Akademik Veri Yönetim Sistemi
Worldviews on Evidence-Based Nursing, cilt.21, sa.4, ss.429-437, 2024 (SCI-Expanded)
Background: Cancer patients experience many symptoms. Nurse-led remote telephone triage can improve their quality of life by contributing to the management of these symptoms. Aims: This study aimed to investigate the effects of nurse-led remote telephone triage on symptom management of patients with cancer. Methods: The searches were conducted in 10 databases and gray literature from May 2023 to July 2023 without any year limitations. A fixed-effects model was used in the meta-analysis. Cochran's Q chi-squared test and I2 statistics were used for heterogeneity. The PRISMA checklist was used. Data obtained from the included studies were analyzed using CMA 3 software. Results: Six relevant studies (1671 patients) were included. Nurse-led remote telephone triage was found to have a positive and moderate effect on parameters such as pain (Hedge's g = 0.21, p <.001), fatigue (Hedge's g = 0.28, p <.001), and depression (Hedge's g = 0.24, p <.001) in patients with cancer. Also, the remote telephone triage had a positive and low effect on outcomes such as anxiety (Hedge's g = 0.17, p =.001), nausea (Hedge's g = 0.17, p =.004), and vomiting (Hedge's g = 0.16, p =.007) but did not affect diarrhea results. Linking Evidence to Action: This study showed that nurse-led remote telephone triage considerably improved the symptoms of patients with cancer. This study will increase oncology nurses' awareness that nurse-led remote telephone triage of patients with cancer can improve their symptoms. Remote symptom triage developed using evidence-based guidelines and protocols can significantly contribute to the regular follow-up of patients' symptoms, providing quality care, and establishing appropriate symptom management programs and systems with high levels of evidence.