Nonpharmacological Interventions for Managing the Dyspnea-Fatigue-Physical/Role Functioning Symptom Cluster in Lung Cancer Patients: A Systematic Review

医学 心理干预 梅德林 系统回顾 物理疗法 荟萃分析 随机对照试验 癌症相关疲劳 针灸科 重症监护医学 内科学 癌症 替代医学 精神科 病理 政治学 法学
作者
Clara Leyns,Cassandra Van Boterdael,Ellen Baele,Lindsay Poppe,Charlotte Billiet,Renée Bultijnck,Maarten Lambrecht,Yolande Lievens,Elke Rammant
出处
期刊:European Journal of Cancer Care [Wiley]
卷期号:2024: 1-24 被引量:1
标识
DOI:10.1155/2024/9361352
摘要

Objective. Lung cancer (LC) patients suffer from multiple cooccurring symptoms. Interventions that have the potential to impact more than one symptom within a symptom cluster should be identified. The aim of this review was to examine nonpharmacological interventions that were effective in the management of one or more of the following symptoms in LC patients: dyspnea, fatigue, physical functioning (PF), and role functioning (RF). Methods. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used for reporting this systematic review. The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (using the PubMed interface), Embase (using the embase.com interface), and Web of Science were used as electronic databases. Randomized controlled studies were included if they assessed the effects of nonpharmacological interventions on dyspnea, fatigue, PF, and/or RF in patients with LC. Studies were evaluated with the Cochrane risk of bias tool, and relevant data were extracted and narratively summarized. Results and Conclusions. In total, 89 articles were included. Search results (until April 2023) show that most evidence was found for exercise interventions, followed by multicomponent, psychoeducational, diet, acupuncture, and other interventions. Studies that had an effect on multiple symptoms were observed to have the most frequent instances of positively affecting dyspnea, followed by PF, fatigue, and RF.

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