European Journal of Oncology Nursing最新文献_第3页

Experiences of social burden amongst survivors of breast cancer in Gaza: A qualitative study 加沙乳腺癌幸存者的社会负担经历：定性研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-23 DOI: 10.1016/j.ejon.2024.102716

Walaa Ammar-Shehada, Piet Bracke, Melissa Ceuterick

Purpose

This qualitative study explores how social-cultural factors can either amplify or attenuate prospects for social support following a breast cancer diagnosis. The aim of the study is to analyse narratives of individuals diagnosed with breast cancer to examine how the illness influences social support and hence their post-illness experiences.

Methods

Forty semi-structured interviews, including thirty-eight with breast cancer survivors, are analysed using a grounded theory approach. Data were collected between September 2020 and April 2021.

Results

Participants' perceptions indicate that three main factors influenced experiences and the level of social support received. The first involves stigmatised cancer-related discourses and practices affecting women's social interactions and roles. The second is specific to (ex)married participants. It reveals how the foundation of marriage prior to the illness is a determining and influencing factor in the experience of women after illness. The third demonstrates how specific social identities enable coping, negotiation, and challenging cancer-related stigma, turning their experiences toward positivity.

Conclusions

The study concludes that breast cancer acts as a figurative magnifying glass, illuminating latent social practices in the community. This highlights the need to nurture existing social bonds or address the fragility of ties within distinct social categories. The research suggests implementing customised support interventions aligned with each group of survivors' unique needs. Furthermore, enhancing awareness within patients' social networks regarding the illness and how to provide support, along with enhancing survivors' financial security through economic empowerment, may contribute to more effective coping with the social consequences of the illness.

目的：本定性研究探讨了社会文化因素如何在乳腺癌确诊后扩大或缩小社会支持的前景。研究的目的是分析被诊断为乳腺癌患者的叙述，研究疾病如何影响社会支持，进而影响他们患病后的经历：采用基础理论方法分析了 40 个半结构式访谈，其中包括 38 个与乳腺癌幸存者的访谈。数据收集时间为 2020 年 9 月至 2021 年 4 月：结果：参与者的看法表明，有三个主要因素影响了他们的经历和所获得的社会支持水平。第一个因素涉及与癌症相关的污名化言论和做法，这些言论和做法影响了女性的社会交往和角色。第二个因素是针对（前）已婚参与者的。它揭示了患病前的婚姻基础是如何决定和影响妇女患病后的经历的。第三项研究表明，特定的社会身份是如何帮助妇女应对、协商和挑战与癌症相关的污名化，使她们的经历转向积极的一面：本研究的结论是，乳腺癌就像一个形象的放大镜，照亮了社区中潜在的社会实践。这凸显了培养现有社会纽带或解决不同社会类别中纽带脆弱问题的必要性。研究建议根据每个幸存者群体的独特需求实施定制的支持干预措施。此外，提高患者的社会网络对疾病和如何提供支持的认识，同时通过经济赋权增强幸存者的经济保障，可能有助于更有效地应对疾病的社会后果。

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引用次数: 0

Experiences and needs of colorectal cancer survivors in resource-limited countries: A qualitative descriptive study in Syria 资源有限国家结直肠癌幸存者的经历和需求：叙利亚定性描述研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-22 DOI: 10.1016/j.ejon.2024.102715

Lina Kafi , Hammoda Abu-Odah , Qin Xu

Purpose

Colorectal cancer (CRC) is one of the three most prevalent cancers globally, with incidence rates projected to increase. CRC survivors face various challenges due to the disease and its treatments. However, there is limited evidence on the experiences and needs of CRC survivors in resource-constrained countries. This study aimed to explore the experiences and needs of CRC survivors in Syria and to identify perceived opportunities for improvement.

Methods

A descriptive qualitative study design was employed, using semi-structured in-depth interviews with 12 adult CRC survivors who had completed treatment at least 6 months prior, selected through purposive sampling. Data were analyzed using an inductive thematic analysis approach.

Results

The interviews revealed 15 major themes: 11 concerning the experiences of CRC survivors and four related to their needs. The survivors’ experiences included physical burden, psychological expressions, economic burden, social withdrawal, stigmatization, family and friend supports, cultural and social impact, religion and coping mechanisms, relationship with healthcare professionals, support from healthcare system. Their needs encompassed emotional and psychological, informational, financial, and sexual needs.

Conclusion

This study highlights the unpredictable psychological, economic and physical burdens experienced by Syrian CRC survivors. Personalized care plans that address unmet needs of survivors are crucial to improving their quality of life. Prioritizing the development of comprehensive survivorship care plans that address the multifaceted needs of CRC survivors is crucial. Additionally, further qualitative research is essential to gain a deeper understanding of the challenges faced by these survivors and to inform the design of effective interventions.

目的大肠癌（CRC）是全球发病率最高的三大癌症之一，预计其发病率还将上升。CRC 幸存者面临着疾病及其治疗带来的各种挑战。然而，在资源有限的国家，有关 CRC 幸存者的经历和需求的证据非常有限。本研究旨在探讨叙利亚 CRC 幸存者的经历和需求，并找出可感知的改进机会。研究采用了描述性定性研究设计，通过有目的的抽样，对 12 名至少在 6 个月前完成治疗的成年 CRC 幸存者进行了半结构化深度访谈。结果访谈揭示了 15 个主要的主题：11 个与 CRC 幸存者的经历有关，4 个与他们的需求有关。幸存者的经历包括身体负担、心理表现、经济负担、社会退缩、污名化、家人和朋友的支持、文化和社会影响、宗教和应对机制、与医疗专业人员的关系、医疗系统的支持。他们的需求包括情感和心理需求、信息需求、经济需求和性需求。针对幸存者未满足的需求制定个性化护理计划对于提高他们的生活质量至关重要。优先制定全面的幸存者护理计划以满足 CRC 幸存者的多方面需求至关重要。此外，进一步的定性研究对于深入了解这些幸存者所面临的挑战并为设计有效的干预措施提供信息也是至关重要的。

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引用次数: 0

Empowered or challenged? The dual impact of condition-specific electronic Patient-Reported Outcome Measures in the person-centred care of women with breast cancer: A qualitative study 赋权还是挑战？在以人为本的乳腺癌女性患者护理过程中，针对具体病情的电子 "患者报告结果衡量标准 "的双重影响：定性研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-19 DOI: 10.1016/j.ejon.2024.102712

Stine Thestrup Hansen , Lone Jørgensen , Volker-Jürgen Schmidt , Lotte Gebhard Ørsted , Karin Piil

Purpose

This study aimed to investigate patients' experiences with electronic Patient-Reported Outcome Measures (ePROMs) during follow-up consultations with registered nurses and surgeons in breast cancer care.

Methods

A qualitative approach was employed, using focused ethnography with participant observations during patient consultations at a Plastic and Breast Surgery outpatient clinic, followed by individual interviews with the patients. Data were analysed using reflexive thematic analysis by Braun and Clarke. The discussion was informed by theory on person-centred practice.

Results

A total of 38 participants were included. ePROMs strengthened person-centred practice by nudging patients to reflect on their health, voice their concerns and engage in active dialogue during consultations, particularly regarding body image issues. The relevance and impact of ePROMs were highly dependent on the timing of the patient's treatment trajectory. Patients found that ePROMs were more meaningful and contextually appropriate when completed during late follow-up. This could be because patients faced challenges with ePROMs, including not understanding their purpose, the need for assistance from relatives and instances when ePROMs were not integrated into consultations.

Conclusion

ePROMs can empower patients by facilitating meaningful discussions about body image and other concerns during postoperative follow-up consultations. However, their effectiveness relies on clear communication and proper integration into clinical practice. The results add to existing litterature by highlighting the dual impact of ePROMs, as they can enhance patient-centred care but also present challenges when their purpose is unclear. The implications for future practice include the need to develop strategies that engage diverse patient groups in the ePROM process, supporting equal access to follow-up care and addressing health disparities.

本研究旨在调查乳腺癌患者在接受注册护士和外科医生的随访咨询时使用电子患者报告结果衡量标准（ePROMs）的体验。研究采用了定性方法，在整形和乳腺外科门诊的患者咨询过程中，通过重点人种学方法对患者进行观察，然后对患者进行个别访谈。采用布劳恩和克拉克的反思性主题分析法对数据进行分析。电子PROM通过鼓励患者反思自己的健康状况、表达自己的担忧以及在就诊过程中参与积极对话，尤其是关于身体形象问题的对话，加强了以人为本的实践。ePROM 的相关性和影响在很大程度上取决于患者治疗轨迹的时间安排。患者发现，在晚期随访期间完成的 ePROM 更有意义，也更符合实际情况。这可能是因为患者在使用 ePROM 时面临挑战，包括不了解其目的、需要亲属协助以及 ePROM 未被纳入咨询的情况。然而，其有效性有赖于清晰的沟通和与临床实践的适当结合。研究结果对现有文献进行了补充，强调了 ePROM 的双重影响，即它们可以加强以患者为中心的护理，但在其目的不明确时也会带来挑战。对未来实践的影响包括：需要制定策略，让不同的患者群体参与到电子病历检查过程中，支持平等地获得后续护理，并解决健康差异问题。

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引用次数: 0

Effects of an integrated lifestyle intervention for overweight and obese breast cancer survivors: A quasi-experimental study 针对超重和肥胖乳腺癌幸存者的综合生活方式干预的效果：一项准实验研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-13 DOI: 10.1016/j.ejon.2024.102714

Su Jin Seo , Ju-Hee Nho

Purpose

This study aimed to identify the effects of an integrated lifestyle intervention on health-promoting behavior, depression, body composition, and quality of life for overweight and obese breast cancer survivors.

Methods

This study used a quasi-experimental design with a non-equivalent control group pretest-posttest. The participants were 42 overweight and obese breast cancer survivors. An integrated lifestyle intervention was implemented for eight weeks and comprised eight sessions on diet education, physical activity, stress management, and spousal participation. Outcomes for health-promoting behavior, depression, marital intimacy, body composition, natural killer cell activity, and quality of life were measured.

Results

The experimental group scored significantly higher than the control group for health-promoting behavior (t = 2.912, p = .007), marital intimacy (t = 2.306, p = .021), and quality of life (t = 2.559, p = .014). Moreover, depression was significantly lower in the experimental group than in the control group (t = −2.723, p = .013).

Conclusion

This study demonstrated that the integrated lifestyle intervention increased health-promoting behavior, marital intimacy, and quality of life and reduced depression among overweight and obese breast cancer survivors. Integrated lifestyle interventions can have a positive effect in communities and in clinical environment to improve health and quality of life among overweight and obese breast cancer survivors.

目的：本研究旨在确定综合生活方式干预对超重和肥胖乳腺癌幸存者的健康促进行为、抑郁、身体成分和生活质量的影响：本研究采用了非等效对照组前测-后测的准实验设计。参与者为 42 名超重和肥胖的乳腺癌幸存者。综合生活方式干预为期八周，包括饮食教育、体育锻炼、压力管理和配偶参与等八个方面。对促进健康的行为、抑郁、婚姻亲密关系、身体成分、自然杀伤细胞活性和生活质量的结果进行了测量：结果：实验组在促进健康行为（t = 2.912，p = .007）、婚姻亲密程度（t = 2.306，p = .021）和生活质量（t = 2.559，p = .014）方面的得分明显高于对照组。此外，实验组的抑郁程度明显低于对照组（t = -2.723，p = .013）：本研究表明，综合生活方式干预提高了超重和肥胖乳腺癌幸存者的健康促进行为、婚姻亲密关系和生活质量，并减少了抑郁。综合生活方式干预可在社区和临床环境中发挥积极作用，改善超重和肥胖乳腺癌幸存者的健康和生活质量。

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引用次数: 0

The effect of using virtual reality goggles on psychological well-being and care burden of informal caregivers of patients hospitalized in a palliative care clinic 使用虚拟现实护目镜对姑息治疗门诊住院患者非正规护理人员心理健康和护理负担的影响

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-09 DOI: 10.1016/j.ejon.2024.102711

Yadigar Ordu , Sakine Yılmaz

Purpose

This study was conducted to determine the effect of virtual reality goggles on the psychological well-being and care burden of informal caregivers of patients hospitalized in a palliative care clinic.

Methods

Pretest-posttest randomized controlled study. It was conducted from June-October 2023 with 44 informal caregivers (22 in the control, 22 in the intervention group). Caregivers in the intervention group were shown 360° relaxing virtual reality videos with virtual reality goggles for four weeks, three days a week, 30 min per use. The control group did not receive any intervention. Data were collected using the caregiver introduction form, psychological well-being scale, caregiving burden scale, and satisfaction form for virtual reality goggles. Analyses were performed with Independent Sample T-Test and Paired Sample T-Test.

Results

The post-test mean score of the psychological well-being scale of the intervention group was statistically significantly higher than the control group (p < 0.05). The post-test mean score of the caregiving burden scale of the control group was statistically significantly higher than the intervention group (p < 0.05). 68% of the caregivers in the intervention group were very satisfied with using virtual reality goggles. This study revealed that using virtual reality goggles increased psychological well-being and reduced the care burden of informal caregivers of patients hospitalized in a palliative care clinic.

Conclusion

The results of this study have revealed that virtual reality glasses can be used to support informal caregivers in palliative care. This study reveals promising results for improving the quality of patient care by supporting informal caregivers.

ClinicalTrials.gov ID

NCT06156540

目的本研究旨在确定虚拟现实护目镜对姑息治疗诊所住院患者非正规护理人员的心理健康和护理负担的影响。研究于 2023 年 6 月至 10 月进行，共有 44 名非正规护理人员参加（对照组 22 人，干预组 22 人）。干预组的护理人员使用虚拟现实眼镜观看 360° 放松虚拟现实视频，为期四周，每周三天，每次 30 分钟。对照组不接受任何干预。使用护理人员介绍表、心理健康量表、护理负担量表和虚拟现实护目镜满意度表收集数据。结果干预组心理健康量表的测试后平均得分显著高于对照组（p <0.05）。在统计学上，对照组护理负担量表的测试后平均得分明显高于干预组（p <0.05）。68%的干预组护理人员对使用虚拟现实护目镜非常满意。本研究结果表明，使用虚拟现实眼镜可以提高心理健康水平，减轻姑息治疗门诊住院患者非正式照护者的照护负担。这项研究揭示了通过支持非正规护理人员提高病人护理质量的前景。

{"title":"The effect of using virtual reality goggles on psychological well-being and care burden of informal caregivers of patients hospitalized in a palliative care clinic","authors":"Yadigar Ordu , Sakine Yılmaz","doi":"10.1016/j.ejon.2024.102711","DOIUrl":"10.1016/j.ejon.2024.102711","url":null,"abstract":"<div><h3>Purpose</h3><div>This study was conducted to determine the effect of virtual reality goggles on the psychological well-being and care burden of informal caregivers of patients hospitalized in a palliative care clinic.</div></div><div><h3>Methods</h3><div>Pretest-posttest randomized controlled study. It was conducted from June-October 2023 with 44 informal caregivers (22 in the control, 22 in the intervention group). Caregivers in the intervention group were shown 360° relaxing virtual reality videos with virtual reality goggles for four weeks, three days a week, 30 min per use. The control group did not receive any intervention. Data were collected using the caregiver introduction form, psychological well-being scale, caregiving burden scale, and satisfaction form for virtual reality goggles. Analyses were performed with Independent Sample T-Test and Paired Sample T-Test.</div></div><div><h3>Results</h3><div>The post-test mean score of the psychological well-being scale of the intervention group was statistically significantly higher than the control group (p < 0.05). The post-test mean score of the caregiving burden scale of the control group was statistically significantly higher than the intervention group (p < 0.05). 68% of the caregivers in the intervention group were very satisfied with using virtual reality goggles. This study revealed that using virtual reality goggles increased psychological well-being and reduced the care burden of informal caregivers of patients hospitalized in a palliative care clinic.</div></div><div><h3>Conclusion</h3><div>The results of this study have revealed that virtual reality glasses can be used to support informal caregivers in palliative care. This study reveals promising results for improving the quality of patient care by supporting informal caregivers.</div></div><div><h3>ClinicalTrials.gov ID</h3><div>NCT06156540</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"73 ","pages":"Article 102711"},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142433684","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

Decision-making process for risk-reducing salpingo-oophorectomy among Korean women with hereditary breast cancer: A grounded theory study 患有遗传性乳腺癌的韩国妇女进行降低风险的输卵管切除术的决策过程：基础理论研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-03 DOI: 10.1016/j.ejon.2024.102710

Sun Young Park , Juhye Jin , Hyangkyu Lee , Myongcheol Lim , Eun Ji Nam , Sue Kim

Purpose

To explore the decision-making process regarding Risk-Reducing Salpingo-Oophorectomy (RRSO) among women with hereditary breast cancer in Korea, with a focus on complex interpersonal interactions and sociocultural influences.

Method

This qualitative, grounded theory study conducted semi-structured and in-depth interviews with 17 women with hereditary breast cancer between March and December 2021. Theoretical sampling and constant comparison were utilized for data analysis.

Results

The core concept identified was ‘Navigating optimal trajectories for preserving myself,’ encompassing four stages: (1) conflicting between cancer-free health and maintaining integrated self; (2) recognizing the decision-maker: myself vs. physician; (3) seeking meaningful information; and (4) evaluating decision results and prioritizing values. Women’s conflict was influenced by the time given to decide, the timing of BRCA results, complexity of surgical choices, diverse perspectives, and the quality of information. This process often reiterated until RRSO was undertaken.

Conclusion

Women with hereditary breast cancer grapple with conflicting decisions to preserve their integrated selves. The decision-making process is complex and subjective, influenced by physician-dominated decision-making culture, subjective meaningful information, individual values, and decisional circumstances. Supporting women in prioritizing their values and providing comprehensive information on the physical, emotional, relational, and social impacts of each option are crucial. Oncology nurses can play a vital role in bridging the gap between physician-dominated decision-making and patient autonomy by facilitating communication and supporting patient-centered care.

目的探讨韩国遗传性乳腺癌女性患者关于降低风险输卵管切除术（RRSO）的决策过程，重点关注复杂的人际互动和社会文化影响。方法这项定性、基础理论研究在 2021 年 3 月至 12 月期间对 17 名遗传性乳腺癌女性患者进行了半结构化深入访谈。结果所确定的核心概念是 "为保护自己的最佳轨迹导航"，包括四个阶段：（1）无癌健康与保持完整自我之间的冲突；（2）认识决策者：我自己与医生；（3）寻求有意义的信息；以及（4）评估决策结果并优先考虑价值观。妇女的冲突受到决定时间、BRCA 结果的时间、手术选择的复杂性、不同观点和信息质量的影响。结论患有遗传性乳腺癌的妇女在做出保留完整自我的决定时会遇到冲突。决策过程是复杂和主观的，受到医生主导的决策文化、主观有意义的信息、个人价值观和决策环境的影响。支持妇女优先考虑自己的价值观并提供有关每种选择对身体、情感、关系和社会影响的全面信息至关重要。肿瘤科护士可以通过促进沟通和支持以患者为中心的护理，在弥合医生主导决策与患者自主权之间的差距方面发挥重要作用。

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引用次数: 0

Effect of an integrated narrative program (INP) on quality of life among patients with non-small cell lung cancer (NSCLC): An experimental trial 综合叙事计划 (INP) 对非小细胞肺癌 (NSCLC) 患者生活质量的影响：一项实验性试验

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-03 DOI: 10.1016/j.ejon.2024.102706

Jie Zhu , Shi-Hao Chen , Jia-Yi Guo , Wei Li , Xu-Ting Li , Li-Hua Huang , Man Ye

Purpose

To investigate the effectiveness of an integrated narrative program (INP) in enhancing the resilience, self-efficacy and quality of life of postoperative NSCLC patients.

Methods

135 patients participated in this trial. 45 participants were recruited into the integrated narrative program group and received both the digital storytelling intervention and narrative therapy after a randomized controlled trial, while the control group (n = 45) received routine care and the intervention group (n = 45) underwent the digital storytelling intervention (DST). Questionnaires were administered to assess resilience, self-efficacy and quality of life at baseline (T0) (within 3 days before surgery), immediately after intervention (T1), one month post-intervention (T2), and three months post-intervention (T3). A linear mixed effects model was conducted via the intention-to-treat analysis.

Results

During follow-up assessments, the INP group exhibited significantly greater increase in resilience, self-efficacy, and quality of life (all P < 0.001) compared to both DST group and control group, which were consistent with the sensitivity analysis results (all P < 0.001).

Conclusion

The INP was more effective than DST in improving the resilience, self-efficacy, and quality of life of postoperative NSCLC patients, and these benefits could persist for at least three months post-intervention. Due to the fact that the INP process is relatively complicated, so we recommend the use of web-based platforms for INP interventions in future clinical work.

目的研究综合叙事计划（INP）在提高非小细胞肺癌术后患者的复原力、自我效能和生活质量方面的效果。45名参与者被纳入综合叙事计划组，在随机对照试验后接受数字故事干预和叙事疗法，对照组（45人）接受常规护理，干预组（45人）接受数字故事干预（DST）。在基线（T0）（手术前 3 天内）、干预后立即（T1）、干预后一个月（T2）和干预后三个月（T3）进行了问卷调查，以评估复原力、自我效能和生活质量。结果在后续评估中，与 DST 组相比，INP 组在复原力、自我效能感和生活质量方面都有显著提高（均为 P < 0.001），这与敏感性分析结果一致（均为 P < 0.001）。结论INP 在提高 NSCLC 术后患者的恢复能力、自我效能和生活质量方面比 DST 更有效，而且这些益处可在干预后至少三个月内持续存在。由于 INP 过程相对复杂，因此我们建议在今后的临床工作中使用网络平台进行 INP 干预。

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引用次数: 0

Effect of training based on Orem's self-care deficit theory on breast cancer patients' management of chemotherapy-related side effects and self-care behaviors: A randomized controlled trial 基于奥瑞姆自我护理缺失理论的培训对乳腺癌患者处理化疗相关副作用和自我护理行为的影响：随机对照试验

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-09-30 DOI: 10.1016/j.ejon.2024.102698

Dilek Urtekin , Semiha Akin Eroglu

Purpose

To examine the effects of training based on Orem's self-care deficit theory on breast cancer patient's physical, social, and psychological well-being and self-care behaviors during chemotherapy.

Methods

This randomized controlled trial was based on a pretest–posttest experimental design. The study sample consisted of 62 breast cancer patients (n = 31 for each of the intervention and control groups) receiving cyclophosphamide–epirubicin or cyclophosphamide–adriamycin treatment in the medical oncology department of a university hospital in Tekirdağ, Turkey. The breast cancer patients in the intervention group received training based on Orem's self-care deficit theory regarding physical, social, and psychological well-being and self-care behaviors during chemotherapy. The researcher conducted two face-to-face follow-ups (during the second and third chemotherapy cycles, 3 weeks apart) and a posttest assessment. Pretest and posttest symptom scores and self-care survey results were compared for both groups.

Results

The Nightingale Symptom Assessment Scale (N-SAS) first follow-up, second follow-up, and posttest scores showed that the intervention group experienced fewer negative changes in quality of life than the control group based on the physical, social, and psychological subdimension and total scale scores (p < .05). The most positive changes in the intervention group's self-care behaviors were observed for items about caring for and protecting hair, using protective gloves when doing chores, monitoring weight, and limiting social meetings when blood values were low to protect against possible infection.

Conclusion

Training based on Orem's self-care deficit theory positively influenced breast cancer patients' management of chemotherapy-related side effects and self-care behaviors. Chemotherapy-related side effects should be evaluated frequently. Moreover, patients' needs should be determined, and training should be tailored to their needs.

目的研究基于奥瑞姆自我护理缺失理论的培训对乳腺癌患者在化疗期间的身体、社交和心理健康以及自我护理行为的影响。方法该随机对照试验采用前测-后测实验设计。研究样本包括在土耳其泰基尔达一所大学医院肿瘤内科接受环磷酰胺-表柔比星或环磷酰胺-阿霉素治疗的 62 名乳腺癌患者（干预组和对照组各 31 人）。干预组的乳腺癌患者接受了基于奥瑞姆自我护理缺陷理论的培训，内容涉及化疗期间的身体、社交和心理健康以及自我护理行为。研究人员进行了两次面对面的随访（在第二和第三次化疗周期，每次间隔 3 周）和一次测试后评估。结果南丁格尔症状评估量表（N-SAS）的第一次随访、第二次随访和后测得分显示，根据身体、社交和心理分维度和总分，干预组比对照组在生活质量方面经历的负面变化更少（p <.05）。干预组在自我护理行为方面最积极的变化体现在护理和保护头发、做家务时使用防护手套、监测体重以及在血值低时限制社交聚会以防止可能的感染等项目上。应经常评估化疗相关副作用。此外，应确定患者的需求，并根据他们的需求进行培训。

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引用次数: 0

Effectiveness of cardiac rehabilitation in cancer survivors: A meta-analysis of randomized controlled trials 癌症幸存者心脏康复的效果：随机对照试验荟萃分析

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-09-28 DOI: 10.1016/j.ejon.2024.102707

Yingtong Chen , Jingfang Xiao , Manzhi Gao , Zhihe Deng , Minjuan Xie , Rui Wang

Purpose

This meta-analysis aimed to evaluate available data regarding the potential benefits of cardiac rehabilitation (CR) in cancer survivors.

Methods

Relevant studies published from inception to April 2024 were retrieved from PubMed, Embase, Web of Science, CENTRAL, CINAHL, PsycINFO, Scopus, CNKI, WanFang, VIP, and CBM databases. Seven randomized controlled trials (RCTs) involving 526 cancer survivors were included in this meta-analysis.

Results

CR increased muscle strength (standardized mean difference (SMD) = 0.39, 95% confidence interval (CI): 0.06 to 0.72, P = 0.020), quality of life (QoL) (SMD = 0.61, 95% CI: 0.40 to 0.82, P

<

0.001), and led to a decrease in Body Mass Index (BMI) (mean difference (MD) = −1.11, 95% CI: −2.02 to −0.19, P = 0.020), total cholesterol (TC) (MD = −0.41, 95% CI: −0.69 to −0.14, P = 0.003), triglyceride (TG) (MD = −0.33, 95% CI: −0.63 to −0.03, P = 0.030) and low-density lipoprotein (LDL) (MD = −0.34, 95% CI: −0.57 to −0.12, P = 0.003). The meta-analysis revealed that CR had no statistically significant impact on cardiorespiratory fitness (CRF) and high-density lipoprotein (HDL) levels.

Conclusions

CR may represent an effective strategy to evaluate cancer survivors because it improves muscle strength and QoL and reduces BMI, TC, TG and LDL levels. Further RCTs with strict study designs and larger sample sizes are required to determine the effects of CR on cancer survivors.

方法从 PubMed、Embase、Web of Science、CENTRAL、CINAHL、PsycINFO、Scopus、CNKI、WanFang、VIP 和 CBM 数据库中检索从开始到 2024 年 4 月发表的相关研究。结果CR增加了肌肉力量（标准化平均差（SMD）= 0.39，95% 置信区间（CI）：0.06 至 0.72，P = 0.020）、生活质量（QoL）（SMD = 0.61，95% CI：0.40 至 0.82，P < 0.001），并导致体重指数（BMI）下降（平均差（MD）=-1.11，95% CI：-2.02 至 -0.19，P = 0.020）、总胆固醇（TC）下降（MD = -0.41，95% CI：-0.69至-0.14，P = 0.003）、甘油三酯（TG）（MD = -0.33，95% CI：-0.63至-0.03，P = 0.030）和低密度脂蛋白（LDL）（MD = -0.34，95% CI：-0.57至-0.12，P = 0.003）。荟萃分析表明，CR 对心肺功能（CRF）和高密度脂蛋白（HDL）水平没有统计学意义上的显著影响。结论 CR 可能是评估癌症幸存者的一种有效策略，因为它能改善肌肉力量和 QoL，降低 BMI、TC、TG 和 LDL 水平。要确定 CR 对癌症幸存者的影响，还需要进一步开展具有严格研究设计和更大样本量的 RCT 研究。

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引用次数: 0

Depression, anxiety, stress and related factors among husbands of Iranian women with cancer: A cross-sectional study 伊朗癌症妇女丈夫的抑郁、焦虑、压力及相关因素：横断面研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-09-26 DOI: 10.1016/j.ejon.2024.102697

Nasrin Shabani , Negin Masoudi Alavi , Mohammad Aghajani

Purpose

The aim of this study was to determine the prevalence of depression, anxiety, and stress and their related factors in husbands of women with cancer.

Methods

This cross-sectional study included 400 husbands of women with cancer who referred to two cancer referral centers in Kashan (Isfahan, Iran) from April to August 2022. The demographic and medical data, the Larson Satisfaction Questionnaire (LSQ), and the Depression, Anxiety, Stress Scale-21 (DASS-21) were collected.

Results

The mean age of the husbands was 50.47 ± 10.16 years, and the prevalence of depression, anxiety, and stress was 15%, 17.5%, and 17.8%, respectively. Multiple regression analysis revealed significant associations between husbands' depression and age, involvement rate in caring for their wife, sexual satisfaction, and education level (p < 0.05). The rate of anxiety was also related to education level, economic status, housing status, the rate of involvement in caring for one's wife, sexual satisfaction, the duration of the woman's cancer, the degree of cancer progression, and the length of hospitalization due to cancer (p < 0.05). The stress rate also showed a significant correlation with age, educational level, degree of involvement in caring for one's wife, and duration of cancer (p < 0.05).

Conclusion

The prevalence of psychological problems among husbands of women with cancer is remarkable. Therefore, based on the identified factors associated with these complications, supportive care programs can designed by health care professionals to improve mental health and reduce the suffering of husbands of patients with cancer.

目的本研究旨在确定癌症女性患者丈夫的抑郁、焦虑和压力患病率及其相关因素。方法本横断面研究纳入了 2022 年 4 月至 8 月期间转诊至伊朗伊斯法罕卡尚市两家癌症转诊中心的 400 名癌症女性患者的丈夫。结果丈夫的平均年龄为（50.47 ± 10.16）岁，抑郁、焦虑和压力的患病率分别为 15%、17.5% 和 17.8%。多元回归分析表明，丈夫的抑郁与年龄、照顾妻子的参与率、性满意度和教育程度之间存在明显的关联（p < 0.05）。焦虑率也与教育水平、经济状况、住房状况、照顾妻子的参与率、性满意度、妇女患癌时间、癌症进展程度以及因癌症住院的时间长短有关（p <0.05）。压力率与年龄、受教育程度、参与照顾妻子的程度和癌症病程也有显著相关性（p <0.05）。因此，根据已确定的与这些并发症相关的因素，医护人员可设计支持性护理计划，以改善癌症患者丈夫的心理健康，减轻他们的痛苦。

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引用次数: 0