European Journal of Oncology Nursing最新文献_第9页

Life satisfaction moderates associations between resilience and postoperative symptom burden in oesophageal cancer: A moderated network analysis 生活满意度调节食管癌患者恢复力与术后症状负担之间的关系：一个有调节的网络分析

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-17 DOI: 10.1016/j.ejon.2025.103013

Shaoxue Li , Yanni Qin , Yiting Luo , Yating Xie , Jinxian Feng , Jiaying Li , M. Tish Knobf (Prof) , Shuwen Li (Prof) , Zengjie Ye (Prof)

Purpose

To examine whether life satisfaction moderates associations between resilience and postoperative symptom burden among patients with oesophageal cancer.

Methods

In a cross-sectional analysis of the “Be Resilient to Oesophageal Cancer” (BROC) programme, we studied 418 patients recruited from three hospitals in Anhui, China (August 2022–August 2023). Symptom burden was assessed with the Convalescent Symptom Assessment Scale for Oesophagectomy Patients; resilience with the 25-item Connor-Davidson Resilience Scale; and life satisfaction with the Satisfaction With Life Scale. We estimated a moderated network model to evaluate pairwise associations among symptoms and resilience nodes conditional on life satisfaction. Centrality was quantified using Expected Influence (EI). Significant moderated edges were examined with linear moderation tests and Johnson-Neyman analysis.

Results

In the network, “late symptoms” were identified as the most central symptom (EI = 1.52), with the strongest association observed between “optimism” and “persistent symptoms” (r = 0.29). Moderation analyses indicated that higher life satisfaction strengthened the inverse association between strength and late symptoms (β = −0.021, SE = 0.010, P = 0.039) and weakened the positive association between strength and optimism (β = −0.013, SE = 0.005, P < 0.001). Johnson-Neyman analysis revealed similar patterns.

Conclusion

Life satisfaction modifies resilience-symptom associations in patients with oesophageal cancer. Screening and targeting life satisfaction may enhance the symptomatic benefits associated with resilience, informing postoperative supportive care strategies. However, the cross-sectional design precludes definitive causal inferences regarding the observed moderation effects.

目的：探讨生活满意度是否调节食管癌患者恢复力与术后症状负担之间的关系。方法：在“抗食管癌”（BROC）项目的横断面分析中，我们研究了从中国安徽三家医院招募的418名患者（2022年8月至2023年8月）。采用《食管癌术后恢复期症状评定量表》评定患者的症状负担；25项康纳-戴维森弹性量表；用生活满意度量表来衡量生活满意度。我们估计了一个有调节的网络模型来评估生活满意度条件下症状和弹性节点之间的两两关联。中心性采用预期影响（EI）量化。采用线性调节检验和Johnson-Neyman分析检验显著调节边缘。结果：在网络中，“晚期症状”被确定为最核心的症状（EI = 1.52），“乐观”与“持续症状”的相关性最强（r = 0.29）。调节分析显示，较高的生活满意度增强了力量与晚期症状之间的负相关关系（β = -0.021, SE = 0.010, P = 0.039），减弱了力量与乐观之间的正相关关系（β = -0.013, SE = 0.005， P）。筛查和瞄准生活满意度可能会增强与恢复力相关的症状益处，为术后支持性护理策略提供信息。然而，横断面设计排除了关于观察到的适度效应的明确因果推论。

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引用次数: 0

Effectiveness of toy-mediated hand squeezing or palpation in peripheral IV catheterization among pediatric hematology and oncology patients: A randomized controlled trial 儿童血液学和肿瘤学患者外周静脉置管中玩具介导的手挤压或触诊的有效性：一项随机对照试验。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1016/j.ejon.2025.103005

Meltem Gürcan , Birsen Say , Nilgün Yayla , Sevcan Atay Turan

Purpose

This study aims to evaluate the effects of toy-mediated hand squeezing or palpation techniques on the success of peripheral IV catheter placement in pediatric hematology and oncology patients.

Methods

This study was designed and conducted as a three-arm randomized controlled trial to improve peripheral intravenous catheter placement success. Pediatric hematology and oncology patients aged 7–17 years were randomly assigned to a squishy toy group (n = 30), a palpation group (n = 30), or a control group (n = 30). Before inclusion in the study, each patient was assessed using the Difficult Intravenous Access (DIVA) score. Additionally, demographic and clinical data were collected through the demographic information form and the catheter documentation form.

Results

The study participants had a mean age of 11.3 years (SD = 2.7), and 50 % were male. The first-attempt success rate of peripheral IV catheter insertion was significantly higher in the intervention groups using the squishy toy squeezing and palpation technique than in the control group (χ2 = 23.080, p < 0.001). Both the squishy toy and palpation groups required significantly fewer attempts for peripheral IV catheter insertion than the control group (F = 8.692, p < 0.001).

Both intervention groups required significantly less time for the procedure than the control group (F = 3.373, p < 0.05).

Conclusion

This three-arm study demonstrated that squishy toy squeezing and palpation techniques improve first-attempt peripheral IV catheter placement success, reduce insertion attempts and procedure time, and minimize complications in pediatric hematology and oncology patients with DIVA.

Trial registration

The research was registered on ClinicalTrials.gov under the identifier number (NCT07041216). https://clinicaltrials.gov/study/NCT07041216.

目的：本研究旨在评估玩具介导的手挤压或触诊技术对儿童血液学和肿瘤学患者外周静脉置管成功的影响。方法：本研究为三组随机对照试验，旨在提高外周静脉置管成功率。将7-17岁的儿童血液学和肿瘤学患者随机分为软硬玩具组（n = 30）、触诊组（n = 30）和对照组（n = 30）。在纳入研究之前，每位患者使用静脉注射困难（DIVA）评分进行评估。此外，通过人口统计信息表和导管文件表收集人口统计学和临床数据。结果：研究参与者的平均年龄为11.3岁（SD = 2.7）， 50%为男性。采用软玩具挤压触诊技术的干预组外周静脉置管首次成功率明显高于对照组（χ2 = 23.080, p）。这项三臂研究表明，软硬的玩具挤压和触诊技术提高了首次尝试外周静脉置管的成功率，减少了插入次数和手术时间，并最大限度地减少了儿科血液学和肿瘤学DIVA患者的并发症。试验注册：该研究在ClinicalTrials.gov上注册，识别码为NCT07041216。https://clinicaltrials.gov/study/NCT07041216。

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引用次数: 0

Factors associated with self-care in adults with cancer receiving oral anticancer agents: A sex-stratified Bayesian analysis 接受口服抗癌药物的成年癌症患者自我护理相关因素：性别分层贝叶斯分析

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1016/j.ejon.2025.103019

Silvia Ucciero , Ahtisham Younas , Francesco Torino , Angela Durante , Federica Lacarbonara , Tatiana Bolgeo , Vincenzo Damico , Greta Ghizzardi , Sipontina Rita Zerulo , Rosaria Alvaro , Ercole Vellone , Marco Di Nitto

Purpose

This study aims to assess self-care (SC) levels in Italian cancer patients receiving Oral Anticancer Agents (OAAs) and to identify their predictors, stratified by sex.

Methods

This is a cross-sectional analysis involving 518 cancer patients treated with OAAs across five Italian oncology centres. Sociodemographic, clinical, and psychosocial data (e.g., self-care, self-efficacy, social support, depression, patient-centredness, mutuality) were collected using validated instruments. Bayesian t-tests and sex-specific regression models were performed.

Results

Among 518 cancer patients treated with OAAs, men had significantly higher SC management scores than women, while no significant sex differences were found in SC maintenance or monitoring. In men, self-efficacy, mutuality, and depressive state strongly predicted self-care domains. In women, self-efficacy and perception of centrality were key predictors.

Conclusion

Self-efficacy plays a key role in promoting SC behaviour in cancer patients under OAA. However, relational and perceptual factors - such as centrality, mutuality and social support - play a complementary role, modulated by sex and stage of the SC process. Such evidence suggests the usefulness of personalized interventions that enhance the psycho-social dimension and sex differences in promoting SC.

目的本研究旨在评估意大利接受口服抗癌药物（OAAs）的癌症患者的自我保健（SC）水平，并确定其预测因素，按性别分层。方法：这是一项横断面分析，涉及来自意大利5个肿瘤中心的518名接受OAAs治疗的癌症患者。使用经过验证的工具收集社会人口学、临床和社会心理数据（如自我保健、自我效能、社会支持、抑郁、以患者为中心、相互关系）。采用贝叶斯t检验和性别回归模型。结果在518例接受OAAs治疗的癌症患者中，男性的SC管理评分明显高于女性，而在SC维持或监测方面没有发现显著的性别差异。在男性中，自我效能、相互关系和抑郁状态对自我照顾领域有很强的预测作用。在女性中，自我效能感和中心性感知是关键的预测因素。结论自我效能感在OAA下肿瘤患者的SC行为中起关键作用。然而，关系和感知因素——如中心性、互补性和社会支持——发挥着互补的作用，受性别和SC过程阶段的调节。这些证据表明，个性化干预在促进SC方面可以增强心理社会维度和性别差异。

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引用次数: 0

Understanding psychological financial hardship in lung cancer: latent profiles and correlates with patient and caregiver factors 了解肺癌患者的心理经济困难：潜在特征及其与患者和护理者因素的相关性。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-09 DOI: 10.1016/j.ejon.2025.102999

Shumin Jia , Pui Hing Chau , Denise Shuk Ting Cheung , Yongchun Cui , Chia-Chin Lin

Purpose

Lung cancer imposes a significant financial burden, including psychological financial hardship (PFH). This study aims to identify latent profiles of PFH in lung cancer patients and determine associated patient and caregiver factors.

Methods

A cross-sectional analysis was conducted with 305 lung cancer patient-caregiver dyads. PFH was measured using the Comprehensive Score for Financial Toxicity (COST), while quality of life (QoL) and distress were also assessed. Latent Profile Analysis (LPA) identified PFH profiles, and one-way ANOVA examined their associations with QoL and distress. Multinomial logistic regression examined correlates of PFH profiles.

Results

Three PFH profiles were identified: high-level (COST 0–13), low-level (COST 14–29), and no PFH (COST 30–44). These profiles had medium effects on mental QoL (η² = 0.204), physical QoL (η² = 0.150), and distress (η² = 0.230), indicating clinical significance. Compared with no PFH group, lower caregiver education increased the odds of patients being in high-level PFH groups (OR = 3.847, 95 % CI: 1.038–11.717, p = 0.043); farming occupation was strongly associated with high-level PFH (OR = 9.658, 95 % CI: 3.369–27.689, p < 0.001); in contrast, those not reporting financial sacrifices were substantially less likely to experience high-level PFH (OR = 0.066, 95 % CI: 0.022–0.195, p < 0.001).

Conclusions

Distinct PFH profiles and correlates were identified, highlighting the role of both patient and caregiver factors. Findings underscore the importance of early screening and family-centred interventions to mitigate financial hardship and support well-being in cancer care.

目的：肺癌带来了巨大的经济负担，包括心理经济困难（PFH）。本研究旨在确定肺癌患者PFH的潜在特征，并确定相关的患者和护理人员因素。方法：对305例肺癌患者-照护者进行横断面分析。使用财务毒性综合评分（COST）测量PFH，同时评估生活质量（QoL）和痛苦。潜在谱分析（LPA）确定了PFH谱，并通过单因素方差分析（one-way ANOVA）检验了它们与生活质量和痛苦的关系。多项逻辑回归检验了PFH谱的相关关系。结果：确定了三种PFH特征：高水平（COST 0-13）、低水平（COST 14-29）和无PFH （COST 30-44）。这些特征对精神生活质量（η2 = 0.204）、身体生活质量（η2 = 0.150）和痛苦（η2 = 0.230）均有中等影响，具有临床意义。与无PFH组相比，较低的照顾者教育水平增加了患者出现高水平PFH组的几率（OR = 3.847, 95% CI: 1.038 ~ 11.717, p = 0.043）；农业职业与高水平PFH密切相关（OR = 9.658, 95% CI: 3.369-27.689, p）结论：确定了不同的PFH概况和相关因素，突出了患者和护理人员因素的作用。研究结果强调了早期筛查和以家庭为中心的干预措施对于减轻癌症治疗中的经济困难和支持福祉的重要性。

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引用次数: 0

The effect of local heat and cold application on the management of chemotherapy-induced peripheral neuropathy in breast cancer patients: a randomized controlled trial 局部冷热应用对乳腺癌患者化疗引起的周围神经病变管理的影响：一项随机对照试验。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-04 DOI: 10.1016/j.ejon.2025.102998

Neriman Yukselturk Simsek , Semra Aciksoz , Sabahat Coskun

Purpose

Chemotherapy-induced peripheral neuropathy (CIPN) is a common and debilitating side effect among breast cancer patients, leading to impaired functional capacity and diminished quality of life. Although non-pharmacological methods such as local heat and cold applications are gaining attention, their comparative efficacy has not been sufficiently explored. This study aimed to examine the effectiveness of local heat and cold applications on CIPN symptoms in breast cancer patients undergoing chemotherapy.

Methods

This randomized controlled trial included 96 breast cancer patients who developed CIPN during taxane-based chemotherapy. Participants were randomly assigned to heat application, cold application, or control groups. Interventions were administered following a standardized protocol throughout chemotherapy cycles. CIPN symptoms were assessed using a validated neuropathy evaluation tool before and after the intervention period.

Results

The heat application group exhibited significant reductions in neuropathic symptoms, including toe numbness, finger discomfort, cold sensitivity, and difficulty with physical activity (p < 0.05). The cold application group showed moderate improvements in select sensory symptoms, though effects were less pronounced than in the heat group. Symptom severity increased over time in the control group.

Conclusions

Local heat application appears to be an effective non-pharmacologic approach for mitigating CIPN symptoms. Cold application provided limited symptom relief and may be useful in selected cases.

目的：化疗引起的周围神经病变（CIPN）是乳腺癌患者中一种常见且衰弱的副作用，导致功能受损和生活质量下降。虽然非药物方法，如局部热敷和冷敷越来越受到关注，但它们的比较功效尚未得到充分的探讨。本研究旨在探讨局部冷热应用对乳腺癌化疗患者CIPN症状的影响。方法：本随机对照试验纳入96例紫杉烷化疗期间发生CIPN的乳腺癌患者。参与者被随机分配到热敷组、冷敷组和对照组。在整个化疗周期中，按照标准化的方案进行干预。在干预前后使用经过验证的神经病变评估工具评估CIPN症状。结果：热敷组表现出神经性症状的显著减轻，包括脚趾麻木、手指不适、冷敏感性和身体活动困难(p结论：局部热敷似乎是缓解CIPN症状的有效非药物方法。冷敷提供有限的症状缓解，可能在某些情况下有用。

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引用次数: 0

Experiences of exercise and its significance for the quality of life among patients with advanced cancer – A qualitative study 运动经历及其对晚期癌症患者生活质量的意义——一项定性研究

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1016/j.ejon.2025.103028

Essi Nikkinen , Eeva Harju , Annastiina Hakulinen , Teemu J. Murtola , Jorma Sormunen , Elina Haavisto

Purpose

To explore the experiences of patients with advanced cancer regarding exercise and its significance for their quality of life.

Methods

A total of 17 patients participated in the study and were individually interviewed using semi-structured thematic interviews between April 2023 and April 2025. The interview data were subjected to inductive content analysis.

Results

Most patients with advanced cancer exercised several times weekly, for several hours each week. Patients engaged actively in aerobic activities, but the number of muscle-strengthening activities and stretching was limited. Following the onset of advanced cancer, patients’ ability to exercise declined, while their perceived importance of exercise increased. According to the experiences of patients with advanced cancer, exercise facilitated the preservation of health and contributed to the preservation of overall well-being.

Conclusion

At the onset of advanced cancer, healthcare professionals should discuss patients’ exercise habits and ensure that both the quantity and type of exercise are appropriate. If necessary, patients should be offered informational and practical support for implementing healthier exercise habits. Moreover, based on the experiences of patients with advanced cancer, exercise is perceived to have exclusively beneficial consequences for quality of life.

目的探讨晚期癌症患者的运动体验及其对生活质量的影响。方法于2023年4月至2025年4月对17例患者进行半结构化专题访谈。对访谈数据进行归纳内容分析。结果大多数晚期癌症患者每周锻炼几次，每周锻炼几个小时。患者积极进行有氧运动，但肌肉强化活动和拉伸的次数有限。随着晚期癌症的发作，患者的运动能力下降，而他们认为运动的重要性增加。根据晚期癌症患者的经验，运动有助于保持健康，并有助于保持整体健康。结论在晚期癌症发病时，医护人员应探讨患者的运动习惯，确保运动的量和类型都是合适的。如有必要，应向患者提供实施更健康运动习惯的信息和实际支持。此外，根据晚期癌症患者的经验，运动被认为对生活质量有完全有益的影响。

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引用次数: 0

Effectiveness of digital therapeutics in improving health outcomes in cancer patients and survivors: A systematic review and meta-analysis 数字疗法在改善癌症患者和幸存者健康结果方面的有效性：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 : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1016/j.ejon.2025.103007

Rainier Yue Yang Goh , Si Xian Ng , Jing Heng Tan , Minna Pikkarainen , Hong-Gu He

Purpose

To assess the implementation of Digital Therapeutics in the care of cancer patients and survivors by synthesising the best available evidence regarding their efficacy in improving health outcomes compared to usual care or placebo control groups.

Methods

In this systematic review and meta-analysis, a comprehensive search of literature published between 2018 and 2023 was conducted in PubMed, Embase, Medline, CINAHL, Web of Science, Scopus, Google Scholar, WHO Publications, ISRCTN, and ClinicalTrials.gov. Randomised controlled trials published in English were eligible for inclusion if they employed Digital Therapeutics to treat adult cancer patients and survivors. Two independent reviewers conducted the database searches, data extraction, and risk of bias assessment according to Cochrane's guidelines. Meta-analyses were conducted using the RevMan Web software. This systematic review was registered with PROSPERO CRD42023491190.

Results

Twenty studies met the inclusion criteria. Digital Therapeutics demonstrated a significant reduction in fear of cancer recurrence (SMD = −0.43, p < 0.00001) and in fatigue (SMD = −0.23, p = 0.0005). Additionally, there was a significant reduction in Depression (SMD = −0.37, p < 0.00001) and Anxiety (SMD = −0.32, p = 0.0002) symptoms, along with significant improvements in Quality of Life (SMD = 0.23, p = 0.002) from Digital Therapeutics use. No publication bias was detected.

Conclusion

Given their benefits, the continued development of Digital Therapeutics for cancer patients and survivors is warranted. Future research should explore the geographical and socio-demographic influences on the accessibility of such interventions to meet the diverse needs of cancer populations worldwide.

目的：通过综合与常规治疗组或安慰剂对照组相比，数字治疗在改善健康结果方面的有效性，评估数字治疗在癌症患者和幸存者护理中的实施情况。方法：在本系统综述和荟萃分析中，对2018年至2023年在PubMed、Embase、Medline、CINAHL、Web of Science、Scopus、谷歌Scholar、WHO Publications、ISRCTN和ClinicalTrials.gov上发表的文献进行了全面检索。用英语发表的随机对照试验，如果使用Digital Therapeutics治疗成年癌症患者和幸存者，则符合纳入条件。两名独立审稿人根据Cochrane指南进行数据库检索、数据提取和偏倚风险评估。采用RevMan Web软件进行meta分析。本系统评价注册号为PROSPERO CRD42023491190。结果：20项研究符合纳入标准。结论：考虑到它们的益处，数字疗法对癌症患者和幸存者的持续发展是有必要的。未来的研究应探讨地理和社会人口对这些干预措施的可及性的影响，以满足全世界癌症人群的不同需求。

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引用次数: 0

The effect of interpersonal psychotherapy on depression, emotion regulation, and perceived social support in breast cancer patients at risk of depression: A randomized controlled trial 人际心理治疗对乳腺癌抑郁风险患者抑郁、情绪调节和感知社会支持的影响：一项随机对照试验。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-11-08 DOI: 10.1016/j.ejon.2025.103042

Tuğba Şahin Tokatlıoğlu , Fahriye Oflaz

Purpose

This study aimed to evaluate the effects of Interpersonal Psychotherapy (IPT) on depression, interpersonal emotion regulation skills, and perceived social support among patients diagnosed with breast cancer.

Methods

A randomized controlled experimental design was used. The study was conducted between February 2024 and April 2025 at University Hospital's Chemotherapy Unit. The sample consisted of 42 patients, randomly assigned to either an experimental group (n = 21) or a control group (n = 21). The experimental group received 12 weeks of individual IPT. Data were collected at three time points (pre-test, post-test, and follow-up) using the Beck Depression Inventory for Primary Care, the Interpersonal Emotion Regulation Questionnaire, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using descriptive statistics, correlation analysis, and multiple regression analysis.

Results

There were no statistically significant differences between the experimental and control groups in terms of sociodemographic and clinical characteristics (p > 0.05). A significant negative correlation was found between depression levels and both interpersonal emotion regulation and perceived social support (p < 0.001). GLM analyses revealed statistically significant effects of group, time, and group∗time interaction for all measures (p < 0.001). In the intervention group, depression levels significantly decreased while emotion regulation skills and perceived social support increased over time.

Conclusion

IPT was found to be effective in reducing depression levels and improving interpersonal emotion regulation and perceived social support among breast cancer patients. These findings suggest that IPT should be integrated into psycho-oncology care, and future studies should explore its application in diverse populations and cancer types with larger, multi-center, and long-term designs.

目的：探讨人际心理治疗（IPT）对乳腺癌患者抑郁、人际情绪调节技能和感知社会支持的影响。方法：采用随机对照试验设计。该研究于2024年2月至2025年4月在大学医院化疗部门进行。样本由42例患者组成，随机分为实验组（n = 21）和对照组（n = 21）。实验组接受12周的单独IPT治疗。采用贝克初级保健抑郁量表、人际情绪调节问卷和感知社会支持多维度量表，在测试前、测试后和随访三个时间点收集数据。数据分析采用描述性统计、相关分析和多元回归分析。结果：实验组与对照组在社会人口学及临床特征方面差异无统计学意义（p < 0.05）。抑郁水平与人际情绪调节和感知社会支持均呈显著负相关(p)。结论：IPT能有效降低乳腺癌患者的抑郁水平，改善人际情绪调节和感知社会支持。这些结果表明，IPT应纳入心理肿瘤治疗，未来的研究应以更大的、多中心的、长期的设计，探索其在不同人群和癌症类型中的应用。

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引用次数: 0

Experiences and perceptions of oncology patients with the care provided by clinical nurse specialists in an outpatient nurse-led clinic 在门诊护士主导的诊所中，由临床护理专家提供的肿瘤患者护理的经验和看法。

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-07-23 DOI: 10.1016/j.ejon.2025.102942

Frauke Vanderhaeghe , Elsie Decoene , Annelies Courtens , Ine Decadt , Ann Van Hecke

Purpose

This study aimed to explore patients’ experiences, satisfaction and perceptions regarding the care provided by clinical nurse specialists (CNS) within a nurse-led clinic (NLC) that has been operational for two years. The study examined key aspects such as communication, accessibility, expertise, responsiveness and the therapeutic relationship between patients and the CNS, the oncologist, and other nursing professionals involved in their care. The study also examined differences in responses across demographics.

Methods

A mixed-methods study was conducted using questionnaires and semi-structured interviews with adult patients with gynaecological, urological, and head and neck cancer who were being followed by the CNSs. Consecutive sampling was applied, including participants at the oncology day hospital. A total of 30 questionnaires and ten interviews were conducted. The results from both research methods were described in an integrated manner.

Results

Patients reported high satisfaction with the care provided by the CNS. The identified themes include: general experience and significance of the CNS and consultations, role clarity of the CNS, the CNS as a confidant, advanced expertise in oncology, approach to patient communication, availability and continuity, relationship with the oncologist, and position towards other nursing profiles.

Conclusions

CNSs working in an outpatient NLC provide significant added value to oncology patients. They are professionals with advanced expertise which enables them to provide holistic, patient-centred care. CNSs should clearly communicate their role and distinction from other healthcare professionals. We suggest additional research, especially within Belgium, because of recent changes of the legal framework of the CNS.

目的：本研究旨在探讨在一家护士主导的诊所（NLC）中，患者对临床护理专家（CNS）提供的护理的体验、满意度和看法。该研究考察了关键方面，如沟通、可及性、专业知识、反应能力以及患者与中枢神经系统、肿瘤学家和其他护理专业人员之间的治疗关系。该研究还调查了人口统计学上的反应差异。方法：采用问卷调查和半结构化访谈的混合方法对CNSs随访的成年妇科、泌尿科和头颈癌患者进行研究。采用连续抽样，包括肿瘤日间医院的参与者。共进行问卷调查30份，访谈10次。两种研究方法的结果以综合的方式进行了描述。结果：患者对中枢神经系统的护理满意度较高。确定的主题包括：中枢神经系统和会诊的一般经验和意义，中枢神经系统的角色清晰度，中枢神经系统作为知己，肿瘤学方面的高级专业知识，患者沟通方法，可用性和连续性，与肿瘤学家的关系，以及对其他护理概况的立场。结论：CNSs在门诊NLC的工作为肿瘤患者提供了显著的附加价值。他们是具有先进专业知识的专业人员，能够提供全面的、以患者为中心的护理。CNSs应该清楚地传达他们的角色和与其他医疗保健专业人员的区别。我们建议进一步的研究，特别是在比利时，因为最近的变化的法律框架的中枢神经系统。

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引用次数: 0

How do GenAI and social media provide psychosocial information support for cancer survivors and professionals? An analysis using structural topic modeling for exploration and comparison GenAI和社交媒体如何为癌症幸存者和专业人员提供心理社会信息支持？采用结构主题模型进行分析探讨和比较

IF 2.7 3区医学 Q1 NURSING

European Journal of Oncology Nursing

Pub Date : 2025-12-01 Epub Date: 2025-10-20 DOI: 10.1016/j.ejon.2025.103018

Ziqi Peng , Xiaohui Su , Yujie Hou

Purpose

Digital communication has transformed the landscape of psychosocial oncology information for survivors and professionals, potentially influencing the unmet informational needs and supports of cancer survivors and healthcare professionals. This study aims to explore the psychosocial oncology information on social media and generative artificial intelligence (GenAI) using a topic modeling approach.

Methods

A qualitative design incorporating structural topic modeling (STM) was utilized to analyze the psychosocial oncology information from social media (WeChat and Rednote) and GenAI (DeepSeek and ChatGPT). Social media data (n = 1177) were collected using the main keywords “cancer” and “psychosocial”, while GenAI data were collected through nine standardized prompts. STM identified topic prevalence, keywords, topic relations, and temporal trends specific to social media posts.

Results

Five topics were identified from social media, highlighting caregivers' reflection, psychological intervention and assessment, family dynamics, and pediatric cancer care. Sharing caregiving reflection as an emerging trend for social support. STM identified seven topics in DeepSeek and five in ChatGPT, commonly focusing on psychological distress, coping strategies and support systems, healthcare professional practices, and holistic care. DeepSeek demonstrated more critical reflection on survivorship challenges and psychosocial care barriers, but identified misinformation. Social media presents in-depth topics, whereas GenAI offers synthesized overviews. Help-seeking resources were limited across both sources.

Conclusions

Findings emphasized the significance of information strategies in psychosocial oncology care. GenAI should be fine-tuning/training with relevant data for improving practices. Social media and content creators are effective tools for promoting evidence-based information. A hybrid model that integrates professional oversight, GenAI, and cloud platforms is essential to ensure ethical compliance with psychosocial care.

目的数字通信改变了幸存者和专业人员的心理社会肿瘤学信息格局，可能影响癌症幸存者和医疗保健专业人员未得到满足的信息需求和支持。本研究旨在利用主题建模方法探索社交媒体和生成式人工智能（GenAI）上的社会心理肿瘤学信息。方法采用定性设计，结合结构主题模型（STM）对来自社交媒体（b微信和Rednote）和GenAI （DeepSeek和ChatGPT）的心理社会肿瘤信息进行分析。社交媒体数据（n = 1177）使用主要关键词“癌症”和“社会心理”收集，而GenAI数据通过9个标准化提示收集。STM确定了特定于社交媒体帖子的主题流行度、关键词、主题关系和时间趋势。结果从社交媒体中确定了五个主题，重点是照顾者的反思，心理干预和评估，家庭动态和儿科癌症护理。分享照顾反思是社会支持的新趋势。STM在DeepSeek中确定了7个主题，在ChatGPT中确定了5个主题，通常侧重于心理困扰、应对策略和支持系统、医疗保健专业实践和整体护理。DeepSeek对幸存者面临的挑战和心理社会护理障碍进行了更批判性的反思，但发现了错误信息。社交媒体呈现深度主题，而GenAI提供综合概述。这两个来源的求助资源都很有限。结论研究结果强调了信息策略在心理社会肿瘤护理中的重要性。GenAI应该使用相关数据进行微调/培训，以改进实践。社交媒体和内容创造者是促进循证信息的有效工具。整合专业监督、GenAI和云平台的混合模式对于确保社会心理护理符合道德规范至关重要。

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