Objective: To systematically evaluate the effects of continuous nursing on self-management efficacy of nasopharyngeal carcinoma (NPC) patients with radiotherapy. Method: Multiple Chinese and English paper databases were searched to collect randomized controlled trials of continuous nursing for NPC patients with radiotherapy. Meta-analysis was performed using RevMan 5.3 software. Results: Five randomized controlled studies were included, involving 612 patients. Meta-analysis showed that continuous nursing intervention for 3 months improved the positive attitude dimension[MD=4.59, 95% CI (2.70, 6.47), Z=4.77, P<0.000 01], self-decision-making dimension[MD=2.38, 95% CI (1.93, 2.82), Z=10.41, P<0.000 01] and self-decompression dimension[MD=4.69, 95% CI (3.37, 6.01), Z=6.96, P<0.000 01] of self-management efficacy of nasopharyngeal carcinoma radiotherapy patients, while continuing nursing intervention for 6 months improved the positive attitude dimension[MD=4.12, 95% CI (2.53, 5.71), Z=5.08, P<0.000 01] and self-decision dimension[MD=3.06, 95% CI (2.80, 3.32), Z=22.88, P<0.000 01] of self-management efficacy of nasopharyngeal carcinoma radiotherapy patients. Conclusion: Continuous nursing intervention can improve the self-management efficacy of NPC patients with radiotherapy. |
[1] WEI K R,ZHENG R S,ZHANG S W,et al.Nasopharyngeal carcinoma incidence and mortality in China,2013[J].Chin J Cancer,2017,36(1):90.
[2] KONG F,ZHOU J,DU C,et al.Long-term survival and late complications of intensity-modulated radiotherapy for recurrent nasopharyngeal carcinoma[J].BMC Cancer,2018,18(1):1139.
[3] MCDOWELL L J,ROCK K,XU W,et al.Long-term late toxicity,quality of life,and emotional distress in patients with nasopharyngeal carcinoma treated with intensity modulated radiation therapy[J].Int J Radiat Oncol Biol Phys,2018,102(2):340-352.
[4] WANG X,LV Y,LI W,et al.Correlation between psychosocial distress and quality of life in patients with nasopharyngeal carcinoma following radiotherapy[J].J Oncol,2018,2018:3625302.
[5] 郭明娟,杨丽.鼻咽癌病人延续性护理研究进展[J].护理研究,2017,31(18):2192-2194.
[6] 邓楠,张晓义,郝海燕,等.国内延续护理的研究进展[J].中华现代护理杂志,2017,23(34):4427-32.
[7] 蔺波,姚海霞,曹晓林.延伸护理对鼻咽癌放疗病人自我管理效能感的影响[J].全科护理,2015,13(3):260-262.
[8] HIGGINS J P,GREEN S.Cochrane handbook for systematic reviews of interventions version 5.1.0[updated March 2011] [M].The Cochrane Collaboration,2011.Available from www.cochrane-handbook.org.
[9] 李淑民,韦榕飒,廖金莲,等.信息-动机-行为技巧模型健康教育在鼻咽癌放疗患者延续护理中的应用[J].广西医学,2018,40(6):719-722.
[10] 乔琼.延续性护理路径在鼻咽癌放疗患者中的应用效果探讨[J].护士进修杂志,2016,31(2):146-149.
[11] 王琳,何文龙.云服务个案管理模式对鼻咽癌放疗患者焦虑抑郁情绪、自我效能及预后的影响[J].天津护理,2018,26(1):35-38.
[12] 熊军义,陈柳.延续护理对鼻咽癌放疗患者自我管理效能感的影响分析[J].当代护士(中旬刊),2017,10:60-62.
[13] 周英华,钱会娟,袁长蓉.中文版癌症自我管理效能量表在肺癌人群中的信效度研究[J].解放军护理杂志,2013,30(7):31-33.
[14] 程玲灵,孙玉倩.癌症患者自我管理测评量表的编制及信效度检验[J].中华护理杂志,2017,52(9):1082-1087.
[15] YUAN C,QIAN H,WANG J,et al.Factorial structure of a scale:strategies used by people to promote health-Chinese version[J].Cancer Nurs,2015,38(1):E13-20.
[16] 沈慧,杨丽,沈丽.鼻咽癌病人自我效能感的研究进展[J].护理研究,2016,30(4):1153-1155.
[17] 陈佩娟,张露,张春梅,等.鼻咽癌放疗患者自我管理效能感对张口功能锻炼依从性的影响研究[J].中华护理杂志,2016,51(9):1049-1053.
[18] 张海萍,李威威,吴敏.自我效能干预措施对恶性肿瘤放化疗患者癌痛、心理状态及生活质量的影响[J].国际护理学杂志,2019,38(3):307-310.
[19] 韦燕萍,刘柳芳,杜江,等.自我效能理论为核心的干预模式在社区居家鼻咽癌患者自我管理行为中的应用[J].中国癌症防治杂志,2018,10(4):325-329.
[20] 郭凤英.护理干预对鼻咽癌放疗并发症的预防作用[J].中外医疗,2016,35(17):156-157.
[21] 顾钰,郭瑜洁.癌症患者延续护理的现状与分析[J].护理学杂志,2016,31(21):106-109.
[22] 王丹,李善玲,徐玉林.国内外延续护理研究现状[J].护理研究,2016,30(20):2436-2438.
[23] 徐玉林,李善玲.实施延续护理护士核心能力的研究进展[J].护理学报,2017,24(12):24-27.
[24] 王萍,栾晓嵘.我国慢性病患者延续护理服务的研究现状[J].解放军护理杂志,2016,33(8):50-53.
[25] 易红杰,王爱平.乳腺癌内分泌治疗病人自我管理效能的研究进展[J].护理研究,2016,30(16):1927-1930.
[26] 黄亨烨,施悦,仇玉兰,等.国内临床试验方案常见问题与报告规范的探讨[J].中华医学科研管理杂志,2018,31(3):161-166. |
