• J Pain Symptom Manage · Apr 2024

    Review

    Nurse-led psychological interventions for depression in adult cancer patients: A systematic review and meta-analysis of Randomised Controlled Trials.

    • Dominique Cranstoun, Michael Baliousis, Hannah Lena Merdian, and Mike Rennoldson.
    • University of Lincoln. Electronic address: 27162877@students.lincoln.ac.uk.
    • J Pain Symptom Manage. 2024 Apr 5.

    ObjectivesDepression, frequently associated with cancer, significantly impacts health outcomes, necessitating effective treatments. This systematic review and meta-analysis aim to synthesise and critically evaluate the evidence from Randomised Controlled Trials (RCTs) for the efficacy of nurse-led psychological interventions in managing depression among adult cancer patients. It focuses on the unique contribution of these interventions to improving depression management in oncology care, an underrepresented area in the existing literature.MethodsWe conducted a comprehensive search in databases including Scopus, Medline, CINAHL, and PsycINFO, applying strict criteria to select RCTs assessing nurse-led psychological interventions for depression in cancer patients. We used the Cochrane Risk of Bias 2 tool to assess study quality.ResultsOut of 425 screened abstracts, nine papers describing seven distinct interventions involving 1,463 participants were selected. The overall effect size estimate of -0.75 (95% confidence interval: -1.23 to -0.27) indicates significant effectiveness of these interventions in reducing depression compared to treatment as usual. Additionally, the calculated prediction interval highlights the variability in effectiveness across different settings, suggesting that contextual factors play a crucial role in the success of these interventions.ConclusionThe findings advocate for the integration of nurse-led psychological interventions into standard cancer care, highlighting their efficacy in improving depressive symptoms in adult cancer patients. These interventions show promise but require further refinement and research to optimise their effectiveness across diverse patient groups and healthcare settings. This review underscores the potential of nurse-led psychological interventions in enriching oncology care and addresses a critical gap in the existing body of research.Copyright © 2024. Published by Elsevier Inc.

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