The target audience of the journal includes nurses, academicians, clinical researchers, medical/health professionals, students, nursing professionals and related professional and academic bodies and institutions.
Aims and objectives
This study aimed to investigate the effect of nurse‐led care on fatigue in patients with rheumatoid arthritis.
Background
Evaluating the effect of nurse‐led care on fatigue in patients with rheumatoid arthritis will be useful in planning appropriate nursing interventions to increase the functional status and quality of life of patients.
Design
Systematic review and meta‐analysis.
Methods
A comprehensive literature review was conducted on the Cochrane Library, Web of Science, PubMed, EBSCOhost/CINAHL Complete, Springer Link, ProQuest, Science Direct and Ovid databases. The selected articles were examined by two independent ratters with the PICOS criteria, and the methodological quality of the studies included in the study was evaluated with the Quality Assessment Tool for Quantitative Studies. The Comprehensive Meta‐Analysis 3 software was used in the analysis of the data. The study was conducted using the checklist for PRISMA.
Results
This meta‐analysis study included six of 1,445 randomised controlled trials. These six studies consisted of a total of 994 patients and provided education and psychosocial support through 30‐minute to 2‐hour consultations, visits and briefings. No significant publication bias was found in the main outcomes. According to the results of the meta‐analysis, the fatigue in patients with rheumatoid arthritis decreased significantly in nurse‐led care groups compared with control groups (Hedge's g = −0.18; 95% CI = −0.3 to −0.06).
Conclusions
The findings in this systematic review and meta‐analysis indicated that nurse‐led care played an important role in reducing fatigue in patients with rheumatoid arthritis.
Relevance to clinical practice
Nurse‐led care is an effective and appropriate method in reducing fatigue in patients with rheumatoid arthritis. The awareness of all health professionals about the importance of nurse‐led care will increase. We recommend the implementation of nurse‐led education and psychosocial support interventions to reduce the fatigue of patients with rheumatoid arthritis.
Aims and objectives
To systematically examine the effect of peer mentoring applied to patients with cancer on physical activity.
Design
Systematic review and meta‐analysis.
Methods
This systematic review and meta‐analysis was conducted as a result of reviewing randomised controlled trials. No year limitation was set, and studies published in English were included in the study. Web of Science, Science Direct, PubMed, ProQuest, EBSCOhost/CINAHL Complete, Springer Link, Cochrane Library, MEDLINE and Ovid databases were searched up to January 2022. The Comprehensive Meta‐Analysis 3 software was used to analyse the meta‐analysis data. PRISMA was employed. The Cochrane Collaboration tool was evaluated by two independent researchers.
Results
Six studies with a total of 1.551 participants were included in the meta‐analysis. The results showed that peer mentoring had positive medium effects on the physical activity process (95% Cl = 0.15 to 0.49, p < .001 and Hedge's g = 0.322). The results of the sensitivity analysis confirmed the reliability of the outcome measures.
Conclusions
Peer mentoring was found to have positive effects on improving the level of physical activity in patients with cancer. The use of peer mentoring can offer a holistic perspective by improving the quality and functional status of care.
Relevance to clinical practice
Peer mentoring can be beneficial in terms of being a comfortable method and improving the physical activity levels of patients. In addition, health professionals’ awareness of peer mentoring in terms of the provision of holistic care will increase.
Aim
This systematic review aimed to systematically summarize studies obtained through a database search and examine the effect of web‐based intervention programs on self‐management and symptom management in patients with lymphoma.
Methods
A systematic review of randomized controlled trials was carried out. Cochrane Central Register of Controlled Trials, Web of Science, PubMed, CINAHL, Scopus, ProQuest, Science Direct, and Ovid databases were reviewed until January 2021. The flow chart of the Preferred Reporting Items for Systematic Review and Meta‐Analysis checklist was used in the search procedure without setting a year limit. Population, Intervention, Comparison, Outcomes and Study criteria were determined by two independent investigators and published randomized controlled studies in English with lymphoma diagnosis and web‐based intervention programs for self‐management and symptom management were included in the systematic review. The included studies were examined for their risk of bias with the help of the Cochrane Collaboration tool. A narrative synthesis of study findings was performed.
Results
Six randomized controlled trials with 2382 participants were included in the systematic review. Web‐based intervention programs in patients diagnosed with lymphoma were found to be generally implemented for determining the levels of self‐management and symptom management. In all of the studies reviewed, it was found that the interventions had treatment outcomes. The risk of Bias 2 was evaluated as high risk in two studies that did not meet the criteria for blinding outcome evaluations. The included studies, while evaluating the effects of web‐based intervention programs on patient outcomes, could not provide information about the underlying mechanisms by which these effects occur and how they occur.
Conclusions
All of the studies included were found to apply a technology designed to improve outcomes in patients with lymphoma. It is recommended that web‐based intervention programs be individualized by adapting them to lymphoma types and stages, and serve as a guide for effective symptom management.
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