研究验证的乳腺癌护理移动应用程序：系统评价。
Research-Tested Mobile Apps for Breast Cancer Care: Systematic Review.
机构信息
Department of Medical Psychology, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Kids Cancer Centre, Sydney Children's Hospital, University of New South Wales, Sydney, Australia.
出版信息
JMIR Mhealth Uhealth. 2019 Feb 11;7(2):e10930. doi: 10.2196/10930.
BACKGROUND
The use of mobile health (mHealth) apps in clinical settings is increasing widely. mHealth has been used to promote prevention, improve early detection, manage care, and support survivors and chronic patients. However, data on the efficacy and utility of mHealth apps are limited.
OBJECTIVE
The main objective of this review was to provide an overview of the available research-tested interventions using mHealth apps and their impact on breast cancer care.
METHODS
A systematic search of Medline, PsycINFO, Embase, and Scopus was performed to identify relevant studies. From the selected studies, the following information was extracted: authors, publication date, study objectives, study population, study design, interventions' features, outcome measures, and results.
RESULTS
We identified 29 empirical studies that described a health care intervention using an mHealth app in breast cancer care. Of these, 7 studies were about the use of an mHealth application in an intervention for breast cancer prevention and early detection, 12 targeted care management, and 10 focused on breast cancer survivors.
CONCLUSIONS
Our results indicate consistent and promising findings of interventions using mHealth apps that target care management in breast cancer. Among the categories of mHealth apps focusing on survivorship, mHealth-based interventions showed a positive effect by promoting weight loss, improving the quality of life, and decreasing stress. There is conflicting and less conclusive data on the effect of mHealth apps on psychological dimensions. We advocate further investigation to confirm and strengthen these findings. No consistent evidence for the impact of interventions using mHealth apps in breast cancer prevention and early detection was identified due to the limited number of studies identified by our search. Future research should continue to explore the impact of mHealth apps on breast cancer care to build on these initial recommendations.
背景
移动医疗（mHealth）应用在临床环境中的使用正在广泛增加。mHealth 已被用于促进预防、改善早期检测、管理护理以及支持幸存者和慢性病患者。然而，关于 mHealth 应用的疗效和实用性的数据有限。
目的
本次综述的主要目的是提供使用 mHealth 应用的已研究测试干预措施及其对乳腺癌护理影响的概述。
方法
对 Medline、PsycINFO、Embase 和 Scopus 进行系统检索，以确定相关研究。从选定的研究中，提取了以下信息：作者、出版日期、研究目标、研究人群、研究设计、干预措施的特征、结局测量指标和结果。
结果
我们确定了 29 项描述了在乳腺癌护理中使用 mHealth 应用的医疗干预措施的实证研究。其中，7 项研究涉及使用 mHealth 应用进行乳腺癌预防和早期检测干预，12 项研究针对护理管理，10 项研究聚焦于乳腺癌幸存者。
结论
我们的结果表明，针对乳腺癌护理管理的 mHealth 应用干预措施具有一致且有前景的发现。在关注生存质量的 mHealth 应用类别中，基于 mHealth 的干预措施通过促进体重减轻、改善生活质量和降低压力显示出积极的效果。mHealth 应用对心理维度的影响存在相互矛盾和不太明确的数据。我们提倡进一步的调查以确认和加强这些发现。由于我们的检索仅确定了有限数量的研究，因此没有发现使用 mHealth 应用在乳腺癌预防和早期检测中的干预措施的一致影响证据。未来的研究应继续探索 mHealth 应用对乳腺癌护理的影响，以建立在这些初步建议的基础上。
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