Purpose: This study evaluated the effectiveness of nursing interventions applied according to the trajectory of lung cancer patients and proposed an intervention model.
Method: The knowledge creation process of Graham et al.'s knowledge-action process was applied. We systematically selected stud...
Purpose: This study evaluated the effectiveness of nursing interventions applied according to the trajectory of lung cancer patients and proposed an intervention model.
Method: The knowledge creation process of Graham et al.'s knowledge-action process was applied. We systematically selected studies of nursing interventions for patients with lung cancer published from 2000 to 2022. The databases searched included KM base, KoreaMED, KISS, ScienceON, RISS, CENTRAL Cochrane, Embased, Pubmed, CHINAHL, Web of Science databases. In addition, manual searches were conducted. A systematic review and meta-analysis were performed. The results proposed a nursing intervention model that can be applied according to the lung cancer trajectory.
Results: 2,456 studies were identified through 10 electronic databases and manual searches. A total of 47 studies confirmed the effectiveness of nursing interventions through meta-analysis.
The meta-analysis showed that nursing interventions positively affected lung cancer patients' outcomes. Nursing interventions were the results of lung cancer patients with health-related quality of life Hedges' g=1.78, emotional symptoms Hedges' g=1.41, self-care and behavior Hedges' g=1.13, adaptation Hedges' g=1.02, satisfaction Hedges' g=0.98, health resource use and cost-effect Hedges' g=0.98, cancer symptoms Hedges' g=0.87 showed the significant large effect size, complications Hedges' g=0.76, and lung function Hedges' g=0.52 showed moderate effect sizes. The overall effect size was Hedges' g=0.83, indicating a large effect size.
According to the trajectory, it was a type of nursing intervention that showed statistically significant effects in the order of physical single and emotional single intervention at the diagnostic stage and showed a small effect size on adjustment as a result of lung cancer patients. Under the treatment stage, it was a type of nursing intervention with a statistically significantly large effect size in the order of physical and informational combined, informational and emotional combined, and physical, informational and informational comprehensive interventions. Results of lung cancer patients showed health-related quality of life Hedges' g=2.37, emotional symptoms Hedges' g=1.40, adjustment Hedges' g=1.19, self-care and behavior Hedges' g=1.13, cancer symptoms Hedges' g=1.10, health resource use and cost-effect Hedges' g=0.94, satisfaction Hedges' g=0.88, and complications Hedges' g=0.72. At the survival stage, it was a type of nursing intervention with a large effect size in the informational and emotional combined, emotional single intervention. The results of lung cancer patients showed an effect size in the order of satisfaction Hedges' g=1.72, lung function Hedges' g=1.50, and health-related quality of life Hedges' g=1.17. The physical single intervention was applied at the end-of-life stage, and the effect size was shown in the order of health resource use and cost-effect Hedges' g=1.87, and emotional symptoms Hedges' g=0.98.
We then propose a nursing intervention model that can be applied to lung cancer trajectories by integrating the results of the moderating effect analysis into the Nursing Role Effectiveness Model (NREM). The lung cancer trajectory nursing intervention model provides evidence for a systematic approach to lung cancer patient trajectory.
The model consists of eighteen variables and five components of three categories. The three categories are structure, nursing, and outcomes. The five components are patient, nursing, organization, independent nursing intervention, and patient/service outcomes. The eighteen variables were lung cancer trajectory, nurse competency, intervener, intervention setting, theoretical framework, intervention classified, intervention dose, intervention delivery mode, intervention target, cancer symptoms, health-related quality of life, satisfaction, adjustment, emotional symptoms, health resource use and cost-effect, complications, lung function, self-management and behavior.
Conclusion: This suggests that nursing intervention provides the basis for positive changes in the outcomes of lung cancer patients. However, due to the considerable heterogeneity of the included studies, the results must be interpreted carefully. And an evaluation is needed to determine the effectiveness of nursing intervention models applicable to lung cancer trajectories.
Purpose: This study evaluated the effectiveness of nursing interventions applied according to the trajectory of lung cancer patients and proposed an intervention model.
Method: The knowledge creation process of Graham et al.'s knowledge-action process was applied. We systematically selected studies of nursing interventions for patients with lung cancer published from 2000 to 2022. The databases searched included KM base, KoreaMED, KISS, ScienceON, RISS, CENTRAL Cochrane, Embased, Pubmed, CHINAHL, Web of Science databases. In addition, manual searches were conducted. A systematic review and meta-analysis were performed. The results proposed a nursing intervention model that can be applied according to the lung cancer trajectory.
Results: 2,456 studies were identified through 10 electronic databases and manual searches. A total of 47 studies confirmed the effectiveness of nursing interventions through meta-analysis.
The meta-analysis showed that nursing interventions positively affected lung cancer patients' outcomes. Nursing interventions were the results of lung cancer patients with health-related quality of life Hedges' g=1.78, emotional symptoms Hedges' g=1.41, self-care and behavior Hedges' g=1.13, adaptation Hedges' g=1.02, satisfaction Hedges' g=0.98, health resource use and cost-effect Hedges' g=0.98, cancer symptoms Hedges' g=0.87 showed the significant large effect size, complications Hedges' g=0.76, and lung function Hedges' g=0.52 showed moderate effect sizes. The overall effect size was Hedges' g=0.83, indicating a large effect size.
According to the trajectory, it was a type of nursing intervention that showed statistically significant effects in the order of physical single and emotional single intervention at the diagnostic stage and showed a small effect size on adjustment as a result of lung cancer patients. Under the treatment stage, it was a type of nursing intervention with a statistically significantly large effect size in the order of physical and informational combined, informational and emotional combined, and physical, informational and informational comprehensive interventions. Results of lung cancer patients showed health-related quality of life Hedges' g=2.37, emotional symptoms Hedges' g=1.40, adjustment Hedges' g=1.19, self-care and behavior Hedges' g=1.13, cancer symptoms Hedges' g=1.10, health resource use and cost-effect Hedges' g=0.94, satisfaction Hedges' g=0.88, and complications Hedges' g=0.72. At the survival stage, it was a type of nursing intervention with a large effect size in the informational and emotional combined, emotional single intervention. The results of lung cancer patients showed an effect size in the order of satisfaction Hedges' g=1.72, lung function Hedges' g=1.50, and health-related quality of life Hedges' g=1.17. The physical single intervention was applied at the end-of-life stage, and the effect size was shown in the order of health resource use and cost-effect Hedges' g=1.87, and emotional symptoms Hedges' g=0.98.
We then propose a nursing intervention model that can be applied to lung cancer trajectories by integrating the results of the moderating effect analysis into the Nursing Role Effectiveness Model (NREM). The lung cancer trajectory nursing intervention model provides evidence for a systematic approach to lung cancer patient trajectory.
The model consists of eighteen variables and five components of three categories. The three categories are structure, nursing, and outcomes. The five components are patient, nursing, organization, independent nursing intervention, and patient/service outcomes. The eighteen variables were lung cancer trajectory, nurse competency, intervener, intervention setting, theoretical framework, intervention classified, intervention dose, intervention delivery mode, intervention target, cancer symptoms, health-related quality of life, satisfaction, adjustment, emotional symptoms, health resource use and cost-effect, complications, lung function, self-management and behavior.
Conclusion: This suggests that nursing intervention provides the basis for positive changes in the outcomes of lung cancer patients. However, due to the considerable heterogeneity of the included studies, the results must be interpreted carefully. And an evaluation is needed to determine the effectiveness of nursing intervention models applicable to lung cancer trajectories.
Keyword
#Lung Neoplasms Oncology Nursing Models Nursing Systematic Review Meta-Analysis
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