ABSTRACT
OBJECTIVE: to evaluate the efficacy of nursing interventions to increase the level of hope in cancer patients, in a meta-analysis. METHODS: electronic databases were searched. Two of the authors independently extracted data from the eligible studies, and Stata 13.0 software was used to pool the data. RESULTS: nine randomized controlled trials were included, and methodological quality of each randomized controlled trial (RCT) was evaluated using Cochrane handbook recommendations. A random effects model was used to combine results from eligible studies. The pooled results using the fixed effects model showed that scores to first effects increase significantly after the use of nursing intervention between the groups. Heterogeneity was observed among the studies for posttest (df = 8, P = 0.000; I2 =76.1 %). The results indicated significant heterogeneity across the nine selected studies. The test for heterogeneity showed no homogeneity among studies for follow-up (df = 8, P = 0.328; I2 = 12.9 %), and there was no statistical significance. CONCLUSION: the current evidence suggests that nursing intervention has a positive effect on hope in cancer patients. However, more large-scale and high-quality randomized controlled trials are needed to confirm these results.
Subject(s)
Hope , Neoplasms/nursing , Neoplasms/psychology , Oncology Nursing , Humans , Randomized Controlled Trials as Topic , Treatment OutcomeABSTRACT
ABSTRACT Objective: to evaluate the efficacy of nursing interventions to increase the level of hope in cancer patients, in a meta-analysis. Methods: electronic databases were searched. Two of the authors independently extracted data from the eligible studies, and Stata 13.0 software was used to pool the data. Results: nine randomized controlled trials were included, and methodological quality of each randomized controlled trial (RCT) was evaluated using Cochrane handbook recommendations. A random effects model was used to combine results from eligible studies. The pooled results using the fixed effects model showed that scores to first effects increase significantly after the use of nursing intervention between the groups. Heterogeneity was observed among the studies for posttest (df = 8, P = 0.000; I2 =76.1 %). The results indicated significant heterogeneity across the nine selected studies. The test for heterogeneity showed no homogeneity among studies for follow-up (df = 8, P = 0.328; I2 = 12.9 %), and there was no statistical significance. Conclusion: the current evidence suggests that nursing intervention has a positive effect on hope in cancer patients. However, more large-scale and high-quality randomized controlled trials are needed to confirm these results.
RESUMO Objetivo: meta-análise para avaliar a eficácia da intervenção de enfermagem, no nível de esperança para pacientes com câncer. Método: foram pesquisados bancos de dados eletrônicos. Dois dos autores, de forma independente, extraíram os dados dos estudos elegíveis e os agruparam no software Stata 13.0. Resultado: nove ensaios clínicos randomizados foram incluídos e a qualidade metodológica destes estudos foi avaliada utilizando as recomendações do manual Cochrane. Um modelo de efeito aleatório foi usado para combinar resultados dos estudos elencados. O agrupamento dos resultados por meio de um modelo de efeitos fixos mostrou primeiros escores revelaram um efeito significativamente maior após o uso da intervenção de enfermagem entre os grupos. Foi identificada heterogeneidade entre os estudos para pós-teste (df = 8, p = 0.000; I2 =76.1 %). Os resultados indicaram heterogeneidade significativa nos nove estudos selecionados. O teste para heterogeneidade não demonstrou homogeneidade entre os estudos de acompanhamento (df = 8, p = 0.328; I2 = 12.9 %), mas sem significância estatística. Conclusão: as evidências atuais sugerem que a intervenção de enfermagem tem um efeito positivo no sentimento de esperança em pacientes com câncer. No entanto, são necessários mais ensaios controlados randomizados em maior escala e de alta qualidade para confirmar esses resultados.
RESUMEN Objetivo: evaluar la eficacia de la intervención de enfermería para pacientes oncológicos en el nivel de esperanza en un meta análisis. Método: se buscó información en bases de datos electrónicas. Dos de los autores extrajeron de forma independiente los datos de los estudios de elegibilidad, y se utilizó el software Stata 13.0 para agrupar los datos. Resultados: se incluyeron nueve ensayos aleatorios controlados y se evaluó la calidad metodológica del ensayo controlado aleatorizado (ECA) utilizando las recomendaciones del manual Cochrane. Se utilizó un modelo de efectos aleatorios para combinar los resultados de los estudios elegibles. Los resultados agrupados utilizando el modelo de efectos fijos mostraron que las puntuaciones al primer efecto aumentan significativamente después del uso de la intervención de enfermería entre los grupos. Se observó heterogeneidad entre los estudios de post-prueba (df = 8, P = 0.000; I2 =76.1 %). Los resultados indicaron heterogeneidad significativa en los nueve estudios seleccionados. La prueba de heterogeneidad no mostró homogeneidad entre los estudios de seguimiento (df = 8, P = 0.328; I2 = 12.9 %), pero no hay significación estadística. Conclusión: la evidencia actual sugiere que la intervención de enfermería tiene un efecto positivo en la esperanza en pacientes con cáncer. Sin embargo, se necesitan más ensayos controlados aleatorios de gran escala y de alta calidad para confirmar estos resultados.