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

Impact of patient resourcefulness on cancer patients’ pain management and medical opioid use: A cross-sectional study 患者智谋对癌症患者疼痛管理和医用阿片类药物使用的影响：一项横断面研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102771

Pei-Yi Hsu , Chiou-Fang Liou

Purpose

Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.The aim of the project is to investigate the impact of resourcefulness and pain interpretation on cancer-related pain control. Cancer pain often leads to stress adaptation issues. Negative beliefs about cancer pain and morphine are detrimental to pain interpretation. Patients with high resourcefulness often proactively address problems to cope with stress, and establish problem-solving strategies.

Methods

This was a quantitative survey. From November 2020 to November 2021, a survey was conducted at an oncology outpatient clinic and wards, with 100 completed questionnaires.

Results

The interaction between resourcefulness and opioid analgesics significantly influenced cancer pain sensation. John-Neyman values could identify patients with poor pain management, thus improving clinical practice. Canonical Correlation Analysis revealed a correlation between resourcefulness and challenges. Four distinct groups of type of illness, gender, level of education were identified from two-step cluster analysis.

Conclusion

Understanding patients' pain perceptions and enhancing their resourcefulness could enable patients to seek resources, take painkillers, and find positive interpretations of pain. Future patient educational strategies could help patients overcome challenges with cancer pain management and improve current pain educational materials. Hence, clinical health education may improve patients’ resourcefulness, enabling them to learn self-care skills, overcome the challenging feelings of pain management, and effectively manage cancer pain.

目的：对癌痛和吗啡的消极认知不利于疼痛的解释。足智多谋的患者往往主动解决问题，以应对压力，并建立解决问题的策略。该项目的目的是调查足智多谋和疼痛解释对癌症相关疼痛控制的影响。癌症疼痛通常会导致压力适应问题。对癌症疼痛和吗啡的负面看法不利于疼痛的解释。足智多谋的患者往往主动解决问题，以应对压力，并建立解决问题的策略。方法：采用定量调查方法。于2020年11月至2021年11月在某肿瘤门诊及病房进行调查，共填写问卷100份。结果：足智多谋与阿片类镇痛药物的相互作用显著影响肿瘤疼痛感觉。John-Neyman值可以识别疼痛管理不良的患者，从而改善临床实践。典型相关分析揭示了智谋与挑战之间的相关性。从两步聚类分析中确定了四组不同的疾病类型、性别、教育水平。结论：了解患者的疼痛感知，提高他们的应变能力，可以使患者寻求资源，服用止痛药，找到对疼痛的积极解释。未来的患者教育策略可以帮助患者克服癌症疼痛管理的挑战，并改进现有的疼痛教育材料。因此，临床健康教育可以提高患者的应变能力，使他们学习自我护理技能，克服疼痛管理的挑战性感受，有效地管理癌症疼痛。

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引用次数: 0

The role of intolerance of uncertainty in health anxiety in cancer patients: Exploring demographic and cancer-related variations 不确定性耐受在癌症患者健康焦虑中的作用：探索人口统计学和癌症相关变异

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2025.102793

M. Mojtaba Poshtan , Abdulaziz Aflakseir , Michael Witthöft , Mary Gemma Cherry , Changiz Rahimi Taghanaki , Mani Ramzi

Purpose

Health anxiety (HA) is a critical issue for cancer patients. This study investigates the role of intolerance of uncertainty (IU) in HA among a heterogeneous sample of cancer patients, comparing those with hematological malignancies and solid tumor cancers. It also explores the impact of demographic and cancer-related factors on HA.

Methods

A total of 184 cancer patients participated in this study. Measurement model and structural model were assessed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to evaluate the reliability, validity, direct and indirect effect, explanatory power, and predictive power of constructs in the model. Multigroup analyses and moderation effects of demographic and cancer-related variables were also examined.

Results

IU significantly predicted HA, mediated by negative problem orientation (NPO) and positive beliefs about worry (PBW). females scored higher in HA, NPO, and cognitive avoidance (CA), while males scored higher in PBW. Solid tumor patients exhibited a stronger positive relationship between IU and HA than hematological malignancy patients. Age and marital status also affected the relationships between IU, NPO, and PBW. Patients without a history of chronic illness or COVID displayed stronger associations between IU and NPO.

Conclusion

IU is a key predictor of HA in cancer patients, with varying impacts across demographic and clinical groups. Tailored interventions addressing IU and related constructs help reduce HA, especially among patients with solid tumor cancers, female, married, older, lower educated, and newly diagnosed without former disease diagnosis. This study emphasizes the importance of considering patient heterogeneity in psychological interventions for HA.

目的：健康焦虑（HA）是癌症患者的一个重要问题。本研究调查了不确定性不耐受（IU）在异质癌症患者中HA中的作用，比较了血液恶性肿瘤和实体肿瘤患者。它还探讨了人口统计学和癌症相关因素对HA的影响。方法：184例肿瘤患者参与本研究。采用偏最小二乘结构方程模型（PLS-SEM）评估测量模型和结构模型的信度、效度、直接效应和间接效应、解释力和预测力。多组分析和人口统计学和癌症相关变量的调节效应也进行了检验。结果：IU通过负性问题取向（NPO）和正性担忧信念（PBW）对HA有显著的预测作用。女性在HA、NPO和认知回避（CA）上得分较高，而男性在PBW上得分较高。实体瘤患者IU和HA的正相关强于血液学恶性肿瘤患者。年龄和婚姻状况也影响IU、NPO和PBW之间的关系。无慢性病史或无COVID的患者IU与NPO之间的相关性更强。结论：IU是癌症患者血凝素的关键预测因子，在不同的人口统计学和临床组中有不同的影响。针对IU和相关结构的量身定制的干预措施有助于降低HA，特别是在实体瘤癌患者、女性、已婚、年龄较大、受教育程度较低和新诊断无既往疾病诊断的患者中。本研究强调了在HA心理干预中考虑患者异质性的重要性。

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引用次数: 0

“Anybody who can clarify or humanize the experience would be such a help”: An interpretive description of perceptions of genomic health and nursing care in individuals with cancer predisposition syndromes "任何能够澄清这种经历或使之人性化的人都会帮上大忙"：癌症易感综合征患者对基因组健康和护理认知的解释性描述。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102766

Rebecca Puddester , Vanessa Francis , Mike Warren , April Pike , Joy Maddigan , Angela Hyde , Kathleen Stevens , Holly Etchegary

Purpose

There is increased use of genomic testing in oncology care. Yet, individuals with hereditary cancer predisposition syndromes (CPS) experience challenges when navigating the lifelong CPS healthcare considerations. The purpose of this study is to describe the healthcare experiences of individuals living with CPS and their perceptions of genomic-informed nursing care.

Methods

Interpretive description (ID) was the qualitative approach used in this patient-oriented research study, conducted in partnership with two individuals with lived experience of CPS. Participants were recruited to participate in an interview using a variety of public and provider/patient network sampling sources. Inductive data analysis was guided by general steps for ID analysis as described by Sally Thorne.

Results

Thirty-seven individuals who self-reported a CPS participated in interviews between April and August 2023. Two primary themes were identified: 1), When genomic knowledge is power, and 2), Perceived acceptability of nursing roles in CPS care. Participants described genomic knowledge as a form of personal and family empowerment, but many reported that CPS-related knowledge is inaccessible in the healthcare system. This often resulted in healthcare experiences that were insufficient and fragmented. Although participants reported minimal nursing involvement in their CPS care, there was a consensus that enhanced nursing contributions could be beneficial. They particularly endorsed the potential value of a dedicated oncology genomic nursing role.

Conclusions

Findings highlight patient-endorsed opportunities for nurses at the generalized and specialized levels to contribute to improved cancer genomic care. Findings can be used to inform novel models of clinical care for individuals with CPS.

目的：基因组检测在肿瘤治疗中的应用越来越多。然而，患有遗传性癌症易感性综合征（CPS）的个体在导航终身CPS医疗保健考虑时遇到挑战。本研究的目的是描述患有CPS的个体的医疗保健经历和他们对基因组知情护理的看法。方法：解释性描述（ID）是在这个以患者为导向的研究中使用的定性方法，与两个有CPS生活经验的个体合作进行。参与者被招募参加使用各种公共和提供者/患者网络抽样资源的访谈。归纳数据分析遵循Sally Thorne所描述的ID分析的一般步骤。结果：在2023年4月至8月期间，37名自我报告患有CPS的人参加了采访。确定了两个主要主题：1)，当基因组知识是力量时，以及2)，在CPS护理中护理角色的可接受性。参与者将基因组知识描述为个人和家庭赋权的一种形式，但许多人报告说，与cps相关的知识在医疗保健系统中是无法获得的。这往往导致医疗保健经验不足和支离破碎。虽然参与者报告在他们的CPS护理中很少有护理参与，但有一个共识，即加强护理的贡献可能是有益的。他们特别赞同专门的肿瘤基因组护理角色的潜在价值。结论：研究结果强调了患者认可的护士在一般和专业水平上为改善癌症基因组护理做出贡献的机会。研究结果可用于为CPS患者提供新的临床护理模式。

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引用次数: 0

The effectiveness of art-based interventions for cancer patients: A systematic review and meta-analysis 对癌症患者进行艺术干预的有效性：系统回顾和荟萃分析。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102755

Eda Ünal (Corresponding author.) , Gülyeter Erdoğan Yüce

Purpose

This study aimed to examine the effectiveness of art-based interventions on anxiety, depression, fatigue, and overall quality of life (QoL), including its physical, psychological, and social dimensions in cancer patients.

Methods

The literature search included all studies published up to March 2024. Searches were conducted in the MEDLINE, Web of Science, EBSCO, and PubMed databases considering the updated Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. The quality of the studies was assessed using the Revised Cochrane Risk of Bias Tool (RoB 2) and the Risk of Bias in Nonrandomized Studies of Interventions (ROBINS-I) developed by the Cochrane Collaboration. Data were analysed using the MAJOR package in JAMOVI 2.3.28.

Results

Fifteen studies conducted with 1113 cancer patients were identified and included in this study. Ten of the studies included women with breast cancer. The remaining studies involved chemotherapy patients with various cancers (n = 3), cancer patients in a blood and marrow transplantation unit (n = 1), and nasopharyngeal cancer patients (n = 1). Meta-analysis indicated that art-based interventions had a significant effect on anxiety, depression and physical aspects of QoL but no significant impact on fatigue, overall QoL, or the psychological and social dimensions of QoL.

Conclusions

This study provided clinical support for pursuing art-based research on anxiety, depression, and the physical QoL in cancer patients. However, the effect of art-based interventions on cancer patients' fatigue and their overall QoL, including its social and psychological dimensions, was insignificant.

Registration

The study protocol was registered in advance in the PROSPERO (CRD42024531397/April 13, 2024).

目的：本研究旨在探讨艺术干预对癌症患者焦虑、抑郁、疲劳和整体生活质量（QoL）的有效性，包括其身体、心理和社会维度。方法：检索截至2024年3月发表的所有文献。在MEDLINE， Web of Science， EBSCO和PubMed数据库中进行检索，考虑更新的系统评价和荟萃分析（PRISMA）指南的首选报告项。采用Cochrane Collaboration开发的修订Cochrane风险偏倚工具（RoB 2）和非随机干预研究的偏倚风险（ROBINS-I）对研究的质量进行评估。使用JAMOVI 2.3.28中的MAJOR包对数据进行分析。结果：15项共1113例癌症患者的研究被纳入本研究。其中10项研究包括患有乳腺癌的女性。其余的研究涉及各种癌症的化疗患者（n = 3），血液和骨髓移植单位的癌症患者（n = 1）和鼻咽癌患者（n = 1）。荟萃分析表明，基于艺术的干预对生活质量的焦虑、抑郁和身体方面有显著影响，但对疲劳、总体生活质量或生活质量的心理和社会方面没有显著影响。结论：本研究为开展基于艺术的癌症患者焦虑、抑郁及身体生活质量研究提供了临床支持。然而，基于艺术的干预对癌症患者的疲劳和整体生活质量的影响，包括其社会和心理维度，是不显著的。注册：研究方案已在PROSPERO （CRD42024531397/ 2024年4月13日）提前注册。

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引用次数: 0

Effects of virtual reality application on pain, anxiety, and vital signs due to port catheter needle insertion: Randomized controlled study 虚拟现实应用对端口导尿管插入引起的疼痛、焦虑和生命体征的影响：随机对照研究。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102750

Esra İbek , Derya Çınar

Purpose

This study aims to examine the effects of virtual reality applications on pain, anxiety, and vital signs during port catheter needle insertion in adult cancer patients.

Methods

The research followed a randomized controlled design as intervention and control groups. In the intervention group, patients received virtual reality sessions with five images in addition to routine procedures during the port catheter needle insertion. We measured the pain, anxiety, and vital parameters resulting from the port catheter needle insertion. Assessments were measured twice: at baseline (before port catheter needle insertion, T0) and at the end of the proceduce (after port catheter needle insertion, T1).

Results

The virtual reality application significantly reduced the levels of pain (p=0.45) and anxiety (p<0.001) at T1 in the intervention group compared to the control group. The virtual reality application showed no difference between T0 and T1 in the vital parameters of the intervention group.

Conclusions

Virtual reality application during the port catheter needle insertion procedure reduced pain levels and anxiety levels in cancer patients. The virtual reality applications to reduce pain and anxiety levels during the port catheter needle insertion procedure can be recommended.

目的：本研究旨在探讨虚拟现实应用对成年癌症患者端口导管插入过程中疼痛、焦虑和生命体征的影响。方法：采用随机对照设计，分为干预组和对照组。在干预组中，患者除了在端口导管插入针的常规程序外，还接受了带有五幅图像的虚拟现实会话。我们测量了疼痛，焦虑和重要参数导致的端口导管针插入。评估测量了两次：基线时（置管前，T0）和手术结束时（置管后，T1）。结果：虚拟现实技术的应用显著降低了患者的疼痛水平（p=0.45）和焦虑水平（p < 0.05）。结论：在端口导管插入过程中，虚拟现实技术的应用降低了癌症患者的疼痛水平和焦虑水平。虚拟现实应用可以减少端口导管插入过程中的疼痛和焦虑水平。

{"title":"Effects of virtual reality application on pain, anxiety, and vital signs due to port catheter needle insertion: Randomized controlled study","authors":"Esra İbek , Derya Çınar","doi":"10.1016/j.ejon.2024.102750","DOIUrl":"10.1016/j.ejon.2024.102750","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to examine the effects of virtual reality applications on pain, anxiety, and vital signs during port catheter needle insertion in adult cancer patients.</div></div><div><h3>Methods</h3><div>The research followed a randomized controlled design as intervention and control groups. In the intervention group, patients received virtual reality sessions with five images in addition to routine procedures during the port catheter needle insertion. We measured the pain, anxiety, and vital parameters resulting from the port catheter needle insertion. Assessments were measured twice: at baseline (before port catheter needle insertion, T0) and at the end of the proceduce (after port catheter needle insertion, T1).</div></div><div><h3>Results</h3><div>The virtual reality application significantly reduced the levels of pain (p=0.45) and anxiety (p<0.001) at T1 in the intervention group compared to the control group. The virtual reality application showed no difference between T0 and T1 in the vital parameters of the intervention group.</div></div><div><h3>Conclusions</h3><div>Virtual reality application during the port catheter needle insertion procedure reduced pain levels and anxiety levels in cancer patients. The virtual reality applications to reduce pain and anxiety levels during the port catheter needle insertion procedure can be recommended.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102750"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869750","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

Psychosocial programs to alleviate fertility-related distress in patients with cancer: A mixed-methods systematic review 减轻癌症患者生育相关痛苦的社会心理项目：一项混合方法的系统综述。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2025.102787

Mina Jang , Jinyoung Park , Jeehee Han

Purpose

This mixed-methods systematic review aimed to identify the key components of psychosocial programs for fertility-related distress in patients with cancer and integrate the findings from quantitative and qualitative studies.

Methods

A search for relevant studies published between January 2012 and March 2024 was conducted in the PubMed, EMBASE, CINAHL, MEDLINE, PsycINFO, and Cochrane Review Library databases. Data were synthesized using a sequential descriptive design.

Results

Eight studies were included: six randomized controlled trials (two of which also included qualitative data) and two qualitative studies. The quantitative data found direct effects such as increased fertility-related knowledge, although the results on psychological outcomes such as anxiety and depression were inconsistent. The qualitative findings confirmed patients’ ambivalence about facing their fertility issues, increased knowledge for decision-making, and unmet needs such as information overload and a lack of psychological support. For the cognitive-behavioral outcomes, fertility-related concerns were examined in greater depth in the quantitative studies, whereas the qualitative studies focused more on empowerment.

Conclusion

This review emphasizes the need for the careful design of psychosocial interventions to prevent negative emotional impacts while supporting the long-term self-management of fertility-related issues. Tailoring these interventions to meet the specific needs of patients is essential for improving psychosocial outcomes.

目的：这项混合方法的系统综述旨在确定癌症患者生育相关痛苦的心理社会项目的关键组成部分，并整合定量和定性研究的结果。方法：检索PubMed、EMBASE、CINAHL、MEDLINE、PsycINFO和Cochrane Review Library数据库中2012年1月至2024年3月间发表的相关研究。采用顺序描述性设计对数据进行综合。结果：纳入8项研究：6项随机对照试验（其中2项还纳入定性研究）和2项定性研究。定量数据发现了直接影响，如增加与生育有关的知识，尽管焦虑和抑郁等心理结果不一致。定性研究结果证实了患者在面对生育问题时的矛盾心理，决策知识的增加，以及信息过载和缺乏心理支持等未满足的需求。对于认知行为结果，定量研究更深入地研究了与生育有关的问题，而定性研究则更多地关注赋权。结论：本综述强调需要精心设计心理社会干预措施，以防止负面情绪影响，同时支持生育相关问题的长期自我管理。调整这些干预措施以满足患者的特定需求对于改善社会心理结果至关重要。

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引用次数: 0

Effects of selective taste steering of bread and soups on quality of life in adult cancer outpatients who experience chemotherapy-induced taste alterations 面包和汤的选择性味觉控制对经历化疗引起的味觉改变的成年癌症门诊患者生活质量的影响。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102775

Bart Geurden , Lobke Van den Wijngaert , Peter Boeren , Edwig Goossens , Jef Adriaenssens , Pieter Vandecandelaere

Purpose

To investigate the effectiveness of selective taste steering (STS) to hyper personalize bread and soup for adult cancer outpatients with chemotherapy-induced taste alterations.

Methods

This multicentre study included two groups of adult cancer outpatients with CiTA, all receiving dietary advice as standard care. In one group, STS was applied to bread and soups for three months. Outcomes were compared using validated scales and a structured questionnaire at baseline and after one and three months of follow-up.

Results

At baseline, 19.3% of all patients (N = 160) had a normal nutritional status. Compared to the intervention group, undernutrition in the control group increased significantly after 1 month (p < .001) and 3 months (p < .001). In the intervention group, the score for 'appetite loss' decreased after 1 month (p < .001) and remained low after 3 months of follow-up (p < .001). The 'fatigue, ' ‘nausea/vomiting' and ‘diarrhea’ symptom scores in the intervention group decreased significantly (p < .001, <.001 and < .002, respectively).

Conclusion

STS decreased loss of appetite and improved palatability and food intake as well as food-related symptoms of QOL in adult cancer outpatients with CiTA These findings are clinically relevant and support a hyper-personalized approach to malnutrition in cancer patients.

目的：探讨选择性味觉引导（STS）对化疗后味觉改变的成年癌症门诊患者超个性化面包汤的治疗效果。方法：这项多中心研究包括两组患有CiTA的成年癌症门诊患者，均接受饮食建议作为标准治疗。在一组中，STS应用于面包和汤三个月。在基线和随访1个月和3个月后，使用有效的量表和结构化问卷对结果进行比较。结果：基线时，19.3%的患者（N = 160）营养状况正常。与干预组相比，对照组营养不良发生率在1个月后显著增加(p)。结论：STS降低了CiTA成年癌症门诊患者的食欲下降，改善了适口性和食物摄入量，改善了生活质量的食物相关症状。这些发现具有临床相关性，并支持对癌症患者营养不良的超个性化治疗方法。

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引用次数: 0

Readiness for hospital discharge and associated factors in patients with oral cancer: A cross-sectional study 口腔癌患者出院准备情况及相关因素：一项横断面研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2025.102777

Liumei Guo , Yu Zhang , Yunyu Zhou , Jingya Yu , Xuemei Yang , Lu Bai , Qian Lu , Xiaoqin Bi

Purpose

To evaluate the current status of discharge readiness among postoperative oral cancer patients and identify the primary associated factors.

Methods

Information from 713 oral cancer patients was collected using questionnaire surveys. One-way ANOVA or t-tests were employed to compare differences in discharge readiness across various demographic characteristics. Correlation analyses were conducted to examine the relationships between discharge readiness and discharge teaching quality, as well as social support. Multiple stepwise regression analysis was utilized to identify independent factors associated with discharge readiness.

Results

The mean discharge readiness score of postoperative oral cancer patients was 89.52 ± 8.63. Seven variables, such as age, marital status, and income, were identified as significant associated factors. Furthermore, both the quality of discharge teaching and social support exhibited a significant positive correlation with discharge readiness.

Conclusion

Postoperative oral cancer patients had moderate levels of discharge readiness and social support but low levels of discharge teaching quality. Discharge readiness among these patients is linked to various factors.

目的：评价口腔癌术后患者出院准备状况，并确定其主要相关因素。方法：对713例口腔癌患者进行问卷调查。采用单因素方差分析或t检验比较不同人口统计学特征中出院准备程度的差异。对出院准备与出院教学质量、社会支持的关系进行相关分析。采用多元逐步回归分析确定与出院准备相关的独立因素。结果：口腔癌术后患者出院准备评分平均为89.52±8.63分。七个变量，如年龄、婚姻状况和收入，被确定为重要的相关因素。此外，出院教学质量和社会支持均与出院准备呈显著正相关。结论：口腔癌术后患者出院准备和社会支持水平中等，但出院教学质量较低。这些患者的出院准备情况与各种因素有关。

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引用次数: 0

Care needs and cancer-related post traumatic stress (CR-PTS) in patients with early-stage lung cancer three months after surgery 早期肺癌患者术后三个月的护理需求和癌症相关创伤后应激反应（CR-PTS）。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2025.102788

Yaun-Ju Lin , Jin-Shing Chen , Yun-Hsiang Lee , Xiao-Yin Chou , Yeur-Hur Lai

Purpose

Lung cancer is one of the life-threatening diseases. The purposes of this study were to explore (1) the levels of unmet care needs, cancer-related post-traumatic stress (CR-PTS), and symptoms, and (2) factors related to unmet care needs in newly diagnosed early-stage lung cancer (LC) patients three months after surgery.

Methods

A cross-sectional study with consecutive sampling was conducted in the thoracic outpatient clinic of a medical centre in Taiwan to recruit early-stage (I-IIIA) LC patients. Patients were assessed of their care needs (Supportive Care Needs Survey Screening Tool [SCNS-ST9]), CR-PTS (Impact of Events Scale Revised [IES-R], including intrusion, avoidance, hyperarousal subscales), symptom severity, and background information.

Results

Of the 130 participants enrolled in this study, 62.3% of subjects reported to have overall unmet care needs and 28.5% were at risk of CR-PTS. The levels of unmet care needs are generally in moderate level, with health system and information needs being the highest. Mild to moderate CR-PTS levels were noted, with avoidance, intrusion, and hyperarousal in descending order. Logistic regression identified lower education, higher symptom severity, and higher CR-PTS as the most robust factors related to unmet care needs.

Conclusion

The findings of this study highlight the importance of assessing care needs and psychological distress status of patients with early-stage LC. Developing appropriate interventions for this vulnerable patient population and examining their effects on improving care needs and psychological health are urgently needed.

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引用次数: 0

Development and pilot testing of a theory-driven and evidence-based advance care planning training programme for nurses in acute care settings 发展和试点测试的理论驱动和循证先进护理计划培训方案的护士在急症护理环境。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102760

Carmen WH. Chan , Nancy HY. Ng , Helen YL. Chan , Kai Chow Choi , Ka Ming Chow , Cecilia WM. Kwan , Jackie Robinson , Mankei Tse

Purpose

To develop and pilot-test a novel training programme for nurses in acute care settings to improve their decision-making support skills, knowledge, attitudes, and confidence in conducting advance care planning (ACP).

Methods

A single-group repeated measures design was employed. This study was conducted in two phases. In Phase 1, a theory-driven and evidence-based ACP training programme for nurses was developed based on the results of a prior systematic review and qualitative interviews. In Phase 2, a pilot study was conducted to assess the feasibility and acceptability of the ACP training programme according to the Tickle-Degnen typology and to explore the programme's preliminary effects.

Results

Guided by the theory of planned behaviour and the experiential learning model, a multi-media experiential ACP training programme, the MEACP, was developed, comprising a 10-module mobile application and a 2-h, nurse-led skill-building workshop. The study had a high recruitment rate (91%), with 20 nurses consenting to participate in the MEACP. The nurses remained attentive and active during the workshop and were highly satisfied with the programme. The outcome evaluation results demonstrated preliminary positive effects of the MEACP in terms of improving the nurses’ decision-making support skills, knowledge, attitudes, and confidence in conducting ACP.

Conclusions

The MEACP could feasibly be introduced in acute care settings and was found to be an acceptable educational intervention. This work contributes to nursing practice by providing information about the design of an innovative ACP training programme. Finding will highlight the importance of a paradigm shift regarding ACP in acute care settings.

目的：为急症护理机构的护士制定和试点一项新的培训计划，以提高他们的决策支持技能、知识、态度和信心，进行预先护理计划（ACP）。方法：采用单组重复测量设计。本研究分两个阶段进行。在第一阶段，基于先前的系统回顾和定性访谈的结果，为护士制定了一个理论驱动和基于证据的ACP培训计划。在第2阶段，进行了一项试验性研究，以根据蒂克-德格南类型评估非加太训练方案的可行性和可接受性，并探讨该方案的初步效果。结果：在计划行为理论和体验式学习模式的指导下，开发了一个多媒体体验式ACP培训项目，即MEACP，该项目包括一个10个模块的移动应用程序和一个2小时的由护士主导的技能建设讲习班。该研究的招募率很高（91%），有20名护士同意参加MEACP。护士们在培训期间保持专注和活跃，对培训计划非常满意。结果评价结果显示，MEACP在提高护士决策支持技能、知识、态度和实施ACP的信心方面具有初步的积极作用。结论：MEACP在急症护理中是可行的，是一种可接受的教育干预措施。这项工作通过提供有关创新ACP培训计划设计的信息，有助于护理实践。这一发现将突出急性护理环境中ACP模式转变的重要性。

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