Meta-analysis of the application effect of multidisciplinary collaborative nursing model in breast cancer patients / 中国实用护理杂志

ABSTRACT

Objective:To evaluate the effect of multidisciplinary collaborative nursing mode on quality of life, negative emotions and self-care ability of breast cancer patients by Meta-analysis.Methods:PubMed, Medline, Cochrane Library, Web of Science, EMbase, China National Knowledge Infrastructure, Chinese Biomedical Database, VIP and Wanfang Data were searched by computer. Randomized controlled trials on the application of multidisciplinary collaborative nursing model in breast cancer patients were collected. According to the Cochrane system evaluation method, the quality evaluation and data extraction of the included studies were conducted, and the Meta-analysis was conducted by RevMan 5.3 software.Results:A total of 14 randomized controlled trials involving 1 828 patients with breast cancer were included. Meta-analysis showed that multidisciplinary collaborative nursing mode could effectively improve the quality of life of breast cancer patients, and the combined effect was statistically significant( SMD=1.11, 95% CI 0.55-1.67, Z=3.89, P<0.05), relieving anxiety of breast cancer patients( WMD= -1.36, 95% CI -2.68 - -0.03, Z=2.01, P<0.05), and depression ( WMD= -1.23, 95% CI -2.16 - -0.29, Z=2.56, P<0.05), improve the self-care ability of patients, the Meta subgroup analysis results of 4 dimensions of Exercise of Self-care Agency Scale showed P<0.05, the combined effect was statistically significant. Conclusions:Multidisciplinary collaborative nursing model can effectively alleviate the negative emotions of breast cancer patients, such as anxiety and depression, and improve the self-care ability of patients, which is of great significance to improve the quality of life of breast cancer patients.