Qingdao Municipal Hospital Group, 1 Jiaozhou Road, Shibei District, Qingdao, 266000, China.
Eur J Oncol Nurs. 2024 Oct;72:102676. doi: 10.1016/j.ejon.2024.102676. Epub 2024 Jul 20.
To evaluate the effectiveness of educational eHealth and mHealth interventions on self-care ability, quality of life (QoL), ostomy complications and other health outcomes in enterostomy patients.
A comprehensive database search yielded 7385 records, which were narrowed down to 13 RCTs through stringent PRISMA-guided selection. These studies, conducted globally from 2015 to 2023, involved a total of 1530 participants and employed various eHealth and mHealth platforms, from mobile apps to telehealth systems. Primary outcomes assessed were self-care ability, QoL, and ostomy complications, mostly analyzed using a random-effects model due to inherent study heterogeneity.
The meta-analysis showed significant improvements in self-care ability (SMD = 0.85, CI = [0.23, 1.47], P = 0.007) and QoL (SMD = 0.64, CI = [0.50, 0.79], P < 0.001) among participants receiving eHealth and mHealth interventions compared to those receiving standard care. eHealth and mHealth interventions also led to a reduction in ostomy complications (SMD = 0.18, CI = [0.12, 0.27], P < 0.001). Secondary outcomes revealed significant improvements in stoma adjustment (SMD = 1.13, CI = [0.70, 1.56], P < 0.001) and self-efficacy (SMD = 0.51, CI = [0.38, 0.64], P < 0.001). The effects on psychological well-being were mixed, with some studies showing benefits in reducing depression and anxiety symptoms, albeit with high heterogeneity.
eHealth and mHealth interventions appear effective in improving essential health outcomes for enterostomy patients, though the heterogeneity among studies suggests that results should be interpreted with caution. The effectiveness of these interventions underscores the need for their integration into routine care, tailored to individual patient needs and local healthcare settings. Further research is required to determine the most effective eHealth and mHealth modalities and to explore their long-term benefits and scalability.
评估教育性电子健康（eHealth）和移动健康（mHealth）干预措施对肠造口患者自我护理能力、生活质量（QoL）、造口并发症和其他健康结果的有效性。
通过全面的数据库搜索得到了 7385 条记录，通过严格的 PRISMA 指导选择，将其缩小到 13 项 RCT。这些研究在全球范围内进行，时间跨度从 2015 年到 2023 年，共涉及 1530 名参与者，使用了各种 eHealth 和 mHealth 平台，从移动应用程序到远程医疗系统。主要结局评估是自我护理能力、QoL 和造口并发症，由于研究内在的异质性，大多数结局分析采用了随机效应模型。
荟萃分析显示，接受 eHealth 和 mHealth 干预的参与者在自我护理能力（SMD=0.85，CI=[0.23，1.47]，P=0.007）和生活质量（SMD=0.64，CI=[0.50，0.79]，P<0.001）方面有显著改善。与接受标准护理的参与者相比，eHealth 和 mHealth 干预也导致造口并发症减少（SMD=0.18，CI=[0.12，0.27]，P<0.001）。次要结局显示造口调整（SMD=1.13，CI=[0.70，1.56]，P<0.001）和自我效能（SMD=0.51，CI=[0.38，0.64]，P<0.001）有显著改善。对心理健康的影响是混杂的，一些研究表明干预措施有助于减轻抑郁和焦虑症状，但存在高度异质性。
eHealth 和 mHealth 干预措施似乎能有效改善肠造口患者的重要健康结局，但研究之间的异质性表明，结果应谨慎解释。这些干预措施的有效性强调了将其纳入常规护理的必要性，应根据个体患者的需求和当地医疗保健环境进行定制。需要进一步研究以确定最有效的 eHealth 和 mHealth 模式，并探索其长期效益和可扩展性。
