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

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。

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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

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

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。

{"title":"Factors associated with chemotherapy-induced taste alteration, xerostomia, and quality of life among older Taiwanese patients with cancer: A cross-sectional study","authors":"Ching-Ching Su , Jing-Ya Huang , Pi-Ling Chou , Feng-Che Kuan","doi":"10.1016/j.ejon.2025.103060","DOIUrl":"10.1016/j.ejon.2025.103060","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 (<em>p</em> < .05). TA was significantly correlated with HRQoL, xerostomia, and oral health. Xerostomia was the strongest independent predictor of TA (β = .51; <em>p</em> < .001), followed by HRQoL and previous chemotherapy, which together explained 32 % of the total variance in TA severity.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"80 ","pages":"Article 103060"},"PeriodicalIF":2.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145662693","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

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。

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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