Effectiveness of integrated nursing interventions for fatigue in patients with advanced cancer: a systematic review of randomized controlled trials
Xiao-Lin Zuo
Yan Wen
Shang-Qun Gong
Fan-Jie Meng
摘要：Objective: To evaluate the effectiveness of integrated nursing interventions for fatigue in patients with advanced cancer. Methods: Medline, Pubmed, Embase, CINAHL, Web of Science, and the Cochrane Library were searched systematically till June 2017. A systematic review was conducted to collect randomized controlled trials (RCTs) reporting on the effect of nurse-driven interventions to improve fatigue in patients with advanced cancer. Quality assessment was conducted using the Cochrane Collaboration's risk of bias tool. Results: Six RCTs involving 736 adult participants were included. The fatigue intensity was improved significantly by nursing interventions. The analyzed results revealed significant improvements in the intervention group: less than 3 months (standard mean difference [SMD] = ?0.33, 95％ confidence interval [CI] [?0.48, ?0.19], P < 0.01) and more than or equal to 3 months (SMD = ?0.40, 95％ CI [?0.57, ?0.24], P < 0.01). Four studies with a moderate risk of bias were judged, and the remaining studies were at high risk of bias. Conclusions: The results indicate that integrated nursing interventions may relieve fatigue in patients with advanced cancer. However, due to the high risk of bias in most of the included studies and the diversity of interventions, the results and implementation process should be carefully monitored.
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论文发表日期：2019-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：8( 203-210 )
英文信息