School of Medicine, Xiamen University, Fujian Province, PR China.
Department of Gynecology and Obstetrics, Zhongshan Hospital, Xiamen University, Fujian Province, PR China.
Gynecol Oncol. 2020 Jul;158(1):143-152. doi: 10.1016/j.ygyno.2020.04.690. Epub 2020 Apr 24.
With advantages of easy accessibility and various multimedia interactivity formats, online interventions have been developed to improve health outcomes for patients with a variety of gynecological cancers, but evidence regarding their effectiveness for such patients is not well-understood. This review aimed to synthesize study findings that were published in English or Chinese regarding the effectiveness of online interventions on the quality of life, symptom distress, social support, psychological distress, sexual well-being, and body image in patients with gynecological cancer.
This integrative review adhered to five steps, including problem identification, literature search, quality appraisal, data analysis, and presentation. Ten electronic databases (MEDLINE, ScienceDirect, SpringerLink, PubMed, Wiley Online Journals, Web of Science, OVID, CINAHL Plus with Full Text, China National Knowledge Infrastructure, and Cochrane Library) were searched from the inception of each database to April 2019 in accordance with the rigid and explicit inclusion and exclusion criteria. Version 2018 of the Mixed Methods Appraisal Tool was used for the quality appraisal of the articles.
Out of 276 articles, 24 potentially eligible articles were initially identified. A manual search retrieved an additional eligible three articles. After nine articles were excluded, ten quantitative, six qualitative, and two mixed-methods articles were finally included. Online interventions improved quality of life and body images in patients with gynecological cancer, but there were inconclusive effects on symptom distress, social support, psychological distress, and sexual well-being.
Online interventions have been increasingly used as clinically promising interventions to promote health outcomes among patients with gynecological cancer. Studies with more rigorous designs and sufficient sample sizes are needed to elucidate the effectiveness of such online interventions. Healthcare workers can incorporate existing or new online interventions into their routine care to improve health outcomes for patients with gynecological cancer.
在线干预具有易于获取和多种多媒体交互格式的优势，已被开发用于改善各种妇科癌症患者的健康结局，但针对此类患者的此类干预措施的有效性证据尚不清楚。本综述旨在综合发表于英文或中文文献中关于在线干预对妇科癌症患者生活质量、症状困扰、社会支持、心理困扰、性健康和身体形象的有效性的研究结果。
本综合综述遵循五个步骤，包括问题识别、文献搜索、质量评估、数据分析和呈现。根据严格明确的纳入和排除标准，从每个数据库的创建开始，使用 10 个电子数据库（MEDLINE、ScienceDirect、SpringerLink、PubMed、Wiley Online Journals、Web of Science、OVID、CINAHL Plus with Full Text、中国国家知识基础设施和 Cochrane Library）对 2019 年 4 月进行了搜索。使用 2018 年版混合方法评估工具对文章进行质量评估。
在 276 篇文章中，最初确定了 24 篇潜在合格的文章。手动搜索又检索到另外三篇合格的文章。在排除了 9 篇文章后，最终纳入了 10 篇定量、6 篇定性和 2 篇混合方法文章。在线干预改善了妇科癌症患者的生活质量和身体形象，但对症状困扰、社会支持、心理困扰和性健康的影响尚无定论。
在线干预已越来越多地被用作有前途的临床干预措施，以促进妇科癌症患者的健康结局。需要更严格设计和足够样本量的研究来阐明此类在线干预的有效性。医疗保健工作者可以将现有的或新的在线干预措施纳入其常规护理中，以改善妇科癌症患者的健康结局。
