成年癌症患者对远程医疗的认知：一项定性元分析。
Perceptions of adult patients with cancer towards telemedicine: A qualitative meta-synthesis.
作者信息
Ren Liya, Chen Meijia, Jiang Hao, Wang Yuxin, Xia Lin, Dong Chaoqun
机构信息
School of Nursing, Wenzhou Medical University, Wenzhou, China.
The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
出版信息
Asia Pac J Oncol Nurs. 2023 Dec 6;11(2):100360. doi: 10.1016/j.apjon.2023.100360. eCollection 2024 Feb.
OBJECTIVE
This study aims to systematically identify, evaluate, and synthesize published qualitative research on the views and attitudes of adult cancer patients toward telemedicine and, consequently to better inform the future development of telemedicine technology and interventions.
METHODS
A meta-synthesis review was conducted to identify qualitative studies that reported adult cancer patients' perceptions toward telemedicine applications using nine electronic databases, including PubMed, MEDLINE, Web of Science, the Cochrane Library, PsycINFO, CINAHL, Wan Fang, VIP, and CNKI, from inception to November 2022. Quality appraisal was guided by the Joanna Briggs Institute's (JBI) Critical Appraisal Checklist for Qualitative Research. Data were synthesized using "thematic synthesis" to identify themes and concepts.
RESULTS
A total of 3518 articles were retrieved, of which 23 met the inclusion and exclusion criteria. These studies identified three key meta-themes and 11 key sub-themes: (1) Benefits of telemedicine: obtaining information and social support, maintaining the continuity of treatment, receiving professional assistance, having greater flexibility, and promoting physical and mental health; (2) Limitations of telemedicine: interference with normal life, privacy and security issues, auxiliary function issues, and increased psychological burden; (3) Expectations for future telemedicine: more personalized intervention, more specific and diverse information.
CONCLUSIONS
The study showed that the benefits and limitations coexisted in the process of telemedicine application among adult cancer patients. It is necessary to develop personalized applications that are better suited to the needs and characteristics of adult cancer patients. Future telemedicine interventions should focus on information diversification and provide patients with more diverse and effective information.
SYSTEMATIC REVIEW REGISTRATION
PROSPERO, CRD42022324528.
目的
本研究旨在系统地识别、评估和综合已发表的关于成年癌症患者对远程医疗的看法和态度的定性研究，从而更好地为远程医疗技术和干预措施的未来发展提供信息。
方法
进行了一项元综合评价，以识别从数据库建立至2022年11月期间使用九个电子数据库（包括PubMed、MEDLINE、科学网、考克兰图书馆、PsycINFO、护理学与健康领域数据库、万方、维普和中国知网）报告成年癌症患者对远程医疗应用看法的定性研究。质量评估以乔安娜·布里格斯研究所（JBI）的定性研究批判性评估清单为指导。使用“主题综合”方法对数据进行综合，以识别主题和概念。
结果
共检索到3518篇文章，其中23篇符合纳入和排除标准。这些研究确定了三个关键的元主题和11个关键子主题：（1）远程医疗的益处：获取信息和社会支持、维持治疗连续性、获得专业帮助、具有更大灵活性以及促进身心健康；（2）远程医疗的局限性：干扰正常生活、隐私和安全问题、辅助功能问题以及增加心理负担；（3）对未来远程医疗的期望：更个性化的干预、更具体和多样的信息。
结论
研究表明，成年癌症患者远程医疗应用过程中益处与局限性并存。有必要开发更适合成年癌症患者需求和特点的个性化应用。未来的远程医疗干预应注重信息多样化，为患者提供更多样化和有效的信息。
系统评价注册
国际前瞻性系统评价注册库，CRD42022324528。
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