Effects of digital self-management symptom interventions on symptom outcomes in adult cancer patients: A systematic review and meta-analysis

被引：10
作者：
Kim, Soo Hyun [1 ]
Sung, Ji Hyun [2 ]
Yoo, Sung-Hee [3 ]
Kim, Sanghee [4 ,5 ]
Lee, Kyunghwa [6 ]
Oh, Eui Geum [4 ,5 ]
Lee, Jiyeon [4 ,5 ]
机构：
[1] Inha Univ, Dept Nursing, Incheon, South Korea
[2] Kosin Univ, Coll Nursing, Busan, South Korea
[3] Chonnam Natl Univ, Coll Nursing, Gwangju, South Korea
[4] Yonsei Univ, Joanna Briggs Inst, Coll Nursing, Yonsei Evidence Based Nursing Ctr Korea, 50Yonsei Ro, Seoul 03722, South Korea
[5] Yonsei Univ, Joanna Briggs Inst, Mo im Kim Nursing Res Inst, Yonsei Evidence Based Nursing Ctr Korea, 50Yonsei Ro, Seoul 03722, South Korea
[6] Konyang Univ, Coll Nursing, Daejeon 35365, South Korea
来源：
EUROPEAN JOURNAL OF ONCOLOGY NURSING | 2023年 / 66卷
关键词：
Anxiety; Depression; Digital technology; Fatigue; Meta-analysis; Pain; Self-management; Systematic review; TELEHEALTH INTERVENTION; CARE INTERVENTION; BREAST-CANCER; CHEMOTHERAPY; DISTRESS; SUPPORT; TECHNOLOGIES; EDUCATION; SURVIVORS; EHEALTH;
D O I：
10.1016/j.ejon.2023.102404
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
Purpose: Digital self-management (SM) interventions targeting symptom relief have demonstrated positive as well as null outcomes, whereas no study has synthesized the effect of the interventions. In this study, we aimed to evaluate the effectiveness of digital SM symptom interventions on symptom outcomes in adult cancer patients.Methods: A systematic review and meta-analysis based on the previous scoping review was conducted. Six databases (PubMed, CINAHL, Embase, the Cochrane Library, RISS [Korean], and KoreaMed [Korean]) were searched. Population was adult cancer patients. Intervention was SM interventions applying digital health tool targeting symptom management. Comparison was usual care, waitlist controls or active controls. The primary outcome was symptom burden, and the secondary outcomes were individual symptoms.Results: Our meta-analysis of 32 randomized controlled trials (RCTs) including 7888 patients demonstrated that digital SM symptom interventions had a significant effect on reducing symptom burden (effect size [ES] = -0.230) and relieving pain (ES =-0.292), fatigue (ES =-0.417), anxiety (ES =-0.320), and depression (ES = -0.261).Conclusions: Digital SM interventions can improve symptom outcomes in adult cancer patients. Oncology nurses should be aware that digital SM interventions have demonstrated promising outcomes in cancer patient care.
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页数：10
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共 58 条
[11]   Effects of the WRITE Symptoms Interventions on Symptoms and Quality of Life Among Patients With Recurrent Ovarian Cancers: An NRG Oncology/GOG Study (GOG-0259) [J].
Donovan, Heidi S. ;
Sereika, Susan M. ;
Wenzel, Lari B. ;
Edwards, Robert P. ;
Knapp, Judith E. ;
Hughes, Susan H. ;
Roberge, Mary C. ;
Thomas, Teresa H. ;
Klein, Sara Jo ;
Spring, Michael B. ;
Nolte, Susan ;
Landrum, Lisa M. ;
Casey, A. Catherine ;
Mutch, David G. ;
DeBernardo, Robert L. ;
Muller, Carolyn Y. ;
Sullivan, Stephanie A. ;
Ward, Sandra E. .
JOURNAL OF CLINICAL ONCOLOGY, 2022, 40 (13) :1464-+
[12]   Psychosocial outcomes of an electronic self-report assessment and self-care intervention for patients with cancer: a randomized controlled trial [J].
Fann, Jesse R. ;
Hong, Fangxin ;
Halpenny, Barbara ;
Blonquist, Traci M. ;
Berry, Donna L. .
PSYCHO-ONCOLOGY, 2017, 26 (11) :1866-1871
[13]   From principles to practice: benchmarking government guidance on health apps [J].
Ferretti, Agata ;
Ronchi, Elettra ;
Vayena, Effy .
LANCET DIGITAL HEALTH, 2019, 1 (02) :E55-E57
[14]   Reduced symptom burden with the support of an interactive app during neoadjuvant chemotherapy for breast cancer - A randomized controlled trial [J].
Fjell, Maria ;
Langius-Eklof, Ann ;
Nilsson, Marie ;
Wengstrom, Yvonne ;
Sundberg, Kay .
BREAST, 2020, 51 :85-93
[15]   A Web- and Mobile-Based Intervention for Women Treated for Breast Cancer to Manage Chronic Pain and Symptoms Related to Lymphedema: Results of a Randomized Clinical Trial [J].
Fu, Mei Rosemary ;
Axelrod, Deborah ;
Guth, Amber ;
Scagliola, Joan ;
Rampertaap, Kavita ;
El-Shammaa, Nardin ;
Qiu, Jeanna M. ;
McTernan, Melissa L. ;
Frye, Laura ;
Park, Christopher S. ;
Yu, Gary ;
Tilley, Charles ;
Wang, Yao .
JMIR CANCER, 2022, 8 (01)
[16]   Effectiveness of a Smartphone Application as a Support Tool for Patients Undergoing Breast Cancer Chemotherapy: A Randomized Controlled Trial [J].
Handa, Satoko ;
Okuyama, Hiromi ;
Yamamoto, Hitomi ;
Nakamura, Seigo ;
Kato, Yasuhisa .
CLINICAL BREAST CANCER, 2020, 20 (03) :201-208
[17]   The emerging role of digital health in monitoring and supporting people living with cancer and the consequences of its treatments [J].
Harris, Jenny ;
Cheevers, Katy ;
Armes, Jo .
CURRENT OPINION IN SUPPORTIVE AND PALLIATIVE CARE, 2018, 12 (03) :268-275
[18]   The effectiveness of digital self-management interventions on health outcomes among childhood cancer survivors: A systematic review and meta-analysis [J].
Hong, Hye Chong ;
Min, Ari ;
Kim, Young Man .
JOURNAL OF ADVANCED NURSING, 2021, 77 (11) :4387-4399
[19]   Effects of a Web-based Health Education Program on Quality of Life and Symptom Distress of Initially Diagnosed Advanced Non-Small Cell Lung Cancer Patients: A Randomized Controlled Trial [J].
Huang, Chi-Chin ;
Kuo, Han-Pin ;
Lin, Yueh-E ;
Chen, Shu-Ching .
JOURNAL OF CANCER EDUCATION, 2019, 34 (01) :41-49
[20]   Effectiveness of Digital Technologies to Support Nursing Care: Results of a Scoping Review [J].
Huter, Kai ;
Krick, Tobias ;
Donnhoff, Dominik ;
Seibert, Kathrin ;
Wolf-Osternnann, Karin ;
Rothgang, Heinz .
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE, 2020, 13 :1905-1926
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