应用数字健康在晚期癌症患者姑息治疗中的效果：一项荟萃分析和系统评价。
Effect of applying digital health in palliative care for patients with advanced cancer: a meta-analysis and systematic review.
机构信息
Graduate School of Tianjin University of Chinese Medicine, Tianjin, 301617, China.
Cardiac Intensive Care Unit, Meizhou People's Hospital, Meizhou, 514031, Guangdong, China.
出版信息
Support Care Cancer. 2024 Sep 17;32(10):664. doi: 10.1007/s00520-024-08866-9.
PURPOSE
To assess the effectiveness of applying digital health palliative care to improve symptoms, mood, and quality of life in patients with advanced cancer.
METHODS
We searched PubMed, Embase, Web of Science, Cochrane Library (CENTRAL), and CINAHL databases on November 16, 2023, to identify randomized controlled trials of the impact of palliative care applying digital health on patients with advanced cancer. The Cochrane Risk of Bias Tool version 1.0 was used to evaluate the quality of randomized controlled trials.
RESULTS
A total of 20 randomized controlled trials were included, of which 18 were meta-analyzed. Compared with usual care, palliative care applying digital health was effective in improving symptoms (SMD = -0.21, 95% CI: -0.37 to -0.06, P = 0.007) and reducing the intensity of pain (SMD = -0.49, 95% CI: -0.85 to -0.13, P = 0.008) in patients with advanced cancer, but no effective improvement in depressive symptoms, anxiety symptoms, or quality of life was found.
CONCLUSIONS
Our systematic review provides evidence that palliative care applying digital health has great potential to improve symptoms in patients with advanced cancer, but more research is needed to explore its impact on mood and quality of life.
目的
评估应用数字医疗姑息治疗改善晚期癌症患者症状、情绪和生活质量的效果。
方法
我们于 2023 年 11 月 16 日检索了 PubMed、Embase、Web of Science、Cochrane 图书馆（CENTRAL）和 CINAHL 数据库，以确定姑息治疗应用数字医疗对晚期癌症患者影响的随机对照试验。使用 Cochrane 偏倚风险工具版本 1.0 评估随机对照试验的质量。
结果
共纳入 20 项随机对照试验，其中 18 项进行了荟萃分析。与常规护理相比，姑息治疗应用数字医疗在改善晚期癌症患者的症状（SMD=-0.21，95%CI：-0.37 至-0.06，P=0.007）和减轻疼痛强度（SMD=-0.49，95%CI：-0.85 至-0.13，P=0.008）方面更有效，但在改善抑郁症状、焦虑症状或生活质量方面没有发现有效改善。
结论
本系统评价提供的证据表明，姑息治疗应用数字医疗具有改善晚期癌症患者症状的巨大潜力，但需要进一步研究来探索其对情绪和生活质量的影响。
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