European Journal of Oncology Nursing最新文献

{"title":"Health professionals’ presence and attributes in connecting with parents of children with cancer: A qualitative study through the lens of compassion","authors":"Camilla Littau Nielsen ,&nbsp;Jane Clemensen ,&nbsp;Claus Sixtus Jensen ,&nbsp;Michael Thude Callesen ,&nbsp;Anthony Smith ,&nbsp;Kristina Garne Holm","doi":"10.1016/j.ejon.2024.102683","DOIUrl":"10.1016/j.ejon.2024.102683","url":null,"abstract":"<div><h3>Purpose</h3><p>Throughout a child's cancer treatment, health professionals (HPs) constitute an important source of support for the entire family. However, the understanding of their presence and essential attributes is unclear. This study explored HPs' presence and attributes in connecting with parents and identified facilitators and barriers for connectedness.</p></div><div><h3>Methods</h3><p>This qualitative study was undertaken in a compassion paradigm, designed and guided by Heidegger's and Gadamer's philosophical concepts, and employed compassionate methods. Data were generated through ethnographic fieldwork (144 h), parent interviews (n = 16), and focus group interviews with parents of cancer survivors (n = 2) and HPs (n = 3). Inductive content analysis was utilised to analyse data.</p></div><div><h3>Results</h3><p>Many HP-parent contacts developed into close, genuine connections based on HPs' great commitment and ability to balance the act of closeness and distance. This involved HPs’ sensitivity, humanity, humility, honest communication, genuine interest, and high clinical competencies; all promoting trust. Adapting and ending close relationships when approaching the end of treatment had little attention and was difficult for families, making some find ways of keeping contact on a personal level. Barriers disclosed were structural work changes, busyness, dishonest, poor, or lack of communication, and poor or lack of interpersonal chemistry.</p></div><div><h3>Conclusion</h3><p>Human interconnectedness is powerful in long-term professional relationships and strengthens the parents. More research and clinical attention are needed to develop the understanding and help target actions toward building, maintaining, and ending relationships. Further, cultivating being present in the moment, through mindfulness and compassion, may support HPs in maintaining a receptive mind and a caring role.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102683"},"PeriodicalIF":2.7,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001819/pdfft?md5=98887e3847063966c47f5648c697943a&pid=1-s2.0-S1462388924001819-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142274186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trajectories of perioperative nutritional status in patients with pancreatic tumor after surgery in six months","authors":"Hui-Ying Yang ,&nbsp;Shiow-Ching Shun ,&nbsp;Yun-Hsiang Lee ,&nbsp;Yan-Ting Liou ,&nbsp;Yun-Jen Chou ,&nbsp;Hsuan-Ju Kuo ,&nbsp;Yu-Wen Tien ,&nbsp;Sheng-Ru Lai ,&nbsp;Hung Hung","doi":"10.1016/j.ejon.2024.102687","DOIUrl":"10.1016/j.ejon.2024.102687","url":null,"abstract":"<div><h3>Purpose</h3><p>To characterize subgroups with similar nutritional status trajectories during the 6-month period after pancreatectomy and to identify demographic and clinical characteristics influencing changes in nutritional status in each subgroup.</p></div><div><h3>Methods</h3><p>This longitudinal prospective study recruited 112 patients with newly diagnosed pancreatic tumor from an outpatient pancreatic surgical department of a medical center in northern Taiwan between September 2016 and April 2019. Patients completed a demographic and clinical characteristics form, the Mini Nutritional Assessment scale, and the Symptom Severity Scale prior to surgery (T0), 3 months after surgery (T1), and 6 months after surgery (T2). Latent class growth analysis was used to investigate the trajectories of nutritional status. Generalized estimating equations were used to identify significant factors influencing each trajectory.</p></div><div><h3>Results</h3><p>Two latent groups of nutritional status trajectories were identified. Among 112 patients, 74.11% and 25.89% were classified as having high and low nutritional status trajectories, respectively. High nutritional status was significantly negatively correlated with changes in symptom severity. Low nutritional status was significantly negatively correlated with older age, surgical complications, and changes in symptom severity.</p></div><div><h3>Conclusions</h3><p>Symptom severity has the most significant negative effect on perioperative nutritional status. Older age and surgical complications exert negative effects on perioperative nutritional status among patients with low nutritional status. These findings emphasize the need for nurses to identify at-risk individuals and provide individualized nutritional care to improve nutritional status in this population.</p></div><div><h3>Clinical trials registration</h3><p>This study was registered on <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> (trial registration number: NCT02900677; approved date: September 14th, 2016). Link: <span><span>https://clinicaltrials.gov/ct2/show/NCT02900677</span><svg><path></path></svg></span>.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102687"},"PeriodicalIF":2.7,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001856/pdfft?md5=52469bb46c51e63de2496dbfaf4fbb6d&pid=1-s2.0-S1462388924001856-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-perceived cognitive impairment in the first year after breast cancer and the identification of at-risk patients","authors":"A.S. Huberts ,&nbsp;E.A.C. Albers ,&nbsp;K.M. de Ligt ,&nbsp;L.B. Koppert ,&nbsp;S.B. Schagen ,&nbsp;L.V. van de Poll-Franse","doi":"10.1016/j.ejon.2024.102685","DOIUrl":"10.1016/j.ejon.2024.102685","url":null,"abstract":"<div><h3>Purpose</h3><p>This study investigated self-reported clinically relevant cognitive impairment of breast cancer patients in routine clinical care and assessed factors associated with new-onset clinically relevant cognitive impairment.</p></div><div><h3>Methods</h3><p>Cognitive functioning was assessed before start of any treatment (T0) and at 6 (T6) and 12 (T12) months after diagnosis. Cognitive functioning (CF) was measured on a scale of 0–100 with the EORTC QLQ-C30 questionnaire, and the EORTC pre-defined threshold for clinical importance. Multivariable logistic regression analyses was used to identify factors associated with new-onset clinically relevant cognitive impairment at T6 ((CF &gt; 75 at T0 and CF &lt; 75 at T6 and T12) or (CF &gt; 75 at T0 and T6 and &lt;75 at T12)).</p></div><div><h3>Results</h3><p>Pre-treatment, 21% of patients reported clinically relevant cognitive impairment. At T12, percentage was 32%; 20% of patients reported new-onset clinically relevant cognitive impairment at T6 and/or T12. New-onset clinically relevant cognitive impairment was associated with chemo(immuno)therapy and impairment in role and emotional functioning. Younger patients and patients receiving chemo(immuno)therapy were more likely to report new-onset clinically relevant cognitive impairment post treatment.</p></div><div><h3>Conclusion</h3><p>One in five breast cancer patients reported clinically relevant cognitive problems before start of treatment. This percentage further increased within the first year, particularly among patients treated with chemo(immuno)therapy. One in five patients reported new-onset clinically relevant cognitive impairment. Ultimately, these patients may benefit from systematic monitoring and potential referral to interventions.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102685"},"PeriodicalIF":2.7,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001832/pdfft?md5=6891d1839015ba037de2104594bb74f1&pid=1-s2.0-S1462388924001832-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decision-making conflicts regarding hematopoietic stem cell transplantation in patients with hematological neoplasms: A descriptive qualitative study","authors":"Xiaohuan Yuan ,&nbsp;Yidan Yang ,&nbsp;Chunfeng Wang ,&nbsp;Ying Wang ,&nbsp;Jingyi Chen ,&nbsp;Yong Wu ,&nbsp;Rong Hu","doi":"10.1016/j.ejon.2024.102684","DOIUrl":"10.1016/j.ejon.2024.102684","url":null,"abstract":"<div><h3>Purpose</h3><p>To explore and understand the conflict in decision-making of hematopoietic stem cell transplantation in patients with hematological neoplasms.</p></div><div><h3>Methods</h3><p>A descriptive qualitative study of 16 patients with hematologic neoplasms in the hematology department was conducted between February 2022 and May 2022. Purposive sampling was used to select participants. Face-to-face in-depth personal interviews were performed. Interviews were recorded, transcribed, and coded. This descriptive qualitative study adhered to the COREQ checklist.</p></div><div><h3>Results</h3><p>All patients indicated difficulties in making decisions regarding hematopoietic stem cell transplantation. Five themes were identified: (1) weighing the pros and cons of HSCT, (2) financial burden versus desire for rebirth, (3) treatment urgency versus being unprepared, (4) saving oneself versus damaging loved ones, and (5) family companionship versus emotional isolation. These themes reflect the contradictions, entanglements, and realistic conflicts in decision-making regarding hematopoietic stem cell transplantation for patients with hematological neoplasms.</p></div><div><h3>Conclusions</h3><p>This study identified multiple conflicts of decision-making in patients with hematologic neoplasms regarding decisions on hematopoietic stem cell transplantations. Healthcare workers should provide patients with disease knowledge, doctor-patient and intra-family communication, and access to financial support in order to resolve their conflicts and ultimately help them make the decision that is most optimum for them.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102684"},"PeriodicalIF":2.7,"publicationDate":"2024-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009886","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}

{"title":"Metaphorical perceptions of stoma patients about living with a stoma: A qualitative study","authors":"Hamide Şişman ,&nbsp;Derya Gezer ,&nbsp;Rabia Cihan","doi":"10.1016/j.ejon.2024.102681","DOIUrl":"10.1016/j.ejon.2024.102681","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to investigate how stoma patients perceive their experiences living with a stoma.</p></div><div><h3>Methods</h3><p>The research is a descriptive study conducted with 42 patients who lived with a stoma for at least 3 months. Data were collected by a face-to-face interview method with a semi-structured form. The metaphors obtained from the analysis are presented under 3 main headings.</p></div><div><h3>Results</h3><p>The participant's gender was 59.5% male, 78.6% were between the ages of 18 and 64, and 78.6% were married. We discussed patients' statements about living with a stoma under the themes of ‘positive’, ‘negative’, and ‘both positive and negative’. A statistically significant relationship was found between age groups, stoma type (colostomy/ileostomy), and stoma type (permanent/temporary) (p &lt; 0.05).</p></div><div><h3>Conclusions</h3><p>The findings reveal that negative metaphors occur most frequently in patients between the ages of 18 and 64 who have undergone temporary stoma surgery. Knowing patients' perceptions of their stoma can be a guide in planning support services for individuals to cope with their negative emotions.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102681"},"PeriodicalIF":2.7,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037694","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}

{"title":"People, places, systems and society:A qualitative exploration of socio-cultural factors in head and neck cancer survivorship","authors":"Laura-Jayne Watson ,&nbsp;Linda Sharp ,&nbsp;Joanne M. Patterson ,&nbsp;Peter Fisher ,&nbsp;James O'Hara ,&nbsp;Jennifer Deane ,&nbsp;Fiona Menger","doi":"10.1016/j.ejon.2024.102682","DOIUrl":"10.1016/j.ejon.2024.102682","url":null,"abstract":"<div><h3>Purpose</h3><p>People living with head and neck cancer (HNC) often endure permanent and life changing adverse effects of treatment and reduced health-related quality of life. Study of post-traumatic growth (PTG), is gaining traction to understand why some people living with cancer have better psychosocial outcomes than others. Current theoretical models on PTG point to the importance of ‘socio-cultural influences’ but do not provide insight into how such socio-cultural factors influence survivorship outcomes. This research aimed to illuminate pathways to PTG following HNC by exploring socio-cultural factors in experiences of living with, and moving on from, HNC.</p></div><div><h3>Method</h3><p>Semi-structured interviews with people living with HNC (up to 5 years post-treatment) on experiences of diagnosis, treatment and recovery. Qualitative framework analysis using the environmental factors codes from the International Classification of Functioning, Disability and Health (ICF) HNC core set.</p></div><div><h3>Results</h3><p>20 people living with HNC were interviewed (11 male, 9 female; aged 46–83 years). Four inter-related themes described socio-cultural factors that influence (positively and/or negatively) the experience of living with HNC: (1) people and places; (2) healthcare systems and support services; (3) societal attitudes to cancer; (4) work and finances.</p></div><div><h3>Conclusion</h3><p>Support from family, friends and healthcare professionals, as well as societal attitudes, financial and work security and personal experiences all appear to contribute to an individuals’ ability to navigate the HNC experience. These findings could inform development of interventions targeting the socio-cultural factors in the lives of people living with HNC, particularly for those at risk for poorer psycho-social outcomes.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102682"},"PeriodicalIF":2.7,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001807/pdfft?md5=e6be4198922a24337a4a48e521a04546&pid=1-s2.0-S1462388924001807-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a novel blood collection set for venipuncture in oncology patients with difficult venous access: Impact on sample quality, phlebotomist satisfaction and patient pain perception","authors":"Marta Giussani ,&nbsp;Sara Sirini ,&nbsp;Andrea Padoan ,&nbsp;Chiara Bonini ,&nbsp;Brendan Meyer ,&nbsp;Daniele Morelli","doi":"10.1016/j.ejon.2024.102680","DOIUrl":"10.1016/j.ejon.2024.102680","url":null,"abstract":"<div><h3>Purpose</h3><p>Difficult venous access (DVA), characterized by non-visible and non-palpable veins, is common in oncology patients. The objectives of this study were to compare the performances of two blood collection sets in an oncology phlebotomy setting: BD Vacutainer® UltraTouch™ Push Button (UT-PBBCS) and BD Vacutainer® Safety-Lok™ Blood Collection Set (SLBCS). The two sets were evaluated to assess whether use of a smaller gauge (G) needle (down-gauging) may reduce patient pain and improve peripheral venous access experience during phlebotomy in oncology patients.</p></div><div><h3>Methods</h3><p>Questionnaires were used to record patient data (age, gender), phlebotomy procedural observations (venipuncture site, number of collected tubes, blood flow, needle repositioning, underfilled tubes), patient pain perception and phlebotomist difficulty perception scores (0–10 points scale). Specimen quality was evaluated by hemolysis index (HI) on Roche Cobas® 6000.</p></div><div><h3>Results</h3><p>Subject groups showed no statistical difference. SLBCS (21/23G) or UT-PBBCS (23/25G) were used in 264 (45.8%) and 313 (54.2%) subjects respectively. Lower gauge was preferred for DVA (hand venipuncture), and DVA was associated with tube underfilling but no with type of blood collection set. For UT-PBBCS, pain perception, patients' anxiety level and phlebotomists’ difficulty grade were lower when compared to SLBCS (p &lt; 0.001). Blood samples collected with UT-PBBCS showed less hemolysis compared to samples collected with SLBCS (p &lt; 0.001).</p></div><div><h3>Conclusion</h3><p>Provision of a smaller gauge UT-PBBCS option during phlebotomy in oncology patients with DVA reduces procedural pain and anxiety and improved phlebotomist’ experience during sample collection. Despite the down-gauging, hemolysis was lower for UT-PBBCS, keeping sample quality while improving DVA patient comfort.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102680"},"PeriodicalIF":2.7,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001789/pdfft?md5=efda78a0b5863617af5bc3406a6aa289&pid=1-s2.0-S1462388924001789-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142243282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of sarcopenia and obesity on overall survival in patients with head and neck cancer receiving radiotherapy: A longitudinal study","authors":"Yujie Wang ,&nbsp;Baomin Zheng ,&nbsp;Lichuan Zhang ,&nbsp;Tong Zhang ,&nbsp;Dan Zhao ,&nbsp;Yan Sun ,&nbsp;Shaowen Xiao ,&nbsp;Yaru Zhang ,&nbsp;Liqing Gong ,&nbsp;Weihu Wang ,&nbsp;Qian Lu","doi":"10.1016/j.ejon.2024.102679","DOIUrl":"10.1016/j.ejon.2024.102679","url":null,"abstract":"<div><h3>Purpose</h3><p>To analyze the impact of sarcopenia and obesity on overall survival (OS) in patients with head and neck cancer (HNC) receiving radiotherapy (RT).</p></div><div><h3>Methods</h3><p>This prospective longitudinal study recruited 494 patients using convenient sampling. Weight and body composition were assessed before RT (T₁), and at the end of RT (T₂) using bioelectrical impedance analysis (BIA). The appendicular skeletal mass index was used to define sarcopenia, while the body mass index and fat mass index were used to define obesity. Patient OS was followed and described using Kplan-Meier analysis. Cox proportional hazard regression was used to analyze influencing factors of OS.</p></div><div><h3>Results</h3><p>The median follow-up time was 26.2 months (<em>IQR</em>: 18.4–34.4 months). Multivariable models indicated that sarcopenia/obesity type assessed at T₁ was not significantly associated with OS. Multivariable models involving body composition at T₂ showed that age (<em>P</em> &lt; 0.001), tumor site (<em>P</em> = 0.003), tumor stage (<em>P</em> = 0.024), and sarcopenia/obesity type (<em>P</em> = 0.040) were significantly associated with OS, while sarcopenic patients without obesity at T₂ had worse OS.</p></div><div><h3>Conclusions</h3><p>Patients with sarcopenia and no obesity at the end of RT might have worse OS. Healthcare professionals should enhance HNC patients’ management during RT, helping them maintain a certain amount of muscle mass and fat mass to improve their survival.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102679"},"PeriodicalIF":2.7,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040548","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}

{"title":"Dietary consumption patterns in breast cancer survivors: Pilot evaluation of diet, supplements and clinical factors","authors":"Wanli Xu ,&nbsp;Aolan Li ,&nbsp;Hayley D. Yackel ,&nbsp;Michelle L. Sarta ,&nbsp;Andrew Salner ,&nbsp;Michelle P. Judge","doi":"10.1016/j.ejon.2024.102678","DOIUrl":"10.1016/j.ejon.2024.102678","url":null,"abstract":"<div><h3>Purpose</h3><p>Adherence to dietary intake guidelines is recommended for optimal nutrition and outcomes in breast cancer survivors. The purpose of this study was to examine dietary quality in a cohort of breast cancer survivors related to current guidelines, guiding further education-based research.</p></div><div><h3>Methods</h3><p>This exploratory evaluation examined compliance with current dietary guidelines. Data collected included demographics, medical histories and repeated, three-day 24-h dietary recalls. Women with early-stage breast cancer (n = 97) who completed breast cancer treatment between 6 and 24 months were recruited. Descriptive statistics and frequencies were calculated for demographic and lifestyle characteristics, reported fish consumption, body mass index categories, supplement consumption, and adequacy of macronutrient and micronutrient consumption (classified as below, meeting, or exceeding needs).</p></div><div><h3>Results</h3><p>In this cohort, 28.9% were classified as overweight and 35% were obese. The mean dietary macronutrient consumption was 44.3% (±8.9%) carbohydrates, 36.6% (±7.3%) fat, and 17.3% (±4.7%) protein. Additionally, 32.3% participants consumed &gt;45 g sugar/d. The mean n-6 to n-3 ratio was 8.0 (±3.3):1. Further, 38% of survivors reported consuming less than 1 serving of fish per week. Participants consumed between 0 and 1.03 servings of fish per day, with an average consumption of 0.16 (±0.26) servings per day and 61.5% (n = 59) consuming 0 servings per day. The mean daily combined dietary and supplement consumption of multiple micronutrients was below the Recommended Daily Allowance for Vitamin D (30%), Calcium (52.6%), Magnesium (42.1%), and Vitamin E (80%).</p></div><div><h3>Conclusion</h3><p>Breast cancer survivors 0.5–2 years post-treatment are not meeting recommended nutrition consumption guidelines for a number of nutrients. Findings suggested that nutrition therapy targeting weight loss through reduced sugar, total and saturated fat, while increasing foods rich in omega-3, and ensuring adequate micronutrient consumption would promote better nutritional consumption patterns and improve overall health during survivorship.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102678"},"PeriodicalIF":2.7,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141780925","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}

{"title":"Assessing the impact of educational eHealth and mHealth interventions on health outcomes in continuity of care for enterostomy patients: A meta-analysis","authors":"Jia Qiao,&nbsp;Yuan Zhao,&nbsp;Yu Lu,&nbsp;Qian Li ,&nbsp;Hai-Jing Dong","doi":"10.1016/j.ejon.2024.102676","DOIUrl":"10.1016/j.ejon.2024.102676","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate the effectiveness of educational eHealth and mHealth interventions on self-care ability, quality of life (QoL), ostomy complications and other health outcomes in enterostomy patients.</p></div><div><h3>Methods</h3><p>A comprehensive database search yielded 7385 records, which were narrowed down to 13 RCTs through stringent PRISMA-guided selection. These studies, conducted globally from 2015 to 2023, involved a total of 1530 participants and employed various eHealth and mHealth platforms, from mobile apps to telehealth systems. Primary outcomes assessed were self-care ability, QoL, and ostomy complications, mostly analyzed using a random-effects model due to inherent study heterogeneity.</p></div><div><h3>Results</h3><p>The meta-analysis showed significant improvements in self-care ability (SMD = 0.85, CI = [0.23, 1.47], P = 0.007) and QoL (SMD = 0.64, CI = [0.50, 0.79], P &lt; 0.001) among participants receiving eHealth and mHealth interventions compared to those receiving standard care. eHealth and mHealth interventions also led to a reduction in ostomy complications (SMD = 0.18, CI = [0.12, 0.27], P &lt; 0.001). Secondary outcomes revealed significant improvements in stoma adjustment (SMD = 1.13, CI = [0.70, 1.56], P &lt; 0.001) and self-efficacy (SMD = 0.51, CI = [0.38, 0.64], P &lt; 0.001). The effects on psychological well-being were mixed, with some studies showing benefits in reducing depression and anxiety symptoms, albeit with high heterogeneity.</p></div><div><h3>Conclusions</h3><p>eHealth and mHealth interventions appear effective in improving essential health outcomes for enterostomy patients, though the heterogeneity among studies suggests that results should be interpreted with caution. The effectiveness of these interventions underscores the need for their integration into routine care, tailored to individual patient needs and local healthcare settings. Further research is required to determine the most effective eHealth and mHealth modalities and to explore their long-term benefits and scalability.</p></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"72 ","pages":"Article 102676"},"PeriodicalIF":2.7,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1462388924001741/pdfft?md5=e40b3eff44044f3daf6d255e6cd418ed&pid=1-s2.0-S1462388924001741-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}