Background

Patient engagement is becoming increasingly relevant in cancer care. Nurses have been recognized as crucial in promoting active engagement of people with carcer. Despite the growing interest on this topic and the relevance of patient engagement interventions to improve patient' conditions, to the best of our knowledge there is no synthesis of the literature on the characteristics and impact of nurse-led patient engagement intervention for adults with cancer.

Objective

This review aims to systematically summarize nurse-led patient engagement interventions for adult patients diagnosed with cancer and to describe the state of the art on the impact of these interventions on patients' outcomes.

Design

Systematic review.

Setting(s)

Hospital and outpatient care.

Participants

Adults with cancer.

Methods

We searched PubMed, CINAHL, Embase, Scopus, Web of Science and Cochrane library from 2005 to 2021. We included randomized clinical trials, quasi-experimental studies and single-arm, pre-test/post-test studies written in English, Spanish, French and Italian. All the included articles reported nurse-led patient engagement interventions designed to improve patient engagement in the management of their own disease and to assess outcomes related to patient engagement. We appraised the methodological quality of the included articles with the Joanna Briggs Institute appraisal tools.

Results

Twenty-four articles met the inclusion criteria. Four distinct types of nurse-led engagement interventions, showing different degrees of complexity, were classified: (i) generic health information delivery, (ii) patient-specific information delivery, (iii) personalized decision support and (iv) motivational support. These interventions were effective in supporting behavioral changes and reducing symptoms burden of adults with cancer. In addition, many of the retrieved studies showed significant increase in patients' knowledge, informed decisions making, perceived quality of nurse–patient interaction and quality of life after the engagement intervention.

Conclusions

This systematic review summarized a wide variety of nurse-led patient engagement interventions with different degrees of complexity. In addition, a significant positive effect of these interventions was found on outcomes such as patient activation, self-efficacy, health literacy and quality of life. Among those identified, nurse-led motivational interventions appear to be the most effective ones for improving engagement outcomes in adults with cancer.

Registration number

PROSPERO Nr: CRD42020146189

中文翻译：

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促进患者参与癌症护理的护理干预：系统评价

背景

患者参与在癌症护理中变得越来越重要。护士被认为是促进癌症患者积极参与的关键。尽管对该主题的兴趣日益浓厚，并且患者参与干预与改善患者状况的相关性，但据我们所知，没有关于护士主导的患者参与干预对成人癌症患者的特征和影响的综合文献。

客观的

本综述旨在系统地总结由护士主导的针对被诊断患有癌症的成年患者的患者参与干预措施，并描述这些干预措施对患者预后影响的最新技术。

设计

系统评价。

设置

医院和门诊护理。

参与者

患有癌症的成年人。

方法

我们检索了 2005 年至 2021 年的 PubMed、CINAHL、Embase、Scopus、Web of Science 和 Cochrane 图书馆。我们纳入了用英语、西班牙语、法语和意大利语。所有纳入的文章都报告了由护士主导的患者参与干预措施，旨在提高患者对自身疾病管理的参与度，并评估与患者参与度相关的结果。我们使用 Joanna Briggs Institute 评估工具评估了纳入文章的方法学质量。

结果

24 篇文章符合纳入标准。四种不同类型的护士主导的参与干预，显示出不同程度的复杂性，被分类为：（i）通用健康信息传递，（ii）患者特定信息传递，（iii）个性化决策支持和（iv）动机支持。这些干预措施在支持行为改变和减轻成年癌症患者的症状负担方面是有效的。此外，许多检索到的研究表明，参与干预后患者的知识、知情决策、护患互动的感知质量和生活质量显着增加。

结论

该系统评价总结了各种复杂程度不同的护士主导的患者参与干预措施。此外，这些干预措施对患者激活、自我效能、健康素养和生活质量等结果具有显着的积极影响。在确定的那些中，护士主导的激励干预似乎是改善成人癌症患者参与结果的最有效的干预措施。

注册号码

PROSPERO 编号：CRD42020146189