College of Nursing, Ewha Womans University.
Korean J Women Health Nurs. 2023 Sep;29(3):160-178. doi: 10.4069/kjwhn.2023.09.07. Epub 2023 Sep 26.
Since technology-based interventions can facilitate convenient access to healthcare for women with breast cancer, it is crucial to understand innovative approaches to maintaining the effectiveness of these interventions. Therefore, we conducted a systematic review of technology-based self-management interventions for women with breast cancer in six countries. We analyzed the characteristics of these interventions and examined their diverse health outcomes.
Six databases were systematically searched to extract research articles using the keywords "breast cancer," "technology," and "self-management." The search was carried out up until June 12, 2023. From the 1,288 studies retrieved from the database search, 10 eligible papers were identified based on inclusion/exclusion criteria. Two authors independently extracted and compared the data from these articles, resolving any discrepancies through discussion.
Most of the 10 studies utilized web- or mobile-based technology, and one used artificial intelligence-based technology. Among the 12 health-related outcome variables, quality of life and symptom distress were the most frequently mentioned, appearing in six articles. Furthermore, an analysis of the intervention programs revealed a variety of common constructs and the involvement of managers in the self-management intervention.
Incorporating key components such as self-management planning, diary keeping, and communication support in technology-based interventions could significantly improve the self-management process for breast cancer survivors. The practical application of technology has the potential to empower women diagnosed with breast cancer and improve their overall quality of life, by providing timely and sustainable interventions, and by leveraging available resources and tools.
由于基于技术的干预措施可以为乳腺癌女性提供便捷的医疗服务,因此了解维持这些干预措施有效性的创新方法至关重要。因此,我们对六个国家的基于技术的乳腺癌女性自我管理干预措施进行了系统评价。我们分析了这些干预措施的特点,并研究了它们对各种健康结果的影响。
我们系统地检索了六个数据库,使用“乳腺癌”、“技术”和“自我管理”等关键词提取研究文章。检索截至 2023 年 6 月 12 日。从数据库检索中获取了 1,288 项研究,根据纳入/排除标准确定了 10 篇合格的论文。两位作者独立提取并比较了这些文章的数据,通过讨论解决了任何差异。
10 项研究中大多数使用了基于网络或移动的技术,一项使用了基于人工智能的技术。在 12 个与健康相关的结果变量中,生活质量和症状困扰出现的频率最高,有 6 篇文章都提到了这两个变量。此外,对干预方案的分析揭示了各种常见的构建模块以及管理者在自我管理干预中的参与。
在基于技术的干预措施中纳入自我管理计划、日记记录和沟通支持等关键组成部分,可以显著改善乳腺癌幸存者的自我管理过程。技术的实际应用有可能通过提供及时和可持续的干预措施,并利用现有资源和工具,赋予被诊断患有乳腺癌的女性权力,提高她们的整体生活质量。