Supportive Care in Cancer,
Год журнала:
2024,
Номер
32(1)
Опубликована: Янв. 1, 2024
Abstract
Purpose
The
aim
of
this
randomised
controlled
trial
(RCT)
was
to
explore
whether
a
community
nursing
intervention
for
outpatients
receiving
systemic
therapy
reduced
unplanned
hospital
presentations
and
improved
physical
psychosocial
health
outcomes
over
the
first
three
cycles
treatment
compared
control
group
standard
care.
Methods
number
reasons
were
obtained
170
176
adult
patients
with
solid
tumours
starting
outpatient
chemotherapy.
Poisson
regression
used
compare
between
groups.
Patients
self-completed
Hospital
Anxiety
Depression
Scale,
Cancer
Behavior
Inventory
European
Organization
Research
Treatment
Quality
Life
Questionnaire
core
30
(EORTC
QLQ-C30)
at
start
four
cycles.
Linear
techniques
quality
life
outcomes.
Results
reduction
in
relative
12%
(95%
CI,
−
25%,
37%;
P
=
0.48).
At
cycle
4,
there
no
difference
anxiety
(difference
0.47
0.28,
1.22;
0.22)),
depression
0.57
0.18,
1.31;
0.13))
or
EORTC
QLQ-C30
summary
score
0.16
2.67,
3.00;
0.91)).
Scores
self-efficacy
as
measured
by
higher
4.3
0.7,
7.9;
0.02)).
Conclusion
This
RCT
did
not
demonstrate
benefit
reducing
hospital.
identified
cancer-based
intervention.
Trial
registration
Registered
Australian
New
Zealand
Clinical
Trials
Registry:
ACTRN12614001113640,
registered
21/10/2014.
Psycho-Oncology,
Год журнала:
2019,
Номер
28(9), С. 1781 - 1790
Опубликована: Июнь 17, 2019
Self-efficacy
expectations
are
associated
with
improvements
in
problematic
outcomes
widely
considered
clinically
significant
(ie,
emotional
distress,
fatigue,
and
pain),
related
to
positive
health
behaviors,
as
a
type
of
personal
agency,
inherently
valuable.
expectancies,
estimates
confidence
execute
important
that
changes
self-efficacy
positively
future
behaviors
promote
well-being.
The
current
meta-analysis
investigated
the
impact
psychological
interventions
on
for
variety
among
cancer
patients.Ovid
Medline,
PsycINFO,
CINAHL,
EMBASE,
Cochrane
Library,
Web
Science
were
searched
specific
search
terms
identifying
randomized
controlled
trials
(RCTs)
focused
psychologically
based
interventions.
Included
studies
had
(a)
an
adult
sample,
(b)
expectation
measure
(c)
RCT
design.
Standard
screening
reliability
procedures
used
selecting
coding
studies.
Coding
included
theoretically
informed
moderator
variables.Across
79
RCTs,
223
effect
sizes,
8678
participants,
weighted
average
was
estimated
g
=
0.274
(P
<
.001).
Consistent
theory,
in-person
intervention
delivery
(g
0.329)
significantly
greater
than
all
other
formats
0.154,
P
.023;
eg,
audiovisual,
print,
telephone,
Web/internet).The
results
establish
comparable
size
commonly
reported
(distress,
pain).
Additionally,
result
achieved
largest
is
supported
by
social
learning
theory
could
inform
research
development
evaluation
Journal of Medical Internet Research,
Год журнала:
2024,
Номер
26, С. e51949 - e51949
Опубликована: Фев. 23, 2024
Distress
is
highly
prevalent
among
patients
with
cancer,
but
supportive
care
needs
often
go
unmet.
Digital
therapeutics
hold
the
potential
to
overcome
barriers
in
cancer
and
improve
health
outcomes.
BMC Health Services Research,
Год журнала:
2024,
Номер
24(1)
Опубликована: Май 28, 2024
Abstract
Background
Despite
advances
in
cancer
research
and
treatment,
the
burden
of
is
not
evenly
distributed.
People
experiencing
socioeconomic
disadvantage
have
higher
rates
cancer,
later
stage
at
diagnoses,
are
dying
cancers
that
preventable
screen-detectable.
However,
less
known
about
barriers
to
accessing
treatment.
Methods
We
conducted
a
scoping
review
studies
examining
treatment
for
populations
high-income
countries,
searched
across
four
biomedical
databases.
Studies
published
English
between
2008
2021
as
defined
by
World
Bank,
reporting
on
were
included.
Results
A
total
20
identified.
Most
(
n
=
16)
reported
data
from
United
States,
remaining
included
publications
Canada
1),
Ireland
Kingdom
1).
The
majority
9)
focused
breast
most
common
included:
inadequate
insurance
financial
constraints
16);
unstable
housing
5);
geographical
distribution
services
transportation
challenges
4);
limited
resources
social
care
needs
7);
communication
9);
system
disintegration
implicit
bias
advanced
diagnosis
comorbidities
8);
psychosocial
dimensions
contexts
6);
support
networks
3).
compounding
effect
multiple
exacerbated
poor
access
with
relevance
many
locations.
Conclusion
This
highlights
levels,
underscores
importance
identifying
patients
risk
improve
outcomes.
Findings
provide
an
understanding
can
inform
future,
equity-oriented
policy,
practice,
service
innovation.
This
study
aimed
to
investigate
the
impact
of
self-consciousness
on
depression
college
students,
and
mainly
focus
confirming
mediator
role
life
meaningful
self-efficacy,
as
well
moderator
social
support.
Nursing in Critical Care,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 13, 2025
Abstract
Background
More
self‐efficacy
leads
to
greater
confidence
in
one's
ability
perform
actions
achieve
treatment
goals.
Therefore,
may
affect
patient
recovery
and
health‐related
quality
of
life
(HRQoL)
after
ICU
discharge.
Aim
In
a
cohort
mechanically
ventilated
COVID‐19
survivors,
we
examined
the
associations
between
at
3
months
HRQoL
3,
12
24
Study
Design
Mechanically
survivors
MaastrICCht
that
completed
assessment
with
General
Self‐Efficacy
Scale
(GSES)
were
included.
was
measured
using
EuroQol
5
Dimensions
Levels
(EQ‐5D‐5L),
subdivided
into
health
utility
score
(EQ‐HUS)
visual
analogue
scale
(EQ‐VAS).
Linear
regression
models
used
investigate
adjusted
for
age,
sex,
body
mass
index
(BMI),
Acute
Physiology
Chronic
Health
Evaluation
II
(APACHE
II)
score,
length
stay
hospital
discharge
location.
Results
87
more
associated
longitudinally
higher
EQ‐HUS
(
β
=
0.01;
95%
CI:
0.01–0.02;
p
<
0.001)
EQ‐VAS
1.00;
0.66–1.35;
up
2
years
After
adjustment
BMI,
APACHE
stay,
location,
similar.
Conclusions
survivors.
Relevance
Clinical
Practice
Screening
patients
post‐ICU
as
well
developing
interventions
improve
are
target
enhance
over
long
term.
Journal of Evidence-Based Social Work,
Год журнала:
2025,
Номер
unknown, С. 1 - 18
Опубликована: Янв. 15, 2025
This
study
seeks
to
investigate
the
effectiveness
of
psychological
interventions
in
promoting
pro-environmental
behaviors
by
fostering
resilience
and
self-efficacy
Iranian
youth.
Additionally,
based
on
social
cognitive
theory,
research
examines
role
sustainable
youth
work
moderating
these
relationships.
A
cross-sectional
design
was
employed
collect
data
via
a
survey
from
384
participants,
using
validated
scales.
Structural
equation
modeling
utilized
examine
relationships
among
variables.
The
results
demonstrate
notable
substantial
impact
behaviors.
findings
indicate
mediating
between
Ultimately,
has
emerged
as
significant
moderators,
enhancing
this
carry
implications
for
execution
strategies
focused
changing
environmental
underscores
importance
factors
shaping
behavior,
thereby
overall
understanding
behavior
development
World Journal of Gastrointestinal Surgery,
Год журнала:
2025,
Номер
17(2)
Опубликована: Янв. 20, 2025
BACKGROUND
Esophageal
cancer
(EC)
is
an
aggressive
malignancy
with
low
survival
(10%-30%).
Nutritional
problems
are
present
throughout
the
perioperative
period
and
key
to
prognosis.
Home
enteral
nutrition
appears
improve
nutritional
status
of
patients
EC.
Few
studies
have
addressed
experience
administering
their
own
fluids
managing
feeding
tubes
at
home.
The
aim
this
study
was
explore
real-life
self-management
in
home
after
EC
surgery
first
3
months
discharge
following
surgery.
AIM
To
tube
METHODS
Face-to-face
semi-structured
interviews
were
conducted
18
using
a
Thematic
analysis
recordings
identified
themes
related
self-management.
RESULTS
Patients
expressed
similar
feelings
about
management
experiences
concerning
three
contextualized
themes:
Self-management
dilemmas,
distressing
experiences,
facilitators.
CONCLUSION
There
many
dilemmas
self-managing
postoperative
homebound
Clinical
staff
should
provide
guidance
promote
positive
change
behavior.