European Journal of Oncology Nursing最新文献_第5页

Comparison of self-removal and clinic-removal of catheter after Robot-Assisted Laparoscopic prostatectomy 机器人辅助腹腔镜前列腺切除术后导管自行拔除与临床拔除的比较。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-12-03 DOI: 10.1016/j.ejon.2025.103072

John Mitchell Lunas , Catherine Holborn , Robert Appleyard , Hilary Baker , John Kelly , Hazel McBain , Joann Dharmaseelan

Purpose

Prostate cancer is the most common cancer in men, with Robot-Assisted Laparoscopic Prostatectomy (RALP) a common treatment for localised cases. Postoperative catheterisation is routine, with removal typically occurring in hospital (Trial Without Catheter, TWOC). Home-based catheter removal (home-TWOC) is a newer option offering potential benefits in patient experience, clinic capacity and sustainability, though evidence remains limited.

This service evaluation examined the effectiveness of a home-TWOC programme for post-RALP patients, assessing clinical outcomes - including re-catheterisation, urinary tract infections (UTIs) and other complication - and comparing them to clinic-TWOC. It also explored patient experiences and potential economic benefits.

Methods

Using a cross-sectional design, the service evaluation included retrospective and prospective arms with convenience sampling. The prospective cohort consisted of all post-RALP patients from a single UK centre over 16 weeks from January 8, 2024. The retrospective group covered the 16 weeks from February 1, 2022, immediately prior to the programme's launch. Quantitative data from clinical audits were calculated using the Agresti-Coull method. Qualitative data, collected via questionnaires, were analysed descriptively and thematically.

Results

Findings showed home-TWOC to be safe and effective, with no re-catheterisations or UTIs reported. Patient satisfaction was high, with most willing to repeat the process. Though sample size limited statistical power, outcomes aligned with existing studies. Minor concerns included anxiety, pain and information clarity. Improvements in patient education, support resources and staff training were identified, along with indicative benefits.

Conclusions

Home-TWOC is a safe, effective and well-received alternative to clinic-based catheter removal, offering clinical, economic and experiential benefits for post-RALP patients.

目的：前列腺癌是男性中最常见的癌症，机器人辅助腹腔镜前列腺切除术（RALP）是局部病例的常用治疗方法。术后导尿是常规的，通常在医院进行拔除（无导管试验，TWOC）。家庭导尿管拔除（home-TWOC）是一种较新的选择，在患者体验、诊所能力和可持续性方面具有潜在的好处，尽管证据仍然有限。这项服务评估检查了家庭twoc方案对ralp后患者的有效性，评估了临床结果-包括再导尿，尿路感染（uti）和其他并发症-并将其与临床twoc进行比较。它还探索了患者体验和潜在的经济效益。方法：采用横断面设计，采用方便抽样，分为回顾性和前瞻性两组进行服务评价。该前瞻性队列包括来自一个英国中心的所有ralp后患者，从2024年1月8日开始为期16周。该回顾性小组涵盖了从2022年2月1日，即该计划启动之前的16周。使用Agresti-Coull方法计算临床审计的定量数据。通过问卷调查收集的定性数据进行了描述性和主题性分析。结果：结果显示家庭- twoc是安全有效的，没有再置管或尿路感染的报道。患者满意度很高，大多数人愿意重复这个过程。尽管样本量限制了统计效力，但结果与现有研究一致。轻微的担忧包括焦虑、疼痛和信息清晰度。在患者教育、支持资源和工作人员培训方面的改进被确定，以及指示性益处。结论：Home-TWOC是一种安全、有效且广受欢迎的替代临床基础导管拔除方法，为ralp后患者提供临床、经济和经验上的益处。

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引用次数: 0

The impact of patient activation, self-management efficacy, and self-advocacy on symptom burden in breast cancer patients: A longitudinal study 患者激活、自我管理效能和自我倡导对乳腺癌患者症状负担的影响：一项纵向研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-14 DOI: 10.1016/j.ejon.2025.103046

Yifan Lu, Qinqin Liu, Congcong Dai, Shuqi Zhai, Huixia Geng, Chaoran Chen

Purpose

This study aimed to investigate the effect of patient activation on symptom burden in patients with breast cancer and to explore the mediating roles of self-management efficacy and patient advocacy in this relationship.

Methods

From August 2024 to February 2025, participants with breast cancer were enrolled from two tertiary-level hospitals located in Henan Province, China, using convenience sampling. Data were collected on demographics, patient activation, symptom burden, self-management efficacy, and patient advocacy. Data analysis was performed using SPSS 25.0, and structural equation modeling was conducted with AMOS 26.0 to assess the mediating effects.

Results

The average symptom burden score of patients undergoing chemotherapy was 5.33 ± 0.93, indicating a moderate level of symptom severity. Patient activation was significantly negatively correlated with symptom burden (r = −0.508, p < 0.001). Self-management efficacy and patient advocacy jointly mediated the relationship between patient activation and symptom burden. The structural equation model showed good fit (χ²/df = 1.795, GFI = 0.962, AGFI = 0.938, RMR = 0.033, NFI = 0.979, RFI = 0.978, IFI = 0.990, TLI = 0.986, CFI = 0.990, RMSEA = 0.047).

Conclusions

Patient activation is an important psychological factor influencing symptom burden in breast cancer patients. It affects symptom burden both directly and indirectly through self-management efficacy and patient advocacy.

目的：本研究旨在探讨患者激活对乳腺癌患者症状负担的影响，并探讨自我管理效能和患者倡导在这一关系中的中介作用。方法：采用方便抽样的方法，于2024年8月至2025年2月从河南省两家三级医院招募乳腺癌患者。收集了人口统计学、患者激活、症状负担、自我管理效能和患者倡导方面的数据。采用SPSS 25.0进行数据分析，并用AMOS 26.0进行结构方程建模，评估中介效应。结果：化疗患者的平均症状负担评分为5.33±0.93，症状严重程度为中等。患者激活与症状负担呈显著负相关（r = -0.508, p 2/df = 1.795, GFI = 0.962, AGFI = 0.938, RMR = 0.033, NFI = 0.979, RFI = 0.978, IFI = 0.990, TLI = 0.986, CFI = 0.990, RMSEA = 0.047）。结论：患者激活是影响乳腺癌患者症状负担的重要心理因素。它通过自我管理效能和患者倡导直接和间接影响症状负担。

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引用次数: 0

Efficacy of topical anesthetic cream, cold angiocath, and their combination on pain and fear during pediatric oncology venipuncture: A double-blind randomized controlled trial 表面麻醉膏、冷置血管导管及其联合应用对小儿肿瘤静脉穿刺疼痛和恐惧的疗效：一项双盲随机对照试验。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI: 10.1016/j.ejon.2025.103065

Fateme Borzoee , Ali Ghasemi , Sara Jahangiri , Narjes Heshmati Far , Mohammad Sahebkar

Purpose

This study aimed to evaluate the efficacy of topical anesthetic cream, cold angiocath, and their combination in reducing pain and fear during venipuncture in young children with cancer.

Methods

A double-blind, randomized controlled trial was conducted with 87 children aged 2–6 years receiving outpatient chemotherapy in a outpatient chemotherapy department in Mashhad, Iran. Participants were randomized into four groups: control, cold angiocath, Xylap cream, or combination. Pain and fear were assessed at baseline and three intervention sessions using the Face, Legs, Activity, Cry, Consolability (FLACC) scale and the Children's Fear Scale (CFS).

Results

The combination group showed the greatest reductions in pain (−4.40, 95 % CI: −5.04 to −3.75) and fear (−1.39, 95 % CI: −1.75 to −1.03) compared with control (p < 0.001). Xylap cream alone also significantly reduced pain (−3.52, 95 % CI: −4.15 to −2.90, p < 0.001) and fear (−0.96, 95 % CI: −1.34 to −0.58, p < 0.001). Cold angiocath yielded smaller but significant reductions in pain (−1.62, 95 % CI: −2.26 to −0.98) and fear (−0.87, 95 % CI: −1.24 to −0.49, p < 0.001).

Conclusions

Topical anesthetic cream and cold angiocath, alone or combined, reduced venipuncture pain and fear in young children with cancer. The combination strategy was most effective, supporting its use as a simple, safe, and practical intervention in pediatric oncology care.

目的：本研究旨在评价表面麻醉乳膏、冷置血管导管及其联合应用对减轻幼儿癌症患者静脉穿刺时疼痛和恐惧的效果。方法：对伊朗马什哈德某门诊化疗科接受门诊化疗的87例2-6岁儿童进行双盲、随机对照试验。参与者随机分为四组：对照组、冷血管插管组、Xylap乳膏组或组合组。疼痛和恐惧在基线和三个干预阶段使用面部，腿部，活动，哭泣，安慰（FLACC）量表和儿童恐惧量表（CFS）进行评估。结果：与对照组相比，联合组在疼痛（-4.40,95% CI: -5.04至-3.75）和恐惧（-1.39,95% CI: -1.75至-1.03）方面表现出最大的减轻(p结论：表面麻醉膏和冷血管导管，单独或联合使用，减少了癌症幼儿的静脉穿刺疼痛和恐惧。联合策略是最有效的，支持其作为一种简单，安全，实用的干预儿童肿瘤护理。

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引用次数: 0

Perceptions of safety in hospital at home following allogeneic haematopoietic stem cell transplantation: A qualitative study 同种异体造血干细胞移植后在家医院的安全性认知：一项定性研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-13 DOI: 10.1016/j.ejon.2025.103044

Sigrid Cecilie Tinglum Skøyeneie , Hilde Skuterud Wik , Geir Erland Tjønnfjord , Lena Fauske , Tobias Gedde-Dahl , Grethe Solvang , Anders Eivind Myhre

Purpose

Hospital at Home (HaH) is an innovative care model designed to provide hospital-equivalent care at home substituting traditional inpatient care. Previous research has demonstrated the clinical safety of HaH, but there is limited qualitative knowledge about the experiences of safety among those who attend. As patients become severely immunocompromised and require close monitoring following allogeneic haematopoietic stem cell transplantation (HSCT), safety perceptions are important. This study aimed to explore how patients and informal caregivers perceived safety in HaH following HSCT.

Methods

A qualitative exploratory design with a phenomenological hermeneutical approach was used. Semi-structured interviews were conducted with 16 patients and 14 informal caregivers. Data were analysed using reflexive thematic analysis.

Results

(1) From ambivalence to attendance. Participants were initially ambivalent. However, comprehensive preparatory information, the option to withdraw, and flexibility to return to hospital at any time were key factors influencing their decision to participate. (2) The organisation and practice shaped the perceptions of safety. Participants perceived HaH as safe due to structured care and consistent follow-up they received. Continuity, competence, and availability of the healthcare team provided reassurance. (3) Prepared for the expected. Participants felt prepared for potential health deterioration and the possibility of readmission, drawing on previous treatment experiences and proactive preparation.

Conclusions

Participants perceived HaH as a safe alternative to inpatient care, emphasising clear organisational structures, preparatory information, and continuous support. Predictability, trust in the professional competence of the care team, and flexible options for readmission were crucial to their sense of safety. These findings underscore the importance of structured follow-up and adequate preparation in the successful implementation of HaH programs. The findings highlight the importance of risk assessment, thorough training and preparation, flexible hybrid care models, and team continuity.

目的：家庭医院（HaH）是一种创新的护理模式，旨在提供相当于医院的家庭护理，以取代传统的住院护理。先前的研究已经证明了HaH的临床安全性，但对参加者的安全体验的定性知识有限。同种异体造血干细胞移植（HSCT）后，患者出现严重的免疫功能低下，需要密切监测，因此对安全性的认识很重要。本研究旨在探讨患者和非正式护理人员如何感知HSCT后ha的安全性。方法：采用现象学解释学方法进行定性探索设计。对16名患者和14名非正式护理人员进行了半结构化访谈。数据分析采用反身性主题分析。结果：(1)从矛盾心理到出勤。参与者最初是矛盾的。然而，全面的准备信息、退出的选择以及随时返回医院的灵活性是影响他们决定参加的关键因素。(2)组织和实践塑造了安全观念。参与者认为HaH是安全的，因为他们接受了结构化的护理和持续的随访。医疗团队的连续性、能力和可用性提供了保证。(3)为预期做好准备。参与者根据以往的治疗经验和积极的准备，对潜在的健康恶化和再次入院的可能性做好了准备。结论：参与者认为HaH是住院治疗的安全选择，强调明确的组织结构、准备信息和持续的支持。可预测性、对护理团队专业能力的信任以及灵活的再入院选择对他们的安全感至关重要。这些发现强调了有组织的随访和充分的准备在成功实施HaH项目中的重要性。研究结果强调了风险评估、全面培训和准备、灵活的混合护理模式和团队连续性的重要性。

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引用次数: 0

The effect of therapeutic play on anxiety and fear levels in 6–12-year old children undergoing central venous catheter insertion in a pediatric hematology-oncology unit: A randomized controlled trial 儿童血液肿瘤科6-12岁儿童中心静脉置管治疗性玩耍对焦虑和恐惧水平的影响：一项随机对照试验

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-17 DOI: 10.1016/j.ejon.2025.103049

Pınar Taşpinar , Gülzade Uysal , Ayfer Açikgöz

Purpose

Central venous catheters (CVCs) insertion is an invasive procedure that may provoke fear and anxiety in children. This randomized controlled trial aimed to determine the effect of therapeutic play on anxiety and fear levels in 6–12-year-old children undergoing CVCs insertion in a pediatric hematology-oncology unit.

Methods

The study was conducted between October 2022 and August 2023 with 80 children diagnosed with cancer and scheduled for CVCs insertion were included and randomly assigned to two groups: the intervention group (n = 40), which received education using therapeutic play before the procedure, and the control group (n = 40), which received routine clinical care only.

Results

Eighty children were randomized to the intervention (n = 40) or control (n = 40) group. The intervention group had significantly lower anxiety (CAS-S) and fear (CFS) scores than the control group at all three measurement points (p < 0.01). Heart rate was also significantly lower in the intervention group immediately before and 2 h after the procedure (p = 0.005 and p = 0.001, respectively), and respiratory rate was lower immediately before the procedure (p = 0.001). No significant between-group differences were found for blood pressure or oxygen saturation. Inter-rater reliability between child, parent, and nurse assessments was excellent (ICC = 0.904–0.980, p < 0.001).

Conclusion

Therapeutic play administered before CVC procedures effectively reduced children's fear and anxiety, supporting its use by nurses to enhance psychological comfort and preparation for invasive procedures, particularly in hematology–oncology settings.

目的：中心静脉导管（CVCs）插入是一种侵入性手术，可能引起儿童的恐惧和焦虑。本随机对照试验旨在确定治疗性游戏对6-12岁儿童的焦虑和恐惧水平的影响，这些儿童在儿科血液肿瘤科接受cvc植入。方法：研究于2022年10月至2023年8月期间对80名确诊为癌症并计划进行CVCs插入的儿童进行研究，并将其随机分为两组：干预组（n = 40），在术前接受治疗性游戏教育，对照组（n = 40）仅接受常规临床护理。结果：80名儿童随机分为干预组（n = 40）和对照组（n = 40）。在所有三个测量点上，干预组的焦虑（CAS-S）和恐惧（CFS）得分明显低于对照组(p结论：在CVC手术前进行治疗性游戏有效地减少了儿童的恐惧和焦虑，支持护士使用它来增强心理安慰和为侵入性手术做准备，特别是在血液肿瘤学环境中。

{"title":"The effect of therapeutic play on anxiety and fear levels in 6–12-year old children undergoing central venous catheter insertion in a pediatric hematology-oncology unit: A randomized controlled trial","authors":"Pınar Taşpinar , Gülzade Uysal , Ayfer Açikgöz","doi":"10.1016/j.ejon.2025.103049","DOIUrl":"10.1016/j.ejon.2025.103049","url":null,"abstract":"<div><h3>Purpose</h3><div>Central venous catheters (CVCs) insertion is an invasive procedure that may provoke fear and anxiety in children. This randomized controlled trial aimed to determine the effect of therapeutic play on anxiety and fear levels in 6–12-year-old children undergoing CVCs insertion in a pediatric hematology-oncology unit.</div></div><div><h3>Methods</h3><div>The study was conducted between October 2022 and August 2023 with 80 children diagnosed with cancer and scheduled for CVCs insertion were included and randomly assigned to two groups: the intervention group (n = 40), which received education using therapeutic play before the procedure, and the control group (n = 40), which received routine clinical care only.</div></div><div><h3>Results</h3><div>Eighty children were randomized to the intervention (n = 40) or control (n = 40) group. The intervention group had significantly lower anxiety (CAS-S) and fear (CFS) scores than the control group at all three measurement points (p < 0.01). Heart rate was also significantly lower in the intervention group immediately before and 2 h after the procedure (p = 0.005 and p = 0.001, respectively), and respiratory rate was lower immediately before the procedure (p = 0.001). No significant between-group differences were found for blood pressure or oxygen saturation. Inter-rater reliability between child, parent, and nurse assessments was excellent (ICC = 0.904–0.980, p < 0.001).</div></div><div><h3>Conclusion</h3><div>Therapeutic play administered before CVC procedures effectively reduced children's fear and anxiety, supporting its use by nurses to enhance psychological comfort and preparation for invasive procedures, particularly in hematology–oncology settings.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103049"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145656433","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

Relationships among postoperative changes in swallowing function, nutritional status, and overall survival in patients with oral cancer 口腔癌患者术后吞咽功能改变、营养状况和总生存期的关系

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-08 DOI: 10.1016/j.ejon.2026.103101

Yu-Xuan Peng , Yi-Chieh Tsai , Wen-Pei Chang

Purpose

Dysphagia and malnutrition are frequent postoperative complications in oral cancer patients, increasing therapy-related risks and impacting survival. This study examined changes in swallowing function and nutritional status after surgery and their effects on overall survival.

Methods

This retrospective cohort study at a medical center in Taiwan reviewed records of newly-diagnosed oral cancer patients who underwent surgery between January 2020 and December 2023. Clinical indicators including BMI, albumin, Functional Oral Intake Scale (FOIS), and Patient-Generated Subjective Global Assessment (PG-SGA) scores were collected at three time points: preoperatively (T1) and at 3 (T2) and 6 months (T3) postoperatively. Overall survival was calculated from the date of surgery (T0) to the fixed endpoint of August 31, 2024. Group-based trajectory modeling was used to identify temporal patterns, and Cox regression analysis was performed to examine survival-related factors.

Results

A total of 120 patients were examined. During the study period, 42 patients died. The mean follow-up duration was 25.36 (SD = 13.42) months. The FOIS score changes were negatively associated with PG-SGA scores trajectories (χ² = 7.37, p = .007) and positively associated with albumin trajectories (χ2 = 8.92, p = .003) and BMI trajectories (χ² = 7.83, p = .020). Cox regression analysis showed that patients with Stage-IV cancer (HR = 47.85, 95 % CI: 2.02–1134.80), higher PG-SGA scores trajectories (HR = 2.77, 95 % CI: 1.19–6.46), and lower albumin levels trajectories (HR = 2.63, 95 % CI: 1.13–6.16) faced increased mortality risk.

Conclusions

Oral cancer patients showed poorer swallowing after surgery. Swallowing changes were linked to nutritional status, and postoperative nutrition was associated with survival, underscoring the need for monitoring and support.

目的：吞咽困难和营养不良是口腔癌患者术后常见的并发症，增加了治疗相关风险，影响生存。本研究考察了术后吞咽功能和营养状况的变化及其对总生存率的影响。方法：这项在台湾某医疗中心进行的回顾性队列研究回顾了2020年1月至2023年12月期间接受手术的新诊断口腔癌患者的记录。在术前（T1）、术后3个月（T2）和6个月（T3）三个时间点收集临床指标，包括BMI、白蛋白、功能性口服摄入量表（FOIS）和患者主观整体评估（PG-SGA）评分。从手术日期（T0）到2024年8月31日的固定终点计算总生存期。采用基于群体的轨迹模型识别时间模式，并采用Cox回归分析检查生存相关因素。结果：共检查120例患者。在研究期间，42名患者死亡。平均随访时间为25.36 （SD = 13.42）个月。FOIS评分变化与PG-SGA评分轨迹呈负相关（χ2 = 7.37, p = 0.007），与白蛋白轨迹呈正相关（χ2 = 8.92, p = 0.003），与BMI轨迹呈正相关（χ2 = 7.83, p = 0.020）。Cox回归分析显示，iv期癌症患者（HR = 47.85, 95% CI: 2.02-1134.80）、PG-SGA评分较高的患者（HR = 2.77, 95% CI: 1.19-6.46）和白蛋白水平较低的患者（HR = 2.63, 95% CI: 1.13-6.16）面临更高的死亡风险。结论：口腔癌患者术后吞咽功能较差。吞咽变化与营养状况有关，术后营养与生存有关，强调了监测和支持的必要性。

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引用次数: 0

Meaning-making through digital storytelling: Experiences of children and adolescents with cancer within Peplau's theory and a hermeneutic approach 通过数字叙事来创造意义：Peplau理论和解释学方法下的儿童和青少年癌症患者的经历

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-12-07 DOI: 10.1016/j.ejon.2025.103076

Birgül Erdoğan , Naime Altay

Purpose

This study aimed to explore the meaning-making processes of children and adolescents with cancer through Digital Storytelling (DS), grounded in Peplau's Interpersonal Relations Theory and a hermeneutic approach.

Methods

A qualitative study was conducted using a philosophical hermeneutic design in the pediatric hematology and oncology units of a university hospital in western Türkiye. A purposive sample of 17 children/adolescents (n = 17), aged 7–18 years and having received at least one cycle of chemotherapy, participated in a four-session DS program. Data were collected between January and July 2024 through digital stories, semi-structured interviews with children/adolescents and parents, and researcher reflection journals. Hermeneutic analysis was performed, following iterative interpretation of narratives and the hermeneutic circle.

Results

Participants created 17 digital stories reflecting their cancer experiences. The stories revealed six interrelated themes: (1) Illness and bodily experiences, (2) Social exclusion and societal perceptions, (3) Family relationships and responsibility sharing, (4) Hope, dreams, and future orientation, (5) Social support and friendship, and (6) Knowledge, sharing, and learning from experiences. DS facilitated children's engagement in symptom management, enhanced coping strategies, fostered emotional expression, and strengthened social connectedness. Parents reported increased motivation and improved family communication, while the researcher's reflections indicated mutual meaning-making and professional growth.

Conclusion

Digital Storytelling, integrated with Peplau's Interpersonal Relations Theory, is an innovative, holistic nursing approach that supports meaning-making, psychosocial adjustment, and symptom management in pediatric oncology care. The findings suggest DS as a feasible therapeutic communication tool for children and adolescents with cancer.

目的本研究以Peplau的人际关系理论和解释学方法为基础，探讨儿童和青少年癌症患者通过数字叙事（DS）的意义制造过程。方法采用哲学解释学设计对西部某大学医院儿科血液科和肿瘤科进行定性研究。有目的的17名儿童/青少年（n = 17），年龄在7-18岁，接受过至少一个周期的化疗，参加了一个四期的DS计划。数据是在2024年1月至7月期间通过数字故事、对儿童/青少年和父母的半结构化访谈以及研究人员反思期刊收集的。在叙述和解释学循环的反复解释之后，进行了解释学分析。结果参与者创造了17个反映他们癌症经历的数字故事。这些故事揭示了六个相互关联的主题：(1)疾病和身体经历；(2)社会排斥和社会观念；(3)家庭关系和责任分担；(4)希望、梦想和未来方向；(5)社会支持和友谊；(6)知识、分享和从经验中学习。DS有助于儿童参与症状管理，增强应对策略，培养情绪表达，增强社会联系。父母报告说，他们的动机增加了，家庭沟通也得到了改善，而研究人员的反思则表明，双方的意义创造和职业发展都有所提高。结论结合Peplau的人际关系理论，数字化讲故事是一种创新的整体护理方法，可支持儿科肿瘤护理的意义生成、心理社会调整和症状管理。研究结果表明，对于患有癌症的儿童和青少年来说，DS是一种可行的治疗交流工具。

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引用次数: 0

The effect of arm massage on the success of peripheral intravenous catheter insertion in breast cancer patients undergoing chemotherapy: A randomized controlled study 手臂按摩对乳腺癌化疗患者外周静脉置管成功的影响：一项随机对照研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.ejon.2026.103106

Handan Eren , Yasemin Karacan

Purpose

Peripheral intravenous catheter access becomes difficult in patients diagnosed with breast cancer who receive chemotherapy treatment because vein visibility decreases. The study aims to determine the effect of arm massage on the success of peripheral intravenous catheter insertion in breast cancer patients undergoing intravenous chemotherapy.

Methods

This randomized controlled study included 60 breast cancer patients undergoing intravenous chemotherapy (experimental = 30, control = 30). The patients in the experimental group received arm massage before the procedure, while those in the control group did not receive any intervention. Data were collected using a record form for peripheral intravenous chemotherapy administration.

Results

Vein visibility was significantly improved in the massage group (p < 0.001). The effect size was calculated as Cohen's d = 1.24, with a 95 % confidence interval of [0.60, 1.46]. Successful peripheral intravenous catheter insertion time was statistically shorter in the experimental group (p = 0.000). Post-procedure anxiety levels were significantly lower in the experimental group (p = 0.000). While the level of satisfaction with the procedure increased statistically significantly in the experimental group (p = 0.000), it decreased statistically significantly in the control group (p = 0.012). The nurses in the groups stated that arm massage facilitated catheter insertion in 90 % of the procedures.

Conclusion

Massage shortened the peripheral intravenous catheter insertion process and positively affected the patients' anxiety of and satisfaction with the procedure. Cost-effective arm massage was recommended for use in patients undergoing intravenous chemotherapy.

目的：由于静脉可视性降低，乳腺癌患者接受化疗后静脉导管进入变得困难。本研究旨在确定手臂按摩对乳腺癌静脉化疗患者外周静脉置管成功的影响。方法随机对照研究60例接受静脉化疗的乳腺癌患者，实验组30例，对照组30例。实验组患者在手术前接受手臂按摩，对照组患者不接受任何干预。使用外周静脉化疗给药记录表收集数据。结果按摩组静脉可视性明显改善（p < 0.001）。效应量计算为Cohen’s d = 1.24, 95%置信区间为[0.60,1.46]。实验组外周静脉置管成功时间明显短于对照组（p = 0.000）。实验组术后焦虑水平显著低于对照组（p = 0.000）。实验组患者对手术的满意度有统计学意义的提高（p = 0.000），对照组患者对手术的满意度有统计学意义的降低（p = 0.012）。两组护士表示，在90%的手术中，手臂按摩有助于导管插入。结论推拿缩短了外周静脉置管过程，对患者的焦虑感和手术满意度有积极影响。性价比高的手臂按摩被推荐用于接受静脉化疗的患者。

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引用次数: 0

The influence of patient engagement and self-efficacy on self-care in myeloproliferative neoplasms: A mediation analysis 骨髓增生性肿瘤患者参与和自我效能感对自我护理的影响：一个中介分析。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-17 DOI: 10.1016/j.ejon.2025.103047

Valentina Biagioli , Alessandro Inzoli , Antonella Barone , Alessandra Iurlo , Paola Guglielmelli , Francesca Palandri , Barbara Mora , Stefana Impera , Silvia Betti , Marco Santoro , Vittorio Rosti , Giovanni Barosi

Purpose

To identify predictors of self-care in patients with myeloproliferative neoplasms (MPN) and test the role of self-efficacy in mediating the relationship between patient health engagement and self-care.

Methods

A cross-sectional study was carried out in 9 haematology centres across Italy. A sample of adult patients with essential thrombocythemia (ET), polycythaemia vera (PV), and myelofibrosis (MF) was recruited from outpatient settings. Participants completed a paper-based questionnaire assessing self-care (Self-Care in MyeloProliferative Neoplasms Inventory, SC-MPNI), self-efficacy (Self-Care Self-Efficacy Scale, SCSES), patient health engagement (Patient Health Engagement Scale, PHE-Scale), and socio-demographic and clinical characteristics. Regression analysis and structural equation modelling (SEM) were used.

Results

Participants were 282 patients with a diagnosis of PV (n = 78, 28.1 %), ET (n = 82, 29.5 %), and MF (n = 118, 42.4 %) (M = 60 years, SD = 13.5). Several predictors of self-care were identified, including level of education, working full-time, time since diagnosis, spirituality, and the haematologist's clarity on advising patients on what to do in daily life. The SEM showed that patient health engagement had a positive effect on self-efficacy (β = 0.40), which in turn had a positive impact on self-care maintenance (β = 0.32), self-care monitoring (β = 0.47), and self-care management (β = 0.51). Self-efficacy fully mediated the relationship between engagement and self-care.

Conclusions

Higher patient health engagement can enhance self-care behaviours in people with MPNs by increasing their self-efficacy.

目的：探讨骨髓增生性肿瘤（MPN）患者自我保健的预测因素，并检验自我效能感在患者健康参与与自我保健之间的中介作用。方法：在意大利9个血液学中心进行横断面研究。从门诊招募了患有原发性血小板增多症（ET）、真性红细胞增多症（PV）和骨髓纤维化（MF）的成年患者。参与者完成了一份基于纸张的问卷，评估自我保健（骨髓增生性肿瘤自我保健量表，SC-MPNI）、自我效能（自我保健自我效能量表，SCSES）、患者健康参与（患者健康参与量表，PHE-Scale）以及社会人口统计学和临床特征。采用回归分析和结构方程模型（SEM）。结果：研究对象为282例诊断为PV （n = 78, 28.1%）、ET （n = 82, 29.5%）和MF （n = 118, 42.4%）的患者（M = 60岁，SD = 13.5）。研究确定了几个自我护理的预测指标，包括教育水平、全职工作、诊断后的时间、精神状态，以及血液病医生对患者日常生活建议的清晰度。扫描电镜显示，患者健康投入对自我效能感有正向影响（β = 0.40），自我效能感对自我护理维持（β = 0.32）、自我护理监测（β = 0.47）和自我护理管理（β = 0.51）有正向影响。自我效能感在敬业度与自我照顾之间起中介作用。结论：较高的患者健康参与可以通过提高自我效能感来增强mpn患者的自我保健行为。

{"title":"The influence of patient engagement and self-efficacy on self-care in myeloproliferative neoplasms: A mediation analysis","authors":"Valentina Biagioli , Alessandro Inzoli , Antonella Barone , Alessandra Iurlo , Paola Guglielmelli , Francesca Palandri , Barbara Mora , Stefana Impera , Silvia Betti , Marco Santoro , Vittorio Rosti , Giovanni Barosi","doi":"10.1016/j.ejon.2025.103047","DOIUrl":"10.1016/j.ejon.2025.103047","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify predictors of self-care in patients with myeloproliferative neoplasms (MPN) and test the role of self-efficacy in mediating the relationship between patient health engagement and self-care.</div></div><div><h3>Methods</h3><div>A cross-sectional study was carried out in 9 haematology centres across Italy. A sample of adult patients with essential thrombocythemia (ET), polycythaemia vera (PV), and myelofibrosis (MF) was recruited from outpatient settings. Participants completed a paper-based questionnaire assessing self-care (Self-Care in MyeloProliferative Neoplasms Inventory, SC-MPNI), self-efficacy (Self-Care Self-Efficacy Scale, SCSES), patient health engagement (Patient Health Engagement Scale, PHE-Scale), and socio-demographic and clinical characteristics. Regression analysis and structural equation modelling (SEM) were used.</div></div><div><h3>Results</h3><div>Participants were 282 patients with a diagnosis of PV (n = 78, 28.1 %), ET (n = 82, 29.5 %), and MF (n = 118, 42.4 %) (M = 60 years, SD = 13.5). Several predictors of self-care were identified, including level of education, working full-time, time since diagnosis, spirituality, and the haematologist's clarity on advising patients on what to do in daily life. The SEM showed that patient health engagement had a positive effect on self-efficacy (β = 0.40), which in turn had a positive impact on self-care maintenance (β = 0.32), self-care monitoring (β = 0.47), and self-care management (β = 0.51). Self-efficacy fully mediated the relationship between engagement and self-care.</div></div><div><h3>Conclusions</h3><div>Higher patient health engagement can enhance self-care behaviours in people with MPNs by increasing their self-efficacy.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103047"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662656","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

Stakeholder views on integrating prehabilitation in neoadjuvant therapy for breast cancer 利益相关者对将康复纳入乳腺癌新辅助治疗的看法。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-10 DOI: 10.1016/j.ejon.2025.103091

Suzanne J. Grant , Moe Thet Htaa , Maria Gonzalez , Kim Kerin-Ayres , Shelley Kay , Judith Lacey , Susannah Graham

Background

Neoadjuvant systemic therapy (NAST) for breast cancer can cause fatigue, neuropathy, and sleep disturbance, affecting treatment adherence and recovery. Early supportive care—including exercise, psychological support, and integrative therapies—may reduce side effects and improve outcomes. However, it remains unclear how best to deliver such care to optimise patient participation and effectiveness. This study explored the perspectives of women with breast cancer and healthcare professionals (HCPs) on the design and delivery of a multimodal supportive care program during NAST.

Methods

This descriptive qualitative study with conventional content analysis involved 24 participants: 12 women receiving neoadjuvant therapy, one receiving adjuvant therapy, and 11 HCPs across disciplines. Data were analysed thematically to identify key themes related to stakeholder knowledge, experiences, and perceived barriers and facilitators.

Results

Supportive care was viewed by both patients and healthcare professionals as critical to managing treatment-related side effects and maintaining quality of life. Stakeholders emphasised the need for early introduction, tailored delivery within a structured “program” format, and multidisciplinary coordination to support adherence and sustainability. Patients emphasised simplicity and the ability to ‘just sign up’ early in their treatment journey, ideally at diagnosis, with flexibility to adjust based on readiness.

Conclusions

Stakeholders viewed early, multimodal supportive care as a valuable strategy to manage treatment-related side effects and enhance recovery. Success depends on programs being flexible but structured (‘just sign up’), person-centered, and integrated into the oncology care pathway. Given emerging evidence that exercise during treatment may influence tumour biology and response, these insights can inform the design of interventions that can support both clinical and quality-of-life outcomes of cancer treatment.

背景：乳腺癌新辅助全身治疗（NAST）可引起疲劳、神经病变和睡眠障碍，影响治疗依从性和恢复。早期支持性护理——包括锻炼、心理支持和综合治疗——可能会减少副作用并改善结果。然而，目前尚不清楚如何最好地提供这种护理，以优化患者的参与和有效性。本研究探讨了乳腺癌妇女和医疗保健专业人员（HCPs）在NAST期间设计和提供多模式支持治疗方案的观点。方法：本描述性定性研究采用传统的内容分析，涉及24名参与者：12名接受新辅助治疗的女性，1名接受辅助治疗的女性和11名跨学科的HCPs。对数据进行了主题分析，以确定与利益相关者知识、经验以及感知到的障碍和促进因素相关的关键主题。结果：支持性护理被患者和医疗保健专业人员视为管理治疗相关副作用和维持生活质量的关键。利益攸关方强调需要尽早引入，以结构化的“计划”形式量身定制交付，以及多学科协调，以支持遵守和可持续性。患者强调简单性和在治疗过程早期“只需注册”的能力，理想情况下是在诊断时，可以根据准备情况灵活调整。结论：利益相关者认为早期、多模式支持治疗是管理治疗相关副作用和促进康复的有价值的策略。项目的成功取决于项目的灵活性和结构（“只需注册”），以人为本，并融入肿瘤治疗途径。鉴于新出现的证据表明，治疗期间的运动可能影响肿瘤生物学和反应，这些见解可以为干预措施的设计提供信息，从而支持癌症治疗的临床和生活质量结果。

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引用次数: 0