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The effectiveness of nurse-led telehealth interventions in palliative care for patients with cancer and their family caregivers: A systematic review and meta-analysis
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Hicran Bektaş DOI：10.1177/02692163261431088.png)
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Abstract
En 中文
<jats:sec>
<jats:title>Background:</jats:title>
<jats:p>Although telehealth is increasingly implemented in palliative oncology, the psychosocial effectiveness of nurse-led telehealth interventions remains unclear. Existing reviews are largely descriptive and do not isolate nurse-delivered interventions or synthesize psychosocial outcomes for both patients and family caregivers.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Aim:</jats:title>
<jats:p>To evaluate the effectiveness of nurse-led telehealth interventions on psychosocial outcomes among patients with cancer receiving palliative care and their family caregivers.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Design:</jats:title>
<jats:p>Systematic review and meta-analysis.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Data sources:</jats:title>
<jats:p>Nine electronic databases were searched from inception to April 2025 for randomized controlled trials evaluating nurse-led telehealth interventions.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results:</jats:title>
<jats:p>
Nine trials (
<jats:italic toggle="yes">n</jats:italic>
= 3177 participants) were included. Among patients, nurse-led telehealth significantly reduced anxiety (Hedges’
<jats:italic toggle="yes">g</jats:italic>
= 0.46) and improved quality of life (Hedges’
<jats:italic toggle="yes">g</jats:italic>
= 0.33). Effects on depressive symptoms were not statistically significant. Among family caregivers, significant improvements were observed in anxiety (Hedges’
<jats:italic toggle="yes">g</jats:italic>
= 0.30), depression (Hedges’
<jats:italic toggle="yes">g</jats:italic>
= 0.42), quality of life (Hedges’
<jats:italic toggle="yes">g</jats:italic>
= 0.45), and stress burden (Hedges’
<jats:italic toggle="yes">g</jats:italic>
= 0.44). Interventions comprising more than six sessions demonstrated greater effectiveness for selected outcomes.
</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusion:</jats:title>
<jats:p>Nurse-led telehealth interventions improve psychosocial outcomes in palliative oncology for both patients and family caregivers. Structured and adequately intensive programs may enhance intervention impact and support evidence-based digital nursing practice.</jats:p>
</jats:sec>
Keywords:
nurse-led telehealth
palliative care
cancer
psychosocial outcomes
family caregivers
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