European Journal of Oncology Nursing最新文献

Purpose: The aim of this study was to conduct a network meta-analysis to assess the effectiveness of various forms of exercise as an intervention for post-cancer depression and to provide a guiding program based on evidence-based medicine for subsequent clinical practice.

Methods: This review was registered on the PROSPERO website with ID CRD42023485407. Pubmed, Embase, Cochrane Library, and Web of Science were comprehensively searched to obtain published articles from the establishment of the database until October 7, 2023. Bayesian network meta-analysis was conducted. Statistical analysis was conducted using R4.3.2 and Stata 15.1.

Results: This study ultimately included 51 articles and 4956 samples. Aerobic exercise (SMD = -0.33, 95%CI: 0.58, -0.08), combined exercise (SMD = -0.48, 95%CI: 0.71, -0.26), and mind-body exercise (SMD = -0.35, 95%CI: 0.6, -0.09) significantly improved depression compared with usual care (UC). According to the SUCRA value and cumulative probability, the rank of depression improvement effect of various sports interventions is as follows: combined exercise (90.71%), mind-body exercise (69.64%), aerobic exercise (65.81%), resistance training (35.86%).

Conclusion: Exercise intervention can significantly improve post-cancer depression, but there is no significant difference in the effectiveness of various forms of exercise in improving post-cancer depression.

Purpose: Unrelated haematopoietic stem cell donors face physical and psychological discomforts, which aggravate their fear and hesitation and reduce their consent rate and donation efficiency. However, the available experience in the management of these symptoms is insufficient, and strong evidence and guidance are lacking. The symptom experiences of Chinese unrelated haematopoietic stem cell donors were explored.

Method: A descriptive qualitative study was conducted, and the COREQ checklist was used. Between July and December 2023, 14 Chinese unrelated haematopoietic stem cell donors were selected through purposive sampling and underwent semi-structured interviews. Conventional content analysis was used for data analysis.

Results: Three themes and 10 sub-themes were identified as follows: 1) feelings towards symptoms (symptoms appear in clusters, symptoms fluctuate over time, and psychological burden outweigh physical burden); 2) attitude towards symptoms (acceptance, ambivalence, and persistence); 3) needs derived from symptoms (information needs, emotional needs, physiological needs, and expectations for the specialised support provider).

Conclusions: This study provide a basis for healthcare providers to conduct targeted and effective symptom interventions. We emphasise not only helping unrelated donors alleviate symptoms, but also improving their ability to cope with and accept symptoms through the provision of information and emotional support, thus reducing the adverse impact of symptoms on their quality of life and the efficiency of haematopoietic stem cell collection.

Purpose: The increase of oral tumor therapies (OTT) poses new challenges in patient care. Within CAMPA (Care improvement for advanced or metastatic breast and ovarian cancer patients treated with PARP-inhibitors), additional nursing support for patients treated with PARP-inhibitors was developed.

Methods: Additional nursing support (1 year) was evaluated in breast and gynecooncological cancer patients at an academic and a non-academic outreach center. From 02/22 to 02/24, quality of life, contacts, adherence, documentation of drug intake, hospitalization, and adverse events were evaluated, using CANKADO-ePRO and validated questionnaires reviewed by the Ethics Committee of Medical Faculty, LMU Munich. Satisfaction with care was recorded from 03/23 to 02/24. Supporting materials and interprofessional checklists were explored.

Results: The collective (n = 50) included 41 patients with ovarian, 4 with fallopian tube and 5 with breast cancer. Adherence measured by continuous documentation of medication intake was high among patients (78.0%). Quality of life improved from 68.6% to 81.4%, strongly correlating with decreasing numbers of side effects (p = 0.003) (Spearman |ρ| = 0.93). Satisfaction with care was very high (4.97 out of 5 points). 94.6% agreed that nursing consultation was essential for therapy safety compared to the doctor's consultation alone (p < 0.05). The reduction in time and care effort was significant (p < 0.05), having its maximum within the first three months.

Conclusion: Standardized nursing consultation was highly appreciated with an important contribution to adherence and improvement in quality of life. Delegation of therapy management to nurses reduces time effort and increases their responsibility, improving interprofessional care at academic and non-academic institutions.

Trial registration: Clinical Trials Registry, LMU university hospital, Germany, Healthcare research project, number: 21-0848.

Purpose: Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.The aim of the project is to investigate the impact of resourcefulness and pain interpretation on cancer-related pain control. Cancer pain often leads to stress adaptation issues. Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.

Methods: This was a quantitative survey. From November 2020 to November 2021, a survey was conducted at an oncology outpatient clinic and wards, with 100 completed questionnaires.

Results: The interaction between resourcefulness and opioid analgesics significantly influenced cancer pain sensation. John-Neyman values could identify patients with poor pain management, thus improving clinical practice. Canonical Correlation Analysis revealed a correlation between resourcefulness and challenges. Four distinct groups of type of illness, gender, level of education were identified from two-step cluster analysis.

Conclusion: Understanding patients' pain perceptions and enhancing their resourcefulness could enable patients to seek resources, take painkillers, and find positive interpretations of pain. Future patient educational strategies could help patients overcome challenges with cancer pain management and improve current pain educational materials. Hence, clinical health education may improve patients' resourcefulness, enabling them to learn self-care skills, overcome the challenging feelings of pain management, and effectively manage cancer pain.

Purpose: To investigate the effectiveness of selective taste steering (STS) to hyper personalize bread and soup for adult cancer outpatients with chemotherapy-induced taste alterations.

Methods: This multicentre study included two groups of adult cancer outpatients with CiTA, all receiving dietary advice as standard care. In one group, STS was applied to bread and soups for three months. Outcomes were compared using validated scales and a structured questionnaire at baseline and after one and three months of follow-up.

Results: At baseline, 19.3% of all patients (N = 160) had a normal nutritional status. Compared to the intervention group, undernutrition in the control group increased significantly after 1 month (p < .001) and 3 months (p < .001). In the intervention group, the score for 'appetite loss' decreased after 1 month (p < .001) and remained low after 3 months of follow-up (p < .001). The 'fatigue, ' 'nausea/vomiting' and 'diarrhea' symptom scores in the intervention group decreased significantly (p < .001, <.001 and < .002, respectively).

Conclusion: STS decreased loss of appetite and improved palatability and food intake as well as food-related symptoms of QOL in adult cancer outpatients with CiTA These findings are clinically relevant and support a hyper-personalized approach to malnutrition in cancer patients.

Purpose: Siblings of children with cancer experience the consequences of their brother or sister's disease and treatment firsthand, often causing social and school-related difficulties. This study aimed to gather parents' and siblings' feedback on a proposal for a school-based social and educational support intervention for siblings with the goal of tailoring the program to meet the needs of siblings.

Method: Adopting a criterion sampling strategy, we conducted interviews with 20 parents and 11 siblings, aged 7-19 years, of children with cancer. During the interviews, we introduced a proposal for a school-based intervention as part of a co-creation design. Data were examined by content analysis.

Results: The analysis showed that both parents and siblings recognized: 1) the need to inform the class about the family's situation, 2) the need for the timing and content of the support to align with the family's stage in the cancer journey. 3) Parents' concerns centered on potentially imposing experiences on siblings, losing school as a 'free space', and the risk of siblings standing out. 4) Siblings' concerns related to a fear of losing control over the cancer-related information at school and the reactions of peers. The final SUPREME intervention involved clarifying family meetings before two educational, nurse-led school visits addressing challenges relevant to siblings' academic and social lives.

Conclusion: The participants' responses to the intervention proposal played a key role in shaping the final intervention, encompassing valuable insights into precautions necessary for implementing school-based support for siblings of children with cancer.

Purpose: This study aims to investigate the individual differences in perceived controllability among women with gynecologic cancer who are undergoing chemotherapy. We also examined the mediating effect of symptom distress on the relationship between individual differences and perceived controllability.

Methods: This cross-sectional study employs purposive sampling; data were collected via self-reported questionnaires. In total, 170 women completed the survey. Structural equation modeling was used to examine the proposed hypotheses of the mediating effect of symptom distress.

Results: Results revealed that individual differences in age (r = -0.20, p < .05), education (t = -2.24, p < .05), employment (t = -2.05, p < .05), cancer stage (t = 2.35, p < .05), and number of chemotherapy sessions in the past three months (r = -0.16, p < .05) were significantly associated with perceived treatment control. Physical, but not psychological, symptom distress fully mediated the relationship between individual differences and perceived controllability. Participants who perceived financial distress (β = 0.179, p < .05) and those who had undergone a higher number of chemotherapy sessions within the past three months (β = 0.216, p < .05) experienced greater physical symptom distress. Additionally, those who experienced greater physical symptom distress perceived lower personal control (β = -0.199, p < .05) and treatment control (β = -0.217, p < .05).

Conclusions: Understanding the mediating effects of symptom distress on the relationship between individual differences and perceived controllability can enhance our knowledge of the mechanisms of illness acceptance, which significantly contributes to illness adaptation among women with gynecologic cancer.

Purpose: This study aims to examine the effects of virtual reality applications on pain, anxiety, and vital signs during port catheter needle insertion in adult cancer patients.

Methods: The research followed a randomized controlled design as intervention and control groups. In the intervention group, patients received virtual reality sessions with five images in addition to routine procedures during the port catheter needle insertion. We measured the pain, anxiety, and vital parameters resulting from the port catheter needle insertion. Assessments were measured twice: at baseline (before port catheter needle insertion, T0) and at the end of the proceduce (after port catheter needle insertion, T1).

Results: The virtual reality application significantly reduced the levels of pain (p=0.45) and anxiety (p<0.001) at T1 in the intervention group compared to the control group. The virtual reality application showed no difference between T0 and T1 in the vital parameters of the intervention group.

Conclusions: Virtual reality application during the port catheter needle insertion procedure reduced pain levels and anxiety levels in cancer patients. The virtual reality applications to reduce pain and anxiety levels during the port catheter needle insertion procedure can be recommended.

Purpose: This study aimed to investigate the prevalence of intimate partner violence among women with breast cancer and/or cervical cancer in China and to explore its psychosocial associated factors.

Methods: From July to September 2023, we firstly conducted reliability and validity tests using the simplified Chinese version of the Women Abuse Screening Tool in 150 women with breast and/or cervical cancer. We then used a questionnaire comprising the Chinese version of the Women Abuse Screening Tool, Multidimensional Scale of Perceived Social Support, European Organization for Research and Treatment Quality of Life Questionnaire-Core 30, and Experiences in Close Relationships Inventory Scale in 401 women with breast and/or cervical cancer. The descriptive and inferential statistics were determined using SPSS 26.0 version.

Results: The prevalence of intimate partner violence in China among women with breast and/or cervical cancer was 40.9% and 49.00%, respectively. Through logistic regression analysis, we found that current work status, monthly income, diagnosis time, attachment avoidance, and quality of life were factors affecting intimate partner violence in the women with breast and/or cervical cancer.

Conclusion: The prevalence of intimate partner violence among women with breast and/or cervical cancer was high in China. Intimate partner violence had a negative impact on social support and quality of life among the study participants, and their attachment patterns were more inclined to attachment avoidance. As medical workers, early intimate partner violence screening and appropriate intervention measures should be undertaken to reduce the impact of intimate partner violence on women with breast and/or cervical cancer.

Purpose: To assess the congruence and interdependent impacts of family resilience in colorectal cancer couples using the Walsh Family Resilience Model, focusing on coping domains of the shared beliefs system, organizational patterns, and communication/problem-solving.

Methods: 220 colorectal cancer couples were recruited from two hospitals in China, assessing family resilience, hope, family sense of coherence, spiritual well-being, social support, and couple communication quality. Congruence was assessed using intraclass correlation coefficients and paired t-tests. Pearson correlations, multiple stepwise linear regression, and structural equation modeling examined the effects of coping domains on family resilience. Actor-Partner Independence Model was used to further explore actor and partner effects of these coping domains on family resilience in colorectal cancer couples.

Results: Moderate congruence in family resilience was observed, with spousal caregivers reporting higher family resilience. Key coping domains, including shared beliefs system (hope, family sense of coherence, spiritual well-being), organizational patterns (social support), and mutual communication/problem-solving, were significant predictors of family resilience. Importantly, both patients' and spousal caregivers' coping domains exhibited notable actor and partner effects on family resilience of their own family resilience and partners.

Conclusion: This study highlights the interdependent influences on family resilience in colorectal cancer couples, supporting family-centered interventions to strengthen positive coping mechanisms.