Zhang Yilin, Zhang Zitong, Peng Yunyun, Zhang Wanting, Ma Guiyuan, Lin Sulan, Chan Carmen W H, Cheung Ankie Tan, Xie Jianhui, Gu Can
Xiangya School of Nursing, Central South University, Changsha, China.
Nursing School of Xinjiang Medical University, Urumqi, China.
PLoS One. 2025 May 13;20(5):e0323483. doi: 10.1371/journal.pone.0323483. eCollection 2025.
This systematic review aimed to examine the impact of technology- and parent-based psychosocial interventions on family factors among children with cancer, focusing on family dynamics.
Data were sourced from ten databases (CNKI, Wanfang, VIP, Sinomed, the Cochrane Library, Embase, PubMed, Web of Science, Scopus, and CINAHL) up to August 2024. The PRISMA statement guidelines, the Cochrane risk bias assessment tool, and the non-randomized controlled trial risk bias assessment tool were used in this study and experimental and quasi-experimental studies were included. The review protocol is registered in PROSPERO (CRD42023435402).
Twelve studies, including seven randomized controlled trials and five quasi-experimental studies, involving 1,309 parents of children with cancer, were included in the review. These studies utilized various theoretical models and delivered interventions through different modes, such as Internet-based platforms and telehealth. Overall, technology- and parent-based interventions have demonstrated positive effects on family dynamics factors, including family function, communication, coping ability, and family burden.
Technology- and parent-based psychosocial interventions showed promise in enhancing family dynamics factors although intervention methods varied across studies. This review recommends larger-scale randomized controlled trials to evaluate the effectiveness of technology- and parent-based psychosocial interventions on family dynamics factors among this vulnerable population and highlights the potential of such interventions to improve care quality, treatment outcomes, and resource allocation in pediatric oncology.
本系统评价旨在探讨基于技术和家长的心理社会干预对癌症患儿家庭因素的影响，重点关注家庭动态。
数据来源于截至2024年8月的十个数据库（中国知网、万方、维普、中国生物医学文献数据库、考克兰图书馆、Embase、PubMed、科学引文索引、Scopus和护理学与健康领域数据库）。本研究采用PRISMA声明指南、考克兰偏倚风险评估工具和非随机对照试验偏倚风险评估工具，纳入了实验性和半实验性研究。该综述方案已在国际前瞻性系统评价注册库（CRD42023435402）中注册。
该综述纳入了12项研究，包括7项随机对照试验和5项半实验性研究，涉及1309名癌症患儿的家长。这些研究采用了各种理论模型，并通过不同模式实施干预，如基于互联网的平台和远程医疗。总体而言，基于技术和家长的干预对家庭动态因素，包括家庭功能、沟通、应对能力和家庭负担，均显示出积极影响。
尽管各研究的干预方法有所不同，但基于技术和家长的心理社会干预在增强家庭动态因素方面显示出前景。本综述建议开展更大规模的随机对照试验，以评估基于技术和家长的心理社会干预对这一弱势群体家庭动态因素的有效性，并强调此类干预在改善儿科肿瘤护理质量、治疗效果和资源分配方面的潜力。
