Kim Soo Hyun, Sung Ji Hyun, Yoo Sung-Hee, Kim Sanghee, Lee Kyunghwa, Oh Eui Geum, Lee Jiyeon
Department of Nursing, Inha University, Incheon, South Korea.
College of Nursing, Kosin University, Busan, South Korea.
Eur J Oncol Nurs. 2023 Oct;66:102404. doi: 10.1016/j.ejon.2023.102404. Epub 2023 Jul 26.
Digital self-management (SM) interventions targeting symptom relief have demonstrated positive as well as null outcomes, whereas no study has synthesized the effect of the interventions. In this study, we aimed to evaluate the effectiveness of digital SM symptom interventions on symptom outcomes in adult cancer patients.
A systematic review and meta-analysis based on the previous scoping review was conducted. Six databases (PubMed, CINAHL, Embase, the Cochrane Library, RISS [Korean], and KoreaMed [Korean]) were searched. Population was adult cancer patients. Intervention was SM interventions applying digital health tool targeting symptom management. Comparison was usual care, waitlist controls or active controls. The primary outcome was symptom burden, and the secondary outcomes were individual symptoms.
Our meta-analysis of 32 randomized controlled trials (RCTs) including 7888 patients demonstrated that digital SM symptom interventions had a significant effect on reducing symptom burden (effect size [ES] = -0.230) and relieving pain (ES = -0.292), fatigue (ES = -0.417), anxiety (ES = -0.320), and depression (ES = -0.261).
Digital SM interventions can improve symptom outcomes in adult cancer patients. Oncology nurses should be aware that digital SM interventions have demonstrated promising outcomes in cancer patient care.
旨在缓解症状的数字自我管理（SM）干预措施已显示出积极和无效的结果，而尚无研究综合这些干预措施的效果。在本研究中，我们旨在评估数字SM症状干预措施对成年癌症患者症状结局的有效性。
基于先前的范围综述进行了系统评价和荟萃分析。检索了六个数据库（PubMed、CINAHL、Embase、Cochrane图书馆、RISS[韩语]和KoreaMed[韩语]）。研究对象为成年癌症患者。干预措施是应用数字健康工具针对症状管理的SM干预措施。对照为常规护理、等待名单对照或积极对照。主要结局是症状负担，次要结局是个体症状。
我们对32项随机对照试验（RCT）的荟萃分析纳入了7888名患者，结果表明数字SM症状干预措施在减轻症状负担（效应量[ES]=-0.230）以及缓解疼痛（ES=-0.292）、疲劳（ES=-0.417）、焦虑（ES=-0.320）和抑郁（ES=-0.261）方面具有显著效果。
数字SM干预措施可改善成年癌症患者的症状结局。肿瘤护理人员应意识到数字SM干预措施在癌症患者护理中已显示出有前景的结果。
