{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T02:58:39Z","timestamp":1781146719048,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T00:00:00Z","timestamp":1771372800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp;amp; Health Sciences"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    To evaluate the effectiveness of combined problem\u2010based learning (PBL) and rational emotive behavior therapy (REBT) on Psychological Outcomes, Self\u2010Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in breast cancer care. In this non\u2010randomized study conducted at a tertiary hospital in China, 180 patients with breast cancer treated between October 2021 and August 2022 were divided into a control group (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200990) receiving conventional education and a study group (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200990) receiving PBL combined with REBT. Outcomes were assessed using validated scales including the Hamilton Anxiety\/Depression Rating Scales, EORTC QLQ\u2010C30, General Self\u2010Efficacy Scale, a hospital\u2010designed compliance questionnaire, and adverse event follow\u2010up. After intervention, the study group demonstrated significantly greater improvements in psychological outcomes (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), self\u2010efficacy (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), lower adverse event rates (13.33% vs. 31.11%;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.01), quality of life domains (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), treatment compliance (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), compared to the control group. The combined PBL and REBT approach enhances postoperative care for patients with breast cancer by improving psychological outcomes (e.g., reducing anxiety), enhancing self\u2010efficacy, minimizing adverse events, improving quality of life, and promoting treatment compliance.\n                  <\/jats:p>","DOI":"10.1111\/nhs.70299","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T19:43:56Z","timestamp":1771443836000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Problem\u2010Based Learning Combined With Rational Emotive Behavior Therapy on Psychological Outcomes, Self\u2010Efficacy, Adverse Events, Quality of Life, and Treatment Compliance in Breast Cancer Care: A Non\u2010Randomized Study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3847-9239","authenticated-orcid":false,"given":"Yanru","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Nursing Tianjin Children's Hospital (Children's Hospital, Tianjin University)  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuanyuan","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hangu Traditional Chinese Medicine Hospital  Tianjin China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5519-3055","authenticated-orcid":false,"given":"Runhao","family":"Jin","sequence":"additional","affiliation":[{"name":"School of Nursing Yanbian University  Yanbian Korean Autonomous Prefecture China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/85.5.365"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2017.08.015"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clbc.2021.05.006"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.4067\/S0034-98872020001001452"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2018-0298"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_301_18"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2015.08.007"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8341.1959.tb00467.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.23.1.56"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31891-8"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000025918"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1607-551X(09)70071-3"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-002120"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15321"},{"issue":"1","key":"e_1_2_10_16_1","first-page":"74","article-title":"An Educational Program for the Prevention of Lymphedema in Women After Breast Cancer Surgery: A Randomized Clinical Trial","volume":"50","author":"Pires A.","year":"2021","journal-title":"Journal of Obstetric, Gynecologic, and Neonatal Nursing"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1043659617727833"},{"issue":"3","key":"e_1_2_10_18_1","first-page":"208","article-title":"Effect of Face\u2010To\u2010Face Education, Problem\u2010Based Learning, and Goldstein Systematic Training Model on Quality of Life and Fatigue Among Caregivers of Patients With Diabetes","volume":"22","author":"Shourjeh R.","year":"2017","journal-title":"Iranian Journal of Nursing and Midwifery 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