Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
The role of nursing interventions in the management and outcomes of gynecological tumors: a systematic review and meta-analysis.
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Yang Mingming, Hong Aixia, Qin Mengdie, Gu Xiaojie, Yuan Chun
Аннотация
PURPOSE: This meta-analysis evaluates the effectiveness of nurse-led interventions in improving quality of life (QoL), mental health, sexual function, marital satisfaction, postoperative recovery, and symptom distress in gynecological cancer patients.
METHODS: A systematic search of PubMed, Embase, Web of Science, Cochrane Library, and PsycINFO identified randomized controlled trials (RCTs) and quasi-experimental studies. A random-effects meta-analysis was conducted, assessing heterogeneity (I2), publication bias, and evidence certainty using the GRADE framework.
RESULTS: Ten RCTs (1,574 participants) showed nurse-led interventions significantly reduced anxiety (d = 0.85-1.29), depression (d = 1.29), and improved QoL (d = 0.42-1.29). Sexual rehabilitation programs enhanced sexual function (d = 0.95) and marital satisfaction (d = 0.65-0.80). Postoperative nursing interventions lowered infection rates (OR = 7.82) and improved recovery. cognitive-behavioral therapy (CBT)-based interventions, when adapted for delivery by trained nurses, had the strongest psychological benefits, while structured postoperative care optimized recovery. Heterogeneity was moderate to high (I2 = 58-72%), and GRADE rated evidence as moderate for anxiety reduction, sexual function, and recovery but low for QoL and patient empowerment.
CONCLUSION: Nurse-led interventions effectively improve mental health, QoL, sexual function, and recovery in gynecological cancer patients, offering a cost-effective, accessible alternative to physician-led care. Future research should standardize protocols, conduct multicenter trials, and assess long-term impacts.
METHODS: A systematic search of PubMed, Embase, Web of Science, Cochrane Library, and PsycINFO identified randomized controlled trials (RCTs) and quasi-experimental studies. A random-effects meta-analysis was conducted, assessing heterogeneity (I2), publication bias, and evidence certainty using the GRADE framework.
RESULTS: Ten RCTs (1,574 participants) showed nurse-led interventions significantly reduced anxiety (d = 0.85-1.29), depression (d = 1.29), and improved QoL (d = 0.42-1.29). Sexual rehabilitation programs enhanced sexual function (d = 0.95) and marital satisfaction (d = 0.65-0.80). Postoperative nursing interventions lowered infection rates (OR = 7.82) and improved recovery. cognitive-behavioral therapy (CBT)-based interventions, when adapted for delivery by trained nurses, had the strongest psychological benefits, while structured postoperative care optimized recovery. Heterogeneity was moderate to high (I2 = 58-72%), and GRADE rated evidence as moderate for anxiety reduction, sexual function, and recovery but low for QoL and patient empowerment.
CONCLUSION: Nurse-led interventions effectively improve mental health, QoL, sexual function, and recovery in gynecological cancer patients, offering a cost-effective, accessible alternative to physician-led care. Future research should standardize protocols, conduct multicenter trials, and assess long-term impacts.