基于互联网的支持干预措施对乳腺癌患者的疗效：系统评价和叙述性综合。
Effectiveness of internet-based support interventions on patients with breast cancer: a systematic review and narrative synthesis.
机构信息
School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China.
School of Nursing, Xuzhou Medical University, Xuzhou, Jiangsu 221004, China
出版信息
BMJ Open. 2022 May 31;12(5):e057664. doi: 10.1136/bmjopen-2021-057664.
OBJECTIVE
To identify the elements of internet-based support interventions and assess their effectiveness at reducing psychological distress, anxiety and/or depression, physical variables (prevalence, severity and distress from physical symptoms) and improving quality of life, social support and self-efficacy among patients with breast cancer.
DESIGN
Systematic review and narrative synthesis.
DATA SOURCES
Web of Science, Cochrane Library, PubMed, MEDLINE, PsycINFO, CINAHL, CNKI, Wanfang and VIP from over the past 5 years of each database to June 2021.
ELIGIBILITY CRITERIA FOR STUDY SELECTION
Included were randomised controlled trials (RCTs) or quasi-experimental (QE) studies focusing on internet-based support interventions in patients with breast cancer.
DATA EXTRACTION AND SYNTHESIS
Reviewers independently screened, extracted data and assessed risk of bias (Cochrane Collaboration' risk of bias tool, Joanna Briggs Institute reviewer's manual). Narrative synthesis included the effect and elements of internet-based support interventions for women with breast cancer.
RESULTS
Out of 2842 articles, 136 qualified articles were preliminarily identified. After further reading the full text, 35 references were included, including 30 RCTs and five QE studies. Internet-based support interventions have demonstrated positive effects on women's quality of life and physical variables, but inconsistent effectiveness has been found on psychological distress, symptoms of anxiety and/or depression, social support and self-efficacy.
CONCLUSIONS
Internet-based support interventions are increasingly being used as clinically promising interventions to promote the health outcomes of patients with breast cancer. Future research needs to implement more rigorous experimental design and include sufficient sample size to clarify the effectiveness of this internet-based intervention.
PROSPERO REGISTRATION NUMBER
CRD42021271380.
目的
确定基于互联网的支持干预措施的要素，并评估其在减轻乳腺癌患者心理困扰、焦虑和/或抑郁、身体变量（身体症状的患病率、严重程度和困扰）以及改善生活质量、社会支持和自我效能方面的有效性。
设计
系统评价和叙述性综合。
数据来源
过去 5 年中每个数据库的 Web of Science、Cochrane Library、PubMed、MEDLINE、PsycINFO、CINAHL、CNKI、Wanfang 和 VIP。截至 2021 年 6 月。
研究选择的入选标准
包括针对乳腺癌患者的基于互联网的支持干预的随机对照试验（RCT）或准实验（QE）研究。
数据提取和综合
审查员独立筛选、提取数据并评估偏倚风险（Cochrane 协作风险偏倚工具，Joanna Briggs 研究所审查员手册）。叙述性综合包括基于互联网的支持干预对乳腺癌女性的效果和要素。
结果
在 2842 篇文章中，有 136 篇初步确定的合格文章。进一步阅读全文后，纳入了 35 篇参考文献，包括 30 项 RCT 和 5 项 QE 研究。基于互联网的支持干预措施已证明对女性的生活质量和身体变量有积极影响，但在心理困扰、焦虑和/或抑郁症状、社会支持和自我效能方面的效果不一致。
结论
基于互联网的支持干预措施正越来越多地被用作有前途的临床干预措施，以促进乳腺癌患者的健康结果。未来的研究需要实施更严格的实验设计，并纳入足够的样本量，以明确这种基于互联网的干预措施的有效性。
PROSPERO 注册号：CRD42021271380。
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