School of Health and Society, University of Wollongong, Wollongong, NSW 2522, Australia.
Int J Environ Res Public Health. 2022 Jan 4;19(1):536. doi: 10.3390/ijerph19010536.
Lung cancer is the most common cancer worldwide. Evidence suggests self-management (SM) interventions benefit cancer patients. This review aims to determine the effectiveness of SM interventions for lung cancer patients. Searches occurred in PubMed, Cinahl, ProQuest, Psych Info, Scopus, and Medline, using predefined criteria, assessing randomised controlled trials (RCTs). : Five hundred and eighty-seven studies were yielded, 10 RCTs met criteria. Of the total patient pool, 1001 of 1089 had Non-Small Cell Lung Cancer (NSCLC). Six studies tested home-based SM exercise, two studies SM education, and one each for diary utilisation and symptom reporting. Fatigue was the most targeted function. Other functions targeted included exercise capacity, anxiety, depression, quality of life (QoL), sleep quality, and symptom burden. Six studies met their primary endpoints (five SM exercise, one SM education). Positive outcomes are described for fatigue, anxiety/depression, sleep quality, self-efficacy, and exercise capacity. With exception to fatigue, early-stage NSCLC, younger age, female, never smokers, partnered patients experienced increased treatment effect. : SM interventions improve outcomes among some lung cancer patients. Interventions targeting fatigue yield benefit despite histology, stage or gender and could encourage broader cohort engagement. Consideration of patient characteristics may predict SM effect. Effectiveness of home-based SM exercise by NSCLC stage and SM tailored to sociodemographic variables requires further research.
肺癌是全球最常见的癌症。有证据表明，自我管理（SM）干预措施有益于癌症患者。本综述旨在确定针对肺癌患者的 SM 干预措施的有效性。 检索了 PubMed、Cinahl、ProQuest、Psych Info、Scopus 和 Medline，使用预定义的标准，评估随机对照试验（RCT）。 共产生了 587 项研究，10 项 RCT 符合标准。在总共的患者群体中，1089 名中有 1001 名患有非小细胞肺癌（NSCLC）。六项研究测试了基于家庭的 SM 运动，两项研究测试了 SM 教育，一项研究测试了日记使用情况，一项研究测试了症状报告。疲劳是最受关注的功能。其他受关注的功能包括运动能力、焦虑、抑郁、生活质量（QoL）、睡眠质量和症状负担。六项研究达到了他们的主要终点（五项 SM 运动，一项 SM 教育）。描述了疲劳、焦虑/抑郁、睡眠质量、自我效能和运动能力的积极结果。除了疲劳，早期 NSCLC、年龄较小、女性、从不吸烟、有伴侣的患者经历了增加的治疗效果。 SM 干预措施改善了一些肺癌患者的结局。针对疲劳的干预措施产生了益处，尽管组织学、分期或性别不同，并且可能鼓励更广泛的患者群体参与。考虑患者的特征可能预测 SM 的效果。需要进一步研究 NSCLC 分期的基于家庭的 SM 运动的有效性以及针对社会人口统计学变量的 SM 干预措施。
