远程医疗干预对乳腺癌幸存者生理和心理结局的影响:一项随机对照试验的荟萃分析。

Impact of telehealth interventions on physiological and psychological outcomes in breast cancer survivors: A meta-analysis of randomised controlled trials.

作者信息

Ajmera Puneeta, Miraj Mohammad, Kalra Sheetal, Goyal Ramesh K, Chorsiya Varsha, Shaik Riyaz Ahamed, Alzhrani Msaad, Alanazi Ahmad, Alqahtani Mazen, Miraj Shaima Ali, Pawaria Sonia, Mehta Vini

机构信息

Department of Public Health, School of Allied Health Sciences, Delhi Pharmaceutical Sciences and Research University, New Delhi, India.

Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, AlMajmaah, Saudi Arabia.

出版信息

Front Oncol. 2023 Jan 5;12:1017343. doi: 10.3389/fonc.2022.1017343. eCollection 2022.

Abstract

INTRODUCTION

The use of telehealth interventions has been evaluated in different perspectives in women and also supported with various clinical trials, but its overall efficacy is still ascertained. The objective of the present review is to identify, appraise and analyze randomized controlled trials on breast cancer survivors who have participated in technology-based intervention programs incorporating a wide range of physical and psychological outcome measures.

MATERIAL AND METHODS

We conducted electronic search of the literature during last twenty years i.e., from 2001 till August 10, 2021 through four databases. Standardized mean difference with 95% confidence interval was used.

RESULTS

A total of 56 records were included in the qualitative and 28 in quantitative analysis. Pooled results show that telehealth interventions were associated with improved quality of life (SMD 0.48, 95% CI 0.03 to 0.92, p=0.04), reduced depression (SMD -1.27, 95% CI =-2.43 to -0.10 p=0.03), low distress and less perceived stress (SMD -0.40, 95% CI =-0.68 to -0.12, p=0.005). However, no significant differences were observed on weight change (SMD -0.27, 95% CI =-2.39 to 1.86, p=0.81) and anxiety scores (SMD -0.09, 95% CI =-0.20 to 0.02, p=0.10) between the two groups. Improvement in health care competence and fitness among participants was also reported.

CONCLUSION

Study concludes that telehealth care is a quick, convenient and assuring approach to breast cancer care in women that can reduce treatment burden and subsequent disturbance to the lives of breast cancer survivors.

摘要

引言

远程医疗干预已从不同角度在女性群体中进行了评估,并且有各种临床试验提供支持,但其总体疗效仍有待确定。本综述的目的是识别、评估和分析针对参与了包含广泛身体和心理结局指标的基于技术的干预项目的乳腺癌幸存者的随机对照试验。

材料与方法

我们通过四个数据库对过去二十年(即2001年至2021年8月10日)的文献进行了电子检索。使用了具有95%置信区间的标准化均数差。

结果

定性分析共纳入56条记录,定量分析纳入28条记录。汇总结果显示,远程医疗干预与生活质量改善相关(标准化均数差0.48,95%置信区间0.03至0.92,p = 0.04),抑郁减轻(标准化均数差 -1.27,95%置信区间 = -2.43至 -0.10,p = 0.03),痛苦程度降低且感知压力减轻(标准化均数差 -0.40,95%置信区间 = -0.68至 -0.12,p = 0.005)。然而,两组在体重变化(标准化均数差 -0.27,95%置信区间 = -2.39至1.86,p = 0.81)和焦虑评分(标准化均数差 -0.09,95%置信区间 = -0.20至0.02,p = 0.10)方面未观察到显著差异。还报告了参与者医疗保健能力和健康状况的改善。

结论

研究得出结论,远程医疗是一种快速、便捷且可靠的女性乳腺癌护理方法,可减轻治疗负担以及对乳腺癌幸存者生活的后续干扰。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7876/9850160/1d3965fdebe9/fonc-12-1017343-g001.jpg

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