解决癌症患者的心理健康需求:近期护士主导干预有效性的系统回顾和荟萃分析。

IF 1.7 4区 医学 Q3 NURSING
Journal of nursing care quality Pub Date : 2025-10-01 Epub Date: 2025-04-01 DOI:10.1097/NCQ.0000000000000859
Jingjia Shi, Lingyu Zhu
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引用次数: 0

摘要

背景:癌症患者普遍存在抑郁和焦虑,影响他们的生活质量和治疗结果。护士主导的干预措施很有希望,但效果不一。目的:本综述评估护士主导的干预措施在减少癌症患者抑郁和焦虑方面的有效性。方法:系统搜索确定了评估护士主导的抑郁症和焦虑症治疗方法的研究。meta分析采用Cohen’s d随机效应模型,采用I2统计量评估异质性。结果:18项研究(n = 2054)显示抑郁(-1.29,95%可信区间[CI]: -1.52至-1.06)和焦虑(-1.31,95%可信区间[CI]: -1.55至-1.07)显著减少。有效的策略包括自我照顾教育、认知行为治疗和同伴支持。通过敏感性分析部分解决了中度至高度异质性(I2 = 70%-75%)。结论:护士主导的干预措施可有效降低癌症患者的抑郁和焦虑。将这些策略整合到肿瘤治疗和标准化方案中可以进一步改善结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Addressing Mental Health Needs in Patients With Cancer: A Recent Systematic Review and Meta-Analysis of the Effectiveness of Nurse-Led Interventions.

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.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
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.
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