Pub Date : 2025-09-30DOI: 10.1016/j.ejon.2025.102983
Behice Belkıs Çalışkan , Fatma Yasemin Kutlu
Purpose
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.
Methods
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.
Results
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 < .001). No significant differences were observed for the "regret" subscale.
Conclusions
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.
{"title":"Mindfulness-based self-compassion to enhance ontological well-being in breast cancer survivors: A randomized controlled trial","authors":"Behice Belkıs Çalışkan , 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 < .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":"2025-09-30","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}
This study aimed to evaluate the effect of oral cryotherapy on chemotherapy-induced taste alteration, appetite, nutritional risk, and quality of life in patients undergoing chemotherapy.
Methods
A randomized controlled trial was conducted with 65 patients receiving outpatient chemotherapy. Participants were assigned to an intervention group (oral cryotherapy plus standard care) or a control group (standard care only). Data were collected using validated tools, including the Chemotherapy-Induced Taste Alteration Scale (CITAS), the Simplified Nutritional Appetite Questionnaire (SNAQ), the Malnutrition Universal Screening Tool (MUST), and the EORTC QLQ-C30.
Results
Compared with the control group, patients receiving oral cryotherapy reported significantly lower levels of taste alteration and discomfort, alongside higher appetite and overall quality of life scores (p < 0.05). Nutritional markers such as albumin and total protein remained stable in the intervention group, while they declined in controls. These results suggest that oral cryotherapy may both alleviate taste-related symptoms and help maintain nutritional status during chemotherapy.
Conclusion
Oral cryotherapy was found to be an effective method for reducing the severity of chemotherapy-induced taste alterations and improving appetite and overall quality of life. Adherence to the protocol was high (%94), though the regimen is intensive and may challenge feasibility in routine practice. These findings highlight the potential of oral cryotherapy as a supportive care strategy, warranting confirmation in larger, multi-center studies.
{"title":"The effect of oral cryotherapy on taste alteration, appetite level, risk of malnutrition and quality of life in patients undergoing chemotherapy: A randomized controlled trial","authors":"Zeynep Pehlivan Köksal , Nesrin Nural , Oğuzhan Kesen","doi":"10.1016/j.ejon.2025.102991","DOIUrl":"10.1016/j.ejon.2025.102991","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the effect of oral cryotherapy on chemotherapy-induced taste alteration, appetite, nutritional risk, and quality of life in patients undergoing chemotherapy.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted with 65 patients receiving outpatient chemotherapy. Participants were assigned to an intervention group (oral cryotherapy plus standard care) or a control group (standard care only). Data were collected using validated tools, including the Chemotherapy-Induced Taste Alteration Scale (CITAS), the Simplified Nutritional Appetite Questionnaire (SNAQ), the Malnutrition Universal Screening Tool (MUST), and the EORTC QLQ-C30.</div></div><div><h3>Results</h3><div>Compared with the control group, patients receiving oral cryotherapy reported significantly lower levels of taste alteration and discomfort, alongside higher appetite and overall quality of life scores (p < 0.05). Nutritional markers such as albumin and total protein remained stable in the intervention group, while they declined in controls. These results suggest that oral cryotherapy may both alleviate taste-related symptoms and help maintain nutritional status during chemotherapy.</div></div><div><h3>Conclusion</h3><div>Oral cryotherapy was found to be an effective method for reducing the severity of chemotherapy-induced taste alterations and improving appetite and overall quality of life. Adherence to the protocol was high (%94), though the regimen is intensive and may challenge feasibility in routine practice. These findings highlight the potential of oral cryotherapy as a supportive care strategy, warranting confirmation in larger, multi-center studies.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 102991"},"PeriodicalIF":2.7,"publicationDate":"2025-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234068","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}
The study investigates the relationship between hope and dignity with demoralization and posttraumatic growth (PTG) in cancer patients.
Methods
Α cross sectional study was conducted with convenience sampling. Participants completed the Hearth Hope Index (HHI), Patient Dignity Inventory (PDI), Demoralization Scale-II (DS-II) and Posttraumatic Growth Inventory (PTGI). Univariate and multivariate linear regressions were performed, taking into account demographic and clinical confounders.
Results
A total of 112 patients with various types of cancer participated. Mean age of the participants was 66 years and 22.3 % had lung cancer. Hope was found to be negatively correlated to demoralization (r = −0.75, p-value<0.01) and positively correlated to the various factors of PTGI (r = 0.45, p-value<0.01). Then, dignity was positively correlated with demoralization (r = 0.79, p-value<0.01) but negatively correlated with PTGI (r = -0.37, p-value<0.01). Univariate and multivariable linear regression analysis identified a negative relationship between hope and demoralization (adjusted coefficient beta = −0.574, 95 %CI = −0.769 to −0.380, p-value<0.001), a positive association between dignity and demoralization (adjusted coefficient beta = 0.209, 95 %CI = 0.156 to 0.261, p-value<0.001) and negative association between dignity and the factor “new possibilities” of the PTGI (adjusted coefficient beta = −0.070, 95 %CI = −0.116 to −0.024, p-value = 0.003). Finally, hope was associated with increased confrontation (adjusted coefficient beta = 0.258, 95 % CI = 0.047 to 0.469, p-value = 0.017), appreciation of life (adjusted coefficient beta = 0.215, 95 % CI = 0.074 to 0.357, p-value = 0.003), and spiritual change of the PTGI (adjusted coefficient beta = 0.134, 95 %CI = 0.019 to 0.249, p-value = 0.022).
Conclusions
Enhancing hope and dignity in cancer patients may contribute significantly to reducing demoralization and enhancing posttraumatic growth. There is a need for holistic interventions that take into account the emotional and existential dimensions of cancer.
目的：探讨癌症患者希望、尊严与士气低落和创伤后成长（PTG）的关系。方法：Α横断面研究，方便抽样。参与者完成了壁炉希望指数（HHI）、患者尊严量表（PDI）、士气低落量表- ii （DS-II）和创伤后成长量表（PTGI）。考虑到人口统计学和临床混杂因素，进行了单因素和多因素线性回归。结果：共112例不同类型癌症患者参与。参与者的平均年龄为66岁，22.3%患有肺癌。结论：提高癌症患者的希望和尊严对降低患者的士气低落和促进创伤后成长有显著作用。有必要采取全面的干预措施，考虑到癌症的情感和存在层面。
{"title":"Understanding psychological outcomes in cancer: The interplay between hope, dignity, demoralization, and posttraumatic growth","authors":"Ioanna Tsatsou , Maria Nikoloudi , Petros Galanis , Kyriaki Mystakidou","doi":"10.1016/j.ejon.2025.102984","DOIUrl":"10.1016/j.ejon.2025.102984","url":null,"abstract":"<div><h3>Purpose</h3><div>The study investigates the relationship between hope and dignity with demoralization and posttraumatic growth (PTG) in cancer patients.</div></div><div><h3>Methods</h3><div>Α cross sectional study was conducted with convenience sampling. Participants completed the Hearth Hope Index (HHI), Patient Dignity Inventory (PDI), Demoralization Scale-II (DS-II) and Posttraumatic Growth Inventory (PTGI). Univariate and multivariate linear regressions were performed, taking into account demographic and clinical confounders.</div></div><div><h3>Results</h3><div>A total of 112 patients with various types of cancer participated. Mean age of the participants was 66 years and 22.3 % had lung cancer. Hope was found to be negatively correlated to demoralization (r = −0.75, p-value<0.01) and positively correlated to the various factors of PTGI (r = 0.45, p-value<0.01). Then, dignity was positively correlated with demoralization (r = 0.79, p-value<0.01) but negatively correlated with PTGI (r = -0.37, p-value<0.01). Univariate and multivariable linear regression analysis identified a negative relationship between hope and demoralization (adjusted coefficient beta = −0.574, 95 %CI = −0.769 to −0.380, p-value<0.001), a positive association between dignity and demoralization (adjusted coefficient beta = 0.209, 95 %CI = 0.156 to 0.261, p-value<0.001) and negative association between dignity and the factor “new possibilities” of the PTGI (adjusted coefficient beta = −0.070, 95 %CI = −0.116 to −0.024, p-value = 0.003). Finally, hope was associated with increased confrontation (adjusted coefficient beta = 0.258, 95 % CI = 0.047 to 0.469, p-value = 0.017), appreciation of life (adjusted coefficient beta = 0.215, 95 % CI = 0.074 to 0.357, p-value = 0.003), and spiritual change of the PTGI (adjusted coefficient beta = 0.134, 95 %CI = 0.019 to 0.249, p-value = 0.022).</div></div><div><h3>Conclusions</h3><div>Enhancing hope and dignity in cancer patients may contribute significantly to reducing demoralization and enhancing posttraumatic growth. There is a need for holistic interventions that take into account the emotional and existential dimensions of cancer.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 102984"},"PeriodicalIF":2.7,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187268","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}
To investigate the association between changes in hope, resilience, social support, and cancer-related symptoms, and the change in health-related quality of life among cancer patients during chemotherapy.
Methods
A prospective, longitudinal study was conducted among 126 cancer patients undergoing chemotherapy. Hope, resilience, and social support were measured using the Herth Hope Index, 14-item Resilience Scale, and Multidimensional Scale of Perceived Social Support, respectively. Quality of life was assessed using Functional Assessment of Cancer Therapy–General. All measures were administered before chemotherapy started and 1 month after chemotherapy completion. Linear mixed models were employed to analyze the changes in hope, resilience, social support, and quality of life. Multivariable linear regression analysis was employed to assess the association between the changes in the psychosocial variables and quality of life.
Results
Physical well-being and emotional well-being significantly improved 1 month after chemotherapy compared to baseline, while no significant change was observed in hope, resilience, or social support. Change in resilience was positively associated with emotional well-being (β = 0.09, 95 %CI: 0.003, 0.18), functional well-being (β = 0.16, 95 %CI: 0.09, 0.23), and overall quality of life (β = 0.33, 95 %CI: 0.09, 0.57). Change in social support showed a positive association with change in social well-being (β = 0.16, 95 %CI: 0.06, 0.25).
Conclusions
This longitudinal study demonstrates that improvements in resilience and social support are positively associated with enhanced quality of life during chemotherapy. Interventions enhancing resilience and social support may help to support cancer patients better during chemotherapy.
{"title":"Changes in hope, resilience and social support throughout chemotherapy and their association with health-related quality of life in cancer patients: A longitudinal study","authors":"Sheung Yiu Chan , Xueyan Cheng , Pui Hing Chau , Hui-Mei Chen , Wing Lok Chan , Chia-Chin Lin , Denise Shuk Ting Cheung","doi":"10.1016/j.ejon.2025.102981","DOIUrl":"10.1016/j.ejon.2025.102981","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the association between changes in hope, resilience, social support, and cancer-related symptoms, and the change in health-related quality of life among cancer patients during chemotherapy.</div></div><div><h3>Methods</h3><div>A prospective, longitudinal study was conducted among 126 cancer patients undergoing chemotherapy. Hope, resilience, and social support were measured using the Herth Hope Index, 14-item Resilience Scale, and Multidimensional Scale of Perceived Social Support, respectively. Quality of life was assessed using Functional Assessment of Cancer Therapy–General. All measures were administered before chemotherapy started and 1 month after chemotherapy completion. Linear mixed models were employed to analyze the changes in hope, resilience, social support, and quality of life. Multivariable linear regression analysis was employed to assess the association between the changes in the psychosocial variables and quality of life.</div></div><div><h3>Results</h3><div>Physical well-being and emotional well-being significantly improved 1 month after chemotherapy compared to baseline, while no significant change was observed in hope, resilience, or social support. Change in resilience was positively associated with emotional well-being (β = 0.09, 95 %CI: 0.003, 0.18), functional well-being (β = 0.16, 95 %CI: 0.09, 0.23), and overall quality of life (β = 0.33, 95 %CI: 0.09, 0.57). Change in social support showed a positive association with change in social well-being (β = 0.16, 95 %CI: 0.06, 0.25).</div></div><div><h3>Conclusions</h3><div>This longitudinal study demonstrates that improvements in resilience and social support are positively associated with enhanced quality of life during chemotherapy. Interventions enhancing resilience and social support may help to support cancer patients better during chemotherapy.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 102981"},"PeriodicalIF":2.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145134831","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}
Pub Date : 2025-09-23DOI: 10.1016/j.ejon.2025.102982
Chiteng Zhou , Huiqing Chen , Jialin Li , Shuangwei Hong , Xiaowen Sheng , Aijun Zhou
Purpose
This study aims to explore the experiences of caregivers in providing nutritional management for cancer patients with comorbid diabetes.
Method
We conducted semi-structured interviews with 25 caregivers of patients diagnosed with both cancer and diabetes. The interviews were audio-recorded, transcribed verbatim, and subjected to immersive reading and Colaizzi's analysis, with pseudonyms used to maintain confidentiality.
Results
We identified four key themes that describe caregivers' attitudes and experiences related to nutritional management for cancer patients with comorbid diabetes. The identified themes include (i) Willingly Providing Nutritional Care; (ii) Heavy Physical and Emotional Strain; (iii) Contradictory Dietary Care; (iv) The Pressing Need for Dietary Guidance.
Conclusions
This study shows that family caregivers of patients with cancer and comorbid diabetes place great importance on nutritional issues and demonstrate a strong sense of responsibility and dedication. It also highlights the multifaceted challenges family caregivers face in managing the nutrition of cancer patients with diabetes, including emotional stress, conflicting dietary needs, and limited access to professional guidance. Caregivers urgently require tailored, ongoing dietary support. Establishing a multidisciplinary support system, developing practical educational tools, and leveraging mobile health platforms may effectively reduce caregiver burden and improve comorbidity dietary management.
{"title":"Family caregivers' experiences in nutritional management of cancer-diabetes comorbidity: A descriptive phenomenological study","authors":"Chiteng Zhou , Huiqing Chen , Jialin Li , Shuangwei Hong , Xiaowen Sheng , Aijun Zhou","doi":"10.1016/j.ejon.2025.102982","DOIUrl":"10.1016/j.ejon.2025.102982","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aims to explore the experiences of caregivers in providing nutritional management for cancer patients with comorbid diabetes.</div></div><div><h3>Method</h3><div>We conducted semi-structured interviews with 25 caregivers of patients diagnosed with both cancer and diabetes. The interviews were audio-recorded, transcribed verbatim, and subjected to immersive reading and Colaizzi's analysis, with pseudonyms used to maintain confidentiality.</div></div><div><h3>Results</h3><div>We identified four key themes that describe caregivers' attitudes and experiences related to nutritional management for cancer patients with comorbid diabetes. The identified themes include (i) Willingly Providing Nutritional Care; (ii) Heavy Physical and Emotional Strain; (iii) Contradictory Dietary Care; (iv) The Pressing Need for Dietary Guidance.</div></div><div><h3>Conclusions</h3><div>This study shows that family caregivers of patients with cancer and comorbid diabetes place great importance on nutritional issues and demonstrate a strong sense of responsibility and dedication. It also highlights the multifaceted challenges family caregivers face in managing the nutrition of cancer patients with diabetes, including emotional stress, conflicting dietary needs, and limited access to professional guidance. Caregivers urgently require tailored, ongoing dietary support. Establishing a multidisciplinary support system, developing practical educational tools, and leveraging mobile health platforms may effectively reduce caregiver burden and improve comorbidity dietary management.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"79 ","pages":"Article 102982"},"PeriodicalIF":2.7,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145202003","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}
Pub Date : 2025-09-17DOI: 10.1016/j.ejon.2025.102980
Qianlin Lai , Wenwen Lu , Fengyi Zhang , Lin Xiao , Peijuan Chen , Lili Zhang
Purpose
To explore the parenting concerns experienced by young patients with cancer and their coping strategies in the context of Chinese culture.
Method
A qualitative descriptive design using semi-structured interviews was conducted between November 2024 and January 2025. A purposive sample of 20 young parents with cancer aged 18–44 years parenting at least one child under 18 was recruited. Data were analyzed using Microsoft Word 2021 following the conventional content analysis, which allows gaining direct information from participants without imposing theoretical perspectives. Rigor was established through member checking, peer debriefing, and audit trail.
Results
Four themes and twelve subthemes were identified: (1) Parenting dilemma (declining parenting competence, when parents are not around, the irreplaceability of the role in parents, parental decision-making on disclosing the cancer, taking a toll on the children, and unmet needs), (2) Individual strategies for coping with concerns (taking action and internal regulation), (3) External factors for buffering concerns (perceived support and perceived livelihood benefits), (4) Internalizing concerns into strength (being strong for the child and responsibility supports response to treatment challenges).
Conclusion
Young Chinese parents with cancer encountered multifaceted parenting dilemmas. They adopted strategies and utilized support resources to manage these issues, demonstrating the capacity to transform concerns into strength. This study provided comprehensive insights into the parenting concerns of Chinese parents with cancer and informed the development of localized support interventions. We recommend government-community collaboration and routine screening for parenting concerns in psychological assessments to ensure targeted mental health services for young parents with cancer.
目的：探讨中国文化背景下年轻癌症患者的育儿问题及其应对策略。方法：采用定性描述设计，于2024年11月至2025年1月进行半结构化访谈。有目的的样本是20对年龄在18-44岁之间的年轻癌症父母，他们至少有一个18岁以下的孩子。在传统的内容分析之后，使用Microsoft Word 2021对数据进行分析，这可以从参与者那里获得直接信息，而不会强加理论观点。严谨性是通过成员检查、同行汇报和审计跟踪建立起来的。结果：确定了4个主题和12个副主题：(1)育儿困境（育儿能力下降、父母不在身边、父母角色的不可替代性、父母对癌症披露的决策、对孩子的伤害、未满足的需求）；(2)个人应对担忧的策略（采取行动和内部调节）；(3)缓解担忧的外部因素（感知支持和感知生计利益）；(4)将关注内化为力量（为孩子坚强，责任支持对治疗挑战的反应）。结论：患有癌症的中国年轻父母面临着多方面的育儿困境。它们通过战略和利用支助资源来管理这些问题，显示出将关切转化为力量的能力。本研究对中国癌症患者父母的育儿问题提供了全面的见解，并为本地化支持干预的发展提供了信息。我们建议政府与社区合作，并在心理评估中对育儿问题进行常规筛查，以确保为患有癌症的年轻父母提供有针对性的心理健康服务。
{"title":"Parenting concerns of young parents with cancer in China: A descriptive qualitative study","authors":"Qianlin Lai , Wenwen Lu , Fengyi Zhang , Lin Xiao , Peijuan Chen , Lili Zhang","doi":"10.1016/j.ejon.2025.102980","DOIUrl":"10.1016/j.ejon.2025.102980","url":null,"abstract":"<div><h3>Purpose</h3><div>To explore the parenting concerns experienced by young patients with cancer and their coping strategies in the context of Chinese culture.</div></div><div><h3>Method</h3><div>A qualitative descriptive design using semi-structured interviews was conducted between November 2024 and January 2025. A purposive sample of 20 young parents with cancer aged 18–44 years parenting at least one child under 18 was recruited. Data were analyzed using Microsoft Word 2021 following the conventional content analysis, which allows gaining direct information from participants without imposing theoretical perspectives. Rigor was established through member checking, peer debriefing, and audit trail.</div></div><div><h3>Results</h3><div>Four themes and twelve subthemes were identified: (1) Parenting dilemma (declining parenting competence, when parents are not around, the irreplaceability of the role in parents, parental decision-making on disclosing the cancer, taking a toll on the children, and unmet needs), (2) Individual strategies for coping with concerns (taking action and internal regulation), (3) External factors for buffering concerns (perceived support and perceived livelihood benefits), (4) Internalizing concerns into strength (being strong for the child and responsibility supports response to treatment challenges).</div></div><div><h3>Conclusion</h3><div>Young Chinese parents with cancer encountered multifaceted parenting dilemmas. They adopted strategies and utilized support resources to manage these issues, demonstrating the capacity to transform concerns into strength. This study provided comprehensive insights into the parenting concerns of Chinese parents with cancer and informed the development of localized support interventions. We recommend government-community collaboration and routine screening for parenting concerns in psychological assessments to ensure targeted mental health services for young parents with cancer.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"78 ","pages":"Article 102980"},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151703","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}
Pub Date : 2025-09-14DOI: 10.1016/j.ejon.2025.102979
Bernadette E. Harris, Clara V. Murray, Einar B. Thorsteinsson, Kylie Rice
Purpose
Adjustment disorder is common in those experiencing cancer due to the ongoing stressors associated with diagnosis, treatment, and survivorship. These stressors include changes to the roles an individual feels able to fulfil and the support available to them. This study considers adjustment disorder in those with (or surviving) cancer and the factors that predict it (role changes) and influence its severity (gender and rurality).
Methods
A longitudinal quantitative study measured adjustment disorder with the 8-item Adjustment Disorder New Module, and role change with a visual analogue scale. At T1, 182 participants with (or surviving) cancer completed questionnaires and agreed to follow-up, 72 responded 12 months later at T2.
Results
Those reporting clinical levels of adjustment disorder at baseline were six times more likely to report the same at T2; this risk was significantly higher for rural participants. Levels of adjustment disorder remained stable across 12-months. Only rural males reported an increase in role change. The degree of role change reported at baseline predicted adjustment disorder at T2 for rural participants.
Conclusions
This study underscores the heightened risk of persistent adjustment disorder symptomology over time, for those with (or surviving) cancer who have experienced significant adjustment difficulties earlier in the journey. Role change emerged as a predictive factor in adjustment disorder for those from rural communities. These findings highlight the need for screening for adjustment disorder at multiple time points and offer insights into the psychological challenges faced by cancer patients, particularly those in rural areas.
{"title":"Adjustment disorder and role change in Australian oncology patients: A longitudinal rural-urban perspective study","authors":"Bernadette E. Harris, Clara V. Murray, Einar B. Thorsteinsson, Kylie Rice","doi":"10.1016/j.ejon.2025.102979","DOIUrl":"10.1016/j.ejon.2025.102979","url":null,"abstract":"<div><h3>Purpose</h3><div>Adjustment disorder is common in those experiencing cancer due to the ongoing stressors associated with diagnosis, treatment, and survivorship. These stressors include changes to the roles an individual feels able to fulfil and the support available to them. This study considers adjustment disorder in those with (or surviving) cancer and the factors that predict it (role changes) and influence its severity (gender and rurality).</div></div><div><h3>Methods</h3><div>A longitudinal quantitative study measured adjustment disorder with the 8-item Adjustment Disorder New Module, and role change with a visual analogue scale. At T<sub>1</sub>, 182 participants with (or surviving) cancer completed questionnaires and agreed to follow-up, 72 responded 12 months later at T<sub>2</sub>.</div></div><div><h3>Results</h3><div>Those reporting clinical levels of adjustment disorder at baseline were six times more likely to report the same at T<sub>2</sub>; this risk was significantly higher for rural participants. Levels of adjustment disorder remained stable across 12-months. Only rural males reported an increase in role change. The degree of role change reported at baseline predicted adjustment disorder at T<sub>2</sub> for rural participants.</div></div><div><h3>Conclusions</h3><div>This study underscores the heightened risk of persistent adjustment disorder symptomology over time, for those with (or surviving) cancer who have experienced significant adjustment difficulties earlier in the journey. Role change emerged as a predictive factor in adjustment disorder for those from rural communities. These findings highlight the need for screening for adjustment disorder at multiple time points and offer insights into the psychological challenges faced by cancer patients, particularly those in rural areas.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"78 ","pages":"Article 102979"},"PeriodicalIF":2.7,"publicationDate":"2025-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157464","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}
Pub Date : 2025-09-08DOI: 10.1016/j.ejon.2025.102978
Younhee Jeong , YeoJin Im , Hyungran Lee , YoungAh Park
Purpose
Cancer pain is a major symptom that significantly affects patients' quality of life and overall well-being. An integrated understanding of the multidimensional aspects of cancer pain based on patients’ lived experiences is necessary prior to pain management. The purpose of this meta-synthesis is to systematically compile and interpret qualitative research on cancer pain, thereby providing a synthesized understanding of the challenges and nuances of pain as experienced by adult patients with cancer.
Method
A qualitative meta-synthesis was conducted using seven phases of meta-ethnography. A comprehensive search across seven databases, culminating in December 2023. Quality appraisal of 22 studies was conducted using the CASP checklist, with data extraction emphasizing participant quotes and primary data for generating new insights through meta-ethnography.
Results
122 first codes were identified and classified from the included studies. These findings were aggregated into 40 s codes and subsequently condensed into 13 sub-themes. From these 13 sub-themes, five synthesized themes were developed: ‘Intricate Nature with Wide Spectrum of Expressions,’ ‘Harsh Realities,’ ‘Destroyer of Myself and My Life,’ ‘Searching for Freedom from Pain with a Journey of Resilience,’ and ‘Vitality of Spirituality and Reflection’ on the cancer pain experience.
Conclusions
This research supports various features of cancer pain experiences encompassing from deteriorating impact on life and positive coping with spirituality and resilience. Changes improve access to comprehensive care services, ensuring that psychosocial and spiritual support, are integral to manage cancer pain. These promise to enhance patient care and foster a more empathetic healthcare environment.
{"title":"Cancer pain experiences in adult patients with cancer: A qualitative meta-ethnography","authors":"Younhee Jeong , YeoJin Im , Hyungran Lee , YoungAh Park","doi":"10.1016/j.ejon.2025.102978","DOIUrl":"10.1016/j.ejon.2025.102978","url":null,"abstract":"<div><h3>Purpose</h3><div>Cancer pain is a major symptom that significantly affects patients' quality of life and overall well-being. An integrated understanding of the multidimensional aspects of cancer pain based on patients’ lived experiences is necessary prior to pain management. The purpose of this meta-synthesis is to systematically compile and interpret qualitative research on cancer pain, thereby providing a synthesized understanding of the challenges and nuances of pain as experienced by adult patients with cancer.</div></div><div><h3>Method</h3><div>A qualitative meta-synthesis was conducted using seven phases of meta-ethnography. A comprehensive search across seven databases, culminating in December 2023. Quality appraisal of 22 studies was conducted using the CASP checklist, with data extraction emphasizing participant quotes and primary data for generating new insights through meta-ethnography.</div></div><div><h3>Results</h3><div>122 first codes were identified and classified from the included studies. These findings were aggregated into 40 s codes and subsequently condensed into 13 sub-themes. From these 13 sub-themes, five synthesized themes were developed: ‘Intricate Nature with Wide Spectrum of Expressions,’ ‘Harsh Realities,’ ‘Destroyer of Myself and My Life,’ ‘Searching for Freedom from Pain with a Journey of Resilience,’ and ‘Vitality of Spirituality and Reflection’ on the cancer pain experience.</div></div><div><h3>Conclusions</h3><div>This research supports various features of cancer pain experiences encompassing from deteriorating impact on life and positive coping with spirituality and resilience. Changes improve access to comprehensive care services, ensuring that psychosocial and spiritual support, are integral to manage cancer pain. These promise to enhance patient care and foster a more empathetic healthcare environment.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"78 ","pages":"Article 102978"},"PeriodicalIF":2.7,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048427","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}
Pub Date : 2025-09-04DOI: 10.1016/j.ejon.2025.102975
Lida Abazari , Batool Tirgari
Purpose
This study aimed to assess the effects of lavender essential oil aromatherapy on odor intensity, sexual quality of life, and ostomy adjustment in patients with permanent colostomies as a safe, accessible, and holistic supportive intervention.
Methods
In this randomized two-group clinical trial, 50 patients with permanent colostomies at Bahonar Hospital in southeastern Iran were recruited in 2024. Participants were randomly assigned to intervention and control groups. The intervention group received a brief educational session and used 0.5 cc of lavender essential oil sprayed into the ostomy bag during each change for one month. Weekly follow-ups were conducted to ensure compliance. The control group received no intervention and continued their routine colostomy care and usual diet. Both groups completed the Sexual Quality of Life Questionnaire (SQOL), Ostomy Adjustment Inventory-23 (OAI-23), and General Labeled Magnitude Scale (GLMS) at baseline and post-intervention. Caregivers also assessed odor perception using the GLMS. Data were analyzed using SPSS v26 with appropriate statistical tests.
Results
Post-intervention, the intervention group showed significant improvements in sexual quality of life among both women (p = 0.007) and men (p = 0.001), as well as ostomy adjustment (p < 0.001). Patient-reported odor intensity also significantly decreased (p = 0.02). No significant changes were observed in the control group or in the caregiver-reported odor.
Conclusion
Lavender essential oil is a safe, accessible, and cost-effective intervention that reduces odor, enhances sexual quality of life, and facilitates ostomy adjustment in patients with permanent colostomies.
{"title":"The effect of aromatherapy with lavender essential oil on odor intensity, sexual quality of life, and ostomy adjustment: A clinical trial","authors":"Lida Abazari , Batool Tirgari","doi":"10.1016/j.ejon.2025.102975","DOIUrl":"10.1016/j.ejon.2025.102975","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to assess the effects of lavender essential oil aromatherapy on odor intensity, sexual quality of life, and ostomy adjustment in patients with permanent colostomies as a safe, accessible, and holistic supportive intervention.</div></div><div><h3>Methods</h3><div>In this randomized two-group clinical trial, 50 patients with permanent colostomies at Bahonar Hospital in southeastern Iran were recruited in 2024. Participants were randomly assigned to intervention and control groups. The intervention group received a brief educational session and used 0.5 cc of lavender essential oil sprayed into the ostomy bag during each change for one month. Weekly follow-ups were conducted to ensure compliance. The control group received no intervention and continued their routine colostomy care and usual diet. Both groups completed the Sexual Quality of Life Questionnaire (SQOL), Ostomy Adjustment Inventory-23 (OAI-23), and General Labeled Magnitude Scale (GLMS) at baseline and post-intervention. Caregivers also assessed odor perception using the GLMS. Data were analyzed using SPSS v26 with appropriate statistical tests.</div></div><div><h3>Results</h3><div>Post-intervention, the intervention group showed significant improvements in sexual quality of life among both women (p = 0.007) and men (p = 0.001), as well as ostomy adjustment (p < 0.001). Patient-reported odor intensity also significantly decreased (p = 0.02). No significant changes were observed in the control group or in the caregiver-reported odor.</div></div><div><h3>Conclusion</h3><div>Lavender essential oil is a safe, accessible, and cost-effective intervention that reduces odor, enhances sexual quality of life, and facilitates ostomy adjustment in patients with permanent colostomies.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"78 ","pages":"Article 102975"},"PeriodicalIF":2.7,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048425","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}
Pub Date : 2025-09-01DOI: 10.1016/j.ejon.2025.102977
Suzanne Sheppard , David Culliford , Tracy Glen , Sally Lee , Zoë A. Sheppard , Sam Porter
Purpose
Despite high levels of sexual dysfunction following cancer treatment, people with cancer report that sexual health is infrequently discussed during cancer care. Reasons for this infrequency have been identified in the qualitative literature. The purpose of this paper is to identify statistically significant barriers to, or facilitators of sexual health care identified by people with cancer.
Methods
The care for sexual health in oncology survey (CaSHOS) was a cross-sectional, analytical, retrospective, online survey of people with cancer who had received treatment and follow-up care for any type of cancer in the UK during the previous 10 years. A convenience sample was recruited via UK cancer charities. A minimum sample size of 120 people with cancer was required. Univariate, bivariate and multivariate statistical analyses were conducted. Despite attempts to mitigate recall bias, this remained a limitation of this study.
Results
Sexual activity worsened following cancer treatment for the majority of participants. Sixty-one per cent self-reported never having talked about their sexual health during their cancer care. Univariate analysis found little agreement with proposed barriers to care but more agreement with proposed facilitators of care. Bivariate/multivariate analyses found four statistically significant variables that decreased the likelihood of ever having talked to professionals about sexual health (two related to privacy in the hospital setting) and two that increased the likelihood (one related to being sexually active in the past year).
Conclusions
Although few barriers to care for sexual health were identified, most of these related to organisational aspects of the hospital setting.
Registration
ClinicalTrials.gov identifier NCT06074445; UK NIHR CRN Portfolio of Studies CPMS ID 52741.
目的：尽管癌症治疗后性功能障碍水平很高，但癌症患者报告说，在癌症治疗期间，性健康很少被讨论。这种不常见的原因已在定性文献中确定。本文的目的是确定统计上显著的障碍，或由癌症患者确定的性健康保健的促进因素。方法：肿瘤学性健康护理调查（CaSHOS）是一项横断面、分析性、回顾性的在线调查，调查对象是在英国过去10年中接受过任何类型癌症治疗和随访护理的癌症患者。一个方便的样本是通过英国癌症慈善机构招募的。最低样本量为120名癌症患者。进行单因素、双因素和多因素统计分析。尽管试图减轻回忆偏差，这仍然是本研究的局限性。结果：大多数参与者在接受癌症治疗后性生活恶化。61%的人自称在癌症治疗期间从未谈论过他们的性健康。单变量分析发现，与建议的护理障碍几乎没有一致，但与建议的护理促进因素更一致。双变量/多变量分析发现，有四个具有统计意义的变量降低了与专业人员谈论性健康的可能性（两个与医院环境中的隐私有关），两个增加了与专业人员谈论性健康的可能性（一个与过去一年的性活跃有关）。结论：虽然确定了性健康护理的少数障碍，但大多数障碍与医院环境的组织方面有关。注册：ClinicalTrials.gov识别码NCT06074445；英国NIHR CRN研究组合CPMS ID 52741。
{"title":"Care for sexual health in oncology survey: a regression analysis of variables associated with the likelihood of people with cancer having a sexual health discussion with the hospital cancer team","authors":"Suzanne Sheppard , David Culliford , Tracy Glen , Sally Lee , Zoë A. Sheppard , Sam Porter","doi":"10.1016/j.ejon.2025.102977","DOIUrl":"10.1016/j.ejon.2025.102977","url":null,"abstract":"<div><h3>Purpose</h3><div>Despite high levels of sexual dysfunction following cancer treatment, people with cancer report that sexual health is infrequently discussed during cancer care. Reasons for this infrequency have been identified in the qualitative literature. The purpose of this paper is to identify statistically significant barriers to, or facilitators of sexual health care identified by people with cancer.</div></div><div><h3>Methods</h3><div>The care for sexual health in oncology survey (CaSHOS) was a cross-sectional, analytical, retrospective, online survey of people with cancer who had received treatment and follow-up care for any type of cancer in the UK during the previous 10 years. A convenience sample was recruited via UK cancer charities. A minimum sample size of 120 people with cancer was required. Univariate, bivariate and multivariate statistical analyses were conducted. Despite attempts to mitigate recall bias, this remained a limitation of this study.</div></div><div><h3>Results</h3><div>Sexual activity worsened following cancer treatment for the majority of participants. Sixty-one per cent self-reported never having talked about their sexual health during their cancer care. Univariate analysis found little agreement with proposed barriers to care but more agreement with proposed facilitators of care. Bivariate/multivariate analyses found four statistically significant variables that decreased the likelihood of ever having talked to professionals about sexual health (two related to privacy in the hospital setting) and two that increased the likelihood (one related to being sexually active in the past year).</div></div><div><h3>Conclusions</h3><div>Although few barriers to care for sexual health were identified, most of these related to organisational aspects of the hospital setting.</div></div><div><h3>Registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> identifier <span><span>NCT06074445</span><svg><path></path></svg></span>; UK NIHR CRN Portfolio of Studies CPMS ID 52741.</div></div>","PeriodicalId":51048,"journal":{"name":"European Journal of Oncology Nursing","volume":"78 ","pages":"Article 102977"},"PeriodicalIF":2.7,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145088052","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}
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