与癌症患者的数字干预参与和坚持相关的因素:系统性审查
Lucile Montalescot1, Louise Baussard1, Elodie Charbonnier1
1Laboratoire de Psychopathologie et Processus de Santé, Université Paris-Cité, Boulogne-Billancourt, France.
Journal of medical Internet research
|December 11, 2024
概括
患者对数字癌症护理干预措施的坚持是复杂的. 伴随性疾病和较低的社会支持持续地减少了参与,而其他因素显示出不同的结果,需要进一步的研究.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 数字干预对于癌症患者的支持至关重要,提供教育,行为改变和监测.
- 患者对这些自助数字工具的坚持和参与仍然是一个重大挑战.
- 现有的审查缺乏对影响癌症护理坚持的各种因素的全面探索.
研究的目的:
- 系统地识别影响数字干预措施的坚持和参与的因素,这些干预措施包括癌症护理中的自助组件.
- 检查影响患者使用数字健康解决方案的社会人口统计学,心理社会,健康相关和干预特定因素.
- 综合关于坚持和参与的决定因素的证据,以优化数字癌症护理.
主要方法:
- 从2010年1月到2021年9月,在主要数据库 (PubMed,Embase,Cochrane图书馆,PsycINFO) 进行了遵循PRISMA指南的系统文献搜索.
- 包括专注于成人癌症患者使用自助功能数字干预的研究.
- 提取的数据进行了合成,将影响因素分为社会人口统计学,心理社会,健康相关,技术相关和干预相关的方面.
主要成果:
- 在9386项选研究中,包括61项,涵盖了各种数字干预和癌症类型.
- 伴随性疾病总是预测较低的坚持和参与;更高的社会支持矛盾地与较低的坚持/参与有关.
- 社会人口统计学和与健康相关的因素显示出混合的结果,而干预具体因素产生了相互矛盾的发现;女性在以危险为中心的干预中表现出更高的坚持/参与.
结论:
- 对数字癌症护理干预措施的坚持和参与是多方面的,受到复杂的因素相互作用的影响.
- 伴随性疾病和较低的社会支持作为一致的障碍出现,而其他决定因素则呈现出不一致的关联.
- 标准化结果测量,调查具体的干预特征和提高研究质量对于优化瘤学数字健康解决方案至关重要.
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