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基于网络的癌症患者自我管理干预:一项荟萃分析和系统评价。

Web-based self-management intervention for patients with cancer: A meta-analysis and systematic review.

机构信息

Operating Theatre, Fourth Hospital of Hebei Medical University, Shijiazhuang, China.

Regis Aged Care, The Gap, Brisbane, Queensland, Australia.

出版信息

J Nurs Scholarsh. 2022 Sep;54(5):598-606. doi: 10.1111/jnu.12774. Epub 2022 Mar 16.

Abstract

AIM

This study is conducted to synthesize the effects of web-based self-management intervention on patients with cancer.

EVALUATION

We searched Web of Science, PubMed, Embase and Cochrane library databases for related randomized controlled trials from inception through 2021. Reference lists of included studies were also searched for additional qualified studies. For quantitative data synthesis, standardized mean differences were used to eliminate the influence caused by different scales. Narrative synthesis was also performed.

KEY ISSUES

Nine in 1149 studies were included for narrative and quantitative analysis. The pooled data suggested that patients in the intervention group had better quality of life (standardized mean difference = 1.091, 95% confidence interval: 0.155-2.028) and lower depression (standardized mean difference = -1.634, 95% confidence interval: -2.980 to -0.287) than those in the control group. The result of narrative synthesis is that patients receiving intervention had lower cancer or symptom distress and higher self-efficacy than those in the control group.

CONCLUSION

Web-based self-management intervention improved lives of cancer survivors.

摘要

目的

本研究旨在综合基于网络的自我管理干预对癌症患者的影响。

评估

我们检索了 Web of Science、PubMed、Embase 和 Cochrane 图书馆数据库,以获取从成立到 2021 年的相关随机对照试验。还检索了纳入研究的参考文献列表,以寻找其他合格的研究。对于定量数据综合,使用标准化均数差来消除不同量表引起的影响。还进行了叙述性综合。

主要问题

1149 项研究中的 9 项被纳入进行叙述性和定量分析。汇总数据表明,干预组患者的生活质量更好(标准化均数差=1.091,95%置信区间:0.155-2.028),抑郁程度更低(标准化均数差=-1.634,95%置信区间:-2.980 至-0.287)。叙述性综合的结果是,接受干预的患者的癌症或症状困扰程度较低,自我效能感较高。

结论

基于网络的自我管理干预改善了癌症幸存者的生活。

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