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Purpose <p>This meta-analysis evaluates the effectiveness of nurse-led interventions in improving quality of life (QoL), mental health, sexual function, marital satisfaction, postoperative recovery, and symptom distress in gynecological cancer patients.</p> Methods <p>A systematic search of PubMed, Embase, Web of Science, Cochrane Library, and PsycINFO identified randomized controlled trials (RCTs) and quasi-experimental studies. A random-effects meta-analysis was conducted, assessing heterogeneity (I<sup>2</sup>), publication bias, and evidence certainty using the GRADE framework.</p> Results <p>Ten RCTs (1,574 participants) showed nurse-led interventions significantly reduced anxiety (d = 0.85–1.29), depression (d = 1.29), and improved QoL (d = 0.42–1.29). Sexual rehabilitation programs enhanced sexual function (d = 0.95) and marital satisfaction (d = 0.65–0.80). Postoperative nursing interventions lowered infection rates (OR = 7.82) and improved recovery. cognitive-behavioral therapy (CBT)-based interventions, when adapted for delivery by trained nurses, had the strongest psychological benefits, while structured postoperative care optimized recovery. Heterogeneity was moderate to high (I<sup>2</sup> = 58–72%), and GRADE rated evidence as moderate for anxiety reduction, sexual function, and recovery but low for QoL and patient empowerment.</p> Conclusion <p>Nurse-led interventions effectively improve mental health, QoL, sexual function, and recovery in gynecological cancer patients, offering a cost-effective, accessible alternative to physician-led care. Future research should standardize protocols, conduct multicenter trials, and assess long-term impacts.</p>

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The role of nursing interventions in the management and outcomes of gynecological tumors: a systematic review and meta-analysis

  • 期刊论文

  • 发表日期：

    2025年7月19日

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  • Mingming Yang,
  • Aixia Hong,
  • Mengdie Qin,
  • Xiaojie Gu,
  • Chun Yuan

摘要

Purpose

This meta-analysis evaluates the effectiveness of nurse-led interventions in improving quality of life (QoL), mental health, sexual function, marital satisfaction, postoperative recovery, and symptom distress in gynecological cancer patients.

Methods

A systematic search of PubMed, Embase, Web of Science, Cochrane Library, and PsycINFO identified randomized controlled trials (RCTs) and quasi-experimental studies. A random-effects meta-analysis was conducted, assessing heterogeneity (I2), publication bias, and evidence certainty using the GRADE framework.

Results

Ten RCTs (1,574 participants) showed nurse-led interventions significantly reduced anxiety (d = 0.85–1.29), depression (d = 1.29), and improved QoL (d = 0.42–1.29). Sexual rehabilitation programs enhanced sexual function (d = 0.95) and marital satisfaction (d = 0.65–0.80). Postoperative nursing interventions lowered infection rates (OR = 7.82) and improved recovery. cognitive-behavioral therapy (CBT)-based interventions, when adapted for delivery by trained nurses, had the strongest psychological benefits, while structured postoperative care optimized recovery. Heterogeneity was moderate to high (I2 = 58–72%), and GRADE rated evidence as moderate for anxiety reduction, sexual function, and recovery but low for QoL and patient empowerment.

Conclusion

Nurse-led interventions effectively improve mental health, QoL, sexual function, and recovery in gynecological cancer patients, offering a cost-effective, accessible alternative to physician-led care. Future research should standardize protocols, conduct multicenter trials, and assess long-term impacts.