NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.
Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.
Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].
Show detailsBibliographic details: Coolbrandt A, Wildiers H, Aertgeerts B, Van der Elst E, Laenen A, Dierckx de Casterle B, van Achterberg T, Milisen K. Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemotherapy: a systematic review of randomized controlled trials. International Journal of Nursing Studies 2014; 51(3): 495-510. [PubMed: 24074939]
Abstract
OBJECTIVES: The multiplicity and complexity of symptoms in patients treated with chemotherapy requires multifaceted symptom management interventions. The aim of this systematic review was to describe the characteristics and evaluate the effectiveness of complex nursing interventions that target multiple symptoms in patients receiving chemotherapy.
DESIGN: We searched Medline, Embase, Cinahl and the Cochrane Central Register of Controlled Trials for randomized controlled trials that compared complex nursing interventions to usual care and that provided data on symptom prevalence, severity, distress or limitations. Characteristics of the interventions were described in a narrative way. Regarding the effectiveness of the interventions, ratios of means were calculated in order to present data in a comparable and clinically interpretable way.
RESULTS: We included 11 studies, some with considerable risk of bias. Despite being heterogeneous, the interventions have patient education, symptom assessment and coaching in common. Although some interventions fail to show significant effects, others significantly reduce aspects of symptom burden by 10-88%.
CONCLUSION: Although some complex nursing interventions in this systematic review produce clinically meaningful and statistically relevant reductions in symptom burden, based on the available data it is not possible to make definitive conclusions about the vital parts, circumstances or preferred target population of the interventions. Quality of the studies and modeling and piloting of the interventions are important challenges for future research.
Copyright © 2013 Elsevier Ltd. All rights reserved.
- Review Psychological, social and welfare interventions for psychological health and well-being of torture survivors.[Cochrane Database Syst Rev. 2014]Review Psychological, social and welfare interventions for psychological health and well-being of torture survivors.Patel N, Kellezi B, Williams AC. Cochrane Database Syst Rev. 2014 Nov 11; (11):CD009317. Epub 2014 Nov 11.
- Review The effectiveness of therapeutic patient education on adherence to oral anti-cancer medicines in adult cancer patients in ambulatory care settings: a systematic review.[JBI Database System Rev Implem...]Review The effectiveness of therapeutic patient education on adherence to oral anti-cancer medicines in adult cancer patients in ambulatory care settings: a systematic review.Arthurs G, Simpson J, Brown A, Kyaw O, Shyrier S, Concert CM. JBI Database System Rev Implement Rep. 2015 Jun 12; 13(5):244-92. Epub 2015 Jun 12.
- Review Interventions to support people with dementia and their caregivers during the transition from home care to nursing home care: A systematic review.[Int J Nurs Stud. 2017]Review Interventions to support people with dementia and their caregivers during the transition from home care to nursing home care: A systematic review.Müller C, Lautenschläger S, Meyer G, Stephan A. Int J Nurs Stud. 2017 Jun; 71:139-152. Epub 2017 Apr 3.
- Review Clinical and cost effectiveness of nurse-led self-management interventions for patients with copd in primary care: A systematic review.[Int J Nurs Stud. 2017]Review Clinical and cost effectiveness of nurse-led self-management interventions for patients with copd in primary care: A systematic review.Baker E, Fatoye F. Int J Nurs Stud. 2017 Jun; 71:125-138. Epub 2017 Mar 31.
- Review Rituximab for the first-line treatment of stage III-IV follicular lymphoma (review of Technology Appraisal No. 110): a systematic review and economic evaluation.[Health Technol Assess. 2012]Review Rituximab for the first-line treatment of stage III-IV follicular lymphoma (review of Technology Appraisal No. 110): a systematic review and economic evaluation.Papaioannou D, Rafia R, Rathbone J, Stevenson M, Buckley Woods H, Stevens J. Health Technol Assess. 2012; 16(37):1-253, iii-iv.
- Characteristics and effectiveness of complex nursing interventions aimed at redu...Characteristics and effectiveness of complex nursing interventions aimed at reducing symptom burden in adult patients treated with chemotherapy: a systematic review of randomized controlled trials - Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews
Your browsing activity is empty.
Activity recording is turned off.
See more...