The effectiveness of nurse‐led care in supporting self‐management in patients with cancer: A systematic review

Abstract

Aims and objectivesTo determine the impact of nurse‐led follow‐up care supporting self‐management of people who have had or have cancer.BackgroundCancer care is evolving towards enabling people to self‐manage the impact of cancer, treatment and overall care on their quality of life (QoL), self‐efficacy and distress.DesignA systematic review following Joanna Briggs Institution (JBI) guidance and reported in accordance with the PRISMA statement was undertaken.MethodsFour databases were searched, OVID Medline, CINAHL, PsychINFO and Embase. Quantitative randomised control trials with people who have or have had cancer accessing nurse‐led care or nurse‐led intervention, undertaken within secondary care were included. Narrative synthesis was undertaken due to heterogeneity of measures used and time points of assessment.ResultsSeven papers were included in the final review, all meeting moderate to high‐quality appraisal. Only one study found an impact of nurse‐led care on all three factors under investigation, with a further two studies finding an effect on distress. The remaining studies did not find an impact of the intervention.ConclusionClinical Nurse Specialists are well placed to provide follow‐up care for people with cancer, but in relation to QoL, self‐efficacy and distress, there is limited evidence of effectiveness of nurse‐led interventions.Public or patient contributionThis systematic review did not have any public or patient contribution.Relevance to clinical practiceCancer care is moving to a chronic care, self‐management model. Clinical nurse specialists are well placed to innovate interventions that assist people with cancer to self‐manage.

Effect of music therapy on anxiety and depression in breast cancer patients: systematic review and meta-analysis

“…This study found that music selected as expertly recommended music, an intervention duration of 30 min, an intervention frequency of 1 time per day, and an intervention cycle of 2–4 weeks had the best effect on improving depression in breast cancer patients. This is consistent with previous results 11 , 12 . Longitudinal studies 48 have found that music can stimulate the cerebral cortex in many ways, evoking pleasant thought associations and emotions in patients.…”

“…Previous research has shown that music therapy can effectively improve anxiety and depression symptoms in breast cancer patients 11 , 12 , but the specific intervention protocol is unclear, especially the choice of music, intervention duration, intervention period, and intervention frequency need to be further clarified. The results of some of the previous research are controversial, such as studies found that the duration of music intervention is most effective when it is less than 30 min, and some research has also shown that the longer the duration, the better the effect.…”

Empowerment-Led Guided Self-Help Intervention for Symptom Burden in Breast Cancer Women Treated With Ovarian Function Suppression: A Randomized Trial Protocol

“…Existing nursing human resources are limited, and self-help health management becomes a viable way to promote healthy patient outcomes. However, lacking knowledge, skills, and motivation prevents patients from self-managing their health [ 21 ]. The conflict between healthcare workload and patient health outcomes must be urgently addressed [ 22 ].…”