{"title":"Addressing Mental Health Needs in Patients With Cancer: A Recent Systematic Review and Meta-Analysis of the Effectiveness of Nurse-Led Interventions.","authors":"Jingjia Shi, Lingyu Zhu","doi":"10.1097/NCQ.0000000000000859","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety are prevalent among patients with cancer, impacting their quality of life and treatment outcomes. Nurse-led interventions are promising but show variable effectiveness.</p><p><strong>Purpose: </strong>This review assessed the effectiveness of nurse-led interventions in reducing depression and anxiety in patients with cancer.</p><p><strong>Methods: </strong>A systematic search identified studies evaluating nurse-led approaches for depression and anxiety. Meta-analysis used Cohen's d with a random-effects model, and heterogeneity was assessed using the I 2 statistic.</p><p><strong>Results: </strong>Eighteen studies (n = 2054) showed significant reductions in depression (-1.29, 95% confidence interval [CI]: -1.52 to -1.06) and anxiety (-1.31, 95% CI: -1.55 to -1.07). Effective strategies included self-care education, cognitive-behavioral therapy, and peer support. Moderate to high heterogeneity ( I2 = 70%-75%) was partly resolved through sensitivity analyses.</p><p><strong>Conclusions: </strong>Nurse-led interventions effectively reduce depression and anxiety in patients with cancer. Integrating these strategies into oncology care and standardizing protocols can further improve outcomes.</p>","PeriodicalId":16931,"journal":{"name":"Journal of nursing care quality","volume":" ","pages":"318-325"},"PeriodicalIF":1.7000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of nursing care quality","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NCQ.0000000000000859","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/1 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Depression and anxiety are prevalent among patients with cancer, impacting their quality of life and treatment outcomes. Nurse-led interventions are promising but show variable effectiveness.
Purpose: This review assessed the effectiveness of nurse-led interventions in reducing depression and anxiety in patients with cancer.
Methods: A systematic search identified studies evaluating nurse-led approaches for depression and anxiety. Meta-analysis used Cohen's d with a random-effects model, and heterogeneity was assessed using the I 2 statistic.
Results: Eighteen studies (n = 2054) showed significant reductions in depression (-1.29, 95% confidence interval [CI]: -1.52 to -1.06) and anxiety (-1.31, 95% CI: -1.55 to -1.07). Effective strategies included self-care education, cognitive-behavioral therapy, and peer support. Moderate to high heterogeneity ( I2 = 70%-75%) was partly resolved through sensitivity analyses.
Conclusions: Nurse-led interventions effectively reduce depression and anxiety in patients with cancer. Integrating these strategies into oncology care and standardizing protocols can further improve outcomes.
期刊介绍:
Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.