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针对癌症护理者的基于技术的干预措施:概念分析

Technology-Based Interventions for Cancer Caregivers: Concept Analysis.

作者信息

Su Zhaohui, Li Xiaoshan, McDonnell Dean, Fernandez Andrea A, Flores Bertha E, Wang Jing

机构信息

Center on Smart and Connected Health Technologies, School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States.

Program of Public Relations and Advertising, Beijing Normal University-Hong Kong Baptist University United International College, Zhuhai, China.

出版信息

JMIR Cancer. 2021 Nov 16;7(4):e22140. doi: 10.2196/22140.

Abstract

BACKGROUND

Cancer is a taxing chronic disease that demands substantial care, most of which is shouldered by informal caregivers. As a result, cancer caregivers often have to manage considerable challenges that could result in severe physical and psychological health consequences. Technology-based interventions have the potential to address many, if not all, of the obstacles caregivers encounter while caring for patients with cancer. However, although the application of technology-based interventions is on the rise, the term is seldom defined in research or practice. Considering that the lack of conceptual clarity of the term could compromise the effectiveness of technology-based interventions for cancer caregivers, timely research is needed to bridge this gap.

OBJECTIVE

This study aims to clarify the meaning of technology-based interventions in the context of cancer caregiving and provide a definition that can be used by cancer caregivers, patients, clinicians, and researchers to facilitate evidence-based research and practice.

METHODS

The 8-step concept analysis method by Walker and Avant was used to analyze the concept of technology-based interventions in the context of cancer caregiving. PubMed, PsycINFO, CINAHL, and Scopus were searched for studies that examined technology-based interventions for cancer caregivers.

RESULTS

The defining attributes of technology-based interventions were recognized as being accessible, affordable, convenient, and user-friendly. On the basis of insights gained on the defining attributes, antecedents to, and consequences of technology-based interventions through the concept analysis process, technology-based interventions were defined as the use of technology to design, develop, and deliver health promotion contents and strategies aimed at inducing or improving positive physical or psychological health outcomes in cancer caregivers.

CONCLUSIONS

This study clarified the meaning of technology-based interventions in the context of cancer caregiving and provided a clear definition that can be used by caregivers, patients, clinicians, and researchers to facilitate evidence-based oncology practice. A clear conceptualization of technology-based interventions lays foundations for better intervention design and research outcomes, which in turn have the potential to help health care professionals address the needs and preferences of cancer caregivers more cost-effectively.

摘要

背景

癌症是一种消耗巨大的慢性疾病,需要大量护理,其中大部分由非正式护理人员承担。因此,癌症护理人员常常要应对诸多挑战,这些挑战可能导致严重的身心健康后果。基于技术的干预措施有可能解决护理人员在照顾癌症患者过程中遇到的许多(即便不是全部)障碍。然而,尽管基于技术的干预措施的应用正在增加,但该术语在研究或实践中很少被定义。鉴于该术语概念不清晰可能会影响基于技术的干预措施对癌症护理人员的有效性,需要及时开展研究来弥补这一差距。

目的

本研究旨在阐明基于技术的干预措施在癌症护理背景下的含义,并提供一个可供癌症护理人员、患者、临床医生和研究人员使用的定义,以促进循证研究和实践。

方法

采用沃克和阿万特的八步概念分析法,分析癌症护理背景下基于技术的干预措施这一概念。在PubMed、PsycINFO、CINAHL和Scopus数据库中检索研究癌症护理人员基于技术的干预措施的相关研究。

结果

基于技术的干预措施的定义属性被认为是可获取、可负担、方便且用户友好的。基于通过概念分析过程对基于技术的干预措施的定义属性、先行因素和后果的深入了解,基于技术的干预措施被定义为利用技术来设计、开发和提供旨在诱导或改善癌症护理人员积极的身体或心理健康结果的健康促进内容和策略。

结论

本研究阐明了基于技术的干预措施在癌症护理背景下的含义,并提供了一个清晰的定义,可供护理人员、患者、临床医生和研究人员使用,以促进循证肿瘤学实践。对基于技术的干预措施进行清晰的概念化可为更好的干预设计和研究结果奠定基础,进而有可能帮助医疗保健专业人员更经济高效地满足癌症护理人员的需求和偏好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36ef/8663574/32fcb09762ba/cancer_v7i4e22140_fig1.jpg

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