Objective: This study was to evaluate the effects of psychosocial interventions on survival in adult patients with cancer. Method: MEDLINE via PubMed, Cochrane Library CENTRAL, CINAHL, and Korean electronic databases (September 2014) were searched. Methodological quality was assessed using Cochrane’s Risk of Bias for randomized studies. The RevMan 5.3 program of the Cochrane library was used for data analysis. Results: Fifteen randomized controlled trials met the inclusion criteria, with a total of 2940 participants. Overall, psychosocial interventions was not associated with better survival (HR = .83, 95% CI [.68, 1.10], p = .06, I2 = 64%). In subgroup analysis, based on six trials with 1448 subjects, psychoeducational interventions for cancer patients with non-metastatic at intervention implementation resulted in a 41% reduction in the risk of dying of cancer (HR = .59, 95% CI [.49, .71], p < .001, I2 = 0%). For psychoeducational intervention, significant survival benefit were found when health staff delivered the intervention and at a follow-up time of more than 10 years. Conclusions: Use of psychoeducational interventions for cancer patients at early stage appeared to have beneficial effects on survival, preferably for delivering of health staff. However, conduct of further psychosocial studies with adequate power will lead to better understanding of the effects of treatments on survival outcome.
In this indefinite pandemic situation, roles of nurses have been most illuminated by the public, but the nurses may soon start experiencing burnout. This paper highlights roles of nurses in COVID care in Korea and nursing strategies for the post‐COVID era. As we are the frontline advocators of the public, when we develop strategies for their health and quality of life, we receive public support that can help resolve our issues. We will improve our poor working environments through mutual cooperation, as we are one.Implications for Nursing: Nurses need to possess a variety of abilities, such as the digital literacy required by the non‐contact era after COVID‐19, and to expand the boundaries of the nursing profession in convergence of health services with technology.
2 January 2014 in Journal of Korean Academy of Nursing Administration