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

Relationship between changes in nutritional status during treatment and overall survival of newly diagnosed nasopharyngeal carcinoma patients 新确诊鼻咽癌患者治疗期间营养状况变化与总生存期之间的关系。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-31 DOI: 10.1016/j.ejon.2024.102721

Wen-Pei Chang

Purpose

This study investigates the relationship between changes in nutritional status during treatment and overall survival in NPC patients.

Method

Using a prospective cohort design, the electronic health records of newly diagnosed NPC patients from a medical center in Taiwan (from January 1, 2018, to March 31, 2024) were analyzed. A total of 73 newly diagnosed NPC patients were tracked; nutritional indicators such as body mass index (BMI), prealbumin levels, and Patient-Generated Subjective Global Assessment (PG-SGA) scores were recorded at four time points: one week before treatment, the first week of treatment, and four and eight weeks after treatment began.

Results

The study found that most patients experienced a decrease in BMI (B = −0.62, p < .001) and prealbumin levels (B = −0.79, p = .015) during treatment, although BMI remained in the overweight range and prealbumin stayed within normal levels. PG-SGA scores increased (B = 1.01, p < .001), indicating a shift from low to moderate nutritional risk. Univariate Cox regression analysis showed that the Charlson Comorbidity Index (HR = 1.86, 95% CI: 1.38–2.51), NPC stage (HR = 15.67, 95% CI: 2.07–118.61), treatment method (HR = 2.96, 95% CI: 1.45–6.04), prealbumin (HR = 2.95, 95% CI: 1.46–5.99), and PG-SGA score trajectories (HR = 2.85, 95% CI: 1.27–6.40) were associated with overall survival. However, multivariate analysis revealed that the survival of NPC patients was only associated with CCI and NPC stage.

Conclusions

The study underscores the importance of monitoring nutritional status changes during treatment, particularly prealbumin and PG-SGA trajectories.

目的：本研究探讨了鼻咽癌患者治疗期间营养状况变化与总生存期之间的关系：采用前瞻性队列设计，分析了台湾一家医疗中心新确诊的鼻咽癌患者的电子健康记录（2018 年 1 月 1 日至 2024 年 3 月 31 日）。共追踪了73名新确诊的鼻咽癌患者；在四个时间点记录了营养指标，如体重指数（BMI）、前白蛋白水平和患者自发主观全面评估（PG-SGA）评分：治疗前一周、治疗第一周、治疗开始后四周和八周：研究发现，大多数患者的体重指数都有所下降（B = -0.62，P 结论）：该研究强调了在治疗过程中监测营养状况变化的重要性，尤其是白蛋白和 PG-SGA 的变化轨迹。

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引用次数: 0

The impact of frailty on chemotherapy intolerance in patients with cervical cancer: A longitudinal study 虚弱对宫颈癌患者化疗不耐受的影响：纵向研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-30 DOI: 10.1016/j.ejon.2024.102725

Yanhong Wang , Yaya Zhang , Xueping Liang , Jin Liu , Yanan Zhao , Qingling Su

Purpose

To explore the potential effects of frailty on chemotherapy intolerance in patients with cervical cancer.

Methods

A longitudinal study of patients with cervical cancer undergoing postoperative Adjuvant Chemotherapy (ACT) was conducted at a hospital in Northwest China from July 2020 to December 2021. Baseline frailty was assessed using the Tilburg Frailty Indicator. Chemotherapy intolerance was obtained from electronic medical records during the intervals between each postoperative chemotherapy session. We used Generalized Estimating Equations (GEE) to determine the predictors and cox regression analysis to analyze the impact of frailty on chemotherapy intolerance.

Results

A total of 259 patients with postoperative cervical cancer with a mean age of 52.5 years (SD = 10.3) participated in this study. The incidence of chemotherapy intolerance in the frail group at T1, T2, T3 and T4 was 51.6%, 38.9%, 55.6% and 73.7%, respectively. The patients with frailty were more likely to have chemotherapy intolerance (OR = 1.495, 95% CI: 1.074–2.080, P < 0.05), prolonged hospitalizations (OR = 1.577, 95% CI: 1.086–2.291, P < 0.05) and unplanned readmissions (OR = 2.304, 95% CI: 1.387–3.829, P < 0.05) compared to the patients without frailty. Cox regression analysis showed that frailty increased the risk of chemotherapy intolerance by 1.681-fold (HR = 1.681, 95%CI 1.041–2.713; P < 0.05) and unplanned readmissions by 2.812-fold (HR = 2.812, 95%CI 1.521–5.200; P < 0.05).

Conclusions

Frailty can lead to an increased risk of chemotherapy intolerance in patients with cervical cancer undergoing postoperative ACT, and patients with frailty are more likely to experience prolonged hospitalizations and unplanned readmissions.

目的：探讨虚弱对宫颈癌患者化疗不耐受的潜在影响：2020年7月至2021年12月，在中国西北地区的一家医院对接受术后辅助化疗（ACT）的宫颈癌患者进行了一项纵向研究。基线虚弱程度采用蒂尔堡虚弱指标进行评估。化疗不耐受情况来自每次术后化疗间隔期间的电子病历。我们使用广义估计方程（GEE）来确定预测因素，并使用cox回归分析来分析虚弱对化疗不耐受的影响：共有 259 名宫颈癌术后患者参与了这项研究，他们的平均年龄为 52.5 岁（SD = 10.3）。在 T1、T2、T3 和 T4 期，体弱组化疗不耐受的发生率分别为 51.6%、38.9%、55.6% 和 73.7%。体弱患者更容易出现化疗不耐受（OR = 1.495，95% CI：1.074-2.080，P 结论：体弱可导致化疗不耐受的风险增加：体弱会导致接受术后 ACT 的宫颈癌患者出现化疗不耐受的风险增加，而且体弱患者更有可能出现住院时间延长和意外再入院。

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引用次数: 0

Efficacy of different warming methods for perioperative hypothermia prevention on body temperature and shivering among transurethral resection patients: A systematic review and meta-analysis study 不同保暖方法对经尿道切除术患者围术期低体温和颤抖的预防效果：系统回顾和荟萃分析研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-28 DOI: 10.1016/j.ejon.2024.102717

Gamze Bozkul , Gülay Altun Uğras

Purpose

The present study attempts to assess the impacts of distinct warming strategies employed to avert perioperative hypothermia on core body temperature and shivering among transurethral resection patients.

Methods

We performed a comprehensive search of Turkish and English keywords across a range of databases, including PUBMED, Web of Science, Cochrane Library, SCOPUS, Ovid, EBSCOhost, Yöktez, DergiPark, and TR Index, to identify studies on the subject published between January 1, 2001–2024. The search procedure yielded 11 studies to be recruited for meta-analysis. We analyzed the data using the trial version of Comprehensive Meta-Analysis Software (CMA). The degree of heterogeneity was quantified using Higgins I² tests, while we assessed publication bias through Kendall's Tau and Egger's regression analyses.

Results

This meta-analysis focuses exclusively on the effects of forced air warming and irrigation fluid warming, as only these methods provided sufficient data to calculate effect size. Our findings demonstrated that while forced air warming significantly affected preoperative (g = 0.279), intraoperative (15th minute, T4) (g = 0.845), postoperative (g = 0.647) body temperature and postoperative shivering (g = −2.279), irrigation fluid warming had a significant impact on postoperative body temperature (g = 1.007) and intraoperative shivering (g = 0.188).

Conclusion

Overall, our results indicated that forced air warming and irrigation fluid warming can serve as a preventive measure against hypothermia and shivering among transurethral resection patients. Given that other forms of warming could not be included in this research, further studies are recommended to explore scholarly evidence on the efficacy of these methods.

本研究试图评估为避免围手术期体温过低而采用的不同保暖策略对经尿道切除术患者核心体温和颤抖的影响。方法我们在一系列数据库（包括 PUBMED、Web of Science、Cochrane Library、SCOPUS、Ovid、EBSCOhost、Yöktez、DergiPark 和 TR Index）中对土耳其语和英语关键词进行了全面检索，以确定 2001 年 1 月 1 日至 2024 年间发表的相关研究。搜索过程中，我们收集了 11 项研究进行荟萃分析。我们使用综合荟萃分析软件（CMA）的试用版对数据进行了分析。我们使用希金斯 I2 检验量化了异质性程度，并通过 Kendall's Tau 和 Egger's 回归分析评估了发表偏倚。结果这项荟萃分析只关注强制空气加温和灌注液加温的效果，因为只有这些方法提供了足够的数据来计算效应大小。我们的研究结果表明，强制空气加温对术前（g = 0.279）、术中（第 15 分钟，T4）（g = 0.845）、术后（g = 0.647）体温和术后哆嗦（g = -2.279）有显著影响，而灌流液加温对术后体温（g = 1.结论总之，我们的研究结果表明，强制空气加温和冲洗液加温可作为经尿道切除术患者预防低体温和哆嗦的措施。鉴于本研究未能包括其他形式的保暖措施，建议进一步研究这些方法的有效性。

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引用次数: 0

Identifying and responding to domestic abuse in cancer care: A mixed methods service evaluation of a training and support intervention. 识别和应对癌症护理中的家庭虐待：培训和支持干预的混合方法服务评估。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-28 DOI: 10.1016/j.ejon.2024.102724

Sandi Dheensa, Ruth Hendy, Linda Finn, Marion Goodchild, Estela Capelas Barbosa

Purpose: This article reports on a service evaluation of a domestic abuse intervention for hospital-based cancer professionals in two sites. The core component was a training and monitoring process, which hospital-based domestic abuse coordinators led. This role was adapted from a generic hospital role to be cancer specific. Pre-training preparedness to identify and respond to domestic abuse, domestic abuse identifications, and changes ∼6 months post-training are presented.

Methods: We used an explanatory sequential design including a survey pre-training (Time 1), immediately post-training (Time 2) (with follow-up semi-structured interviews) and ∼6 months post-training (Time 3). Sites were asked to share domestic abuse identification numbers pre- and post-coordinator hire.

Results: Coordinators trained 1080 staff (17% of staff across two sites). Survey 1 (Time 1 & 2) response rate was 44.9% (n = 485) and survey 2 8.8% (n = 95) (Time 3). All confidence scores significantly increased from pre- (Time 1) to post-training (Time 2). Time 3 also saw significant gains. There were also highly significant decreases in the perception of most barriers to asking about and responding to domestic abuse post-training. We were unable to determine Site 2's identification rate but Site 1's increased. Qualitative findings shed light on key moderators between intervention components and outcomes, and additional components needed to change practice.

Conclusion: Our evaluation contributes further evidence of the benefit of hospital-based domestic abuse coordinator roles; contributes new evidence for the feasibility of adapting the role for a specific context; and illustrates the need for a domestic abuse response in the cancer setting.

目的：本文报告了两个地点对医院癌症专业人员家庭虐待干预的服务评估。核心组成部分是由医院家庭虐待协调员领导的培训和监测进程。这个角色从一个普通的医院角色改编为癌症特异性角色。介绍了识别和应对家庭虐待的培训前准备、家庭虐待识别和培训后约6个月的变化。方法：我们采用了解释性序列设计，包括培训前（时间1）、培训后（时间2）（随访半结构化访谈）和培训后6个月（时间3）的调查。要求网站分享协调员招聘前和招聘后的家庭暴力识别号码。结果：协调员培训了1080名员工（占两个站点员工的17%）。调查1（时间1和时间2）的回复率为44.9% (n = 485)，调查2 (n = 95)（时间3）的回复率为8.8% （n = 95）。从训练前（时间1）到训练后（时间2），所有的信心得分都显著增加。培训后对询问和应对家庭暴力的大多数障碍的看法也显著减少。我们无法确定Site 2的识别率，但Site 1的识别率增加了。定性研究结果揭示了干预成分和结果之间的关键调节因素，以及改变实践所需的其他成分。结论：我们的评估进一步证明了医院家庭暴力协调员角色的好处；为使该角色适应特定环境的可行性提供新的证据；这也说明了在癌症环境下应对家庭暴力的必要性。

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引用次数: 0

A nomogram model for predicting frailty in middle-aged and elderly patients with colorectal cancer:A cross-sectional study 预测中老年结直肠癌患者虚弱程度的提名图模型：一项横断面研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-28 DOI: 10.1016/j.ejon.2024.102718

Mengjiao Zhong , Xiaodan Wu , Xinxin Li , Jingyue Xie , Xiaoxuan Wang , Qianqian Du , Meifen Zhang

Purpose

Frailty is a syndrome caused by multiple factors and can lead to serious consequences for middle-aged and elderly patients with colorectal cancer. However, few studies have comprehensively explored predictors of frailty and built predictive models. Therefore, our aim is to develop and evaluate a predictive model for frailty in middle-aged and elderly patients with colorectal cancer.

Methods

From July 2023 to February 2024, a total of 502 middle-aged and elderly patients with colorectal cancer participated in this survey. Patients were randomly divided into training and validation groups in a 7:3 ratio. Univariate and multiple logistic regression analysis were employed to identify potential predictors of frailty in these patients. A nomogram was constructed based on the predictive factors, and the model underwent internal validation.

Results

In the training cohort, logistic regression revealed that self-perceived health, chronic pain, loneliness, depression, and health-promoting lifestyle were independent predictors of frailty. The Areas Under the Curve (AUC) of the training and validation groups were 0.845 and 0.851, respectively. The calibration curve of the nomogram demonstrated good consistency between predicted and actual probabilities. Decision curve analysis revealed good clinical benefit.

Conclusions

This study established a predictive model with satisfactory predictive ability, providing empirical evidence for the early detection and intervention of frailty in middle-aged and elderly patients with colorectal cancer. The nomogram model has significant potential for clinical application, as it can be integrated into routine oncology practice to identify high-risk patients early, allowing for timely and individualized interventions to improve patient outcomes.

目的：虚弱是一种由多种因素引起的综合征，会给中老年结直肠癌患者带来严重后果。然而，很少有研究全面探讨虚弱的预测因素并建立预测模型。因此，我们的目的是开发并评估中老年结直肠癌患者的虚弱预测模型：从 2023 年 7 月到 2024 年 2 月，共有 502 名中老年结直肠癌患者参与了此次调查。患者按 7:3 的比例随机分为训练组和验证组。采用单变量和多元逻辑回归分析来确定这些患者体弱的潜在预测因素。根据预测因素构建了一个提名图，并对模型进行了内部验证：结果：在训练队列中，逻辑回归显示自我感觉健康、慢性疼痛、孤独、抑郁和促进健康的生活方式是虚弱的独立预测因素。训练组和验证组的曲线下面积（AUC）分别为 0.845 和 0.851。提名图的校准曲线显示，预测概率与实际概率之间具有良好的一致性。决策曲线分析显示了良好的临床效益：本研究建立了一个预测能力令人满意的预测模型，为早期发现和干预中老年结直肠癌患者的虚弱状况提供了实证依据。该提名图模型具有很大的临床应用潜力，因为它可以融入常规肿瘤治疗实践中，及早发现高危患者，从而及时采取个性化干预措施，改善患者预后。

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引用次数: 0

Facilitating and limiting factors in the implementation of Revie ⊕ among registered nurses: A multimethod study 促进和限制注册护士实施 Revie ⊕ 的因素：多方法研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-28 DOI: 10.1016/j.ejon.2024.102722

Leila Bergoug , Assunta Fiorentino , Gora da Rocha Rodrigues

Purpose

People with advanced cancer face long-term physical, psychological, and existential challenges. Revie ⊕ is a life review intervention based on building the strengths and resources of these patients. A randomized clinical trial evaluated the effectiveness of the intervention on self-esteem, well-being, personal development, life satisfaction and perceived interaction with registered nurses. In addition, the research team analysed the process of implementation with registered nurses, which is the subject of the present study. The aim of our study was to describe the facilitating or limiting factors in the implementation of Revie ⊕ with registered nurses in oncology units.

Methods

This study used a multimethod cross-sectional research design and was conducted in the context of a randomized controlled trial. The selected sample included 57 registered nurses. Organizational readiness for change, satisfaction, and compassion fatigue were measured for the quantitative component, and two focus groups were conducted for the qualitative component.

Results

Organizational readiness for change reveals favourable results conducive to the implementation of Revie ⊕. The professional quality of life measures highlighted high compassion satisfaction and a low risk of burnout and exposure to secondary traumatic stress. Participants with additional postgraduate training felt more strongly that the intervention was evidence-based, considered clinical experience, and respected patient preferences. The analysis of the qualitative data allowed for the extraction of 7 themes and 21 subthemes.

Conclusions

This study highlighted facilitating and limiting factors in the implementation process of Revie ⊕, good professional quality of life of registered nurses, and supportive preparation for change.

目的：晚期癌症患者面临着长期的生理、心理和生存挑战。Revie ⊕ 是一种基于增强这些患者的力量和资源的生命回顾干预措施。一项随机临床试验评估了该干预措施在自尊、幸福感、个人发展、生活满意度以及与注册护士互动方面的效果。此外，研究小组还分析了与注册护士的实施过程，这也是本研究的主题。我们的研究旨在描述肿瘤科注册护士在实施 Revie ⊕ 过程中的促进或限制因素：本研究采用多方法横断面研究设计，在随机对照试验的背景下进行。所选样本包括 57 名注册护士。在定量研究中对组织变革准备度、满意度和同情疲劳进行了测量，在定性研究中进行了两次焦点小组讨论：结果：组织变革准备度显示了有利于实施 Revie ⊕ 的有利结果。职业生活质量测量结果显示，同情满意度高，职业倦怠和二次创伤压力风险低。接受过额外研究生培训的参与者更强烈地感受到，干预措施是以证据为基础的，考虑了临床经验，并尊重了患者的偏好。通过对定性数据的分析，得出了 7 个主题和 21 个次主题：本研究强调了在实施 Revie ⊕ 过程中的促进因素和限制因素、注册护士良好的职业生活质量以及变革的支持性准备。

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引用次数: 0

Living with a chronic hematological malignancy: Perspectives on PRO-based management of symptoms 慢性血液恶性肿瘤患者的生活：基于 PRO 的症状管理视角。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-28 DOI: 10.1016/j.ejon.2024.102713

Maja Pedersen , Mette Schaufuss Engedal , Maria Torp Larsen , Brian Thomas Kornblit , Kirsten Lomborg , Mary Jarden

Purpose

To explore study participants’ experiences with chronic hematologic malignancies and their perspectives on symptom management based on patient-reported outcomes during follow-up care.

Methods

This qualitative descriptive study used semi-structured telephone interviews conducted from May 2022 to February 2023. A purposeful sample was recruited, with participants invited consecutively. Participants were adults ≥18 years diagnosed with a chronic hematological malignancy and participating in a symptom management intervention. Reflexive thematic analysis, as described by Braun and Clarke, was used to perform an inductive analysis of the interview data.

Results

A total of 19 telephone interviews were conducted with 17 participants. Participants had nuanced perspectives on managing life with a chronic and uncommon hematological malignancy reflected in the following themes: not allowing the disease to dominate, struggling to understand and manage the disease, navigating everyday life with the disease, and evaluating impact and tailoring of patient reported outcome-based symptom management.

Conclusion

This study emphasizes the ambiguity of living with a chronic hematological malignancy. Participants strive to prevent the disease from dominating their lives, despite their struggles to understand and manage the disease. The use of patient-reported outcomes in dialogue and targeted symptom management helped participants navigate daily life challenges. These findings underscore important considerations for enhancing follow-up care for patients with chronic hematological malignancies.

目的：根据随访期间患者报告的结果，探讨研究参与者在慢性血液系统恶性肿瘤方面的经历及其对症状管理的看法：这项定性描述性研究采用半结构式电话访谈，访谈时间为 2022 年 5 月至 2023 年 2 月。研究采用有目的的抽样调查，连续邀请参与者。参与者均为≥18岁的成年人，被诊断患有慢性血液恶性肿瘤并参与了症状管理干预。根据布劳恩（Braun）和克拉克（Clarke）的描述，采用反思性主题分析法对访谈数据进行归纳分析：共对 17 名参与者进行了 19 次电话访谈。结果：共对 17 名参与者进行了 19 次电话访谈。参与者对慢性和不常见血液恶性肿瘤患者的生活管理有着细微的看法，这些看法反映在以下主题中：不让疾病主宰生活、努力理解和管理疾病、带着疾病度过日常生活、评估患者报告的基于结果的症状管理的影响和调整：本研究强调了慢性血液恶性肿瘤患者生活的模糊性。尽管参与者在理解和管理疾病方面困难重重，但他们仍努力防止疾病主宰自己的生活。在对话中使用患者报告的结果和有针对性的症状管理有助于参与者应对日常生活中的挑战。这些发现强调了加强慢性血液恶性肿瘤患者随访护理的重要考虑因素。

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引用次数: 0

A feasibility study of a couple-based illness perception intervention for couples coping with colorectal cancer 针对结直肠癌患者夫妇的疾病认知干预可行性研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-28 DOI: 10.1016/j.ejon.2024.102723

Yi Zhang , Zheng Sun , Xiaoke Qiu , Rongyu Li , Ye Wang , Jie Zhao , Qiuping Li

Purpose

As a special psychological variable, illness perception significantly affects the cancer adaptions of colorectal cancer couples. No studies focus on facilitating cancer adaption by targeting the illness perception in colorectal cancer couples. This research attempted to explore the feasibility, acceptability, and potential effectiveness of an illness perception intervention program designed for couples with colorectal cancer, guided by a self-regulation common sense model.

Methods

A single-group pilot study including pre- and post-testing was carried out with Chinese couples having colorectal cancer. Six sessions were delivered consecutively by researchers via in-person or telephone for couples. By calculating the rates of recruitment and retention, the feasibility of the intervention was analyzed. Intervention acceptability was evaluated by analysis of the post-intervention quantitative and qualitative data. Outcomes were described as illness perception, cancer-related communication problems, dyadic coping, quality of life, anxiety and depression, and benefit finding. Effect sizes were computed to assess the preliminary program effects.

Results

The feasibility was confirmed by the recruitment (67.6%) and retention (82.6%) rates. The acceptability was endorsed by the reported participant satisfaction. Validating the program's preliminary effectiveness, the intervention program has moderate effect sizes (Cohen's d: 0.33–0.79) that boost illness perception and major cancer adjustment results for patients and their spousal caregivers.

Conclusions

The research proved that the couple-based illness perception intervention among colorectal couples was feasible, acceptable, and initially effective. To investigate this intervention program more thoroughly and apply it to a wider range of disease backgrounds, an extensive randomized controlled experiment is necessary.

目的：作为一种特殊的心理变量，疾病认知对结直肠癌夫妇的癌症适应性有很大影响。目前还没有研究关注通过针对大肠癌夫妇的疾病认知来促进癌症适应。本研究试图探讨以自我调节常识模型为指导，针对结直肠癌夫妇设计的疾病认知干预计划的可行性、可接受性和潜在有效性：方法：以中国结直肠癌患者夫妇为研究对象，开展了包括前测和后测在内的单组试点研究。研究人员通过面谈或电话对夫妇连续进行了六次培训。通过计算招募率和保留率，分析了干预的可行性。通过分析干预后的定量和定性数据，评估了干预的可接受性。结果被描述为对疾病的认知、与癌症相关的沟通问题、伴侣间的应对、生活质量、焦虑和抑郁以及受益发现。计算了效果大小，以评估初步的计划效果：招募率（67.6%）和保留率（82.6%）证实了该计划的可行性。参与者的满意度也证明了该计划的可接受性。干预计划的中等效应大小（Cohen's d：0.33-0.79）验证了该计划的初步有效性，提高了患者及其配偶照顾者的疾病感知能力和癌症适应能力：研究证明，以夫妇为基础的结直肠癌夫妇疾病认知干预是可行的、可接受的、初步有效的。为了更深入地研究这项干预计划并将其应用于更广泛的疾病背景，有必要进行广泛的随机对照实验。

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引用次数: 0

Experiences of social burden amongst survivors of breast cancer in Gaza: A qualitative study 加沙乳腺癌幸存者的社会负担经历：定性研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-23 DOI: 10.1016/j.ejon.2024.102716

Walaa Ammar-Shehada, Piet Bracke, Melissa Ceuterick

Purpose

This qualitative study explores how social-cultural factors can either amplify or attenuate prospects for social support following a breast cancer diagnosis. The aim of the study is to analyse narratives of individuals diagnosed with breast cancer to examine how the illness influences social support and hence their post-illness experiences.

Methods

Forty semi-structured interviews, including thirty-eight with breast cancer survivors, are analysed using a grounded theory approach. Data were collected between September 2020 and April 2021.

Results

Participants' perceptions indicate that three main factors influenced experiences and the level of social support received. The first involves stigmatised cancer-related discourses and practices affecting women's social interactions and roles. The second is specific to (ex)married participants. It reveals how the foundation of marriage prior to the illness is a determining and influencing factor in the experience of women after illness. The third demonstrates how specific social identities enable coping, negotiation, and challenging cancer-related stigma, turning their experiences toward positivity.

Conclusions

The study concludes that breast cancer acts as a figurative magnifying glass, illuminating latent social practices in the community. This highlights the need to nurture existing social bonds or address the fragility of ties within distinct social categories. The research suggests implementing customised support interventions aligned with each group of survivors' unique needs. Furthermore, enhancing awareness within patients' social networks regarding the illness and how to provide support, along with enhancing survivors' financial security through economic empowerment, may contribute to more effective coping with the social consequences of the illness.

目的：本定性研究探讨了社会文化因素如何在乳腺癌确诊后扩大或缩小社会支持的前景。研究的目的是分析被诊断为乳腺癌患者的叙述，研究疾病如何影响社会支持，进而影响他们患病后的经历：采用基础理论方法分析了 40 个半结构式访谈，其中包括 38 个与乳腺癌幸存者的访谈。数据收集时间为 2020 年 9 月至 2021 年 4 月：结果：参与者的看法表明，有三个主要因素影响了他们的经历和所获得的社会支持水平。第一个因素涉及与癌症相关的污名化言论和做法，这些言论和做法影响了女性的社会交往和角色。第二个因素是针对（前）已婚参与者的。它揭示了患病前的婚姻基础是如何决定和影响妇女患病后的经历的。第三项研究表明，特定的社会身份是如何帮助妇女应对、协商和挑战与癌症相关的污名化，使她们的经历转向积极的一面：本研究的结论是，乳腺癌就像一个形象的放大镜，照亮了社区中潜在的社会实践。这凸显了培养现有社会纽带或解决不同社会类别中纽带脆弱问题的必要性。研究建议根据每个幸存者群体的独特需求实施定制的支持干预措施。此外，提高患者的社会网络对疾病和如何提供支持的认识，同时通过经济赋权增强幸存者的经济保障，可能有助于更有效地应对疾病的社会后果。

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引用次数: 0

Experiences and needs of colorectal cancer survivors in resource-limited countries: A qualitative descriptive study in Syria 资源有限国家结直肠癌幸存者的经历和需求：叙利亚定性描述研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2024-10-22 DOI: 10.1016/j.ejon.2024.102715

Lina Kafi , Hammoda Abu-Odah , Qin Xu

Purpose

Colorectal cancer (CRC) is one of the three most prevalent cancers globally, with incidence rates projected to increase. CRC survivors face various challenges due to the disease and its treatments. However, there is limited evidence on the experiences and needs of CRC survivors in resource-constrained countries. This study aimed to explore the experiences and needs of CRC survivors in Syria and to identify perceived opportunities for improvement.

Methods

A descriptive qualitative study design was employed, using semi-structured in-depth interviews with 12 adult CRC survivors who had completed treatment at least 6 months prior, selected through purposive sampling. Data were analyzed using an inductive thematic analysis approach.

Results

The interviews revealed 15 major themes: 11 concerning the experiences of CRC survivors and four related to their needs. The survivors’ experiences included physical burden, psychological expressions, economic burden, social withdrawal, stigmatization, family and friend supports, cultural and social impact, religion and coping mechanisms, relationship with healthcare professionals, support from healthcare system. Their needs encompassed emotional and psychological, informational, financial, and sexual needs.

Conclusion

This study highlights the unpredictable psychological, economic and physical burdens experienced by Syrian CRC survivors. Personalized care plans that address unmet needs of survivors are crucial to improving their quality of life. Prioritizing the development of comprehensive survivorship care plans that address the multifaceted needs of CRC survivors is crucial. Additionally, further qualitative research is essential to gain a deeper understanding of the challenges faced by these survivors and to inform the design of effective interventions.

目的大肠癌（CRC）是全球发病率最高的三大癌症之一，预计其发病率还将上升。CRC 幸存者面临着疾病及其治疗带来的各种挑战。然而，在资源有限的国家，有关 CRC 幸存者的经历和需求的证据非常有限。本研究旨在探讨叙利亚 CRC 幸存者的经历和需求，并找出可感知的改进机会。研究采用了描述性定性研究设计，通过有目的的抽样，对 12 名至少在 6 个月前完成治疗的成年 CRC 幸存者进行了半结构化深度访谈。结果访谈揭示了 15 个主要的主题：11 个与 CRC 幸存者的经历有关，4 个与他们的需求有关。幸存者的经历包括身体负担、心理表现、经济负担、社会退缩、污名化、家人和朋友的支持、文化和社会影响、宗教和应对机制、与医疗专业人员的关系、医疗系统的支持。他们的需求包括情感和心理需求、信息需求、经济需求和性需求。针对幸存者未满足的需求制定个性化护理计划对于提高他们的生活质量至关重要。优先制定全面的幸存者护理计划以满足 CRC 幸存者的多方面需求至关重要。此外，进一步的定性研究对于深入了解这些幸存者所面临的挑战并为设计有效的干预措施提供信息也是至关重要的。

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引用次数: 0