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Effects of Cancer Patient Self-management Led by Nurse on Self-efficacy and
Quality of Life: A Systematic Review and Meta-analysis

L. Zhu and M. Zhang 2
1

1 2
Faculty of Nursing, Chiang Mai University, Thailand, and School of Nursing, Chongqing Medical and
Pharmaceutical College, China

Background: Continuous advancements in early identification and therapy have led to a rise in the
number of cancer patients. These patients experience limitations in daily activities, poorer quality
of life, and increased treatment burden. Nurses play a crucial role in promoting self-management
interventions, which can improve emotional stability, health outcomes, and quality of life for cancer
patients. However, there is limited data on the effectiveness of nurse-led self-management programs
for cancer patients.

Objective: The researchers aimed to quantitatively summarize the findings through a systematic
review of published original studies to explore the impact of nurse-guided self-management on the
quality of life (QoL) and self-efficacy of cancer patients.

Methods: This meta-analysis and systematic review retrieved relevant publications from 4 electronic
online databases up to 13 March 2023. All original English-language studies examining the impact of
a nurse-directed self-care program on the QoL and self-efficacy of cancer patients were included.
Subgroup analyses were conducted for possible sources of heterogeneity along with the tests for
publication bias. In addition, we assessed the stability of the studies using sensitivity analyses. All
statistical analyses were conducted using STATA 15.1.

Results: The meta-analysis included 13 trials with a total of 1598 participants. The results showed that
Oral Presentation Abstracts
quality of life (SMD: 0.69, 95% CI: 0.19 to 1.18, p < 0.001) and self-efficacy (SMD: 0.22, 95% CI: -0.05 to 0.49,
p = 0.001) improved in cancer patients who received nurse-led self-management therapy.

Conclusion: This review showed that cancer patients who used nurse-led self-management had
positive impacts on their QoL and self-efficacy. Subgroup analyses showed that the effect was better
in the Asian population than in the non-Asian population.

Keywords: cancer, self-efficacy, quality of life, self-management behaviors, systematic review,
meta-analysis

_____________________________________________________________________________________________________
Correspondence: Min Zhang, School of Nursing, Chongqing Medical and Pharmaceutical College, China
E-mail: being127@163.com

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