管理癌症相关疲劳的护士主导干预：系统回顾。

IF 2.4 3区医学 Q1 NURSING

Cancer Nursing Pub Date : 2024-09-11 DOI:10.1097/ncc.0000000000001409

Ain Noor Farieha Mazlan,Nabila Afiqah Tuan Rusli,Lei Hum Wee,Mahadir Ahmad,Caryn Mei Hsien Chan

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引用次数: 0

摘要

背景癌症相关疲劳（CRF）在癌症患者中很常见。据报道，各种干预措施可减轻疲劳，一些证据表明，护士主导的干预措施可有效控制 CRF。本研究旨在回顾和评估不同类型的护士主导型干预措施对癌症患者和幸存者疲劳的有效性。纳入了描述护士对癌症患者或幸存者进行干预的研究，无论其治疗时间长短、干预方式和干预基础如何。结果纳入了 2013 年至 2023 年的 12 项研究，这些研究均符合综述条件。9 项研究的 Jadad 得分为 3 分或以上，表明质量评估的质量较高。结论护士主导的干预措施侧重于多学科、运动、心理和行为方法，在管理 CRF 方面似乎很有前景。需要进行更多的研究，以确定最可接受的干预形式。

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Nurse-Led Interventions in Managing Cancer-Related Fatigue: A Systematic Review.

BACKGROUND Cancer-related fatigue (CRF) is common among patients with cancer. Various interventions have been reported to reduce fatigue, and some evidence suggests that nurse-led interventions may be effective in the management of CRF. A systematic review was conducted to assess the effectiveness of nurse-led interventions for CRF in patients with cancer and survivors. OBJECTIVE The aim of this study was to review and appraise the evidence for the effectiveness of different types of nurse-led interventions on fatigue in patients with cancer and survivors. METHODS Electronic databases such as PubMed, Scopus, Cochrane Library, Web of Science, and ScienceDirect were searched to identify studies published from January 2013 to October 2023. The studies that described nurse-led interventions in patients with cancer or survivors regardless of treatment duration, modes of intervention delivery, and any based intervention were included. The studies were excluded if no fatigue was an outcome measure. RESULTS Twelve studies from 2013 to 2023 were included and eligible for the review. Nine studies obtained a Jadad score of 3 or more, indicating high quality for the quality assessment. Eleven of the included studies reported a significant effect of the nurse-led interventions in reducing fatigue in patients with cancer or survivors. CONCLUSIONS Nurse-led interventions that focus on multidisciplinary, exercise, psychological, and behavioral approaches appear promising in the management of CRF. More research is needed in order to determine the most acceptable forms of intervention. IMPLICATIONS FOR PRACTICE The development of evidence-based interventions for managing CRF is significant to nursing practice.

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来源期刊

Cancer Nursing 医学-护理

CiteScore

4.80

自引率

3.80%

发文量

244

审稿时长

6-12 weeks

期刊介绍： Each bimonthly issue of Cancer Nursing™ addresses the whole spectrum of problems arising in the care and support of cancer patients--prevention and early detection, geriatric and pediatric cancer nursing, medical and surgical oncology, ambulatory care, nutritional support, psychosocial aspects of cancer, patient responses to all treatment modalities, and specific nursing interventions. The journal offers unparalleled coverage of cancer care delivery practices worldwide, as well as groundbreaking research findings and their practical applications.