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针对癌症相关疲劳的基于网络的干预措施:系统审查和元分析
1College of Nursing, Konyang University, 158 Gwanjeodong-ro, Seo-gu, Daejeon 35365, Republic of Korea.
Journal of psychosomatic research
|November 1, 2025
概括
基于网络的干预措施适度减少与癌症相关的疲劳. 持续12周或更长时间的治疗师指导的项目显示出最有前途的有效管理和患者参与.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 基于证据的医学基于证据的医学.
背景情况:
- 与癌症相关的疲劳是癌症治疗的常见和使人虚弱的副作用.
- 基于网络的干预措施正在成为管理与癌症有关的疲劳的潜在解决方案.
- 这些数字健康干预措施的有效性和临床适用性需要严格的评估.
研究的目的:
- 系统地审查和元分析基于网络的癌症相关疲劳干预措施的有效性.
- 评估这些干预措施的临床适用性.
- 确定影响干预有效性的因素.
主要方法:
- 按照柯克兰手册和PRISMA指南进行系统审查和元分析.
- 搜索了多个数据库 (PubMed,科学网络,Embase,CINAHL,Cochrane图书馆) 进行随机对照试验 (RCT).
- 使用标准化平均差异 (SMD) 使用95%的置信区间 (CI) 来估计效果大小,并使用I2统计数据评估异质性.
主要成果:
- 包括25个RCT,共有6194名参与者.
- 基于网络的干预措施在减少与癌症相关的疲劳方面显示出适度的效果 (SMD = -0.51).
- 观察到显著的异质性 (I2 = 93.5%),国家和指导类型调节了效果大小.
结论:
- 基于网络的干预措施有效地减少与癌症相关的疲劳.
- 治疗师指导的干预以及持续12周或更长时间的干预特别有效.
- 未来的研究应该专注于量身定制的干预措施,跨国比较,以及为最大限度的临床适用性和患者参与而优化指导和持续时间.
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