Worldviews on Evidence-Based Nursing最新文献

{"title":"Empowering Nurses With Ethics Education: A Focus Group Study to Understand Clinical Nurses' Perceptions of the \"Moral Spaces\" Program.","authors":"Georgina Morley, Dianna Jo Copley, Jennifer Katlen, Elisa Reverman, Nancy M Albert","doi":"10.1111/wvn.70146","DOIUrl":"10.1111/wvn.70146","url":null,"abstract":"<p><strong>Background: </strong>Ethics education for pre- and post-licensure nurses is inconsistently delivered. In clinical practice, nurses report feeling inadequately prepared to address ethical challenges, which decreases their ability to take ethical action and creates moral distress.</p><p><strong>Aims: </strong>To understand nurses' perceptions of an innovative, experiential ethics education program, its benefits, and limitations to enhancing ethical patient care.</p><p><strong>Methods: </strong>Using a descriptive qualitative design and focus group interviews, data were collected from 2 cohorts of hospital-based nurses who completed a multimodal ethics education program (the Moral Spaces program). Participants were recruited from a quaternary care medical center and nine small- to -mid-size regional acute care hospitals within one healthcare system in the Midwest United States. Data were analyzed using conversation analysis.</p><p><strong>Results: </strong>Eleven nurses participated. Three themes were identified: 1. Recognition of Diverse Values and Perspectives, 2. Critical Distance to Neutralize Strong Negative Emotions and Address Burnout, and 3. Enhanced Advocacy Prompting Greater Expectations.</p><p><strong>Linking evidence to action: </strong>Ethics education programs can positively influence nurses and their clinical practice. By empowering nurses with ethical knowledge and communication skills, they describe a greater ability to identify and address ethical issues, thereby mitigating moral distress and burnout. When empowered to advocate more effectively for patient values, the ethical delivery of patient care can be optimized. However, if interprofessional collaboration and practices are not aligned, nurses may encounter barriers to enhancing ethical patient care and positively influencing unit culture. Leadership support for ethics education programs is crucial for participation and implementation.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70146"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burnout Experienced by Military Nurses: A Systematic Review.","authors":"Mollie F Christiansen, Tanekkia Taylor-Clark, Linda H Yoder, Deborah Kenny","doi":"10.1111/wvn.70145","DOIUrl":"10.1111/wvn.70145","url":null,"abstract":"<p><strong>Background: </strong>Burnout is associated with adverse physical and psychological health outcomes in civilian nurses. Among military populations, these adverse health outcomes have the potential to degrade readiness at both individual and system levels. There are few scientific studies about burnout among military nurses.</p><p><strong>Aim: </strong>The purpose of this systematic review was to critically examine the evidence regarding the prevalence and individual characteristics associated with burnout among active-duty military nurses.</p><p><strong>Methods: </strong>A systematic review was conducted using a comprehensive, iterative search. Peer-reviewed reports of studies that included burnout in the stated aim or research question and used a validated instrument to measure burnout were included.</p><p><strong>Results: </strong>Five studies met inclusion criteria. The reported prevalence of burnout among military nurses was between 1.7% and 13.8%. Scoring, measurement, and operational definitions differed, so results should be interpreted with caution. Increased military and nursing experience, a higher volume of work hours, and working on non-day shifts may contribute to burnout among military nurses. Differences in burnout based on sex and military versus civilian status are mixed.</p><p><strong>Linking evidence to action: </strong>Researchers should consider alternative theoretical frameworks and measurement instruments when studying burnout among military nurses. Inconsistency in measurement methods from previous studies limits current understanding. Military-specific cultural concepts may play a role in mitigating burnout among military nurses.</p><p><strong>Trial registration: </strong>CRD420251036405.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70145"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Pre-Pregnancy Weight Loss Interventions on the Risk of Gestational Diabetes Mellitus in Overweight or Obese Women: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.","authors":"Yucheng Jiang, Yilin Mao, Li Li, Na Wang, Zheng Zhu, Yan Ding","doi":"10.1111/wvn.70128","DOIUrl":"10.1111/wvn.70128","url":null,"abstract":"<p><strong>Objective: </strong>To synthesize randomized controlled trials (RCTs) regarding the effectiveness of pre-pregnancy weight loss interventions on the risk of gestational diabetes mellitus (GDM) in women with overweight or obesity.</p><p><strong>Methods: </strong>Comprehensive literature searches were conducted across nine databases from inception to May 2024. RCTs comparing pre-pregnancy weight loss interventions with blank control or active control among adult women with overweight or obesity were included. Meta-analyses, using a random-effects model, were performed to pool results of RCTs.</p><p><strong>Results: </strong>Six studies, including 1632 participants, were included. The effectiveness of pre-pregnancy weight loss interventions on changes in weight and body mass index (BMI) was statistically significant (mean difference [MD] = -6.02, 95% confidence interval [CI] [-8.94, -3.10], I² = 98%; MD = -2.22, 95% CI [-3.44, -1.00], I² = 98%). However, there was no statistically significant difference in the risk of GDM in women receiving pre-pregnancy weight loss interventions compared with controls (Odd Ratio [OR] = 0.70, 95% CI [0.48, 1.03], I² = 2%).</p><p><strong>Linking evidence to action: </strong>Pre-pregnancy weight loss interventions do not significantly impact the risk of GDM in women with overweight or obesity. Due to the small number of studies, small sample size, and large heterogeneity of pre-pregnancy weight loss interventions, further research is required.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: CRD42023482808.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70128"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacting Well-Being and Resiliency of Pediatric Critical-Care Nurses Through Implementation of MINDBODYSTRONG.","authors":"Kathryn E Roberts, Jacqueline Hoying, Jeffrey Messinger","doi":"10.1111/wvn.70148","DOIUrl":"10.1111/wvn.70148","url":null,"abstract":"<p><strong>Background: </strong>Growing numbers of clinicians are dealing with mental and behavioral health issues, including burnout, depression, and suicidal ideation. Prevalence of these conditions in pediatric critical-care (PCC) nurses is reported to be as high as 42%-77%.</p><p><strong>Purpose: </strong>The purpose of this evidence-based quality improvement project was to implement a cognitive behavioral skills-building (CBSB) program to improve well-being and resiliency in PCC nurses.</p><p><strong>Implementation plan: </strong>The 7-week MINDBODYSTRONG (MBS) program was implemented with two cohorts of neonatal/PCC nurses in a 222-bed academic, tertiary care pediatric hospital, using a virtual platform and offering 1 sequential session per week. Each participant was asked to complete an anonymous baseline and post-program survey that included the following measures: Generalized Anxiety Disorder (GAD-2), Perceived Stress Scale (PSS4), Patient Health Questionnaire (PHQ-2), and a Single Item Measure of Burnout. Post-program surveys also included a MBS program evaluation.</p><p><strong>Outcomes: </strong>Fifteen RNs registered for and completed the MBS program. 93.3% completed both the baseline and post-program survey. Results demonstrated positive clinical effects across all four mental health measures with large effects noted in the GAD-2 and PSS-4, and small effects noted in the PHQ-2 and the Single Item Measure of Burnout. 100% of participants found MBS helpful and recommended that it be offered to a wider audience.</p><p><strong>Linking evidence to action: </strong>Implementation of the MBS CBSB program demonstrated clinical effectiveness on measures of anxiety, perceived stress, depression, and burnout in PCC nurses. The program was well received by participants. Strategies for broader implementation should be explored.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70148"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Policy to Practice: The Evidence on Pre-Registration and Reporting Guidelines in Nursing Journal Publications.","authors":"Priscilla K Gazarian, Sybil Crawford, Catherine Quill, Victoria Rossetti","doi":"10.1111/wvn.70149","DOIUrl":"10.1111/wvn.70149","url":null,"abstract":"<p><strong>Significance/background: </strong>Ensuring transparency in research dissemination and confidence in published findings is essential for advancing nursing science. Open science provides a framework for achieving this by promoting practices that make scientific knowledge openly accessible, rigorous, reproducible, and inclusive, thereby strengthening trustworthiness and accountability in scholarly work.</p><p><strong>Aims: </strong>This study aimed to evaluate the extent to which nursing journals require pre-registration and reporting guidelines, assess adherence to these practices in published research reports and systematic reviews, and explore their relationship with journal impact factors.</p><p><strong>Methods: </strong>We conducted an observational cross-sectional survey of nursing journals indexed in the Journal Citation Reports database. After applying inclusion criteria, a 25% random sample (n = 35) was selected. Author guidelines were reviewed for pre-registration and reporting guideline requirements. For each journal, the first original research article and first systematic review from the most recent issue were examined for evidence of adherence.</p><p><strong>Results: </strong>Among sampled journals, 54% recommended or required pre-registration for original research and 14% for systematic reviews. Reporting guidelines were recommended or required by 71% of journals for original research and 74% for systematic reviews. In sampled articles, pre-registration occurred in 8.6% of original research papers and 35.7% of systematic reviews, while reporting guideline use was documented in 20% of original research and 64.3% of systematic reviews. Journal impact factors were slightly higher among journals that recommended or required these practices, but differences were not statistically significant.</p><p><strong>Conclusions: </strong>Pre-registration remains underutilized in nursing research despite journal recommendations. Reporting guidelines are more commonly used, especially in systematic reviews.</p><p><strong>Linking evidence to action: </strong>Improving research integrity requires collaboration among all stakeholders beyond journal policy enforcement. Key strategies include training researchers, screening submissions for pre-registration and reporting guidelines, involving peer reviewers in compliance checks, and leveraging librarians for comprehensive searches.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70149"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structured, Nurse-Led Post-Discharge Follow-Up Calls to Reduce 30-Day Hospital Readmissions: A Quality Improvement Initiative.","authors":"Maureen R Wright","doi":"10.1111/wvn.70142","DOIUrl":"10.1111/wvn.70142","url":null,"abstract":"<p><strong>Background: </strong>Thirty-day hospital readmissions remain a persistent challenge, undermining patient safety, disrupting care continuity, and straining healthcare system performance. Ineffective discharge education and weak care transitions leave patients vulnerable after hospitalization. Evidence suggests that structured follow-up calls within 24-72 h can reduce preventable readmissions and strengthen care transitions.</p><p><strong>Aim: </strong>This study aimed to evaluate the effectiveness of structured, nurse-led follow-up telephone calls, guided by the AHRQ RED Toolkit, in reducing 30-day hospital readmissions.</p><p><strong>Methods: </strong>This study was conducted in a 200-bed urban medical center. It was reviewed and classified as a quality improvement initiative with minimal ethical risk and did not require informed consent. Over a 12-week implementation period, registered nurses used a standardized script to conduct follow-up calls within 24-72 h of discharge. Calls addressed health status, medication use, follow-up appointments, and home support. Pre- and post-intervention readmission data were collected from the electronic health record. Analysis included descriptive statistics and Chi-square testing.</p><p><strong>Results: </strong>Among 287 patients who received standard care, 17% were readmitted within 30 days of discharge. In contrast, only 3.5% of 112 patients who received structured follow-up calls were readmitted, representing an absolute reduction of 13% (χ² = 12.05, p = 0.0005). Patients also reported improved satisfaction and confidence in managing their care.</p><p><strong>Linking evidence to action: </strong>Structured, nurse-led post-discharge follow-up telephone calls within 24-72 h should be integrated into standard discharge workflows to reduce preventable hospital readmissions. Nursing leadership can leverage this low-cost, scalable intervention to strengthen transitional care, improve patient safety, and support value-based care outcomes across diverse healthcare settings.</p><p><strong>Conclusions: </strong>Nurse-led post-discharge follow-up calls significantly reduced 30-day readmissions while enhancing patient safety and care transitions. Findings support incorporating structured follow-up calls into standard discharge planning as a cost-effective, evidence-based intervention for broad implementation.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70142"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148164760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wearable Technologies for Detecting Near-Falls: A Systematic Review With Implications for Geriatric Nursing Practice.","authors":"Leodoro J Labrague, Anna Nguyen, Liza Visbal-Dionaldo, David Ha","doi":"10.1111/wvn.70143","DOIUrl":"10.1111/wvn.70143","url":null,"abstract":"<p><strong>Background: </strong>Near-falls, defined as events in which individuals momentarily lose their balance but avoid falling, are strong predictors of subsequent falls. Wearable technologies have the potential to accurately detect near-falls in both laboratory and real-world settings, providing opportunities for early intervention in geriatric nursing practice.</p><p><strong>Aims: </strong>This study has a two-fold aim: (1) to appraise and synthesize current evidence on wearable sensor technologies for near-fall detection, and (2) to discuss their potential applications for monitoring near-fall risk and implementing prevention strategies in older adults.</p><p><strong>Methods: </strong>This is a systematic review. Articles were searched in five electronic databases (PubMed/MEDLINE, Embase, CINAHL, Web of Science, and IEEE Xplore) that explored wearable sensors for near-fall detection. The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</p><p><strong>Results: </strong>A total of 18 studies, mostly experimental or observational, were included. Inertial Measurement Units (IMUs) were the most commonly used wearable technology, and the most frequently captured biomarker was linear acceleration. Lower-body placements (feet, ankles, and lower back) demonstrated superior performance in detecting near-falls. Single-sensor systems achieved sensitivities of 80%-98%, whereas multi-sensor configurations achieved 100% sensitivity, 99% specificity, and 100% accuracy.</p><p><strong>Linking evidence to action: </strong>Integrating wearable technologies for near-fall detection into geriatric nursing practice may enhance early identification of older adults at high risk for falls and enable timely, personalized interventions. Future research should validate these technologies in real-world settings and assess their acceptability among nurses, caregivers, and older adults.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70143"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying Promising Practices in Lifestyle Intervention Programs for the Prediabetes Population: A Meta-Analysis and Meta-Regression of Randomized Controlled Trials.","authors":"Jincheng Rong, Mandy Ho, Disheng Zhou, Pui Hing Chau","doi":"10.1111/wvn.70152","DOIUrl":"10.1111/wvn.70152","url":null,"abstract":"<p><strong>Background: </strong>Despite the evidence for the efficacy of lifestyle interventions for type 2 diabetes prevention, there remains a gap in translating this evidence-based practice into real-world settings.</p><p><strong>Aims: </strong>To summarize current evidence regarding the relationship between participant characteristics, intervention components, and the effect of lifestyle interventions for individuals with prediabetes.</p><p><strong>Methods: </strong>The initial search of PubMed, Embase, the Cochrane Library, and Web of Science was performed on 6th December 2023 and was subsequently updated on 5th October 2025. Randomized controlled trials on lifestyle interventions (diet and/or physical activity), compared to usual care, no intervention, or wait-list control, in adults with prediabetes were eligible. Outcomes included the incidence of type 2 diabetes and normoglycemia, fasting plasma glucose (FPG), 2-h plasma glucose, hemoglobin A1c (HbA1c), fasting insulin (FI), and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR). Random-effects meta-analyses were performed to estimate relative risks (RRs) and mean differences. Subgroup analyses and meta-regressions were conducted by participant characteristics and intervention components.</p><p><strong>Results: </strong>Seventy-seven studies (n = 22,629 participants) were included. Greater weight loss (%) was associated with larger reductions in diabetes incidence (β = 0.07 [0.02, 0.12], p = 0.010). Achieving ≥ 5% (vs. < 5%) weight loss was associated with higher reversion rates to normoglycemia (RR = 1.80 [1.55; 2.08] vs. 1.32 [1.03; 1.70]; p_subgroup = 0.036). Interventions with supervised exercise training more effectively reduced diabetes incidence than those without this component (RR = 0.40 [0.24; 0.65] vs. 0.69 [0.63; 0.76]; p_subgroup = 0.031). Younger participants showed greater improvements in FPG, HbA1c, FI, and HOMA-IR. Higher baseline HbA1c levels were associated with a greater reduction in HbA1c but a smaller FI improvement.</p><p><strong>Linking evidence to action: </strong>This meta-analysis provides valuable insights into the implementation of diabetes prevention programs. Weight loss is a critical determinant for diabetes prevention, and weight loss goal setting and progress monitoring are recommended. Adding supervised exercise sessions can enhance the program's effectiveness. Early interventions for younger individuals with lower HbA1c levels may prevent diabetes more effectively.</p><p><strong>Trial registration: </strong>PROSPERO (CRD42024486361).</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70152"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147983970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Efficacy of Non-Pharmacological Interventions on Fatigue, Depression, and Quality of Life in Patients With Lung Cancer: A Network Meta-Analysis of Randomized Controlled Trials.","authors":"Liyang Duan, Shu Zhang, Yawen Su, Linna Li, Min Hu, Xiaolin Hu","doi":"10.1111/wvn.70150","DOIUrl":"10.1111/wvn.70150","url":null,"abstract":"<p><strong>Background: </strong>Non-pharmacological interventions (NPIs) have been shown to be effective in reducing fatigue, depression, and improving quality of life (QoL) in patients with lung cancer. However, given the diversity of NPIs, the most effective intervention remains to be confirmed.</p><p><strong>Objectives: </strong>To compare the efficacy of different NPIs in reducing fatigue, depression, and improving QoL in patients with lung cancer.</p><p><strong>Methods: </strong>Six databases were searched from inception to May 10, 2025. Two reviewers independently screened studies and extracted data. A pairwise meta-analysis and a network meta-analysis were performed sequentially to determine the efficacy of different NPIs in improving fatigue, depression, and QoL in patients with lung cancer.</p><p><strong>Results: </strong>A total of 58 studies involving 13 NPIs were included. The top three NPIs for reducing fatigue were acupuncture, acceptance and commitment therapy (ACT), and nutritional intervention. Meanwhile, ACT, cognitive behavioral therapy, and body-mind-spirit intervention ranked among the top three in improving depression. ACT emerged as the most effective intervention in improving QoL, followed by nutritional intervention and mind-body exercise.</p><p><strong>Linking evidence to action: </strong>This study revealed the efficacy ranking of different NPIs in reducing fatigue, depression, and improving QoL in patients with lung cancer. Clinical healthcare professionals should be encouraged to utilize these potentially effective NPIs to improve health outcomes in patients with lung cancer.</p><p><strong>Trial registration: </strong>Registration Number: PROSPERO (CRD420251087360).</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70150"},"PeriodicalIF":5.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Efficacy of Self-Management Interventions Based on E-Health in Quality of Life in Patients With Cancer: A Meta-Analysis of Randomized Controlled Trials.","authors":"Jialin Zhang, Shu Zhang, Linna Li, Liyang Duan, Xiaolin Hu","doi":"10.1111/wvn.70154","DOIUrl":"10.1111/wvn.70154","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis of cancer results in psychophysiological distress in patients, significantly reducing quality of life (QoL). Currently, self-management interventions based on e-health have been used to improve QoL among cancer patients, but the overall effects remain inconsistent.</p><p><strong>Objective: </strong>To assess the impact of self-management interventions based on e-health on the QoL of cancer patients.</p><p><strong>Methods: </strong>Studies were retrieved from six databases up to November 6, 2024. The methodological quality assessment was performed via ROB 2. Data synthesis and subgroup analyses were performed in Review Manager 5.3. Meta-regression was conducted using Stata 15.0.</p><p><strong>Results: </strong>Thirty RCTs were included. The results of meta-analysis revealed self-management interventions based on e-health significantly improved QoL (SMD = 0.18, 95% CI: 0.08 to 0.28, p < 0.01). Subgroup analyses showed that long-term, mixed-mode, theory-supported, or facilitator-supervised interventions were more effective, with greater improvements in QoL observed among patients with breast cancer than among other types.</p><p><strong>Linking evidence to action: </strong>Self-management interventions based on e-health were valuable supplements for enhancing the QoL of cancer patients. Intervention duration, delivery modes, cancer types, theoretical frameworks, and facilitators' involvement should be considered in the design of future interventions. However, additional high-quality studies are needed to confirm these findings.</p><p><strong>Trial registration: </strong>The protocol was registered on PROSPERO (Registration number: CRD420251017709).</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 3","pages":"e70154"},"PeriodicalIF":3.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}