European Journal of Oncology Nursing最新文献

{"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}

{"title":"Life satisfaction moderates associations between resilience and postoperative symptom burden in oesophageal cancer: A moderated network analysis","authors":"Shaoxue Li ,&nbsp;Yanni Qin ,&nbsp;Yiting Luo ,&nbsp;Yating Xie ,&nbsp;Jinxian Feng ,&nbsp;Jiaying Li ,&nbsp;M. Tish Knobf (Prof) ,&nbsp;Shuwen Li (Prof) ,&nbsp;Zengjie Ye (Prof)","doi":"10.1016/j.ejon.2025.103013","DOIUrl":"10.1016/j.ejon.2025.103013","url":null,"abstract":"<div><h3>Purpose</h3><div>To examine whether life satisfaction moderates associations between resilience and postoperative symptom burden among patients with oesophageal cancer.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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” (<em>r</em> = 0.29). Moderation analyses indicated that higher life satisfaction strengthened the inverse association between strength and late symptoms (<em>β</em> = −0.021, SE = 0.010, <em>P</em> = 0.039) and weakened the positive association between strength and optimism (<em>β</em> = −0.013, SE = 0.005, <em>P</em> &lt; 0.001). Johnson-Neyman analysis revealed similar patterns.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103013"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145432902","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":"Factors associated with self-care in adults with cancer receiving oral anticancer agents: A sex-stratified Bayesian analysis","authors":"Silvia Ucciero ,&nbsp;Ahtisham Younas ,&nbsp;Francesco Torino ,&nbsp;Angela Durante ,&nbsp;Federica Lacarbonara ,&nbsp;Tatiana Bolgeo ,&nbsp;Vincenzo Damico ,&nbsp;Greta Ghizzardi ,&nbsp;Sipontina Rita Zerulo ,&nbsp;Rosaria Alvaro ,&nbsp;Ercole Vellone ,&nbsp;Marco Di Nitto","doi":"10.1016/j.ejon.2025.103019","DOIUrl":"10.1016/j.ejon.2025.103019","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103019"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417950","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":"Effectiveness of toy-mediated hand squeezing or palpation in peripheral IV catheterization among pediatric hematology and oncology patients: A randomized controlled trial","authors":"Meltem Gürcan ,&nbsp;Birsen Say ,&nbsp;Nilgün Yayla ,&nbsp;Sevcan Atay Turan","doi":"10.1016/j.ejon.2025.103005","DOIUrl":"10.1016/j.ejon.2025.103005","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 &lt; 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 &lt; 0.001).</div><div>Both intervention groups required significantly less time for the procedure than the control group (F = 3.373, p &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Trial registration</h3><div>The research was registered on <span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> under the identifier number (NCT07041216). <span><span>https://clinicaltrials.gov/study/NCT07041216</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103005"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410623","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":"The effect of local heat and cold application on the management of chemotherapy-induced peripheral neuropathy in breast cancer patients: a randomized controlled trial","authors":"Neriman Yukselturk Simsek ,&nbsp;Semra Aciksoz ,&nbsp;Sabahat Coskun","doi":"10.1016/j.ejon.2025.102998","DOIUrl":"10.1016/j.ejon.2025.102998","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>The heat application group exhibited significant reductions in neuropathic symptoms, including toe numbness, finger discomfort, cold sensitivity, and difficulty with physical activity (p &lt; 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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 102998"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309983","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":"Experiences of exercise and its significance for the quality of life among patients with advanced cancer – A qualitative study","authors":"Essi Nikkinen ,&nbsp;Eeva Harju ,&nbsp;Annastiina Hakulinen ,&nbsp;Teemu J. Murtola ,&nbsp;Jorma Sormunen ,&nbsp;Elina Haavisto","doi":"10.1016/j.ejon.2025.103028","DOIUrl":"10.1016/j.ejon.2025.103028","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the experiences of patients with advanced cancer regarding exercise and its significance for their quality of life.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 103028"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145528820","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":"Understanding psychological financial hardship in lung cancer: latent profiles and correlates with patient and caregiver factors","authors":"Shumin Jia ,&nbsp;Pui Hing Chau ,&nbsp;Denise Shuk Ting Cheung ,&nbsp;Yongchun Cui ,&nbsp;Chia-Chin Lin","doi":"10.1016/j.ejon.2025.102999","DOIUrl":"10.1016/j.ejon.2025.102999","url":null,"abstract":"<div><h3>Purpose</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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 &lt; 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 &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 102999"},"PeriodicalIF":2.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145287659","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}