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

Nurs Open. 2023 May;10(5):2757-2769. doi: 10.1002/nop2.1545. Epub 2022 Dec 18.

Abstract

Aim: To 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.

Design: A systematic review METHODS: The 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.

Results: Seven 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.

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

Publication types

  • Systematic Review
  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Counseling
  • Humans
  • Medical Oncology
  • Medicine*
  • Palliative Care
  • Self-Management*