European Journal of Oncology Nursing最新文献_第7页

Distress, problems and unmet rehabilitation needs after haematopoietic stem cell transplantation for haematologic malignancies: A cross-sectional study 恶性血液病患者造血干细胞移植后的痛苦、问题和未满足的康复需求：一项横断面研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-19 DOI: 10.1016/j.ejon.2025.103083

Mette Seland , Sylvia Rognli , Tone Skaali , Rune Blomhoff , Geir E. Tjønnfjord , Astrid M.A. Eriksen , Grethe Solvang , Lene Thorsen

Purpose

Haematopoietic stem cell transplantation (HSCT) is an intensive treatment potentially resulting in distress, physical and psychosocial problems, and need for rehabilitation services. The purpose of this study was to assess the prevalence of distress, problems, and unmet rehabilitation needs among patients with haematological malignancies treated with HSCT, and to identify demographic and clinical factors associated with being distressed.

Methods

A cross-sectional questionnaire-based study among patients with a haematological malignancy was conducted 3-24 months post HSCT. Distress and problems were assessed by the National Comprehensive Network (NCCN) Distress Thermometer (DT) and Problem List (PL), and problems with physical endurance and muscle strength by 11-point scales. Unmet rehabilitation needs were assessed by a questionnaire constructed by the authors.

Results

Among 130 invited patients, 98 (75%) were included. Mean observation time since HSCT was 8 months, mean age at survey was 54 years and 61% were male. About half (51%) of the participants reported distress. The most common problems reported on the PL were fatigue (56%), tingling in hands/feet (49%), and worry (47%). Impaired physical endurance and muscle strength were reported by 65% and 59 %, respectively. Thirty-seven percent reported unmet rehabilitation needs. Distressed participants reported more problems included in the PL [mean 10.3 (SD 5.1) vs 4.8 (SD 2.9), p<0.001] and more unmet rehabilitation needs (52% vs 21%, p=0.003) compared to non-distressed participants.

Conclusion

The high prevalence of distress, problems and unmet rehabilitation needs emphasize the importance of regular screening and tailored rehabilitation programs in this population.

目的：造血干细胞移植（HSCT）是一种可能导致痛苦、身体和心理问题以及需要康复服务的强化治疗。本研究的目的是评估接受造血干细胞移植治疗的血液系统恶性肿瘤患者的痛苦、问题和未满足的康复需求的患病率，并确定与痛苦相关的人口统计学和临床因素。方法对造血干细胞移植后3-24个月的恶性血液病患者进行横断面问卷调查。采用全国综合网络（NCCN）焦虑温度计（DT）和问题表（PL）评估焦虑和问题，并采用11分制评估身体耐力和肌肉力量问题。未满足的康复需求通过作者编制的问卷进行评估。结果入选患者130例，入选98例（75%）。HSCT术后平均观察时间8个月，平均年龄54岁，61%为男性。大约一半（51%）的参与者报告了痛苦。最常见的问题是疲劳（56%），手/脚刺痛（49%）和担忧（47%）。身体耐力和肌肉力量受损的比例分别为65%和59%。37%的人报告未满足康复需求。与非痛苦参与者相比，痛苦参与者报告了更多的问题包括在PL中[平均10.3 (SD 5.1) vs 4.8 (SD 2.9), p<；0.001]和更多未满足的康复需求（52% vs 21%, p=0.003）。结论高患病率的困扰，问题和未满足的康复需求强调了定期筛查和量身定制的康复方案在这一人群中的重要性。

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引用次数: 0

Exploring difficulties, dropout causes, and professional involvement in applying dignity therapy for palliative care patients: a scoping review. 探索困难，辍学的原因，和专业参与应用尊严治疗姑息治疗患者：范围审查。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-04 DOI: 10.1016/j.ejon.2025.103069

Ana Fernández-Araque, Esther Sapiña-Beltrán, Marta Llorente Alonso, Zoraida Verde, Carmen Amaia Ramírez-Torres, E Begoña García-Navarro

Purpose: To explore and summarize the published literature on the most common causes of dropout and the challenges in implementing Dignity Therapy (DT) in terminally ill patients, as well as the training of the professionals involved.

Methods: A systematic scoping review was conducted following the methodology of the Joanna Briggs Institute (JBI) for scoping reviews, using the PAGER framework. The databases consulted included PUBMED, CINAHL, PsycINFO, and SCOPUS. Two independent reviewers applied the established criteria. The PRISMA-ScR guidelines were followed for reporting.

Results: The review identified twenty-seven published articles, highlighting three key themes: reasons for dropout and/or recruitment issues, challenges and limitations in studies on Dignity Therapy, and the professionals who implement it, along with their training. These themes prompted reflection on the pre-methodological preparation for patient and family recruitment, as well as therapy continuity. While Dignity Therapy is beneficial, it presents challenges in terms of follow-up and efficacy.

Conclusions: Refusal or dropout from Dignity Therapy in palliative care is associated with emotional, cultural, physical, and contextual factors. Understanding these factors is crucial to improving communication and adapting the therapy, thereby promoting its acceptance. Dignity Therapy faces challenges related to patient health, costs, cultural diversity, and staff training. The shortage of trained professionals and the lack of detailed information on therapist training are key limitations that must be addressed for effective implementation.

目的：探索和总结已发表的关于最常见的辍学原因和在绝症患者中实施尊严治疗（DT）的挑战，以及相关专业人员的培训的文献。方法：采用PAGER框架，按照乔安娜布里格斯研究所（JBI）的范围审查方法进行系统的范围审查。参考的数据库包括PUBMED、CINAHL、PsycINFO和SCOPUS。两名独立的审稿人采用了既定的标准。报告遵循PRISMA-ScR指南。结果：审查确定了27篇已发表的文章，突出了三个关键主题：辍学和/或招聘问题的原因，尊严治疗研究中的挑战和限制，以及实施尊严治疗的专业人员及其培训。这些主题促使对患者和家属招募的方法前准备以及治疗连续性的反思。虽然尊严疗法是有益的，但它在后续治疗和疗效方面存在挑战。结论：在姑息治疗中拒绝或退出尊严治疗与情感、文化、身体和环境因素有关。了解这些因素对于改善沟通和适应治疗至关重要，从而促进其接受。尊严疗法面临着与患者健康、成本、文化多样性和员工培训相关的挑战。缺乏训练有素的专业人员和缺乏关于治疗师培训的详细信息是有效实施必须解决的关键限制。

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引用次数: 0

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 : 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

“You're not the only one who went through this”: Cancer survivors' reflections on peer encounters during the Desert Journey program “你不是唯一一个经历过这些的人”：在沙漠之旅项目中，癌症幸存者对同伴遭遇的反思

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-02 DOI: 10.1016/j.ejon.2025.103073

I. Levkovich , L. Hamama , S. Kuperman , M. Bar- Doron , Y. Hamama-Raz

Purpose

This study explores how peer support within Desert Journey, a nature-based group intervention developed by an Israeli non-governmental organization, shapes coping, belonging, and meaning among young cancer survivors. Grounded in a biopsychosocial and ecopsychological framework, we examine survivors’ lived experiences to identify that support rehabilitation.

Method

A qualitative approach was used to explore participants’ subjective experiences. In-depth, semi-structured interviews were conducted with 21 participants who had completed Desert Journey within the past two years. Participants aged 29–44 years, all in the recovery stage, represented a range of cancer diagnoses. The interviews were conducted between March–May 2025, audio-recorded, transcribed verbatim, and analyzed thematically.

Results

Three central themes emerged: (1) “A group of strangers who just got it.” Participants described a profound sense of belonging and emotional validation through honest dialogue and nonverbal connection; (2) “An intimate space.” The desert setting fostered reflection on family, parenthood, and romantic relationships, allowing participants to voice complex emotions often silenced in daily life; (3) “There's something very overwhelming about being together all the time.” Some participants experienced emotional flooding, anxiety, and a need for solitude as the group process intensified.

Conclusions

Nature-based group interventions such as Desert Journey provide a unique therapeutic context for young cancer survivors by fostering emotional connection, peer support, and self-reflection. The findings highlight the potential of such programs to complement traditional survivorship care. Oncology nurses can play a critical role in identifying suitable patients, advocating for the integration of holistic interventions, and collaborating with interdisciplinary teams to enhance survivorship care.

本研究探讨了以色列非政府组织开发的基于自然的群体干预项目“沙漠之旅”中的同伴支持如何塑造年轻癌症幸存者的应对、归属感和意义。在生物心理社会和生态心理学框架的基础上，我们检查幸存者的生活经历，以确定支持康复。方法采用定性方法探讨被试的主观体验。我们对21位在过去两年内完成《沙漠之旅》的参与者进行了深入的半结构化访谈。参与者年龄在29-44岁之间，都处于康复阶段，代表了一系列癌症诊断。访谈在2025年3月至5月期间进行，录音，逐字抄写，并按主题进行分析。结果出现了三个中心主题：(1)“一群刚刚得到它的陌生人”。参与者通过诚实的对话和非语言联系描述了深刻的归属感和情感认可；(2)“私密空间。”沙漠环境培养了对家庭、亲子关系和浪漫关系的反思，让参与者表达在日常生活中经常被压抑的复杂情感；(3)“总在一起让人有种难以抗拒的感觉。”随着小组过程的加剧，一些参与者经历了情绪泛滥、焦虑和独处的需要。结论：沙漠之旅等基于自然资源的群体干预通过培养情感联系、同伴支持和自我反思，为年轻的癌症幸存者提供了独特的治疗环境。研究结果强调了这类项目补充传统生存护理的潜力。肿瘤科护士可以在确定合适的患者、倡导整合整体干预措施以及与跨学科团队合作以加强生存护理方面发挥关键作用。

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引用次数: 0

Corrigendum to “Acceptance and commitment therapy effectiveness for fear of cancer recurrence: A systematic review and meta-analysis” [Europ. J. Oncol. Nurs. 76 (2025) 102862] “接受和承诺治疗对癌症复发恐惧的有效性：一项系统回顾和荟萃分析”的更正[欧洲]。j .杂志。护理，76(2025)102862]。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.ejon.2025.103032

Yin Yuyan , Li Jiaqi , Wang Ting , Xu Juan , Wu Jinfeng , Luo Jing

引用次数: 0

Corrigendum to “Dyadic appraisal and dyadic coping in breast cancer couples: Family resources as mediators in an actor‒partner interdependence mediation model” [Europ. J. Oncol. Nurs. 78 (2025) 102959] 对“乳腺癌夫妇的二元评价和二元应对：家庭资源在行为者-伴侣相互依赖中介模型中的中介作用”的更正[欧洲]。j .杂志。护理，78(2025)102959]。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 DOI: 10.1016/j.ejon.2025.103021

Jiangyan Song , Xiangxiang Tang , Zaharah Sulaiman , Miao Zhang , Tengku Alina Tengku Ismail , Shumei Li , Yun Ye

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 : 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

“You've got to exercise more … What does that mean?” understanding experiences of physical activity during chemotherapy (EPAC): A mixed methods study informed by the COM-B model “你必须多锻炼……这意味着什么？”了解化疗期间身体活动的经历（EPAC）： COM-B模型提供的混合方法研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-28 DOI: 10.1016/j.ejon.2025.103067

Rebecca Cesnik , Alanah Pike , Kellie Toohey , Nicole Freene , Stuart Semple

Purpose

While the benefits of physical activity (PA) during cancer are well known, people undergoing chemotherapy are insufficiently active. This study aims to understand the experiences of PA throughout chemotherapy (EPAC).

Methods

The EPAC study used a mixed methods design informed by the capability, opportunity, motivation-behaviour (COM-B) model. Participants currently undergoing outpatient chemotherapy for the treatment of cancer, their carers or cancer care clinicians participated in a semi-structured interview or focus group and a questionnaire. The Godin-Shepard Leisure-Time Questionnaire identified current and pre-chemotherapy PA levels. Qualitative data were analysed using reflexive thematic analysis, and deductively mapped to the COM-B. Descriptive analysis was used for quantitative data.

Results

Despite 91 % of people undergoing chemotherapy expressing a desire to be more active, only 17 % were classified as 'active'. Additionally, 78 % of participants reported a decrease in PA during chemotherapy. Ten focus groups and 37 interviews were completed with 40 clinicians, 23 patients, and ten carers. From these, eight themes were developed: PA is part of life; All too much; Physical capacity; Inconsistent education; A desire for PA to be integrated; Tailored access to services; Organisational design and resources; and Workforce sustainability. Subthemes mapped to all components of the COM-B framework.

Conclusion

Overall, people undergoing chemotherapy wanted to be more active. Experiences across the groups emphasise the need for increased support to improve opportunities, capability and motivation for PA. These findings demonstrate the need for changes to clinical practice to embed PA into routine chemotherapy care through models that reflect the realities of treatment and its side effects, the workforce, and service design.

目的：虽然癌症期间身体活动（PA）的好处是众所周知的，但接受化疗的人活动不足。本研究旨在了解PA在化疗过程中的经验（EPAC）。方法：EPAC研究采用能力、机会、动机-行为（COM-B）模型为基础的混合方法设计。目前正在接受门诊化疗治疗癌症的参与者，他们的护理人员或癌症护理临床医生参加了半结构化访谈或焦点小组和问卷调查。Godin-Shepard闲暇时间问卷确定了当前和化疗前的PA水平。定性数据使用反身性主题分析进行分析，并演绎映射到COM-B。定量资料采用描述性分析。结果：尽管91%接受化疗的人表达了更积极的愿望，但只有17%的人被归类为“积极”。此外，78%的参与者报告在化疗期间PA降低。完成了10个焦点小组和37个访谈，包括40名临床医生、23名患者和10名护理人员。在此基础上，形成了八个主题：PA是生活的一部分；太多了；物理能力;不一致的教育;渴望PA被整合；有针对性地获得服务；组织设计和资源；劳动力可持续性。子主题映射到COM-B框架的所有组件。结论：总的来说，接受化疗的人希望更活跃。各小组的经验强调需要增加支持，以改善私人助理的机会、能力和动机。这些发现表明，需要改变临床实践，通过反映治疗现实及其副作用、劳动力和服务设计的模型，将PA纳入常规化疗护理。

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引用次数: 0

Preoperative intrinsic capacity phenotypes forecast adverse physical resilience trajectories following surgery in older bladder cancer patients 术前内在能力表型预测老年膀胱癌患者手术后不良的身体恢复能力轨迹。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-11-27 DOI: 10.1016/j.ejon.2025.103068

Siyu Liu , Jin Zheng , Jingyi Sun

Purpose

This study assessed the predictive value of preoperative intrinsic capacity (IC) phenotypes for physical resilience (PR) trajectories in older adults undergoing elective bladder cancer surgery.

Methods

A prospective study was conducted from October 2024 to March 2025 on 327 elderly patients (mean age 69.71 ± 6.96 years) who underwent elective bladder cancer surgery. Latent class analysis (LCA) was used to identify different intrinsic capacity types based on the five domains: vitality, locomotion, cognition, psychology, and sensory. Latent class growth model (LCGM) was applied to identify different trajectories of physical resilience over time. Multiple correspondence analysis (MCA) and multivariate logistic regression were used to study the association between intrinsic capacity types and physical resilience trajectories.

Results

LCA identified three intrinsic capacity phenotypes: High intrinsic capacity (35.2 %), Moderate intrinsic capacity-Low Vitality (28.4 %), and Low intrinsic capacity-Low Mobility and Cognition (36.4 %). LCGM identified four physical resilience trajectories: Moderate-Stable (30.6 %), Moderate-Increasing (31.2 %), High-Increasing (28.1 %), and Low-Stable (10.0 %). A significant association was found between intrinsic capacity phenotypes and physical resilience trajectories. After adjustment, the Low Mobility-Cognition and Low Vitality phenotypes were associated with significantly higher risks of adverse recovery trajectories. Poorer self-rated health, lower BMI, and lower education level also predicted worse resilience.

Conclusions

Preoperative intrinsic capacity phenotypes, particularly those characterized by deficits in mobility, cognition, and vitality, independently predict physical resilience trajectories in older adults after bladder cancer surgery. Assessing these phenotypes enables early identification of high-risk patients and supports targeted prehabilitation strategies.

目的：本研究评估了术前内在容量（IC）表型对选择性膀胱癌手术的老年人身体恢复力（PR）轨迹的预测价值。方法：对2024年10月至2025年3月行择期膀胱癌手术的327例老年患者（平均年龄69.71±6.96岁）进行前瞻性研究。基于活力、运动、认知、心理和感觉五个领域，采用潜类分析（LCA）识别不同的内在能力类型。应用潜在类别增长模型（LCGM）来识别身体弹性随时间变化的不同轨迹。采用多重对应分析（MCA）和多元逻辑回归研究了内在能力类型与身体弹性轨迹之间的关系。结果：LCA鉴定出三种内在容量表型：高内在容量（35.2%）、中等内在容量-低活力（28.4%）和低内在容量-低流动性和认知（36.4%）。LCGM确定了四种物理弹性轨迹：中度稳定（30.6%）、中度增加（31.2%）、高增加（28.1%）和低稳定（10.0%）。内在能力表型与身体弹性轨迹之间存在显著关联。调整后，低活动-认知和低活力表型与不良恢复轨迹的风险显著升高相关。较差的自我评估健康状况、较低的身体质量指数和较低的教育水平也预示着较差的恢复能力。结论：术前内在能力表型，特别是那些以活动能力、认知和活力缺陷为特征的表型，可以独立预测膀胱癌手术后老年人的身体恢复能力轨迹。评估这些表型有助于早期识别高危患者，并支持有针对性的康复策略。

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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 : 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