Li Ping, Guo Yu-Jie, Tang Qing, Yang Lei
MSc, Researcher, School of Nursing, Nantong University, Nantong, Jiangsu, China.
PhD, Assistant Professor, School of Nursing, Nantong University, Nantong, Jiangsu, China.
Rev Lat Am Enfermagem. 2018 Aug 9;26:e2937. doi: 10.1590/1518-8345.1920.2937.
to evaluate the efficacy of nursing interventions to increase the level of hope in cancer patients, in a meta-analysis.
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.
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.
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.
通过一项荟萃分析评估护理干预措施提高癌症患者希望水平的疗效。
检索电子数据库。两位作者独立从符合条件的研究中提取数据，并使用Stata 13.0软件汇总数据。
纳入9项随机对照试验，使用Cochrane手册推荐方法评估每项随机对照试验（RCT）的方法学质量。采用随机效应模型合并符合条件研究的结果。使用固定效应模型的汇总结果显示，两组间使用护理干预后首次效应得分显著增加。研究间观察到后测存在异质性（自由度 = 8，P = 0.000；I² = 76.1%）。结果表明，在9项选定研究中存在显著异质性。异质性检验显示，随访研究间不存在同质性（自由度 = 8，P = 0.328；I² = 12.9%），且无统计学意义。
当前证据表明，护理干预对癌症患者的希望有积极影响。然而，需要更多大规模、高质量的随机对照试验来证实这些结果。
