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The congruence and interrelationships of family resilience in couples coping with colorectal cancer: A cross-sectional study from a dyadic perspective 夫妻应对结直肠癌家庭弹性的一致性和相互关系:从二元视角的横断面研究。
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102767
Xiaoke Qiu , Ye Wang , Jiayu Mao , Can Wang , Xueli Yang , Jie Zhao , Qiuping Li

Purpose

To assess the congruence and interdependent impacts of family resilience in colorectal cancer couples using the Walsh Family Resilience Model, focusing on coping domains of the shared beliefs system, organizational patterns, and communication/problem-solving.

Methods

220 colorectal cancer couples were recruited from two hospitals in China, assessing family resilience, hope, family sense of coherence, spiritual well-being, social support, and couple communication quality. Congruence was assessed using intraclass correlation coefficients and paired t-tests. Pearson correlations, multiple stepwise linear regression, and structural equation modeling examined the effects of coping domains on family resilience. Actor-Partner Independence Model was used to further explore actor and partner effects of these coping domains on family resilience in colorectal cancer couples.

Results

Moderate congruence in family resilience was observed, with spousal caregivers reporting higher family resilience. Key coping domains, including shared beliefs system (hope, family sense of coherence, spiritual well-being), organizational patterns (social support), and mutual communication/problem-solving, were significant predictors of family resilience. Importantly, both patients' and spousal caregivers’ coping domains exhibited notable actor and partner effects on family resilience of their own family resilience and partners.

Conclusion

This study highlights the interdependent influences on family resilience in colorectal cancer couples, supporting family-centered interventions to strengthen positive coping mechanisms.
目的:应用Walsh家庭弹性模型评估结直肠癌夫妻家庭弹性的一致性和相互依赖影响,重点关注共同信念系统、组织模式和沟通/解决问题的应对领域。方法:从国内两家医院招募220对结直肠癌夫妇,评估家庭弹性、希望、家庭凝聚力、精神幸福感、社会支持和夫妻沟通质量。一致性评估采用类内相关系数和配对t检验。Pearson相关、多元逐步线性回归和结构方程模型研究了应对域对家庭弹性的影响。运用行动者-伴侣独立模型进一步探讨这些应对域对结直肠癌夫妇家庭弹性的影响。结果:在家庭弹性中观察到适度的一致性,配偶照顾者报告更高的家庭弹性。共同信念系统(希望、家庭凝聚力、精神幸福感)、组织模式(社会支持)和相互沟通/解决问题是家庭弹性的重要预测因素。重要的是,患者和配偶照顾者的应对域对其家庭弹性和伴侣的家庭弹性均表现出显著的行动者和伴侣效应。结论:本研究强调了结直肠癌夫妇家庭弹性的相互依赖影响,支持以家庭为中心的干预措施加强积极应对机制。
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引用次数: 0
Influence of oncology nurses' decision-making and personality traits on missed nursing care and related factors: A correlational study 肿瘤科护士决策及人格特质对护理失察的影响及相关因素的相关研究。
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102749
Ivo C.S. Paiva , Filipa I.Q.S. Ventura , António C.L. Vilela , Isabel M.P.B. Moreira

Purpose

To identify Missed Nursing Care (MNC) and related factors, as well as analyze the influence of nurses’ decision-making and personality traits on MNC in two Portuguese hospitals dedicated to cancer care.

Methods

A cross-sectional, multicentric, descriptive-correlational study was conducted using a convenience sample of 298 nurses working in two hospitals dedicated to cancer care. Data were collected in the first semester of 2023 using a questionnaire that included sociodemographic and professional questions and the Portuguese versions of the MISSCARE Survey, the Nursing Decision-Making Instrument (NDMI-PT), and the Ten-Item Personality Inventory (TIPI-P).

Results

Nurses missed care occasionally, namely in the dimensions related to Patient empowerment/autonomy care and Efficacy of feeding and medication. Staffing, Patient volume and acuity, and Management and organization were moderate to significant reasons for MNC. The flexible decision-making style was predominant (81.5%). The most prevalent personality traits were Conscientiousness, Agreeableness, and Openness to experience. Significant correlations were found between the four stages of the decision-making process and the personality traits and several dimensions of MNC. Data collection to assess a patient's condition was negatively correlated with Team communication and Material resources. Similarly, the Emotional stability trait was negatively correlated with Team communication and Patient volume and acuity.

Conclusions

This study identified MNC and factors that can influence the quality of care. It is crucial to promote nurses’ training and specialization within healthcare teams, with a particular focus on enhancing some of their personality traits to make them more effective and efficient therapeutic agents.
目的:了解葡萄牙两家癌症医院护士护理缺失(MNC)及相关因素,分析护士决策和人格特质对MNC的影响。方法:采用横断面、多中心、描述性相关研究,选取两家癌症护理医院的298名护士作为方便样本。数据收集于2023年第一学期,使用问卷调查,包括社会人口统计学和专业问题,葡萄牙语版MISSCARE调查,护理决策工具(NDMI-PT)和十项人格量表(TIPI-P)。结果:护士在患者授权/自主护理和喂养用药效果相关维度中偶尔出现护理缺失。人员配备、患者数量和敏锐度、管理和组织是导致跨国公司发生的中等到重要原因。灵活决策方式占主导地位(81.5%)。最普遍的性格特征是尽责性、宜人性和开放性。决策过程的四个阶段与跨国公司的人格特质和几个维度之间存在显著的相关性。评估患者病情的数据收集与团队沟通和物质资源呈负相关。同样,情绪稳定特质与团队沟通、患者数量和敏锐度呈负相关。结论:本研究确定了MNC和影响护理质量的因素。在医疗团队中促进护士的培训和专业化是至关重要的,特别注重提高他们的一些个性特征,使他们成为更有效和高效的治疗药物。
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引用次数: 0
Social support, fear of cancer recurrence and sleep quality in breast cancer: A moderated network analysis
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2025.102799
Yingting Jiang , Xinyu Wu , Hongman Li , Ying Xiong , M. Tish Knobf , Zengjie Ye

Purpose

Fear of cancer recurrence (FCR) contributes to sleep problems and social support is a buffering factor in the literature. However, the moderating effect of social support between FCR and sleep quality is unclear.

Methods

The moderating role of social support was examined in a cohort of 460 breast cancer patients from the 2024 Be Resilient to Breast Cancer (BRBC) program from a microscopic perspective using moderated network analysis, and then assessed macroscopically by Johnson-Neyman and response surface analysis. The Fear of Progression Questionnaire-Short Form, Perceived Social Support Scale and Pittsburgh Sleep Quality Index scale were employed in this study.

Results

Social support significantly moderated the relationship between general anxiety and sleep efficiency. General anxiety was positively correlated with sleep efficiency at high levels of social support (t = 3.774, P < 0.001). Patients with high social support and low FCR experienced better sleep (F = 6.166, P < 0.01).

Conclusion

Our study deepens the understanding of the association between FCR, social support, and sleep quality, and emphasizes social support as a positive strategy for cancer patients to improve their physical and mental health.
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引用次数: 0
Evaluation of therapy support through a standardized nursing consultation for patients undergoing oral tumor therapy in gynecological oncology within the prospective CAMPA initiative 通过标准化护理会诊对在前瞻性CAMPA计划中接受妇科肿瘤口腔治疗的患者进行治疗支持评估。
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2024.102770
Lisa Hirschberg , Franziska Henze , Kerstin Paradies , Sophie Winkler , Timo Schinköthe , Renate Haidinger , Ronald Kates , Dirk Hempel , Sven Mahner , Bernd Kost , Alexander Koenig , Kristina Lippach , Fabian Trillsch , Sebastian Theurich , Nadia Harbeck , Valeria Milani , Rachel Wuerstlein

Purpose

The increase of oral tumor therapies (OTT) poses new challenges in patient care. Within CAMPA (Care improvement for advanced or metastatic breast and ovarian cancer patients treated with PARP-inhibitors), additional nursing support for patients treated with PARP-inhibitors was developed.

Methods

Additional nursing support (1 year) was evaluated in breast and gynecooncological cancer patients at an academic and a non-academic outreach center. From 02/22 to 02/24, quality of life, contacts, adherence, documentation of drug intake, hospitalization, and adverse events were evaluated, using CANKADO-ePRO and validated questionnaires reviewed by the Ethics Committee of Medical Faculty, LMU Munich. Satisfaction with care was recorded from 03/23 to 02/24. Supporting materials and interprofessional checklists were explored.

Results

The collective (n = 50) included 41 patients with ovarian, 4 with fallopian tube and 5 with breast cancer. Adherence measured by continuous documentation of medication intake was high among patients (78.0%). Quality of life improved from 68.6% to 81.4%, strongly correlating with decreasing numbers of side effects (p = 0.003) (Spearman |ρ| = 0.93). Satisfaction with care was very high (4.97 out of 5 points). 94.6% agreed that nursing consultation was essential for therapy safety compared to the doctor's consultation alone (p < 0.05). The reduction in time and care effort was significant (p < 0.05), having its maximum within the first three months.

Conclusion

Standardized nursing consultation was highly appreciated with an important contribution to adherence and improvement in quality of life. Delegation of therapy management to nurses reduces time effort and increases their responsibility, improving interprofessional care at academic and non-academic institutions.

Trial registration

Clinical Trials Registry, LMU university hospital, Germany, Healthcare research project, number: 21–0848.
目的:口腔肿瘤治疗的增加对患者护理提出了新的挑战。在CAMPA(对parp抑制剂治疗的晚期或转移性乳腺癌和卵巢癌患者的护理改善)中,对parp抑制剂治疗的患者开发了额外的护理支持。方法:在学术和非学术外展中心评估乳腺癌和妇科肿瘤患者的额外护理支持(1年)。从2月22日至2月24日,使用cankdo - epro和慕尼黑大学医学院伦理委员会审核的有效问卷,对生活质量、接触者、依从性、药物摄入记录、住院和不良事件进行评估。从03/23到02/24记录护理满意度。研究了支持性材料和跨专业清单。结果:共50例,其中卵巢癌41例,输卵管癌4例,乳腺癌5例。通过持续记录服药记录来衡量的依从性在患者中很高(78.0%)。生活质量从68.6%提高到81.4%,与副作用数量的减少密切相关(p = 0.003) (Spearman |ρ| = 0.93)。对护理的满意度非常高(4.97分/ 5分)。94.6%的受访患者认为,与单纯的医生咨询相比,护理咨询对治疗安全至关重要(p)。结论:规范化的护理咨询对依从性和生活质量的提高有重要贡献,受到高度赞赏。将治疗管理授权给护士减少了时间和精力,增加了他们的责任,改善了学术和非学术机构的跨专业护理。试验注册:德国LMU大学医院临床试验注册中心,医疗保健研究项目,编号:21-0848。
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引用次数: 0
Illness behavior and its predictors in young and middle-aged colorectal cancer patients: A latent profile analysis
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-02-01 DOI: 10.1016/j.ejon.2025.102811
Xinxin Li , Xiaodan Wu , Qianqian Du , Jingyue Xie , Xiaoxuan Wang , Lu Cui , Chen Yuan , Meifen Zhang

Purpose

To describe the characteristics of sick role adaptation and understand the differences in young and middle-aged colorectal cancer (CRC) patients.

Methods

225 colorectal cancer patients aged 18–59 admitting to a specialized oncology hospital in Guangzhou, China were involved from January to April 2022. Socio-demographic characteristics, disease-related characteristics, scores of Illness Behavior Questionnaire, Hospital Anxiety and Depression Scale, the Brief Illness Perception Questionnaire, Mishel Uncertainty in Illness Scale and Medical Coping Modes Questionnaire were applied to collect quantitative data. Latent profile analysis (LPA) of illness behavior, analysis of variance (ANOVA) and multiple logistic regression were performed.

Results

Three latent classes of illness behavior were identified: low maladaptive illness behavior group, moderate maladaptive illness behavior group, and high maladaptive illness behavior group. Univariate analysis revealed statistically significant differences among the three latent classes with respect to education level, anxiety and depression, illness perception, uncertainty in illness and coping modes. Multiple logistic regression analysis revealed that marital status, family history of cancer, education level, family monthly income, anxiety and depression, illness perception, uncertainty in illness and coping modes were predictors of maladaptive illness behaviors among young and middle-aged CRC patients.

Conclusions

The results of the study raise a concern of maladaptive illness behaviors in young and middle-aged colorectal cancer patients, highlighting the need for age-appropriate psychosocial care approaches to promote adjustment of the illness behaviors followed by the diagnosis and treatment of CRC.
{"title":"Illness behavior and its predictors in young and middle-aged colorectal cancer patients: A latent profile analysis","authors":"Xinxin Li ,&nbsp;Xiaodan Wu ,&nbsp;Qianqian Du ,&nbsp;Jingyue Xie ,&nbsp;Xiaoxuan Wang ,&nbsp;Lu Cui ,&nbsp;Chen Yuan ,&nbsp;Meifen Zhang","doi":"10.1016/j.ejon.2025.102811","DOIUrl":"10.1016/j.ejon.2025.102811","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe the characteristics of sick role adaptation and understand the differences in young and middle-aged colorectal cancer (CRC) patients.</div></div><div><h3>Methods</h3><div>225 colorectal cancer patients aged 18–59 admitting to a specialized oncology hospital in Guangzhou, China were involved from January to April 2022. Socio-demographic characteristics, disease-related characteristics, scores of Illness Behavior Questionnaire, Hospital Anxiety and Depression Scale, the Brief Illness Perception Questionnaire, Mishel Uncertainty in Illness Scale and Medical Coping Modes Questionnaire were applied to collect quantitative data. Latent profile analysis (LPA) of illness behavior, analysis of variance (ANOVA) and multiple logistic regression were performed.</div></div><div><h3>Results</h3><div>Three latent classes of illness behavior were identified: low maladaptive illness behavior group, moderate maladaptive illness behavior group, and high maladaptive illness behavior group. Univariate analysis revealed statistically significant differences among the three latent classes with respect to education level, anxiety and depression, illness perception, uncertainty in illness and coping modes. Multiple logistic regression analysis revealed that marital status, family history of cancer, education level, family monthly income, anxiety and depression, illness perception, uncertainty in illness and coping modes were predictors of maladaptive illness behaviors among young and middle-aged CRC patients.</div></div><div><h3>Conclusions</h3><div>The results of the study raise a concern of maladaptive illness behaviors in young and middle-aged colorectal cancer patients, highlighting the need for age-appropriate psychosocial care approaches to promote adjustment of the illness behaviors followed by the diagnosis and treatment of CRC.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"74 ","pages":"Article 102811"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069393","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
Effects of chemotherapy on attention function in breast cancer patients: Meta-analysis of longitudinal prospective cohort studies
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-01-31 DOI: 10.1016/j.ejon.2025.102820
Sun Ok Jung , Ara Cho , Dong Won Yang , Hee-Ju Kim

Purpose

This study aimed to quantify the impact of chemotherapy on attention function, assessed by neuro-psychological tests and to identify the time point of impact.

Methods

This is a meta-analysis with 16 independent data sets from 18 studies. Literature was searched in 5 databases. We calculated Hedges’ g as an effect size (ES) for mean differences between groups by time point: chemotherapy treated patients (CTX group); nonchemotherapy patients (NCP group); and healthy control (HC group). The neuropsychological tests were classified and analyzed separately: time spent and correct or incorrect answer count.

Results

In both tests, the CTX and NCP groups did not differ. Yet, after excluding an influential study in the answer-based test, the CTX group showed significantly lower attention function than the NCP group at within 1 year post-CTX(ES = −0.22, p = 0.03). In both tests, the CTX group had significantly lower attention function than HC at within 1 year post-CTX (ES = 0.36, p = 0.05; ES = −0.30, p < 0.01). Contrarily, the NCP and HC groups did not differ at each follow-up time. ES was largest at within 1 year post-CTX, suggesting the CTX impact on attention function may be delayed, not acute.

Conclusion

This study provide the evidence that CTX deteriorates patients' attention function, beyond patients’ subjective experience. Yet, findings from individual studies were mixed and some of them greatly influenced the overall effect of chemotherapy, requiring additional well-designed studies. Clinicians must know the impact of chemotherapy on attention functions and available supportive cares.

Registration number

PROSPERO CRD42023481642.
{"title":"Effects of chemotherapy on attention function in breast cancer patients: Meta-analysis of longitudinal prospective cohort studies","authors":"Sun Ok Jung ,&nbsp;Ara Cho ,&nbsp;Dong Won Yang ,&nbsp;Hee-Ju Kim","doi":"10.1016/j.ejon.2025.102820","DOIUrl":"10.1016/j.ejon.2025.102820","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to quantify the impact of chemotherapy on attention function, assessed by neuro-psychological tests and to identify the time point of impact.</div></div><div><h3>Methods</h3><div>This is a meta-analysis with 16 independent data sets from 18 studies. Literature was searched in 5 databases. We calculated Hedges’ <em>g</em> as an effect size (ES) for mean differences between groups by time point: chemotherapy treated patients (CTX group); nonchemotherapy patients (NCP group); and healthy control (HC group). The neuropsychological tests were classified and analyzed separately: time spent and correct or incorrect answer count.</div></div><div><h3>Results</h3><div>In both tests, the CTX and NCP groups did not differ. Yet, after excluding an influential study in the answer-based test, the CTX group showed significantly lower attention function than the NCP group at <em>within 1 year post-CTX</em>(ES = −0.22, p = 0.03). In both tests, the CTX group had significantly lower attention function than HC at <em>within 1 year post-CTX</em> (ES = 0.36, p = 0.05; ES = −0.30, p &lt; 0.01). Contrarily, the NCP and HC groups did not differ at each follow-up time. ES was largest at <em>within 1 year post-CTX,</em> suggesting the CTX impact on attention function may be delayed, not acute.</div></div><div><h3>Conclusion</h3><div>This study provide the evidence that CTX deteriorates patients' attention function, beyond patients’ subjective experience. Yet, findings from individual studies were mixed and some of them greatly influenced the overall effect of chemotherapy, requiring additional well-designed studies. Clinicians must know the impact of chemotherapy on attention functions and available supportive cares.</div></div><div><h3>Registration number</h3><div>PROSPERO CRD42023481642.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102820"},"PeriodicalIF":2.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143348924","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
Multi-center randomized controlled trial on advance care planning for adolescents with cancer and their parents: Impact on parent-adolescent communication
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-01-29 DOI: 10.1016/j.ejon.2025.102823
Anne van Driessche , Joachim Cohen , Luc Deliens , Marijke C. Kars , Leen Willems , Stefanie De Buyser , Joris Verlooy , Marleen Renard , Kim Eecloo , Aline De Vleminck , Kim Beernaert

Purpose

This study evaluates whether the Benefits of Obtaining Ownership Systematically Together in pediatric Advance Care Planning (BOOST pACP) intervention improves parent-adolescent communication compared to care as usual.

Methods

In this multi-center parallel-group superiority trial, adolescent patients (10–18 years old) diagnosed with cancer and their parent(s) were randomized with a 1:1 allocation to a pACP intervention or care as usual. The primary endpoint was the adolescents’ assessment of quality of parent-adolescent communication at 3 months, and the secondary was quality of parent-adolescent communication at 7 months.

Results

Forty-nine families were enrolled (28% enrollment rate) between March 2021 and March 2023. No significant differences in parent-adolescent communication were observed between the BOOST and care as usual groups at 3 months (T1) (baseline-adjusted mean difference = 1.4; 95% CI -4.1 to 6.9; p = 0.608), effect size 0.13. Similarly, at 7 months (T2) differences were not significant (baseline-adjusted mean difference = 5.2; 95% CI -0.6 to 11.0; p = 0.077), effect size 0.49 (and 0.67 for father-adolescent communication). No significant differences in anxiety scores of adolescents and parents were found and no adverse events were reported.

Conclusion

The BOOST pACP intervention did not significantly improve parent-adolescent communication for adolescents with cancer and their parents at 3 months after baseline. However, the results indicate it might have a clinical impact in later stages of the follow-up period. Limitations of this study are the underpowered sample size and the lack of validated questionnaires for specific ACP communication.

Clinical trial registration

ISRCTN, number 33228289 https://doi.org/10.1186/ISRCTN33228289.
{"title":"Multi-center randomized controlled trial on advance care planning for adolescents with cancer and their parents: Impact on parent-adolescent communication","authors":"Anne van Driessche ,&nbsp;Joachim Cohen ,&nbsp;Luc Deliens ,&nbsp;Marijke C. Kars ,&nbsp;Leen Willems ,&nbsp;Stefanie De Buyser ,&nbsp;Joris Verlooy ,&nbsp;Marleen Renard ,&nbsp;Kim Eecloo ,&nbsp;Aline De Vleminck ,&nbsp;Kim Beernaert","doi":"10.1016/j.ejon.2025.102823","DOIUrl":"10.1016/j.ejon.2025.102823","url":null,"abstract":"<div><h3>Purpose</h3><div>This study evaluates whether the <strong>B</strong>enefits of <strong>O</strong>btaining <strong>O</strong>wnership <strong>S</strong>ystematically <strong>T</strong>ogether in <strong>p</strong>ediatric <strong>A</strong>dvance <strong>C</strong>are <strong>P</strong>lanning (BOOST pACP) intervention improves parent-adolescent communication compared to care as usual.</div></div><div><h3>Methods</h3><div>In this multi-center parallel-group superiority trial, adolescent patients (10–18 years old) diagnosed with cancer and their parent(s) were randomized with a 1:1 allocation to a pACP intervention or care as usual. The primary endpoint was the adolescents’ assessment of quality of parent-adolescent communication at 3 months, and the secondary was quality of parent-adolescent communication at 7 months.</div></div><div><h3>Results</h3><div>Forty-nine families were enrolled (28% enrollment rate) between March 2021 and March 2023. No significant differences in parent-adolescent communication were observed between the BOOST and care as usual groups at 3 months (T1) (baseline-adjusted mean difference = 1<strong>.</strong>4; 95% CI -4<strong>.</strong>1 to 6.9; p = 0<strong>.</strong>608), effect size 0<strong>.</strong>13. Similarly, at 7 months (T2) differences were not significant (baseline-adjusted mean difference = 5<strong>.</strong>2; 95% CI -0<strong>.</strong>6 to 11<strong>.</strong>0; p = 0<strong>.</strong>077), effect size 0<strong>.</strong>49 (and 0.67 for father-adolescent communication). No significant differences in anxiety scores of adolescents and parents were found and no adverse events were reported.</div></div><div><h3>Conclusion</h3><div>The BOOST pACP intervention did not significantly improve parent-adolescent communication for adolescents with cancer and their parents at 3 months after baseline. However, the results indicate it might have a clinical impact in later stages of the follow-up period. Limitations of this study are the underpowered sample size and the lack of validated questionnaires for specific ACP communication.</div></div><div><h3>Clinical trial registration</h3><div>ISRCTN, number 33228289 <span><span>https://doi.org/10.1186/ISRCTN33228289</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102823"},"PeriodicalIF":2.7,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177779","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
Dietary self-management behavior and associated factors among breast cancer patients receiving chemotherapy: A latent profile analysis
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-01-29 DOI: 10.1016/j.ejon.2025.102825
Han Tang , Wei Zhang , Ye Weng , Xiaoyang Zhang , Haiyan Shen , Xiaochun Li , Yue Liu , Wei Liu , Han Xiao , Haihong Jing

Purpose

Breast cancer patients experience more gastrointestinal symptoms during chemotherapy than during the survival period post-treatment. This can interfere with daily dietary intake and increase the risk of malnutrition. This study aimed to evaluate the level and classification of dietary self-management behavior and the influence of self-care self-efficacy, outcome expectations, treatment self-regulation and perceived social support guided by “Integrated theory of Health Behavior Change”.

Methods

A multicenter cross-sectional study was conducted. The assessment tools included self-designed demographic and clinical instruments, Dietary Management Behavior Questionnaire, Strategies Used by People to Promote Health, Consideration of Future Consequences Scale-Food, the Treatment Self-regulation Questionnaire and Perceived Social Support Scale.

Results

A total of 760 samples were analysed. The best-fitting model of the 4 classes was determined, with the lowest-to-highest scores as follows: Class 1-poor behavior group (17.84%), Class 2-medium behavior group (28.26%), Class 3-good behavior group (22.67%) and Class 4-excellent behavior group (31.23%). In the control group, being underweight (OR = 0.131), having no spouse (OR = 0.235), having a lower educational level (OR = 0.147–0.384), being premenopausal (OR = 0.220–0.255), having immediate consequence considerations (OR = 0.866–0.909) and receiving other support (OR = 0.830) were risk factors (all P < 0.05).

Conclusions

The performance of dietary self-management behavior needs to be improved. This study may provide a reference for determining key intervention populations that are underweight during premenopause, have no spouse and have lower education. Specific intervention content, including future consequence consideration, positive attitudes, decision-making, autonomous motivation, introjected regulation and friend support, should be added to improve the dietary practices during chemotherapy precisely.
{"title":"Dietary self-management behavior and associated factors among breast cancer patients receiving chemotherapy: A latent profile analysis","authors":"Han Tang ,&nbsp;Wei Zhang ,&nbsp;Ye Weng ,&nbsp;Xiaoyang Zhang ,&nbsp;Haiyan Shen ,&nbsp;Xiaochun Li ,&nbsp;Yue Liu ,&nbsp;Wei Liu ,&nbsp;Han Xiao ,&nbsp;Haihong Jing","doi":"10.1016/j.ejon.2025.102825","DOIUrl":"10.1016/j.ejon.2025.102825","url":null,"abstract":"<div><h3>Purpose</h3><div>Breast cancer patients experience more gastrointestinal symptoms during chemotherapy than during the survival period post-treatment. This can interfere with daily dietary intake and increase the risk of malnutrition. This study aimed to evaluate the level and classification of dietary self-management behavior and the influence of self-care self-efficacy, outcome expectations, treatment self-regulation and perceived social support guided by “Integrated theory of Health Behavior Change”.</div></div><div><h3>Methods</h3><div>A multicenter cross-sectional study was conducted. The assessment tools included self-designed demographic and clinical instruments, Dietary Management Behavior Questionnaire, Strategies Used by People to Promote Health, Consideration of Future Consequences Scale-Food, the Treatment Self-regulation Questionnaire and Perceived Social Support Scale.</div></div><div><h3>Results</h3><div>A total of 760 samples were analysed. The best-fitting model of the 4 classes was determined, with the lowest-to-highest scores as follows: Class 1-poor behavior group (17.84%), Class 2-medium behavior group (28.26%), Class 3-good behavior group (22.67%) and Class 4-excellent behavior group (31.23%). In the control group, being underweight (OR = 0.131), having no spouse (OR = 0.235), having a lower educational level (OR = 0.147–0.384), being premenopausal (OR = 0.220–0.255), having immediate consequence considerations (OR = 0.866–0.909) and receiving other support (OR = 0.830) were risk factors (all <em>P</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>The performance of dietary self-management behavior needs to be improved. This study may provide a reference for determining key intervention populations that are underweight during premenopause, have no spouse and have lower education. Specific intervention content, including future consequence consideration, positive attitudes, decision-making, autonomous motivation, introjected regulation and friend support, should be added to improve the dietary practices during chemotherapy precisely.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102825"},"PeriodicalIF":2.7,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324169","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
Effects of non-pharmacological interventions on cancer-related cognitive impairment in patients with breast cancer: A systematic review and network meta-analysis
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-01-28 DOI: 10.1016/j.ejon.2025.102804
Pan Yang , Qian Hu , Lichuan Zhang , Aomei Shen , Zijuan Zhang , Qinyu Wang , Qian Lu

Purpose

To compare and rank the effectiveness of non-pharmacological interventions on cancer-related cognitive impairment (CRCI) for breast cancer patients.

Methods

A systematic review and network meta-analysis were conducted following PRISMA guidelines. Randomized controlled trials from January 1, 2000 to October 11, 2024 were searched in nine electronic databases. Studies involving non-pharmacological interventions for managing CRCI in breast cancer were included. Methodological quality was assessed using the Cochrane Collaboration's Risk of Bias 2 assessment tool. Stata 15 was used for data analysis.

Results

A total of 42 eligible studies were identified, covering eight non-pharmacological interventions. Psychological interventions (98.7%), Tai Chi/Qigong/Baduanjin (74.5%), and cognitive rehabilitation (70.1%) were the three most effective methods to improve subjective cognition. Cognitive training showed the highest effectiveness for working memory and executive function, with effectiveness rates of 78.3% and 83.4%, respectively. Cognitive rehabilitation (87.1%) was also the most effective for learning memory., while meditation/mindfulness-based stress reduction (71.8%) led in processing speed.

Conclusions

This network meta-analysis found that psychological interventions was the most effective for improving subjective outcomes. cognitive training proved most effective for working memory and executive function, while cognitive rehabilitation was most effective in enhancing learning memory, and meditation/mindfulness-based stress reduction ranked highest for processing speed.
{"title":"Effects of non-pharmacological interventions on cancer-related cognitive impairment in patients with breast cancer: A systematic review and network meta-analysis","authors":"Pan Yang ,&nbsp;Qian Hu ,&nbsp;Lichuan Zhang ,&nbsp;Aomei Shen ,&nbsp;Zijuan Zhang ,&nbsp;Qinyu Wang ,&nbsp;Qian Lu","doi":"10.1016/j.ejon.2025.102804","DOIUrl":"10.1016/j.ejon.2025.102804","url":null,"abstract":"<div><h3>Purpose</h3><div>To compare and rank the effectiveness of non-pharmacological interventions on cancer-related cognitive impairment (CRCI) for breast cancer patients.</div></div><div><h3>Methods</h3><div>A systematic review and network meta-analysis were conducted following PRISMA guidelines. Randomized controlled trials from January 1, 2000 to October 11, 2024 were searched in nine electronic databases. Studies involving non-pharmacological interventions for managing CRCI in breast cancer were included. Methodological quality was assessed using the Cochrane Collaboration's Risk of Bias 2 assessment tool. Stata 15 was used for data analysis.</div></div><div><h3>Results</h3><div>A total of 42 eligible studies were identified, covering eight non-pharmacological interventions. Psychological interventions (98.7%), Tai Chi/Qigong/Baduanjin (74.5%), and cognitive rehabilitation (70.1%) were the three most effective methods to improve subjective cognition. Cognitive training showed the highest effectiveness for working memory and executive function, with effectiveness rates of 78.3% and 83.4%, respectively. Cognitive rehabilitation (87.1%) was also the most effective for learning memory., while meditation/mindfulness-based stress reduction (71.8%) led in processing speed.</div></div><div><h3>Conclusions</h3><div>This network meta-analysis found that psychological interventions was the most effective for improving subjective outcomes. cognitive training proved most effective for working memory and executive function, while cognitive rehabilitation was most effective in enhancing learning memory, and meditation/mindfulness-based stress reduction ranked highest for processing speed.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102804"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143324178","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 adjustment and influencing factors in patients with newly diagnosed colorectal cancer: A latent profile analysis
IF 2.7 3区 医学 Q1 NURSING Pub Date : 2025-01-28 DOI: 10.1016/j.ejon.2025.102818
Chen Yuan , Jingyue Xie , Lu Cui , Qianqian Du , Xinxin Li , Xiaoxuan Wang , Jianfei Liu , Xiaodan Wu , Meifen Zhang

Purpose

To identify subgroups of psychosocial adjustment among patients with newly diagnosed colorectal cancer, and to examine the inflencing factors of different subgroups.

Methods

The study surveyed 490 participants in Guangzhou from July 2022 to June 2023 using face-to-face method. The scales measured psychosocial adjustment, resilience, and coping styles. Statistical analysis included latent profile analysis and multinomial logistic regression. The STROBE guidelines were followed in this study.

Results

Three subgroups of psychosocial adjustment were identified: the low adjustment (23.7%), the moderate adjustment (44.5%), and the high adjustment (31.8%). Factors influencing psychosocial adjustment included optimism, resignation coping style, household per capita monthly income, and tumor metastasis.

Conclusions

This study employed a human-centered approach to identify three types of psychosocial adjustment in newly diagnosed colorectal cancer patients. Variations were observed in optimism, resignation coping, tumor metastasis, and household income. Prompt identification of high-risk groups and tailored interventions are essential for improving psychosocial adjustment.
{"title":"Psychosocial adjustment and influencing factors in patients with newly diagnosed colorectal cancer: A latent profile analysis","authors":"Chen Yuan ,&nbsp;Jingyue Xie ,&nbsp;Lu Cui ,&nbsp;Qianqian Du ,&nbsp;Xinxin Li ,&nbsp;Xiaoxuan Wang ,&nbsp;Jianfei Liu ,&nbsp;Xiaodan Wu ,&nbsp;Meifen Zhang","doi":"10.1016/j.ejon.2025.102818","DOIUrl":"10.1016/j.ejon.2025.102818","url":null,"abstract":"<div><h3>Purpose</h3><div>To identify subgroups of psychosocial adjustment among patients with newly diagnosed colorectal cancer, and to examine the inflencing factors of different subgroups.</div></div><div><h3>Methods</h3><div>The study surveyed 490 participants in Guangzhou from July 2022 to June 2023 using face-to-face method. The scales measured psychosocial adjustment, resilience, and coping styles. Statistical analysis included latent profile analysis and multinomial logistic regression. The STROBE guidelines were followed in this study.</div></div><div><h3>Results</h3><div>Three subgroups of psychosocial adjustment were identified: the low adjustment (23.7%), the moderate adjustment (44.5%), and the high adjustment (31.8%). Factors influencing psychosocial adjustment included optimism, resignation coping style, household per capita monthly income, and tumor metastasis.</div></div><div><h3>Conclusions</h3><div>This study employed a human-centered approach to identify three types of psychosocial adjustment in newly diagnosed colorectal cancer patients. Variations were observed in optimism, resignation coping, tumor metastasis, and household income. Prompt identification of high-risk groups and tailored interventions are essential for improving psychosocial adjustment.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"75 ","pages":"Article 102818"},"PeriodicalIF":2.7,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143177320","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
期刊
European Journal of Oncology Nursing
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