Pornak S C, Papachrysanthou A, Lehr B
Institut für eHealth und Management im Gesundheitswesen, Hochschule Flensburg, Kanzleistraße 91-93, 24943, Flensburg, Deutschland.
Urologe A. 2021 Jul;60(7):911-920. doi: 10.1007/s00120-020-01440-1. Epub 2021 Feb 1.
Side effects due to prostate cancer therapy and psychosocial strain are not always recognised during follow-up, which may result in the absence of appropriate therapy offers. Recent studies have shown a potential for improving care by integrating digital technologies like smartphone apps.
This scoping review aimed to explore the effects of apps for the assessment of side effects and distress, provision of individualised patient information and management of prostate cancer follow-up on patient outcome. Furthermore, findings on user acceptance and recommendations for implementation and evaluation were identified.
The databases MEDLINE, Web of Science, PsycInfo, Cochrane Library, ScienceDirect, PSYNDEX, wiso and SpringerLink were searched for quantitative and qualitative primary studies from the period 2005 until August 2020.
In all, 22 studies were included in the review. Apps and web-based interventions had a positive effect on physical symptoms, psychosocial distress and participation in treatment. User acceptance was predominantly good, but there were still substantial numbers of non-users.
Apps and web-based interventions can be an effective supplement to follow-up care, especially if they are adapted to individual patient needs. Robust evidence is still lacking. There is a need for larger randomised controlled studies, particularly in the German healthcare setting.
在随访过程中,前列腺癌治疗的副作用和心理社会压力并不总是能被识别出来,这可能导致无法提供适当的治疗方案。最近的研究表明,整合智能手机应用程序等数字技术有可能改善护理。
本范围综述旨在探讨用于评估副作用和痛苦、提供个性化患者信息以及管理前列腺癌随访的应用程序对患者结局的影响。此外,还确定了关于用户接受度的研究结果以及实施和评估建议。
检索MEDLINE、科学引文索引、心理学文摘数据库、考克兰图书馆、科学Direct、PSYNDEX、wiso和施普林格Link等数据库,查找2005年至2020年8月期间的定量和定性的原始研究。
该综述共纳入22项研究。应用程序和基于网络的干预措施对身体症状、心理社会痛苦和参与治疗有积极影响。用户接受度总体良好,但仍有大量非用户。
应用程序和基于网络的干预措施可以成为后续护理的有效补充,特别是如果它们能适应个体患者的需求。目前仍缺乏有力证据。需要进行更大规模的随机对照研究,尤其是在德国医疗环境中。