数字技术对癌症自我管理的影响:系统审查
Dwight Su Chun Lim1, Benedict Kwok1, Patricia Williams2
1College of Medicine and Public Health, Flinders University, Adelaide, Australia.
JMIR cancer
|November 22, 2023
概括
数字干预增强癌症患者的自我管理 (SM) 技能,改善决策和目标设定. 这些数字工具在接受化疗的年轻人,男性,受过教育和计算机素养的人群中显示出更大的有效性.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 健康 行为 健康行为
背景情况:
- 对于患者来说,自我管理 (SM) 对于患者适应癌症等慢性疾病至关重要.
- 数字技术有可能改善对癌症患者的SM支持.
- 关于数字干预所针对的特定中小企业技能的数据有限.
研究的目的:
- 审查支持癌症患者自我管理 (SM) 核心技能的数字干预措施.
- 确定数字卫生干预对SM核心技能有效性的预测因素.
主要方法:
- 2010年1月至2022年2月发表的随机对照试验 (RCT) 的系统综述.
- 在MEDLINE,Scopus和CINAHL数据库中进行了搜索.
- 包括评估数字技术干预措施和衡量SM核心技能变化的研究.
主要成果:
- 分析了12个涉及2627名参与者的RCT.
- 最有针对性的SM技能是决策,设定目标和与卫生专业人员合作.
- 8个RCT (67%) 在生活质量和自我效能等结果中显示出显著的改善.
结论:
- 数字技术可以提高癌症患者的自我管理 (SM) 技能,特别是决策,目标设定和医疗保健伙伴关系.
- 在年轻,男性,受过教育,计算机素养的患者,完成治疗或接受化疗的患者中,有效性得到增强.
- 未来的研究应该针对多种SM技能,并确定干预预测因素.
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