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Effectiveness and content components of nursing counselling interventions on self- and symptom management of patients in oncology rehabilitation-A systematic review

Journal

NURSING OPEN
Volume 10, Issue 5, Pages 2757-2769

Publisher

WILEY
DOI: 10.1002/nop2.1545

Keywords

cancer; nursing counselling; oncology rehabilitation; self-management; symptom management; systematic review

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This systematic review aimed to synthesize the evidence on the effectiveness and content components of nurse-led counselling interventions for self- and symptom management of patients in oncology rehabilitation. Seven studies were included, showing that nurse-led counselling interventions were effective in increasing self-efficacy and reducing symptom anxiety. The interventions focused on identifying patients' concerns, setting goals, developing action plans, evaluating goals, and providing patient-tailored information.
AimTo synthesize the evidence on the effectiveness and content components of nurse-led counselling interventions on the self-and symptom management of patients in oncology rehabilitation. DesignA systematic review MethodsThe electronic databases MEDLINE, CINAHL, Cochrane Library and Grey Literature were searched for randomized controlled trials or quasi-experimental trials. Following data extraction, a quality assessment was performed using the Joanna Briggs Institute checklist and the Cochrane risk-of-bias tool. The findings were synthesized in narrative and tabular formats. ResultsSeven studies were included in the analysis. Two RCTs measured a statistically significant increase in self-efficacy compared to the control group, and one quasi-experimental study showed a statistically significant increase compared to the pre-intervention period. Symptom anxiety was statistically significantly reduced in two RCTs and one quasi-experimental trial. Self-management similarities in the components of the interventions were seen as identifying patients' concerns, setting goals, developing action plans and evaluating the goals and giving patient-tailored information.

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