Breast cancer nursing interventions and clinical effectiveness: a systematic review
| Autor: | Laisa Teleni, James Townsend, Kerry Patford, Jane Mahony, Jaimon T Kelly, Patsy Yates, Raymond Javan Chan, Kerryn Ernst, Suzanne McDonald, Manisha Singh |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Blinding MEDLINE Psychological intervention Medicine (miscellaneous) Breast Neoplasms CINAHL 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Omaha System Nursing Interventions Classification medicine Humans Randomized Controlled Trials as Topic Practice Patterns Nurses' 030504 nursing Oncology (nursing) business.industry Palliative Care Disease Management General Medicine Medical–Surgical Nursing Systematic review Treatment Outcome 030220 oncology & carcinogenesis Hospice and Palliative Care Nursing Physical therapy Quality of Life Female 0305 other medical science business |
| Zdroj: | BMJ supportivepalliative care. 10(3) |
| ISSN: | 2045-4368 |
| Popis: | ObjectivesTo examine the effects of nurse-led interventions on the health-related quality of life, symptom burden and self-management/behavioural outcomes in women with breast cancer.MethodsCochrane Controlled Register of Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medline and Embase databases were searched (January 1999 to May 2019) to identify randomised controlled trials (RCTs) and controlled before-and-after studies of interventions delivered by nurses with oncology experience for women with breast cancer. Risk of bias was evaluated using therevised Cochrane risk-of-bias tool for randomised trials. Intervention effects were synthesised by cancer trajectory usingThe Omaha System Intervention Classification Scheme.ResultsThirty-one RCTs (4651 participants) were included. All studies were at risk of bias mainly due to inherent limitations such as lack of blinding and self-report data. Most studies (71%; n=22) reported at least one superior intervention effect. There were no differences in all outcomes between those who receive nurse-ledsurveillancecare versus those who received physical led or usual discharge care. Compared with control interventions, there were superiorteaching, guidance and counselling(63%) andcase management(100%) intervention effects on symptom burden during treatment and survivorship. Effects of these interventions on health-related quality of life and symptom self-management/behavioural outcomes were inconsistent.DiscussionThere is consistent evidence from RCTs that nurse-ledsurveillanceinterventions are as safe and effective as physician-led care and strong evidence that nurse-ledteaching, guidance and counsellingandcase managementinterventions are effective for symptom management. Future studies should ensure the incorporation of health-related quality of life and self-management/behavioural outcomes and consider well-designed attentional placebo controls to blind participants for self-report outcomes.Protocol registrationThe International Prospective Register of Systematic Reviews (PROSPERO): CRD42020134914). |
| Databáze: | OpenAIRE |
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