兰州大学循证社会科学交叉创新实验室 Innovation Laboratory of Evidence-based Social Sciences,Lanzhou University

Thirteen Nonpharmacological Interventions for Increasing the Quality of Life in Patients with Advanced Cancer: A Network Meta-analysis

YuYang Wang
2024-01-07
Background: A variety of nonpharmacological interventions that improve the quality of life of patients with advanced cancer have been difficult for medical staff to select through randomized controlled trials or traditional meta-analyses. Thus, a network meta-analysis is necessary. Objective: This study used network meta-analysis to analyze the effect of 13 different nonpharmacological interventions on improving the living quality of patients with advanced cancer. Methods: Five English databases were searched up to January 2019. The search strategy only included terms relating to or describing the intervention. Results: The study included 13 different nonpharmacological interventions. The overall efficacy was summarized through a holistic study of quality of life. The study found that the combined effect sizes of 13 nonpharmacological interventions crossed the invalid line (weighted mean difference, -13 [95% confidence interval, -33 to 8.5] to 1.7 [95% confidence interval, -18 to 22]), indicating that none of the intervention was significantly different from each other. By evaluating the heterogeneity of this outcome, no significant evidence of heterogeneity ( P > .05) was observed. Probability ranking according to the surface under the cumulative ranking curve showed that there was a great possibility for the CanWalk intervention and structured multidisciplinary intervention to improve outcomes for cancer patients. Conclusions: Thirteen nonpharmacological interventions did not significantly impact quality of life. Regarding the probability rank, CanWalk intervention may be the most promising way that advanced cancer patients can help themselves to a better life. Because of the limitations of the current studies, the conclusion needs further evidence. Implications for practice: Nurses should consider recommending moderate physical activity for patients with advanced cancer.
Cancer nursing
卷号:47|期号:1|页码:20-30
ISSN:0162-220X|收录类别:SCIE
DOI
10.1097/NCC.0000000000001155
EISSN
1538-9804
出版日期
2024-01-07
资助信息
None
相关链接
https://journals.lww.com/cancernursingonline/fulltext/2024/01000/thirteen_nonpharmacological_interventions_for.4.aspx
语种
英文
国家
中国
学科领域
循证医学
被引频次(WOS)
0
来源机构
兰州大学循证社会科学研究中心
研究类型
Meta分析
关键词
Advanced cancer patients Network meta-analysis Nonpharmacological interventions Quality of life
WOS学科分类
Oncology Nursing