Abstract
ABSTRACTObjective: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.
Highlights
Hope has been defined as the possibility of a better future in the context of uncertainty[1], which significantly increases a patient’s quality of life[2]
Any randomized controlled study that evaluated the association between nursing intervention and the level of hope in adult patients with cancer was eligible for inclusion in our study, and no restrictions were placed on language or publication status
Evidence from this study indicates that nursing interventions are certainly useful strategies in increasing hope with cancer
Summary
Hope has been defined as the possibility of a better future in the context of uncertainty[1], which significantly increases a patient’s quality of life[2] It has been identified as a valuable psychological resource that enables the individual to take an interest in his/her life and future, and to find meaning in life[3]. A great deal of studies[8,9] have shown that the long-term and late effects following a cancer diagnosis have an impact on patients, including functional deficits, mood disturbances and heart failure in relation to chemotherapy toxicity. Many of these factors influence patients’ hope, which has been considered an important coping strategy among cancer patients. Many researchers[10,11] found that a high level of hope was associated with lower levels of anxiety and depression, higher social support, and better quality of life
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