TY - JOUR
T1 - Nurse-led educational interventions for anxiety management in cancer survivors
T2 - a systematic review and meta-analysis
AU - Huynh, Nhien Thi Thuy
AU - Fan, Shu Yi
AU - Kao, Chi Yin
N1 - Funding Information:
The first author (NTTH) has received the funding from the Distinguished International PhD Student Scholarship at National Cheng Kung University and in part by Higher Education Sprout Project, Ministry of Education to the Headquarters of University Advancement at National Cheng Kung University.
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2022/8
Y1 - 2022/8
N2 - Purpose: This systematic review and meta-analysis was aimed toward evaluating the effectiveness of nurse-led educational interventions in anxiety management in cancer survivors. Methods: The electronic databases including Embase, PubMed, CINAHL Complete, the Cochrane Central Register of Controlled Trials (CENTRAL), and ERIC and manual search were subjected to a systematic search from 2000 to March 2021. A systematic review and meta-analysis was conducted. Results: A total of 1028 studies were identified through five electronic databases and manual search. Overall, 42 studies were included in this systematic review. In addition, 32 included studies also investigated the interventional effects in management of depression. Therefore, depression was set as the secondary outcome. The meta-analysis of 20 randomized controlled trials with 2936 participants showed that nurse-led educational interventions decreased cancer survivors’ anxiety with a moderate effect size (ES: − 0.25; 95% CI, − 0.35 to − 0.15, p = 0.03). The meta-analysis of 15 studies with 1906 participants indicated that nurse-led educational interventions decreased cancer survivors’ depression with a moderate effect size (ES: − 0.33; 95% CI, − 0.45 to − 0.21, p = 0.09). Conclusion: Evidence supports the effectiveness of nurse-led educational interventions for reducing anxiety and depression in cancer survivors. An individual approach, the combination of face-to-face interventions and materials, a duration of 6 months, and a maximum of 60 min for each session could be considered in the future when developing educational interventions to manage anxiety.
AB - Purpose: This systematic review and meta-analysis was aimed toward evaluating the effectiveness of nurse-led educational interventions in anxiety management in cancer survivors. Methods: The electronic databases including Embase, PubMed, CINAHL Complete, the Cochrane Central Register of Controlled Trials (CENTRAL), and ERIC and manual search were subjected to a systematic search from 2000 to March 2021. A systematic review and meta-analysis was conducted. Results: A total of 1028 studies were identified through five electronic databases and manual search. Overall, 42 studies were included in this systematic review. In addition, 32 included studies also investigated the interventional effects in management of depression. Therefore, depression was set as the secondary outcome. The meta-analysis of 20 randomized controlled trials with 2936 participants showed that nurse-led educational interventions decreased cancer survivors’ anxiety with a moderate effect size (ES: − 0.25; 95% CI, − 0.35 to − 0.15, p = 0.03). The meta-analysis of 15 studies with 1906 participants indicated that nurse-led educational interventions decreased cancer survivors’ depression with a moderate effect size (ES: − 0.33; 95% CI, − 0.45 to − 0.21, p = 0.09). Conclusion: Evidence supports the effectiveness of nurse-led educational interventions for reducing anxiety and depression in cancer survivors. An individual approach, the combination of face-to-face interventions and materials, a duration of 6 months, and a maximum of 60 min for each session could be considered in the future when developing educational interventions to manage anxiety.
UR - http://www.scopus.com/inward/record.url?scp=85129527660&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85129527660&partnerID=8YFLogxK
U2 - 10.1007/s00520-022-07085-4
DO - 10.1007/s00520-022-07085-4
M3 - Article
C2 - 35524145
AN - SCOPUS:85129527660
SN - 0941-4355
VL - 30
SP - 6699
EP - 6744
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 8
ER -
