Abstract
Purpose
The purpose of this study was to evaluate the effectiveness of patient education interventions on distress, self-care knowledge and self-care behavior in cancer patients.
Methods
A total of 1,102 studies were retrieved from 6 electronic databases in Korea. From these studies, 18 studies met the inclusion criteria with a total of 850 participants. Two authors independently assessed the methodological quality by Cochrane's Risk of Bias and Methodological Items for Non Randomized Studies. The data were analyzed by the RevMan 5.1 program of Cochrane library.
Results
Overall effect size of education interventions on anxiety was -2.12 (95% CI: -3.90, -0.34) (p<.001). The effects on self-care knowledge and self care behavior were -1.08 (95% CI:-1.73, -0.43) (p=.001), and -1.41 (95% CI: -2.13, -0.68) (p<.001), respectively. Publication bias was detected as evaluated by funnel plot, but the fail-safe number was moderate.
Figures and Tables
Table 1
*Nonnurse; †Group intervention; ‡<5% Attrition rate; §Calculation of sample size.
Exp.=Experimental group; Con.=Control group; diff=difference; RCT=Randomized Controlled Trials; CCT=Controlled Clinical Trials; MUIS=Mishel Uncertainty in Illness Scale; STAI=Spielberger's State Anxiety Inventory; BDI=Beck Depression Inventory; VAS=Visul Analog Scale; ANC=Absolute Neutrophile Count; OAG=Oral Assessment Guide; WCCL-R=Ways of Coping Check List-Revised.
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