School of Nursing (R.S., E.H.S.), Koç University, İstanbul, Turkey.
School of Nursing (R.S., E.H.S.), Koç University, İstanbul, Turkey.
J Pain Symptom Manage. 2024 Dec;68(6):e417-e433. doi: 10.1016/j.jpainsymman.2024.07.006. Epub 2024 Jul 25.
The evaluation of digital tools for measuring self-reported symptoms in children and adolescents undergoing cancer treatment is a critical area of research with significant implications for clinical practice and patient outcomes.
This study aims to identify, evaluate, and summarize evidence on digital tools that enable self-reported symptom assessment and management for pediatric oncology patients.
Seven academic databases, including PubMed, Cochrane Library, Scopus, Web of Science, CINAHL, and Medline (OVID), were searched systematically from inception until February 28, 2024. Inclusion criteria were the following: (a) study subjects were pediatric oncology patients and young adults, (b) using digital tools, (c) self-report symptom assessment and management, (d) employed either qualitative or quantitative study design, (e) written in English (f) published in peer-reviewed journals. This is a systematic review, and its protocol was registered in PROSPERO (ID: CRD42024528285). The study was conducted following the PRISMA statement.
Twenty-seven studies were included in this systematic review. All included studies were conducted to develop digital tools for assessing and managing the symptoms. Eight of these studies focused only on the pain; three were only for nausea and vomiting, one for nausea, and the other 15 for all symptoms. The studies' quality ranged from low to high, with overall scores ranging between 4 and 24 out of 28.
It shows that studies have generally focused on developing digital tools to address pain, nausea, vomiting, and other symptoms commonly experienced by pediatric oncology patients. While the quality of the included studies ranged from low to high, the overall findings show promise for the effectiveness and usability of these digital tools for symptom assessment and management in pediatric oncology care.
评估用于测量接受癌症治疗的儿童和青少年自我报告症状的数字工具是一个具有重要临床实践和患者结局意义的关键研究领域。
本研究旨在确定、评估和总结可用于儿科肿瘤患者自我报告症状评估和管理的数字工具的证据。
系统地检索了七个学术数据库，包括 PubMed、Cochrane 图书馆、Scopus、Web of Science、CINAHL 和 Medline（OVID），检索时间从建库开始至 2024 年 2 月 28 日。纳入标准为：（a）研究对象为儿科肿瘤患者和青少年；（b）使用数字工具；（c）自我报告症状评估和管理；（d）采用定性或定量研究设计；（e）用英语撰写；（f）发表在同行评议期刊上。这是一项系统评价，其方案已在 PROSPERO（ID：CRD42024528285）中注册。该研究遵循 PRISMA 声明进行。
本系统评价共纳入 27 项研究。所有纳入的研究都是为了开发用于评估和管理症状的数字工具而进行的。其中 8 项研究仅关注疼痛；3 项研究仅针对恶心和呕吐，1 项研究针对恶心，另外 15 项研究针对所有症状。这些研究的质量从低到高不等，总体评分为 28 分中的 4 到 24 分。
研究普遍侧重于开发数字工具来解决儿科肿瘤患者常见的疼痛、恶心、呕吐和其他症状。虽然纳入研究的质量从低到高不等，但总体结果表明这些数字工具在儿科肿瘤护理中用于症状评估和管理的有效性和可用性具有一定前景。
