Fang Hui, Sun Yajun, Yu Dongfeng, Xu Yuhong
Department of Oncology, Hangzhou Cancer Hospital, Hangzhou, China.
Asia Pac J Oncol Nurs. 2024 May 14;11(7):100515. doi: 10.1016/j.apjon.2024.100515. eCollection 2024 Jul.
Virtual nursing interventions, which use virtual reality and artificial intelligence technology to provide remote care for patients, have become increasingly common in cancer treatment, especially during the COVID-19 pandemic. This study was to evaluate the efficacy of virtual nursing interventions for cancer patients in contrast to conventional, in-person care.
Eight randomized controlled trials (RCTs) contrasted virtual nursing with conventional techniques that satisfied the inclusion criteria were found after a thorough search across databases including PubMed, Web of Science, CINAHL, EMBASE, the Cochrane Library, Scopus, and APA PsycINFO. RevMan 5.3 software was utilized for data analysis after the included literature's quality was assessed and the intended consequence indicators were extracted.
Virtual nurse interventions enhanced the quality of life of cancer patients (standardized mean difference [SMD] = 0.22, 95% confidence interval [CI] 0.01 to 0.43, = 0.04). Virtual nurse interventions provide cancer patients with important support, particularly when access to in-person care is limited. In light of the many demands that cancer patients have, further research is required to overcome implementation issues and provide fair access to virtual treatment.
All things considered, virtual nursing shows potential as an adjunctive element of all-inclusive cancer care delivery models, deserving of further investigation and thoughtful incorporation into healthcare systems.
虚拟护理干预利用虚拟现实和人工智能技术为患者提供远程护理，在癌症治疗中越来越普遍，尤其是在新冠疫情期间。本研究旨在评估虚拟护理干预相对于传统面对面护理对癌症患者的疗效。
在全面检索包括PubMed、科学网、护理学与健康领域数据库、荷兰医学文摘数据库、考克兰图书馆、Scopus和美国心理学会心理学文摘数据库在内的多个数据库后，发现了八项将虚拟护理与符合纳入标准的传统技术进行对比的随机对照试验（RCT）。在评估纳入文献的质量并提取预期结果指标后，使用RevMan 5.3软件进行数据分析。
虚拟护士干预提高了癌症患者的生活质量（标准化均数差[SMD]=0.22，95%置信区间[CI]为0.01至0.43，P=0.04）。虚拟护士干预为癌症患者提供了重要支持，尤其是在获得面对面护理受限的情况下。鉴于癌症患者有诸多需求，需要进一步研究以克服实施问题并确保公平获得虚拟治疗。
综合考虑，虚拟护理作为全面癌症护理提供模式的辅助要素显示出潜力，值得进一步研究并审慎纳入医疗保健系统。
