Effects of Cancer Rehabilitation Interventions for Women Treated for Gynaecological Cancers: A Meta-Analysis of Randomised Controlled Trials

IF 3.6 3区医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-01-28 DOI:10.1111/jocn.17673

Liuxin Zhang, Ankie Tan Cheung, Yongfeng Chen, Ka Ming Chow

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Abstract

Aim

To analyse and synthesise current evidence on the effectiveness of cancer rehabilitation interventions in increasing physical activity, increasing healthy dietary habits, alleviating psychological distress, and increasing health-related quality of life (HRQoL) in women treated for gynaecological cancers (GCs).

Design

A meta-analysis of randomised controlled trials (RCTs).

Data Sources

A systematic search was conducted in 12 databases from inception to 31 May 2024.

Review Methods

The quantitative results from comparable RCTs were pooled and meta-analysed using Review Manager 5.4 software. The results from non-comparable (i.e., clinically heterogeneous) RCTs were narratively summarised. The methodological quality of all RCTs was assessed using Version 2 of the Cochrane risk of bias tool for randomised trials.

Results

Nine RCTs reported in a total of 12 articles met the inclusion criteria and comprised a total of 418 patients. The interventions had significant effects on total physical activity levels at post-intervention, 6-month follow-up, and 12-month follow-up, and on self-efficacy in physical activity at post-intervention and 3-month follow-up. However, the interventions did not significantly improve overall HRQoL or healthy dietary habits and did not significantly alleviate anxiety and depression. The key intervention components were information provision on health-promoting behaviours; adoption of behavioural change techniques (goal setting, action planning, relapse prevention, problem-solving, self-monitoring, and social support); and stress and emotion management.

Conclusion

Rehabilitation interventions effectively increase physical activity in women treated for GCs, leading to sustainable effects. However, there is limited evidence on the effectiveness of such interventions in improving overall HRQoL, encouraging healthy eating, and alleviating psychological distress in women treated for GCs.

Relevance to Clinical Practice

This review found that rehabilitation interventions can increase physical activity levels among women treated for GCs. It also identified the key effective components of such interventions.

Reporting Method

This review is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement.

Patient or Public Contribution

None.

Trial Registration: International Prospective Register of Systematic Reviews registration number: CRD42023442877

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癌症康复干预对接受妇科癌症治疗的妇女的影响：随机对照试验的荟萃分析

目的：分析和综合癌症康复干预在妇科癌症（GCs）治疗妇女增加身体活动、增加健康饮食习惯、减轻心理困扰和提高健康相关生活质量（HRQoL）方面的有效性的现有证据。设计：随机对照试验（rct）的荟萃分析。数据来源：从成立到2024年5月31日在12个数据库中进行了系统检索。综述方法：采用Review Manager 5.4软件对来自可比rct的定量结果进行汇总和meta分析。对非可比性（即临床异质性）随机对照试验的结果进行叙述性总结。所有随机对照试验的方法学质量采用Cochrane随机试验偏倚风险工具第2版进行评估。结果：共有12篇文章报道的9项rct符合纳入标准，共纳入418例患者。干预对干预后、6个月、12个月的总体力活动水平以及干预后、3个月的体力活动自我效能感均有显著影响。然而，这些干预措施并没有显著改善总体HRQoL或健康的饮食习惯，也没有显著缓解焦虑和抑郁。主要干预内容是提供有关促进健康行为的信息；采用行为改变技术（目标设定、行动计划、预防复发、解决问题、自我监督和社会支持）；以及压力和情绪管理。结论：康复干预有效地增加了接受GCs治疗的女性的身体活动，并导致了持续的效果。然而，这些干预措施在改善总体HRQoL、鼓励健康饮食和减轻GCs治疗妇女心理困扰方面的有效性证据有限。与临床实践的相关性：本综述发现康复干预可以增加接受GCs治疗的女性的身体活动水平。它还确定了这些干预措施的关键有效组成部分。报告方法：本综述按照系统评价和荟萃分析声明的首选报告项目进行报告。患者或公众贡献：无。试验注册：国际前瞻性系统评价注册号：CRD42023442877。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.