Effectiveness of Self-Management in Breast Cancer Patients: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

NING Xiangxiang ,  YIN Zhiqin , ZANG Yuantong

School of Nursing, Wenzhou Medical College, Wenzhou 325000, China;

Corresponding author：

YIN Zhiqin, Email: YZQ@wzmc.net

Keywords：

Breast cancer; Self-management; Systematic review; Meta-analysis; Randomized controlled trial

DOI：

10.7507/1672-2531.20110173

Video：

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Objective 　To systematically assess the effectiveness of self-management during adjuvant treatment for breast cancer.
Methods 　Through formulating the inclusion and exclusion criteria and the search strategy, such databases as The Cochrane Library, PubMed (1966 to 2010), OVID, ELSEVIER, CINAHL, EMbase, CNKI (1980 to 2010), WanFang Data, VIP (1989 to 2010) and CBM (1978 to 2010) were searched to collect the randomized controlled trials (RCTs) about postoperative self-management in breast cancer. Two reviewers evaluated the quality of the included studies, extracted and crosschecked the data; the Review Manager 5.0 software was used to perform the test for heterogeneity, and the cumulative effect was calculated with either fixed or random effects models.
Results 　Among the included ten studies in English, three revealed that the program of self-management had no impact on the overall life quality of patients, three revealed that it could enhance the self-care ability of patients (P=0.004), three revealed that it could not reduce the anxiety level of patients, and two revealed that it had certain influence on the depression level of patients.
Conclusion 　The program of self-management can enhance the patients’ self-care ability, but its influence on patients’ overall life quality as well as the level of anxiety and depression is still undefined.

Citation： NING Xiangxiang,YIN Zhiqin,ZANG Yuantong. Effectiveness of Self-Management in Breast Cancer Patients: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2011, 11(9): 1033-1038. doi: 10.7507/1672-2531.20110173 Copy

1.	3 Lorig KR, holman H. Self-management education: History, definition, outcomes, and mechanisms. Ann Behav Med , 2003, 26(1): 1-7.
2.	National Breast Cancer Coalition. Facts about breast cancer in the United States: Year 2007. http://www.natlbcc.org/bin /index.asp？strid=427&depid=，2007.
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4.	Swerissen H, Belfrage J, Weeks A, et al . A randomised control trial of a self-management program for people with a chronic illness from Vietnamese, Chinese, Italian and Greek backgrounds. Patient Educ Couns , 2006, 64(1-3): 360-368.
5.	袁莱. 美国保健协会会长关于预防癌症的建议. 求医问药, 2010(5): 14-15.
6.	杜世正, 袁长蓉. 自我管理模式的研究实践进展及思考. 中华护理杂志, 2009, 44(11): 1048-1051.
7.	Lev EL, Daley KM, Conner NE, et al . An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patient. Sch Inq Nurs Pract , 2001, 15(3): 277-294.
8.	Wengstrom Y, Haggmark C, Strander H, et al . Effects of a nursing intervention on subjective distress, side effects and quality of life of breast cancer patients receiving curative radiation therapy--a randomized study. Acta Oncol , 1999, 38(6): 763-770.
9.	Wyatt GK, Donze LF, Beckrow KC. Efficacy of an in-home nursing intervention following short-stay breast cancer surgery. Res Nurs Health , 2004, 27(5): 322-331.
10.	Craddock RB, Adams PF, Usui WM, et al . An intervention to increase use and effectiveness of self-care measures for breast cancer chemotherapy patients. Cancer Nurs , 1999, 22(4): 312-319.
11.	Braden CJ, Mishel MH, Longman AJ. Self-Help Intervention Project. Women receiving breast cancer treatment. Cancer Pract , 1998, 6(2): 87-98.
12.	Badger T, Segrin C, Dorros SM, et al . Depression and anxiety in women with breast cancer and their partners. Nurs Res , 2007, 56(1): 44-53.
13.	Williams SA, Schreier AM. The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Appl Nurs Res , 2005, 18(3): 138-147.
14.	Allard NC. Day surgery for breast cancer: effects of a psychoeducational telephone intervention on functional status and emotional distress. Oncol Nurs Forum , 2007, 34(1): 133-141.
15.	Cimprich B, Janz NK, Northouse L, et al . Taking CHARGE: A self-management program for women following breast cancer treatment. Psychooncology , 2005, 14(9): 704-717.
16.	Badger TA, Braden CJ, Mishel MH. Depression burden, self-help interventions, and side effect experience in women receiving treatment for breast cancer. Oncol Nurs Forum , 2001, 28(3): 567-574.
17.	Higgins JPT, Green S. Cochrance Handbook for Systematic Reviews of Interventions 4.2.6. 2006: The Cochrane Collaboration.

1. 3 Lorig KR, holman H. Self-management education: History, definition, outcomes, and mechanisms. Ann Behav Med , 2003, 26(1): 1-7.
2. National Breast Cancer Coalition. Facts about breast cancer in the United States: Year 2007. http://www.natlbcc.org/bin /index.asp？strid=427&depid=，2007.
3. 穆丽波, 姜潮, 刘海燕. 影响乳腺癌患者生活质量的心理方面因素. 国外医学: 社会医学分册, 2001, 18(4): 157-160.
4. Swerissen H, Belfrage J, Weeks A, et al . A randomised control trial of a self-management program for people with a chronic illness from Vietnamese, Chinese, Italian and Greek backgrounds. Patient Educ Couns , 2006, 64(1-3): 360-368.
5. 袁莱. 美国保健协会会长关于预防癌症的建议. 求医问药, 2010(5): 14-15.
6. 杜世正, 袁长蓉. 自我管理模式的研究实践进展及思考. 中华护理杂志, 2009, 44(11): 1048-1051.
7. Lev EL, Daley KM, Conner NE, et al . An intervention to increase quality of life and self-care self-efficacy and decrease symptoms in breast cancer patient. Sch Inq Nurs Pract , 2001, 15(3): 277-294.
8. Wengstrom Y, Haggmark C, Strander H, et al . Effects of a nursing intervention on subjective distress, side effects and quality of life of breast cancer patients receiving curative radiation therapy--a randomized study. Acta Oncol , 1999, 38(6): 763-770.
9. Wyatt GK, Donze LF, Beckrow KC. Efficacy of an in-home nursing intervention following short-stay breast cancer surgery. Res Nurs Health , 2004, 27(5): 322-331.
10. Craddock RB, Adams PF, Usui WM, et al . An intervention to increase use and effectiveness of self-care measures for breast cancer chemotherapy patients. Cancer Nurs , 1999, 22(4): 312-319.
11. Braden CJ, Mishel MH, Longman AJ. Self-Help Intervention Project. Women receiving breast cancer treatment. Cancer Pract , 1998, 6(2): 87-98.
12. Badger T, Segrin C, Dorros SM, et al . Depression and anxiety in women with breast cancer and their partners. Nurs Res , 2007, 56(1): 44-53.
13. Williams SA, Schreier AM. The role of education in managing fatigue, anxiety, and sleep disorders in women undergoing chemotherapy for breast cancer. Appl Nurs Res , 2005, 18(3): 138-147.
14. Allard NC. Day surgery for breast cancer: effects of a psychoeducational telephone intervention on functional status and emotional distress. Oncol Nurs Forum , 2007, 34(1): 133-141.
15. Cimprich B, Janz NK, Northouse L, et al . Taking CHARGE: A self-management program for women following breast cancer treatment. Psychooncology , 2005, 14(9): 704-717.
16. Badger TA, Braden CJ, Mishel MH. Depression burden, self-help interventions, and side effect experience in women receiving treatment for breast cancer. Oncol Nurs Forum , 2001, 28(3): 567-574.
17. Higgins JPT, Green S. Cochrance Handbook for Systematic Reviews of Interventions 4.2.6. 2006: The Cochrane Collaboration.

Chinese Journal of Evidence-Based Medicine

Effectiveness of Self-Management in Breast Cancer Patients: A Systematic Review

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