Asian Oncol Nurs.  2012 Dec;12(4):257-266. 10.5388/aon.2012.12.4.257.

The Effect of Patient Education Interventions on Distress, Self-Care Knowledge and Self-Care Behavior of Oncology Patients: A Meta-Analysis

• Oh PJ
• Choi HJ

• KMID: 2168790
• DOI: http://doi.org/10.5388/aon.2012.12.4.257

Abstract

PURPOSE
The purpose of this study was to evaluate the effectiveness of patient education interventions on distress, self-care knowledge and self-care behavior in cancer patients.
METHODS
A total of 1,102 studies were retrieved from 6 electronic databases in Korea. From these studies, 18 studies met the inclusion criteria with a total of 850 participants. Two authors independently assessed the methodological quality by Cochrane's Risk of Bias and Methodological Items for Non Randomized Studies. The data were analyzed by the RevMan 5.1 program of Cochrane library.
RESULTS
Overall effect size of education interventions on anxiety was -2.12 (95% CI: -3.90, -0.34) (p<.001). The effects on self-care knowledge and self care behavior were -1.08 (95% CI:-1.73, -0.43) (p=.001), and -1.41 (95% CI: -2.13, -0.68) (p<.001), respectively. Publication bias was detected as evaluated by funnel plot, but the fail-safe number was moderate.
CONCLUSION
This study suggests that patient education interventions can relieve anxiety and self-care. Further randomized controlled trials studies are needed to evaluate the effects of patient education intervention on depression.

Keyword

Neoplasm; Distress; Self-Care; Education of Patients; Meta-Analysis

MeSH Terms

Anxiety
Bias (Epidemiology)
Depression
Education
Humans
Korea
Patient Education as Topic*
Publication Bias
Self Care*

Figure

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  Fig. 1 Flow of included studies through database searching.

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  Fig. 2 Forest plot of effect size and 95% CI by education intervention on distress (depression & anxiety).

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  Fig. 3 Forest plot of effect size and 95% CI by education intervention on self care (knowledge & performance).

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