形象的担忧和社交退缩期是常见的，但很少向临床医生披露。家庭参与决策是显著的，反映了集体主义价值观。结论：新加坡早期乳腺癌患者面临着社会文化背景下复杂且不断演变的社会心理挑战。医疗保健专业人员应提供及时、量身定制的信息，并在整个癌症轨迹中整合心理社会支持。认识到文化价值，支持病人自主，并适当地让家庭参与，可以加强以人为本和文化响应的癌症护理。

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引用次数: 0

Effectiveness of computerised cognitive training on cognitive functioning and quality of life in cancer survivors with cancer-related cognitive impairments: A systematic review and meta-analysis 计算机化认知训练对患有癌症相关认知障碍的癌症幸存者的认知功能和生活质量的影响：一项系统综述和荟萃分析

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1016/j.ejon.2025.103006

Wan Ngee Ang , Si Xian Ng , Siti Umairah Fathul Rahman , Hong-Gu He

Purpose

This systematic review and meta-analysis aimed to synthesise existing evidence of the effectiveness of Computerised Cognitive Training (CCT) in enhancing cognitive functions and quality of life (QOL) in cancer survivors with Cancer-related cognitive impairment (CRCI).

Methods

Eight electronic (CINAHL, Cochrane, Embase, PsycINFO, PubMed, Scopus, ProQuest Social Science Database, Web of Science) and four grey literature databases were searched from inception till December 31, 2023. Two reviewers independently screened and extracted data before appraising the risk of bias and the overall quality of findings. Meta-analyses, sensitivity and subgroup analyses were carried out using the RevMan 7.2.0 Software. Cochrane GRADE assessed the overall quality assessment.

Results

Ten randomised controlled trials (RCTs) involving 949 participants were included. The meta-analyses revealed that CCT was statistically significant, with small effect sizes for improving executive function at follow-up (standardised mean difference (SMD) = 0.26, 95 % CI [0.11, 0.41], P = 0.0008), working memory post-intervention (SMD = 0.25, 95 % CI [0.08, 0.43], P = 0.003), and working memory at follow-up (SMD = 0.30, 95 % CI [0.14, 0.46], P = 0.0003).

Conclusions

CCT exhibited effectiveness in enhancing executive functions (at follow-up) and working memory in Cancer Survivors with CRCI, highlighting its potential as a valuable addition to standard care pathways in oncology settings. Future research should explore expanding CCT delivery to platforms such as mobile phones and tablets to provide critical insights into optimising CT interventions to enhance user engagement.

目的：本系统综述和荟萃分析旨在综合计算机化认知训练（CCT）在增强癌症相关认知障碍（CRCI）癌症幸存者认知功能和生活质量（QOL）方面有效性的现有证据。方法：检索自建库至2023年12月31日的8个电子数据库（CINAHL、Cochrane、Embase、PsycINFO、PubMed、Scopus、ProQuest Social Science Database、Web of Science）和4个灰色文献数据库。在评估偏倚风险和研究结果的整体质量之前，由两名审稿人独立筛选和提取数据。采用RevMan 7.2.0软件进行meta分析、敏感性分析和亚组分析。Cochrane GRADE对整体质量进行评估。结果：纳入10项随机对照试验（RCTs），共949名受试者。meta分析显示，CCT在改善随访时的执行功能（标准化平均差异(SMD) = 0.26, 95% CI [0.11, 0.41], P = 0.0008）、干预后的工作记忆（SMD = 0.25, 95% CI [0.08, 0.43], P = 0.003）和随访时的工作记忆（SMD = 0.30, 95% CI [0.14, 0.46], P = 0.0003）方面具有统计学意义。结论：CCT在增强CRCI癌症幸存者的执行功能（随访）和工作记忆方面表现出有效性，突出了其作为肿瘤学环境中标准治疗途径的有价值补充的潜力。未来的研究应该探索将有条件CT治疗扩展到手机和平板电脑等平台，为优化CT干预措施以提高用户参与度提供关键见解。

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引用次数: 0

The impact of brachytherapy on sexual life in patients with gynecological cancer 近距离放疗对妇科肿瘤患者性生活的影响。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-17 DOI: 10.1016/j.ejon.2025.103012

Ergül Aslan , Derya Kaya Şenol , Semiha Akın Eroğlu , Ayşegül Türkmenoğlu , Seda Çağlı Öztürk , Nezihe Seden Küçücük

Purpose

This study was conducted to evaluate the effects of brachytherapy on sexual life in patients diagnosed with gynecological cancer and undergoing brachytherapy.

Methods

This is a descriptive cross-sectional study. The sample consisted of patients who met the inclusion criteria, were diagnosed with cervical or endometrial cancer, applied to the unit for brachytherapy, and were continuing with the treatment. The study was completed with 87 patients who were continuing their treatment during the second assessment and 77 patients during the third assessment.

Results

In this study, at the third month, women experienced significantly higher levels of problems such as loss of sexual desire, avoidance of sexual intercourse, pain during intercourse, changes in sexual life due to brachytherapy, inability to achieve orgasm, and lack of sexual approach from their partner (p < 0.05). In assessments conducted with gynecological cancer patients at the 3rd month after brachytherapy, the total scores of the Female Sexual Function Index (FSFI) and the Sexual Satisfaction Scale for Women (SSS-W) were found to be significantly higher compared to the scores obtained before brachytherapy and at the 6th month after brachytherapy (p < 0.05).

Conclusions

For gynecological cancer patients undergoing brachytherapy, the implementation of not only short-term but also long-term follow-up and supportive rehabilitation programs is critically important for assessing sexual symptoms and maintaining sexual well-being.

目的：探讨近距离放疗对妇科肿瘤患者性生活的影响。方法：这是一项描述性横断面研究。样本包括符合纳入标准的患者，诊断为宫颈癌或子宫内膜癌，申请近距离放射治疗，并继续治疗。研究结束时，87名患者在第二次评估期间继续治疗，77名患者在第三次评估期间继续治疗。结果：在这项研究中，在第三个月，女性经历了明显更高水平的问题，如性欲丧失，避免性交，性交时疼痛，近距离治疗导致的性生活改变，无法达到性高潮，以及缺乏来自伴侣的性接近(p结论：对于接受近距离放射治疗的妇科癌症患者，不仅要实施短期治疗，还要实施长期随访和支持性康复计划，这对于评估性症状和维持性健康至关重要。

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引用次数: 0