European Journal of Oncology Nursing最新文献

{"title":"Spiritual well-being and psychological resilience in outpatients receiving chemotherapy: The multiple mediating role of symptoms","authors":"Ayser Döner ,&nbsp;Aylin Bilgin ,&nbsp;Sinem Öcalan ,&nbsp;Mustafa Sabri Kovancı ,&nbsp;Mevlüde İnanç","doi":"10.1016/j.ejon.2025.103009","DOIUrl":"10.1016/j.ejon.2025.103009","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the relationship between symptom status, spiritual well-being, and psychological resilience in patients with cancer.</div></div><div><h3>Methods</h3><div>This study employed a quantitative, cross-sectional, and correlational design. The study sample consisted of 240 cancer patients who presented to the oncology day treatment unit of a university hospital in Türkiye. Data were collected using the Sociodemographic Information Form, Edmonton Symptom Assessment Scale, Spiritual Well-Being Scale, and Connor-Davidson Resilience Scale-Short Form. Stepwise multiple regression, and structural equation modeling were used to analyze the data.</div></div><div><h3>Results</h3><div>The mean age was 58.93 ± 11.21 years, and the sample was nearly equally distributed by gender. In the stepwise multiple regression analysis, spiritual well-being was the strongest positive predictor of resilience (β = 0.601, p &lt; 0.001). General well-being impairment, anxiety, fatigue, and pain were significant negative predictors (R² = 0.728, p &lt; 0.001). Parallel mediation analysis revealed that spiritual well-being has a significant impact on resilience through multiple mediators. It had an adverse indirect effect via pain and positive indirect effects via fatigue, anxiety, and general well-being. The overall indirect effect of spiritual well-being on resilience was significant (β = 0.159, 95 % CI [0.139, 0.262], p &lt; 0.05), accounting for 21.01 % of the total effect, indicating partial mediation.</div></div><div><h3>Conclusion</h3><div>These effects were not only statistically significant but also clinically meaningful, indicating the importance of interventions to enhance spiritual well-being in improving resilience. The findings demonstrated that spiritual well-being not only has a direct positive effect on resilience but also exerts indirect effects through key physical and psychological symptoms, including pain, fatigue, anxiety, and impaired general well-being.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103009"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410688","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}

{"title":"Prehabilitation for radiotherapy-induced vaginal and sexual health issues: Women's experiences of a novel intervention","authors":"Linda Åkeflo ,&nbsp;Josefin Höynä Wessberg ,&nbsp;Lisa Goldkuhl ,&nbsp;Eva Elmerstig ,&nbsp;Emelie Blomqvist ,&nbsp;Per Fessé ,&nbsp;Kristin Kunni ,&nbsp;Ulrica Langegård (Associate Professor) ,&nbsp;Emma Ohlsson-Nevo ,&nbsp;Katarina Sjövall ,&nbsp;Karin Örmon ,&nbsp;Karin Ahlberg RN, Professor","doi":"10.1016/j.ejon.2025.103011","DOIUrl":"10.1016/j.ejon.2025.103011","url":null,"abstract":"<div><h3>Purpose</h3><div>This study explores women's experiences of a novel prehabilitation intervention, integrating early vaginal dilator therapy before and during pelvic radiotherapy.</div></div><div><h3>Methods</h3><div>This qualitative study included sixteen women scheduled for pelvic radiotherapy. All participants received a pre-treatment intervention with individualized information and support to start vaginal dilator therapy prior to radiotherapy. Semi-structured interviews were conducted with all sixteen women before or during treatment. Of these, ten also participated in follow-up interviews after radiotherapy. Data were analyzed using reflexive thematic analysis.</div></div><div><h3>Results</h3><div>Four themes were constructed reflecting women's experiences of the new prehabilitation intervention: (1) Regaining control while facing the unknown, (2) Navigating identity, (3) Conceptualizing vaginal and sexual health, and (4) Building trust. Women found that vaginal dilator therapy during prehabilitation enabled a sense of control and readiness for upcoming sexual and vaginal health concerns. The early support was perceived as timely, acceptable, and empowering, regardless of women's initial motivation to engage. None of the women preferred to only receive the information after treatment, reflecting the value of proactive care<strong>.</strong></div></div><div><h3>Conclusion</h3><div>Integrating vaginal dilator therapy into prehabilitation may enhance preparedness, promote self-care, and reduce distress during pelvic radiotherapy. Further research is needed to confirm benefits and tailor support to individual needs.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103011"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410668","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}

{"title":"Stratified linear regression analysis of factors associated with chemotherapy-induced taste alterations in gastrointestinal cancer patients: A cross-sectional study in China","authors":"Shi Yin ,&nbsp;Dongjing Xie ,&nbsp;Rongya Wang ,&nbsp;Jiao Qian ,&nbsp;Xiaofen Shi ,&nbsp;Honghong Wang","doi":"10.1016/j.ejon.2025.103027","DOIUrl":"10.1016/j.ejon.2025.103027","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to investigate the incidence, influencing factors, and clinical correlates of Chemotherapy-Induced Taste Alteration (CITA) in patients with gastrointestinal cancer.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted involving 170 gastrointestinal cancer patients from a tertiary hospital in China. Participants completed the Chemotherapy-Induced Taste Alteration Scale (CITAS), the Index of Nausea, Vomiting, and Retching (INVR), and the Patient-Generated Subjective Global Assessment (PG-SGA). Data were analyzed using descriptive statistics, univariate analyses, correlation, and hierarchical regression to identify key predictors and interaction effects.</div></div><div><h3>Results</h3><div>The incidence of CITA was 74.7 %. The most prevalent issues were overall taste change (71.8 %) and feeding disturbance (45.9 %). Female gender, age &lt;65, religious belief, plant alkaloid use, and higher chemotherapy cycles were significantly associated with worse CITA. Hierarchical regression revealed that retching (β = .80, p &lt; .001) and nutritional status (β = .36, p &lt; .001) were the strongest independent predictors, collectively explaining 47.0 % of the variance in CITAS scores. Interaction effects showed that the retching-CITA relationship was stronger in females but attenuated in patients receiving plant alkaloids.</div></div><div><h3>Conclusions</h3><div>CITA is highly prevalent in gastrointestinal cancer patients and is closely linked to retching and nutritional status. A stratified management approach is recommended, integrating standardized nutritional assessment with personalized antiemetic strategies, particularly for high-risk subgroups such as female patients. Future multicenter longitudinal studies are needed to elucidate causal pathways and optimize precision interventions for CITA.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103027"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508045","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}

{"title":"Mindfulness-based self-compassion to enhance ontological well-being in breast cancer survivors: A randomized controlled trial","authors":"Behice Belkıs Çalışkan ,&nbsp;Fatma Yasemin Kutlu","doi":"10.1016/j.ejon.2025.102983","DOIUrl":"10.1016/j.ejon.2025.102983","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effectiveness of an 8-week mindfulness-based self-compassion program (MBSCP) in enhancing ontological well-being (OWB) among breast cancer survivors.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted at a university hospital in Türkiye. Seventy-one women with a history of breast cancer were randomized into an intervention group (n = 35) or a control group (n = 36). The intervention group received the MBSCP, while the control group received no additional support. Ontological well-being was measured using the Ontological Well-Being Scale (OWBS) at baseline, post-intervention, and 3-month follow-up. Data were analyzed using repeated measures ANOVA.</div></div><div><h3>Results</h3><div>Participants in the intervention group demonstrated statistically significant improvements in overall OWBS scores and in the subscales of \"hope,\" \"action,\" and \"nothingness\" compared to the control group (p &lt; .001). No significant differences were observed for the \"regret\" subscale.</div></div><div><h3>Conclusions</h3><div>The MBSCP effectively enhanced ontological well-being in breast cancer survivors. These findings suggest that integrating mindfulness-based existential support into survivorship care may promote psychological resilience and holistic well-being.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 102983"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253511","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}

{"title":"Investigation of the effect of active cycle of breathing techniques on respiratory distress symptom cluster in patients with lung cancer: A randomised controlled trial","authors":"Doga Ulcay ,&nbsp;Semiha Akin Eroglu","doi":"10.1016/j.ejon.2025.103029","DOIUrl":"10.1016/j.ejon.2025.103029","url":null,"abstract":"<div><h3>Purpose</h3><div>This two-centre, randomised controlled, pre-test–post-test design study aimed to evaluate the effect of Active Cycle of Breathing Techniques (ACBT) on dyspnoea, cough, and fatigue, which comprise the Respiratory Distress Symptom Cluster (RDSC) in patients with lung cancer.</div></div><div><h3>Methods</h3><div>The sample included 73 patients with non-small cell lung cancer (NSCLC) undergoing their first cycle of chemotherapy (36 intervention, 37 control). Data were collected using the Cancer Dyspnoea Scale (CDS), Leicester Cough Questionnaire (LCQ), and Hirai Cancer Fatigue Scale (HCFS). The intervention group received ACBT training and performed exercises twice daily with the support of a video. Follow-up calls were made weekly (days 7, 14, 21). Pre-test assessments were conducted on the first day of chemotherapy; post-tests were completed on day 28.</div></div><div><h3>Results</h3><div>Demographic and clinical characteristics did not differ significantly between the two groups. In the intervention group, significant improvements were observed in dyspnoea and fatigue, as indicated by decreased CDS and HCFS scores, and in cough-related quality of life, as reflected by increased LCQ scores (p = 0.000). Additionally, strong and significant correlations were found among the total and subscale scores of the CDS, LCQ, and HCFS within the intervention group (p = 0.000), supporting the pre.</div><div>sence of a RDSC.</div></div><div><h3>Conclusions</h3><div>ACBT demonstrated a positive impact on dyspnoea, cough, and fatigue in lung cancer patients. Integrating ACBT into routine nursing care is recommended to support the management of the RDSC in patients with lung cancer.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103029"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514874","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}

{"title":"Family-based belief interventions to enhance resilience in breast cancer patients undergoing chemotherapy: A qualitative study","authors":"Dwi Retnaningsih ,&nbsp;Nursalam ,&nbsp;Hanik Endang Nihayati ,&nbsp;Ferry Efendi ,&nbsp;Mira Triharini","doi":"10.1016/j.ejon.2025.103025","DOIUrl":"10.1016/j.ejon.2025.103025","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to explore the mechanisms and perceived impact of faith-based family interventions on psychological resilience among breast cancer patients undergoing chemotherapy.</div></div><div><h3>Methods</h3><div>This study employed a qualitative methodology with a phenomenological design to investigate how relatives of patients with breast cancer have dealt with offering faith-based support throughout chemotherapy. Twenty family members of patients, purposefully chosen, participated in semi-structured interviews to gather the data. Field notes, an interview guide, and a demographic data questionnaire are among the study tools. Face-to-face interviews were conducted, videotaped with consent, and subjected to thematic analysis using NVivo software. Peer debriefing, member verification, triangulation, and audit trail recording all help preserve the authenticity of the data.</div></div><div><h3>Results</h3><div>In this study, 20 family members of patients with breast cancer receiving chemotherapy participated. Four major themes emerged from the data analysis: information requirements, family resilience, caregiving obstacles, and types of family support (emotional, informational, instrumental, esteem, and spiritual). These themes highlight the importance of families playing an active role in supporting patients with their treatment.</div></div><div><h3>Conclusions</h3><div>Interventions based on family beliefs are crucial for enhancing breast cancer patients' quality of life and resilience during chemotherapy. Integrating faith-based family support into oncology nursing practice is crucial for improving the quality of life and resilience of patients with breast cancer by including their families in their treatment.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103025"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524887","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}

{"title":"Parents' subjective experience of the parenting process in paediatric oncology during hospitalisation at home","authors":"Voskan Kirakosyan ,&nbsp;Matthieu Plichart ,&nbsp;Fatima Laradji ,&nbsp;Caroline Miler ,&nbsp;Adeline Mallard ,&nbsp;Bastien Péré ,&nbsp;Ingrid Chrétien ,&nbsp;Marie-Frédérique Bacqué","doi":"10.1016/j.ejon.2025.103016","DOIUrl":"10.1016/j.ejon.2025.103016","url":null,"abstract":"<div><h3>Purpose</h3><div>Around 2260 new cases of cancer are diagnosed annually in children in France. Hospitalisation at home (HaH) represents a growing alternative to the more conventional hospital stay, since it enables children with cancer to receive medical care in the home while remaining in a familiar environment. Parents of children can face a significant redefinition of their parenting roles, caught between the continuity of family life and the demands of medical care. The aim of this study was to describe the parenting process from the perspective of parents of children with cancer hospitalised at home.</div></div><div><h3>Method</h3><div>Semi-structured interviews were conducted individually with parents (n = 27) of children with cancer in two French structures. The interviews were transcribed verbatim, and reflexive thematic analysis was applied.</div></div><div><h3>Results</h3><div>Our findings highlight a parenting process structured around three main dimensions, which functions as a dynamic system characterised by a constant interplay between (1) forms of parenting, (2) a continuous parental presence that remains stable over time and (3) the guilt that fuels the process.</div></div><div><h3>Conclusions</h3><div>Parenting process during HaH is dynamic, adaptive and marked by a high emotional and mental burden. In this way, parents must constantly reinvent parenting by integrating new skills to respond to the needs of their children with cancer. Recognising this complexity may aid professionals to the issues confronted by parents caring for children with cancer at home setting.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103016"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145446474","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}

{"title":"Improving cancer survivorship care: lessons learned from an implementation process in a clinical setting","authors":"Flore Herman ,&nbsp;Sofie Verhaeghe ,&nbsp;Karen Geboes ,&nbsp;Martha Goderis ,&nbsp;Elke Rammant ,&nbsp;Michiel Daem","doi":"10.1016/j.ejon.2025.103004","DOIUrl":"10.1016/j.ejon.2025.103004","url":null,"abstract":"<div><h3>Purpose</h3><div>This project aimed to improve survivorship care in oncology by identifying existing needs, raising awareness, developing and implementing practical tools in clinical settings. This paper presents key reflections and lessons learned throughout the process.</div></div><div><h3>Methods</h3><div>A participatory approach involving healthcare providers was chosen to ensure relevance and applicability. Researchers adopted a coaching leadership style to support collaboration. Main data collection methods included feedback cycles and interviews with healthcare professionals.</div></div><div><h3>Results</h3><div>Several interventions were developed and implemented, including a survivorship care passport, a holistic needs assessment, a patient booklet, training for professionals, a website and a survivorship care consultation. The extent to which these tools were adopted varied across teams, often influenced by practical barriers such as time constraints and logistical challenges. Their success largely depended on their practical use in clinical settings.</div></div><div><h3>Conclusion</h3><div>While barriers remained at project's end, some tools showed strong potential for sustained use. A key factor in this was fostering ownership among healthcare providers through consistent engagement and a balance between structure and autonomy. This highlights the importance of a coaching leadership style in improving survivorship care.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103004"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304240","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}

{"title":"Effect of emotional intelligence and organizational culture on clinical reasoning competence among oncology nurses","authors":"Mijeong Gu ,&nbsp;Yoonjung Kim ,&nbsp;Hyeji Shin","doi":"10.1016/j.ejon.2025.103038","DOIUrl":"10.1016/j.ejon.2025.103038","url":null,"abstract":"<div><h3>Purpose</h3><div>Clinical reasoning (CR) is an essential competency that enables nurses to make effective decisions. However, limited research has explored the factors influencing the CR competence of oncology nurses. Therefore, this study aimed to examine the effect of emotional intelligence (EI) and organizational culture (OC) on CR competence among oncology nurses, providing empirical evidence to guide the development of educational interventions designed to strengthen CR competence in oncology nursing.</div></div><div><h3>Methods</h3><div>A cross-sectional, correlational design was employed in this study. A total of 168 nurses caring for patients with cancer at Seoul National University Hospital completed a structured online questionnaire. Data were collected from September 1 to 30, 2024 and analyzed using IBM SPSS Statistics for Windows, version 30.0. Descriptive statistics, t-tests, analysis of variance, Scheffé’s test, Pearson's correlations, and hierarchical regression were performed. Post hoc mediation and moderation analyses were conducted using the SPSS PROCESS macro.</div></div><div><h3>Results</h3><div>Participants demonstrated moderate levels of EI, OC, and CR, with all three variables showing positive correlations. EI showed significant variation according to age, educational level, religion, total clinical experience, and department transfer, while CR differed based on educational level. In the final regression model, higher education and EI levels emerged as significant predictors of CR.</div></div><div><h3>Conclusion</h3><div>EI significantly influences CR among oncology nurses. These findings underscore the need for structured educational interventions aimed at enhancing EI, supported by a positive OC. Such efforts may contribute to improved CR competency and reduce inconsistencies in patient outcomes by bridging current gaps in formal training within oncology nursing practice.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103038"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524914","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}

{"title":"Rebuild, reconnect, revitalize (3R) program to transit older cancer survivors in the community – A pilot mixed methods study","authors":"Kai Xin Liow ,&nbsp;Aaliyah Iman Cheong ,&nbsp;Siat Yee Yap ,&nbsp;Betsy Seah ,&nbsp;Xi Vivien Wu ,&nbsp;Melissa Gaik Ming Ooi","doi":"10.1016/j.ejon.2025.103023","DOIUrl":"10.1016/j.ejon.2025.103023","url":null,"abstract":"<div><h3>Purpose</h3><div>A Rebuild, Reconnect, Revitalize (3R) program was developed with a structured, transitional care intervention for older cancer survivors. The study examined the program's preliminary effectiveness in improving resilience, stress, social isolation, loneliness, health practices, quality of life, and physical function, and evaluated the feasibility of the program's workflow, safety, and participant satisfaction.</div></div><div><h3>Methods</h3><div>A mixed-methods study design was adopted. In Phase I, a non-equivalent comparison group trial was conducted. Participants in the intervention group received the 4-week 3R program, while participants in the control group received standard care in the community. The 3R program was developed using the theoretical framework of Salutogenesis. Quantitative outcomes were measured using Brief Resilience Coping Scale, Social Isolation Scale, de Jong Gierveld Loneliness Scale, Perceived Stress Scale, Self-Rated Abilities for Health Practices Scale, World Health Organization Quality of Life Instrument - Older Adults Module, Short Physical Performance Battery at baseline and post-intervention. Descriptive statistics, paired, and independent <em>t</em>-test were used in data analysis. In Phase II, a qualitative process evaluation was applied. Two focus group discussions were conducted. Responses were audio-recorded and transcribed verbatim to facilitate the inductive process of thematic analysis.</div></div><div><h3>Results</h3><div>The intervention group showed improvements in their resilience (<em>p</em> = 0.06), stress level (<em>p</em> = 0.02), quality of life (<em>p</em> = 0.03), and physical function mobility (<em>p</em> = 0.13) as compared to the control group, albeit these findings were insignificant. Three main themes were identified: navigating dynamic recovery through increased comprehensibility and manageability; pursuing social opportunities through support and renewed engagement; and appraisal and recommendations for future cancer survivorship.</div></div><div><h3>Conclusion</h3><div>The 3R program showed potential biopsychosocial benefits for older cancer survivors. The 3R program may enhance psychosocial and physical outcomes for older cancer survivors, empowering them to manage their health confidently in the community. Future research should explore long-term sustainability. Policymakers could consider the program's promising potential and expand it into a full-fledged transitional care service.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103023"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402645","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}