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社交媒体在癌症预防和管理中的应用:系统评价。

Interventions Using Social Media for Cancer Prevention and Management: A Systematic Review.

机构信息

Author Affiliations: Department of Biomedical Informatics and Medical Education, School of Medicine, and Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle (Drs Han and Demiris); and Department of Health and Community Systems, School of Nursing, and Department of Biomedical Informatics, School of Medicine, University of Pittsburg, Pennsylvania (Dr Lee).

出版信息

Cancer Nurs. 2018 Nov/Dec;41(6):E19-E31. doi: 10.1097/NCC.0000000000000534.

Abstract

BACKGROUND

Regarding cancer awareness, social media effectively promotes health and supports self-management. Given the diverse study designs, methodologies, and approaches of social media interventions in oncology, it is difficult to determine the effects of social media on cancer prevention and management.

OBJECTIVE

We aim to systematically review intervention studies using social media for cancer care.

METHODS

A systematic search, using 7 electronic databases (PubMed, Web of Science, CINAHL, Cochrane Library, Scopus, EMBASE, and PsycINFO), was conducted to identify surveys and interventions using contemporary social media tools with a focus on cancer.

RESULTS

Of the 18 selected studies, 7 were randomized controlled trials. Most studies were conducted for all types of cancer, and some were conducted for breast cancer in the United States, with mostly white female participants. Facebook was the most frequently used platform. Most studies targeted healthy participants providing cancer prevention education. With social media platforms as part of a larger intervention, or the main component of interventions, interventions were overall feasible and showed a significant improvement in cancer prevention and management.

CONCLUSIONS

Social media tools have the potential to be effective in delivering interventions for cancer prevention and management. However, there was a dearth of studies with rigorous study methodologies to test social media effects on various cancer-related clinical outcomes.

IMPLICATIONS FOR PRACTICE

Social media use in cancer care will facilitate improved communication and support among patients, caregivers, and clinicians and, ultimately, improved patient care. Clinicians need to carefully harness social media to enhance patient care and clinical outcomes.

摘要

背景

社交媒体在提高癌症防治意识方面卓有成效,能够为患者提供健康支持并帮助他们进行自我管理。鉴于在肿瘤学领域,社交媒体干预措施具有多样化的研究设计、方法和途径,因此,很难确定社交媒体对癌症预防和管理的影响。

目的

我们旨在对使用社交媒体进行癌症护理的干预研究进行系统综述。

方法

通过 7 个电子数据库(PubMed、Web of Science、CINAHL、Cochrane Library、Scopus、EMBASE 和 PsycINFO)进行系统检索,以确定使用当代社交媒体工具且侧重于癌症的调查和干预研究。

结果

在 18 项选定的研究中,有 7 项为随机对照试验。大多数研究针对所有类型的癌症开展,有些研究在美国针对乳腺癌开展,参与者大多为白人女性。使用最频繁的平台是 Facebook。大多数研究的目标人群是提供癌症预防教育的健康参与者。在将社交媒体平台作为更大干预措施的一部分或干预措施的主要组成部分的情况下,干预措施总体上是可行的,并在癌症预防和管理方面显示出显著改善。

结论

社交媒体工具在提供癌症预防和管理干预措施方面具有潜力。然而,缺乏采用严格研究方法来测试社交媒体对各种癌症相关临床结局影响的研究。

实践意义

在癌症护理中使用社交媒体将促进患者、护理人员和临床医生之间的沟通和支持,最终改善患者护理。临床医生需要谨慎利用社交媒体来提高患者护理和临床结局。

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