Department of Nursing, SSL Central Hospital of Dongguan City, Dongguan, People's Republic of China.
The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong SAR, People's Republic of China.
J Clin Nurs. 2023 Sep;32(17-18):5652-5667. doi: 10.1111/jocn.16669. Epub 2023 Mar 16.
To evaluate the effects of self-management interventions targeting individuals with cancer-related pain on pain intensity, self-efficacy, quality of life (QoL), pain medication adherence, and pain-related knowledge and provide recommendations for the content and format of self-management interventions based on the existing evidence.
A systematic review of randomised controlled trials (RCTs) and narrative synthesis.
A search of six electronic databases, including Medline, PsycINFO, EMBASE, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science and Scopus.
This systematic review followed the Preferred Reporting for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies published from January 2011 to March 2022 in English were retrieved. The Cochrane Risk of Bias Tool was used to assess quality. Data were summarised using narrative synthesis.
This systematic review included six RCTs involving 748 patients with cancer-related pain. The results support the effectiveness of the intervention on QoL and pain-related knowledge. Mixed results were observed in the effectiveness on pain intensity, self-efficacy and medication adherence. Overall, the quality of the evidence was low. The content of self-management interventions varied across studies but with similar formats (face-to-face coaching and telephone follow-up).
The existing evidence supports the effectiveness of self-management interventions on pain-related knowledge and QoL. Further high-quality RCTs are needed to determine the most effective interventions.
Self-management is recommended to improve cancer patients' pain awareness, self-management behaviour and adaptability. Components for self-management of cancer pain, including patient attitude and knowledge assessment, nurse coaching and counselling, reinforcement during follow-up period, and provision of supplementary materials on pain management and medication adherence, could be covered in the intervention. In the future, it is worthwhile exploring an effective intervention using Internet-based information technology, for example WeChat, to aid the delivery of self-management intervention.
This systematic review does not necessarily involve patients or public members in this work.
评估针对癌症相关疼痛患者的自我管理干预措施对疼痛强度、自我效能、生活质量（QoL）、疼痛药物依从性以及疼痛相关知识的影响，并根据现有证据为自我管理干预措施的内容和形式提供建议。
随机对照试验（RCT）的系统评价和叙述性综合。
对六个电子数据库（包括 Medline、PsycINFO、EMBASE、护理和联合健康文献累积索引（CINAHL）、Web of Science 和 Scopus）进行了搜索。
本系统评价遵循系统评价和荟萃分析的首选报告（PRISMA）指南。检索了 2011 年 1 月至 2022 年 3 月期间以英文发表的研究。使用 Cochrane 偏倚风险工具评估质量。使用叙述性综合方法总结数据。
本系统评价包括六项 RCT，涉及 748 名癌症相关疼痛患者。结果支持干预对 QoL 和疼痛相关知识的有效性。在疼痛强度、自我效能和药物依从性方面的效果存在混合结果。总体而言，证据质量较低。自我管理干预措施的内容因研究而异，但形式相似（面对面指导和电话随访）。
现有证据支持自我管理干预对疼痛相关知识和 QoL 的有效性。需要进一步开展高质量 RCT 来确定最有效的干预措施。
建议进行自我管理以提高癌症患者的疼痛意识、自我管理行为和适应性。癌症疼痛自我管理的组成部分，包括患者态度和知识评估、护士指导和咨询、随访期间的强化以及提供疼痛管理和药物依从性的补充材料，可以包含在干预措施中。未来，探索一种使用基于互联网的信息技术（例如微信）有效辅助自我管理干预措施实施的方法是值得的。
本系统评价不一定涉及这项工作中的患者或公众成员。
