European Journal of Oncology Nursing最新文献_第6页

Factors associated with chemotherapy-induced taste alteration, xerostomia, and quality of life among older Taiwanese patients with cancer: A cross-sectional study 台湾老年癌症患者化疗引起的味觉改变、口干和生活质量相关因素：一项横断面研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-20 DOI: 10.1016/j.ejon.2025.103060

Ching-Ching Su , Jing-Ya Huang , Pi-Ling Chou , Feng-Che Kuan

Purpose

Taste alteration (TA) is a common and distressing side effect of chemotherapy, particularly in older adults. It often leads to appetite loss and malnutrition. In this study, we (1) estimated the prevalence of chemotherapy-induced TA; (2) investigated its correlations with xerostomia, oral health, and health-related quality of life (HRQoL); and (3) explored its key predictors in older patients with cancer.

Methods

This cross-sectional study included 120 older patients with cancer (age: ≥65 years) receiving chemotherapy in a regional hospital in Taiwan. Relevant data were collected using validated instruments, such as the Chemotherapy-Induced Taste Alteration Scale, Xerostomia Questionnaire, Oral Health Assessment Tool, and Taiwan Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire. Stepwise multiple regression was performed to identify significant predictors of TA.

Results

The prevalence of TA in the study cohort was 93 %. Patients with TA had significantly worse xerostomia scores (mean score: 21.31 ± 15.00) and oral health scores (mean score: 6.15 ± 2.60) than did those without TA (p < .05). TA was significantly correlated with HRQoL, xerostomia, and oral health. Xerostomia was the strongest independent predictor of TA (β = .51; p < .001), followed by HRQoL and previous chemotherapy, which together explained 32 % of the total variance in TA severity.

Conclusion

Chemotherapy-induced TA is highly prevalent among older patients with cancer, and it markedly reduces their quality of life. Supportive oncology care for this population should integrate interventions addressing xerostomia and oral health.

目的：味觉改变（TA）是化疗中一种常见且令人痛苦的副作用，尤其是在老年人中。它经常导致食欲不振和营养不良。在本研究中，我们(1)估计了化疗诱导的TA的患病率；(2)探讨其与口干症、口腔健康和健康相关生活质量（HRQoL）的相关性；(3)探讨其在老年癌症患者中的关键预测因素。方法：本横断面研究纳入台湾某地区医院接受化疗的120例老年癌症患者（年龄≥65岁）。相关数据采用经验证的工具收集，如化疗诱发味觉改变量表、口干问卷、口腔健康评估工具和台湾中文版欧洲癌症研究与治疗组织生活质量问卷。采用逐步多元回归来确定TA的显著预测因子。结果：研究队列中TA的患病率为93%。TA组患者口干评分（平均评分：21.31±15.00）和口腔健康评分（平均评分：6.15±2.60）明显低于未TA组(p)。结论：化疗诱导的TA在老年癌症患者中非常普遍，并明显降低其生活质量。对这一人群的支持性肿瘤学治疗应结合针对口干症和口腔健康的干预措施。

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引用次数: 0

Perceptions and attitudes of healthcare professionals on discussing sexuality with cancer patients, including sexual minority groups - a mixed-methods study 医疗保健专业人员对与癌症患者（包括性少数群体）讨论性行为的看法和态度——一项混合方法研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2026-01-10 DOI: 10.1016/j.ejon.2026.103100

Eva Pape , Cato Beyts , Justine Verhelle , Liesbet Delforge , Andreas Denys , Gabrielle H. van Ramshorst

Purpose

This study examined the attitudes and perceptions of healthcare professionals in Flanders towards discussing sexuality and sexual problems in cancer patients and in cancer patients from LGBTQI + backgrounds.

Methods

A mixed-methods research using a convergent parallel design was conducted. Quantitative data were collected through a cross-sectional online survey of healthcare professionals working in cancer care across Flanders (n = 259). The qualitative study used an exploratory design. healthcare professionals of one expert centre were purposefully recruited for focus group interviews (n = 3). Thematic analysis with investigator triangulation was used during data analysis.

Results

Linear regression analyses indicated that professional role (B = 3.108; p ≤ 0.001) and age (B = 1.761; p = 0.004) significantly predicted healthcare professionals' attitudes related to addressing sexuality in cancer care. Both current professional role (B = 0.729; p ≤ 0.001) and age (B = 0.463; p = 0.022) were significant for healthcare professionals' knowledge. Training (B = −0.511; p = 0.027) was additionally predictive of knowledge. Five themes emerged from the focus group interviews: (1) knowledge and preparedness of HCPs, (2) attitudes, beliefs, and professional culture, (3) contextual and structural barriers to communication, (4) patient relationships and communication dynamics, and (5) inclusivity and diversity with LGBTQI + patients.

Conclusion

Although most HCPs reported positive attitudes toward discussing sexuality, gaps in knowledge, confidence, and inclusive communication persist. Strengthening healthcare professionals’ competencies in sexual health communication is essential to better address the needs of all cancer patients better.

目的本研究调查了佛兰德斯省医疗保健专业人员对癌症患者和LGBTQI +背景的癌症患者讨论性行为和性问题的态度和看法。方法采用收敛并行设计进行混合方法研究。定量数据通过横断面在线调查收集，调查对象为在法兰德斯从事癌症护理的医疗保健专业人员（n = 259）。定性研究采用探索性设计。有目的地招募一个专家中心的医疗保健专业人员进行焦点小组访谈（n = 3）。在数据分析中使用了专题分析和调查员三角测量。结果线性回归分析显示，职业角色（B = 3.108, p≤0.001）和年龄（B = 1.761, p = 0.004）显著预测了医护人员在癌症护理中处理性行为的态度。当前职业角色（B = 0.729; p≤0.001）和年龄（B = 0.463; p = 0.022）对卫生保健专业人员的知识有显著影响。训练（B =−0.511;p = 0.027）对知识有额外的预测作用。焦点小组访谈产生了五个主题：(1)HCPs的知识和准备；(2)态度、信仰和专业文化；(3)沟通的语境和结构障碍；(4)患者关系和沟通动态；(5)LGBTQI +患者的包容性和多样性。结论：尽管大多数医护人员对讨论性行为持积极态度，但在知识、信心和包容性沟通方面仍然存在差距。加强保健专业人员在性健康沟通方面的能力，对于更好地满足所有癌症患者的需求至关重要。

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引用次数: 0

Belief-based family support intervention to strengthen family resilience among breast cancer caregivers: A quasi-experimental study in Indonesia 基于信念的家庭支持干预以加强乳腺癌护理者的家庭复原力：印度尼西亚的一项准实验研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-12-30 DOI: 10.1016/j.ejon.2025.103092

Dwi Retnaningsih , Nursalam , Ferry Efendi , Hanik Endang Nihayati , Kristiawati , Mira Triharini

Purpose

To evaluate the effectiveness of a belief-based family support intervention in improving family resilience among caregivers of breast cancer patients undergoing chemotherapy.

Methods

A 12-week belief-based family support program was developed by integrating the Health Belief Model with family resilience principles. The intervention consisted of four structured modules: (1) belief-oriented family support, (2) cancer and chemotherapy education, (3) coping and role adaptation, and (4) communication and reflection. Sessions were delivered through blended learning formats combining in-person meetings and online follow-ups. Family resilience was measured using the validated Family Resilience Assessment Scale (FRAS). Data were analysed using paired and independent t-tests with a significance level of p < 0.05.

Results

After 12 weeks, the intervention group demonstrated a significant increase in total family resilience scores (pretest: 85.42 ± 9.87; posttest: 105.35 ± 8.76; p < 0.001), whereas the control group showed no significant change (p = 0.214). Improvements were observed across all FRAS domains, including belief system, organisational pattern, and communication process (all p < 0.001). Between-group comparisons confirmed significant differences in favour of the intervention group.

Conclusions

The belief-based family support intervention effectively enhanced family resilience among caregivers of breast cancer patients undergoing chemotherapy. Integrating belief systems, family communication, and adaptive role management into nursing interventions may enhance psychosocial resilience and wellbeing among cancer caregivers.

目的评价基于信念的家庭支持干预对提高乳腺癌化疗患者护理人员家庭韧性的效果。方法将健康信念模型与家庭弹性原则相结合，制定了为期12周的基于信念的家庭支持计划。干预包括四个结构化模块：(1)信念导向的家庭支持，(2)癌症与化疗教育，(3)应对与角色适应，(4)沟通与反思。会议通过结合面对面会议和在线跟进的混合学习形式进行。采用经验证的家庭弹性评估量表（FRAS）测量家庭弹性。数据分析采用配对和独立t检验，显著性水平为p <； 0.05。结果12周后，干预组家庭心理弹性总分显著提高（前测：85.42±9.87；后测：105.35±8.76;p < 0.001），对照组无显著变化（p = 0.214）。在所有FRAS领域中都观察到改进，包括信念系统、组织模式和沟通过程（均p <； 0.001）。组间比较证实干预组有显著差异。结论基于信念的家庭支持干预能有效增强乳腺癌化疗患者照顾者的家庭韧性。将信念系统、家庭沟通和适应性角色管理整合到护理干预措施中，可以增强癌症护理人员的心理社会复原力和福祉。

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引用次数: 0

The effects of digital games on pain, fear, anxiety, and physiological responses in children during port catheter needle insertion: A randomized controlled study 数字游戏对儿童导管插入过程中疼痛、恐惧、焦虑和生理反应的影响：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: 2025-11-11 DOI: 10.1016/j.ejon.2025.103037

Merve Azak , Büşra Eki̇nci̇ , Aylin Sal Çeli̇k , Gizem Keri̇moglu Yildiz , Ezgi Pasli Uysalol

Purpose

This study examined the effect of playing a digital game during port catheter needle insertion on pain, fear, anxiety, and physiological responses in children aged 6–12 years undergoing chemotherapy.

Methods

This randomized controlled trial was conducted with 56 children in a pediatric hematology-oncology unit. Participants were randomly assigned to the experimental group, which played a digital game via an online platform during the procedure, or to the control group, which received standard care. Data were collected using the Demographic Form, Wong-Baker Faces Pain Rating Scale, Children's State Anxiety Scale, and Children's Fear Scale.

Results

Children in the experimental group reported lower pain and anxiety compared to controls, with mean post-procedure anxiety scores of 1.61 ± 0.737 versus 2.32 ± 1.634 (p = 0.049). Fear levels decreased significantly in both groups (p < 0.001). Heart rate remained more stable in the experimental group (p < 0.05), while no significant differences were observed in SpO₂ values (p > 0.05).

Conclusions

This study highlights the efficacy of digital games in reducing pain, fear, and anxiety in children with port needles, as well as in stabilizing heart rate. Consequently, it is recommended that digital games be incorporated into clinical practice as an effective distraction method for pediatric patients during invasive procedures. This study has significant implications for nursing practice, demonstrating that digital games are a cost-effective, accessible, and child-friendly non-pharmacological intervention. By reducing distress and enhancing coping, digital games can be integrated into routine nursing care to improve children's experiences and foster trust in clinical settings.

目的：本研究探讨6-12岁儿童化疗期间玩数字游戏对疼痛、恐惧、焦虑和生理反应的影响。方法该随机对照试验在儿童血液肿瘤科进行。参与者被随机分配到实验组，实验组在治疗过程中通过在线平台玩数字游戏，对照组则接受标准治疗。数据采用人口统计表、Wong-Baker面部疼痛评定量表、儿童状态焦虑量表和儿童恐惧量表收集。结果实验组患儿术后焦虑评分（1.61±0.737）低于对照组（2.32±1.634），差异有统计学意义（p = 0.049）。两组患者的恐惧水平均显著下降（p < 0.001）。实验组心率更稳定（p < 0.05）， SpO2值无显著差异（p < 0.05）。这项研究强调了数字游戏在减少疼痛、恐惧和焦虑以及稳定心率方面的功效。因此，建议将数字游戏纳入临床实践，作为儿科患者在侵入性手术期间有效的分散注意力的方法。该研究对护理实践具有重要意义，表明数字游戏是一种成本效益高、易于获取且对儿童友好的非药物干预手段。通过减少痛苦和增强应对能力，数字游戏可以融入日常护理，以改善儿童的体验，并在临床环境中培养信任。

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引用次数: 0

The impact of social determinants of health on mental and behavioral health trajectories of breast cancer survivors: A longitudinal cohort study 健康的社会决定因素对乳腺癌幸存者心理和行为健康轨迹的影响：一项纵向队列研究

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.2025.103036

Oscar Y. Franco-Rocha , Jaime Fuentes-Balderrama , Bora Sun , Jasper A.J. Smits , Allison Magnuson , Shelli R. Kesler , Kathleen Van Dyk , Raeanne C. Moore , Ashley M. Henneghan

Purpose

Social determinants of health (SDOH) influence cancer outcomes such as symptom burden, quality of life, and mortality. However, their long-term impact on the health trajectories of breast cancer survivors (BCS) remains poorly understood. We aimed to examine how various SDOH, including experiences of discrimination, neighborhood conditions (traffic safety, perceived crime, and access to recreational activities), financial toxicity, and food insecurity, affect the mental and behavioral health of BCS over eight months.

Methods

Sixty-four BCS completed valid and reliable self-report assessments of SDOH, anxiety symptoms, cognitive function, fatigue, and sleep quality at baseline (T1), two months (T2), and eight months (T3). Multilevel models examined associations between SDOH, time, and mental and behavioral outcomes, adjusting for clinical and sociodemographic factors.

Results

Over time, participants reported increased anxiety symptoms (b = 0.37, p = 0.01). Higher levels of financial toxicity were associated with greater overall fatigue (b = 1.30, p = 0.01) and cognitive (b = −1.16, p = 0.03) scores. Poorer access to recreational activities was also associated with greater scores in overall anxiety (b = −2.31, p = 0.02). No significant interactions between SDOH and time were observed (p > 0.05).

Conclusion

Financial toxicity and limited neighborhood resources negatively impact BCS’ mental and behavioral health. Larger studies with extended follow-ups are needed to better understand how SDOH influence survivorship outcomes throughout the cancer continuum.

健康的社会决定因素（SDOH）影响癌症结局，如症状负担、生活质量和死亡率。然而，它们对乳腺癌幸存者（BCS）健康轨迹的长期影响仍然知之甚少。我们的目的是研究不同的SDOH，包括歧视经历、社区条件（交通安全、感知犯罪和娱乐活动的获取）、经济毒性和食物不安全，如何在8个月内影响BCS的心理和行为健康。方法64例BCS在基线（T1）、2个月（T2）和8个月（T3）完成有效可靠的SDOH、焦虑症状、认知功能、疲劳和睡眠质量自我报告评估。多层模型检验了SDOH、时间、心理和行为结果之间的关系，并对临床和社会人口因素进行了调整。结果随着时间的推移，参与者报告焦虑症状增加（b = 0.37, p = 0.01）。较高水平的财务毒性与更大的整体疲劳（b = 1.30, p = 0.01）和认知（b = - 1.16, p = 0.03）得分相关。较少的娱乐活动也与总体焦虑得分较高相关（b = - 2.31, p = 0.02）。SDOH与时间无显著交互作用（p > 0.05）。结论经济毒性和有限的社区资源对BCS的心理和行为健康有负面影响。为了更好地了解SDOH如何影响整个癌症连续体的生存结果，需要进行更大规模的随访研究。

{"title":"The impact of social determinants of health on mental and behavioral health trajectories of breast cancer survivors: A longitudinal cohort study","authors":"Oscar Y. Franco-Rocha , Jaime Fuentes-Balderrama , Bora Sun , Jasper A.J. Smits , Allison Magnuson , Shelli R. Kesler , Kathleen Van Dyk , Raeanne C. Moore , Ashley M. Henneghan","doi":"10.1016/j.ejon.2025.103036","DOIUrl":"10.1016/j.ejon.2025.103036","url":null,"abstract":"<div><h3>Purpose</h3><div>Social determinants of health (SDOH) influence cancer outcomes such as symptom burden, quality of life, and mortality. However, their long-term impact on the health trajectories of breast cancer survivors (BCS) remains poorly understood. We aimed to examine how various SDOH, including experiences of discrimination, neighborhood conditions (traffic safety, perceived crime, and access to recreational activities), financial toxicity, and food insecurity, affect the mental and behavioral health of BCS over eight months.</div></div><div><h3>Methods</h3><div>Sixty-four BCS completed valid and reliable self-report assessments of SDOH, anxiety symptoms, cognitive function, fatigue, and sleep quality at baseline (T1), two months (T2), and eight months (T3). Multilevel models examined associations between SDOH, time, and mental and behavioral outcomes, adjusting for clinical and sociodemographic factors.</div></div><div><h3>Results</h3><div>Over time, participants reported increased anxiety symptoms (b = 0.37, <em>p</em> = 0.01). Higher levels of financial toxicity were associated with greater overall fatigue (b = 1.30, <em>p</em> = 0.01) and cognitive (b = −1.16, <em>p</em> = 0.03) scores. Poorer access to recreational activities was also associated with greater scores in overall anxiety (b = −2.31, <em>p</em> = 0.02). No significant interactions between SDOH and time were observed (<em>p</em> > 0.05).</div></div><div><h3>Conclusion</h3><div>Financial toxicity and limited neighborhood resources negatively impact BCS’ mental and behavioral health. Larger studies with extended follow-ups are needed to better understand how SDOH influence survivorship outcomes throughout the cancer continuum.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103036"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624605","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

From silence to action: Nursing students’ transformative learning experiences in sexuality care for cancer patients – A qualitative study 从沉默到行动：护理学生在癌症患者性护理中的变革性学习经验-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: 2025-11-29 DOI: 10.1016/j.ejon.2025.103070

Pinar Uzunkaya Oztoprak , Berna Kurt

Purpose

This study aims to explore nursing students' experiences during oncology internships related to sexuality care for cancer patients, based on Mezirow's Transformative Learning Theory, and to reveal their shift from implicit learning to transformation.

Method

A qualitative phenomenological design guided by Transformative Learning Theory was employed. Semi-structured interviews were conducted with seventeen final-year nursing students who had completed oncology internships. Data were analyzed using Colaizzi's seven-step method with MAXQDA software.

Results

Three main themes were identified: (1) Implicit Learning Experience (e.g., disorienting dilemmas, shared assumptions), (2) Meaning-Making (e.g., emotional reflection, rational discourse, emotional and cognitive dissonance, unclear professional boundaries), and (3) Transformation (e.g., actions, awareness).

Conclusions

Students’ progression from implicit learning to transformation in sexuality care demonstrates the potential of transformative learning to address cultural and educational barriers. Structured, reflective, and experiential interventions are essential to enhance competence and confidence in this area.

目的本研究旨在探讨护生在肿瘤学实习期间，以Mezirow的转化学习理论为基础，从事与癌症患者性护理相关的实习工作，揭示其内隐学习向转化学习的转变。方法采用转化学习理论指导下的定性现象学设计。对17名完成肿瘤学实习的最后一年护理专业学生进行了半结构化访谈。使用MAXQDA软件，采用Colaizzi的七步法分析数据。结果确定了三个主要主题：(1)内隐学习体验（例如，迷失方向的困境，共同的假设），(2)意义制造（例如，情绪反思，理性话语，情绪和认知失调，不明确的专业界限），以及(3)转化（例如，行动，意识）。结论学生在性护理中从内隐学习到转化学习的过程表明了转化学习在解决文化和教育障碍方面的潜力。结构性、反思性和经验性的干预措施对于提高这一领域的能力和信心至关重要。

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引用次数: 0

Experiences of people with haematological cancer and impaired integrity of the skin and perianal mucosa: A qualitative study 血液学癌症和皮肤及肛周粘膜完整性受损患者的经验：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: 2026-01-20 DOI: 10.1016/j.ejon.2026.103108

Sílvia Reis , Teresa Neves , Rui Gonçalves

Background

Impaired integrity of the skin and perianal mucosa may be a side effect of treatment for haematological cancer (HC), particularly chemotherapy and monoclonal antibodies. It can have physical and psychological consequences, interrupt or delay treatment and, in more serious situations, become life-threatening.

Purpose

The aim was to describe the experience of people with HC and impaired integrity of the skin and perianal mucosa after chemotherapy and monoclonal antibody treatments.

Methods

A descriptive study of an interpretative nature, with nine semi-structured interviews carried out between November 2024 and March 2025. The reflective thematic analysis method was used to identify, analyse and interpret patterns of meaning present in the data.

Results

The analysis of the interviews revealed two main themes and seven sub-themes describing the experiences of people with haemato-oncological disease and impaired integrity of the skin and perianal mucosa: 1) implications (physical, on activities of daily living, socio-family, emotional and on the development of the disease) and 2) strategies (adaptive and management).

Conclusions

This research contributed to a little-explored area, aiming to better tailor responses to the needs of people with haemato-oncological disease and impaired integrity of the skin and perianal mucosa.

背景：皮肤和肛周粘膜完整性受损可能是血液癌（HC）治疗的副作用，尤其是化疗和单克隆抗体。它会造成身体和心理上的后果，中断或延迟治疗，在更严重的情况下，还会危及生命。目的：描述HC患者在化疗和单克隆抗体治疗后皮肤和肛周粘膜完整性受损的经历。方法：在2024年11月至2025年3月期间进行了9次半结构化访谈，是一项具有解释性的描述性研究。反思性主题分析方法用于识别、分析和解释数据中存在的意义模式。结果：对访谈的分析揭示了两个主要主题和七个次要主题，描述了患有血液肿瘤疾病和皮肤和肛周粘膜完整性受损的人的经历：1)影响（身体、日常生活活动、社会家庭、情感和疾病的发展）和2)策略（适应和管理）。结论：这项研究为一个很少被探索的领域做出了贡献，旨在更好地根据血液肿瘤疾病和皮肤和肛周粘膜完整性受损患者的需求量身定制治疗方案。

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引用次数: 0

The trajectories and predictors of cancer-related fatigue in gastric cancer patients during chemotherapy: A longitudinal study using growth mixture modeling 胃癌患者化疗期间癌症相关疲劳的轨迹和预测因素：一项使用生长混合模型的纵向研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI: 10.1016/j.ejon.2025.103066

Feifei Zhang , Qingfeng Wang , Hong Chen , Zhuyue Li , Xiaolian Jiang

Purpose

To explore the cancer-related fatigue(CRF) trajectories and their predictors of gastric cancer patients undergoing 6-cycle chemotherapy, and to identify subgroup characteristics of patients with different CRF trajectories.

Methods

A prospective longitudinal study was conducted between November 2020 and December 2021, involving 189 first-time chemotherapy gastric cancer patients at a tertiary general hospital in Chengdu, Sichuan Province, China. Data were collected 7 times within 6 chemotherapy cycles (before the first cycle(T0), and within 1 week after the end of each cycle (T1∼T6)).The CRF level was assessed by the Cancer Fatigue Scale. Growth mixture modeling was used to identify the latent classes of CRF trajectories. Group differences analyses were performed to determine characteristics of patients with different CRF trajectories, and multivariate regression analysis was adopted to identify predictors of CRF trajectories.

Results

The overall CRF level increased over time, with the greatest change from T0 to T1. Three CRF trajectories were identified: the acute fatigue group(Class1:23.8 %), the low fatigue group(Class2:59.8 %), and the gradually worsening fatigue group(Class3:16.4 %). Patients with pain or depression were more likely to be in the acute fatigue group, and female were more likely to be in the gradually worsening fatigue group, compared with the low fatigue group.

Conclusions

The overall CRF trajectory and three sub-trajectories were identified. Patients with pain, depression, and being female are prone to CRF deterioration. Since CRF level increases fastest from T0 to T1, early prevention and management of CRF should be implemented in gastric cancer patients undergoing chemotherapy.

目的探讨胃癌6周期化疗患者的癌症相关疲劳（cancer-related fatigue， CRF）轨迹及其预测因素，并探讨不同CRF轨迹患者的亚组特征。方法于2020年11月至2021年12月，对中国四川省成都市某三级综合医院189例首次化疗的胃癌患者进行前瞻性纵向研究。在6个化疗周期内(第一个周期前（T0）和每个周期结束后1周内（T1 ~ T6）收集7次数据。CRF水平通过癌症疲劳量表进行评估。生长混合模型用于识别CRF轨迹的潜在类别。采用组间差异分析确定不同CRF轨迹患者的特征，并采用多变量回归分析确定CRF轨迹的预测因素。结果总CRF水平随时间升高，以T0至T1变化最大。三个CRF轨迹被确定：急性疲劳组（class1: 23.8%），低疲劳组（class2: 59.8%）和逐渐加重的疲劳组（class3: 16.4%）。与低疲劳组相比，出现疼痛或抑郁的患者更容易出现在急性疲劳组，女性更容易出现在逐渐加重的疲劳组。结论确定了CRF的总体轨迹和三个亚轨迹。疼痛、抑郁和女性患者易发生CRF恶化。由于T0 ~ T1时CRF水平升高最快，因此在胃癌化疗患者中应及早预防和管理CRF。

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引用次数: 0

Which type of social support matters most—and for whom? A relative importance and moderation analysis of quality of life in cancer 哪种类型的社会支持最重要？对谁最重要？癌症患者生活质量的相对重要性和适度性分析

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-12-06 DOI: 10.1016/j.ejon.2025.103074

Eun-Jung Shim , Hyeju Ha , Chan-Woo Yeom , Kyung-Lak Son , Won-Hyoung Kim , Bong-Jin Hahm

Purpose

Social support is recognized as a key resource in cancer care, yet it remains unclear which types are most relevant for specific quality of life (QoL) domains and whether these associations vary by patient characteristics. This study examined the relative contribution of four social support types to QoL domains and the moderating effects of sociodemographic and clinical variables.

Methods

A cross-sectional survey was conducted with 157 adult cancer patients recruited from three university hospitals in Korea (April 2024–August 2025). Participants completed the Medical Outcomes Study Social Support Survey and the WHOQOL-BREF. Relative importance analysis and moderation analyses were performed.

Results

Social support explained 11.1 %–25.9 % of variance in QoL domains. Positive social interaction contributed most to physical and environmental QoL, affectionate support to psychological health, and emotional/informational support to social relationships. Tangible support contributed least. Associations were stronger among married patients and those receiving treatment for recurrent cancer, with the latter also showing a stronger link between affectionate support and physical health. Higher ECOG scores were associated with weaker links between affectionate support and positive social interaction and physical health, but stronger links between tangible support and environmental QoL. Higher distress was associated with weaker links between positive social interaction and physical health. No moderation effects were found for age, sex, or psychological QoL.

Conclusions

Associations between support types and QoL varied by domain and patient characteristics, suggesting value of tailoring supportive care to optimize QoL in specific contexts.

社会支持被认为是癌症治疗的关键资源，但目前尚不清楚哪种类型的支持与特定的生活质量（QoL）领域最相关，以及这些关联是否因患者特征而异。本研究考察了四种社会支持类型对生活质量域的相对贡献以及社会人口学和临床变量的调节作用。方法采用横断面调查方法，于2024年4月- 2025年8月在韩国三所大学附属医院招募157例成年癌症患者。参与者完成了医疗结果研究社会支持调查和WHOQOL-BREF。进行相对重要性分析和适度性分析。结果社会支持解释了生活质量领域11.1% ~ 25.9%的变异。积极的社会互动对身体和环境生活质量贡献最大，情感支持对心理健康贡献最大，情感/信息支持对社会关系贡献最大。有形支持的贡献最小。在已婚患者和接受癌症复发治疗的患者中，这种关联更强，后者也显示出情感支持与身体健康之间的更强联系。ECOG得分越高，情感支持与积极的社会互动和身体健康之间的联系越弱，但有形支持与环境生活质量之间的联系越强。较高的痛苦程度与积极的社会互动和身体健康之间的联系较弱有关。没有发现年龄、性别或心理生活质量的调节作用。结论支持类型与生活质量之间的关系因领域和患者特征而异，提示在特定情况下定制支持护理以优化生活质量的价值。

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引用次数: 0

Exploring young women's experiences throughout the journey of hormone-sensitive breast cancer: A qualitative secondary analysis 探索年轻女性在激素敏感性乳腺癌过程中的经历：一项定性的二次分析。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2026-02-01 Epub Date: 2025-12-23 DOI: 10.1016/j.ejon.2025.103089

Madeleine Zackrisson , Emelie Blomqvist , Roshan Tofighi , Margareta Haag , Cecilia Ungerstedt , Axel Wolf , Karin Ahlberg

Purpose

To explore young women's experiences during the pre-, peri-, and post-diagnostic phases of hormone-sensitive breast cancer and survivorship.

Method

A descriptive qualitative secondary analysis was conducted with ten women aged 28–39, diagnosed within five years and recruited via two national Swedish patient organizations. Semi-structured interviews were conducted virtually or by phone, recorded, and transcribed verbatim. Data were analysed inductively using qualitative content analysis.

Results

The analysis revealed one overarching theme, Navigating Uncertainty in the Journey Through Breast Cancer, capturing young women's experiences across diagnosis, treatment, and survivorship. Five descriptive categories illustrated key aspects of this journey: Experiences of Neglect While Seeking Care for Breast Cancer Symptoms; The Lack of Age-Specific Support in Healthcare; Seeking Knowledge, Regaining Control, and Developing Coping Strategies; Balancing Parenthood and Cancer Treatment; and Existential Anxiety and the Importance of Addressing Mortality.

Conclusions

Young women with hormone-sensitive breast cancer face unique challenges related to age bias, limited reproductive and psychosocial support, and existential distress. Tailored, age-sensitive, person-centered care is essential to address these needs and improve survivorship experiences.

目的：探讨年轻女性在激素敏感型乳腺癌诊断前、诊断中、诊断后的经历和生存率。方法：对10名年龄在28-39岁之间的女性进行描述性定性二次分析，这些女性在5年内被诊断出来，并通过两个瑞典国家患者组织招募。半结构化的访谈是通过虚拟或电话进行的，记录下来，并逐字抄写。采用定性含量分析法对资料进行归纳分析。结果：分析揭示了一个总体主题，在乳腺癌的旅程中导航不确定性，捕捉了年轻女性在诊断，治疗和生存方面的经历。五个描述类别说明了这一旅程的关键方面：在寻求乳腺癌症状治疗时被忽视的经历；医疗保健中缺乏针对年龄的支持；寻求知识、重获控制与制定应对策略平衡生育与癌症治疗；以及存在焦虑和应对死亡的重要性。结论：患有激素敏感性乳腺癌的年轻女性面临着与年龄偏见、有限的生殖和社会心理支持以及存在压力相关的独特挑战。量身定制的、对年龄敏感的、以人为本的护理对于满足这些需求和改善生存体验至关重要。

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