基于技术的干预在儿科瘤患者的症状管理中的有效性:系统性审查和元分析
Eyşan Hanzade Savaş1, Aylin Akça Sümengen2, Remziye Semerci3
1Independent Researcher, Istanbul, Türkiye.
Seminars in oncology nursing
|January 21, 2025
概括
基于技术的干预措施显著减少了儿科瘤患者的疼痛,恐惧,焦虑和恶心. 这些数字工具为年轻癌症患者的症状管理提供了有希望的改进.
科学领域:
- 儿科瘤学 儿科瘤学
- 数字健康数字健康
- 症状管理 症状管理
背景情况:
- 在儿科瘤学中,基于技术的干预越来越多地用于症状管理.
- 由于研究设计和人群的多样性,它们的有效性证据有限.
- 这项研究综合了关于技术在治疗癌症儿童症状中的作用的证据.
研究的目的:
- 系统地分析基于技术的干预措施在儿童瘤患者的症状管理中的有效性.
- 提供关于儿科癌症护理中数字健康工具的当前证据的全面概述.
主要方法:
- 从2014年1月到2024年1月,使用六个主要数据库进行了系统审查.
- 使用Cochrane和JBI检查清单来评估方法质量.
- 这项研究遵守了PRISMA指南,并与PROSPERO注册 (CRD42024516320).
主要成果:
- 分析了13项涉及624名儿科瘤患者的研究.
- 观察到疼痛 (Hedge的g = -0.695),恐惧 (Hedge的g = -0.737) 和恶心/吐 (Hedge的g = -0.573) 的显著减少.
- 干预措施也显示出减轻焦虑的有效性.
结论:
- 虚拟现实 (VR),iPad,人形机器人和疼痛小队有效地减少了儿科瘤患者的疼痛.
- 虚拟现实,基于生物反的虚拟现实和iPad有助于缓解恐惧和焦虑.
- 虚拟现实,移动应用程序,平板电脑游戏,文本提醒和iPad在减少恶心和吐方面是有效的,尽管长期影响需要进一步研究.
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