Effectiveness of Research-Oriented Integrated Nursing Interventions on Cancer Pain Management in Chinese Hospitalized Oncology Patients A Systematic Review and Meta-Analysis

Honglong Zhao; Daiheng Lin; Tian Xie

doi:10.62177/apjcmr.v1i3.426

Authors

Honglong Zhao Sun Yat-sen University Cancer Center
Daiheng Lin Sun Yat-sen University Cancer Center
Tian Xie Sun Yat-sen University Cancer Center

DOI:

https://doi.org/10.62177/apjcmr.v1i3.426

Keywords:

Meta-Analysis, Hospitalized Oncology Patient, Cancer Pain Management, Nursing Intervention

Abstract

Objective: To systematically evaluate the effectiveness of research-oriented integrated nursing interventions on cancer pain management in hospitalized oncology patients in China. Methods: A computerized search of Chinese and English databases was conducted to identify relevant studies. Two researchers independently assessed the quality of included literature using the Newcastle-Ottawa Scale (NOS). Data were extracted and analyzed via Stata 14. A random-effects model was applied due to significant heterogeneity (I² > 50%). Sensitivity analysis and Egger’s test were performed to assess bias. Results: 12 eligible studies (2014–2024) were included. Meta-analysis demonstrated that integrated nursing interventions significantly reduced cancer pain scores compared to routine care (SMD = -1.51, 95% CI: -1.90 to -1.12; I²= 84.8%), with superior efficacy. Subgroup-analyses revealed enhanced effects for "Nursing modes" (SMD = -2.11) and "cancer pain education" (SMD = -2.30). Conclusion: Research-oriented integrated nursing interventions significantly improve cancer pain management in Chinese hospitalized oncology patients, particularly through synergistic effects of "Nursing modes" and "cancer pain education." However, implementation bias from "additive interventions" in teaching hospitals and high heterogeneity warrant attention. Future studies should optimize designs to enhance clinical applicability.

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