■癌症患者的术后恢复是一个影响生活质量的复杂过程,功能恢复,和心理健康。基于智能手机应用程序的干预措施已成为改善癌症患者健康和福祉各个方面的潜在工具。然而,现有文献对这些干预措施的疗效缺乏共识,导致冲突的结果。
■我们搜索了多个数据库,包括PubMed,WebofScience,科克伦图书馆,Scopus,EMBASE,和MEDLINE完成(EBSCO)。我们专门选择符合纳入标准的随机对照试验进行系统评价和荟萃分析。利用随机效应模型,我们得出了荟萃分析的合并效应大小估计值.如果适用,我们用95%置信区间(CI)计算了合并标准化平均差(SMD).Cochrane协作工具(CochraneROB)用于评估随机试验中的偏倚。主要结果是生活质量。次要结果是心理症状,健康状况,满意,和自我效能感。
■在731篇筛选文章中,包括15个,包括1,831名参与者。我们的荟萃分析显示,基于应用程序的干预措施可能改善生活质量(SMD=-0.58,95%CI-1.00至-0.16),缓解心理症状(SMD=-0.43,95%CI-0.72,-0.15;p=0.003),自我效能增强(SMD=0.90,95%CI0.26~1.53;p=0.001)。然而,对满意度无统计学意义(SMD=1.25,95%CI-1.06~3.57;p=0.23).
我们的发现表明,移动健康应用程序有望通过提高癌症患者的生活质量来改善手术后的健康状况。健康状况,和自我效能感,同时也减少了焦虑和抑郁。
许多智能手机应用程序专注于管理健康,特别是运动和预防肥胖等疾病的活动,糖尿病,心理健康;然而,有一个明显缺乏专门的健康管理应用程序为癌症患者量身定制的手术后。基于智能手机应用程序的干预措施有可能提高生活质量,健康状况,自我效能感,减少成年癌症患者术后的焦虑和抑郁情绪。
UNASSIGNED: Postoperative recovery in patients with cancer is a complex process that influences quality of life, functional recovery, and mental well-being. Smartphone app-based interventions have emerged as potential tools for improving various aspects of health and well-being in cancer patients. However, the existing literature lacks a consensus on the efficacy of these interventions, leading to conflicting outcomes.
UNASSIGNED: We searched multiple databases, including PubMed, Web of Science, Cochrane Library, Scopus, EMBASE, and MEDLINE Complete (EBSCO). We exclusively selected randomized controlled trials meeting the inclusion criteria for our systematic review and meta-analysis. Utilizing a random-effects model, we derived the pooled effect size estimates for the meta-analysis. Where applicable, we calculated the pooled standardized mean difference (SMD) with 95% confidence interval (CI). The Cochrane Collaboration tool (Cochrane ROB) was used to evaluate bias in randomized trials. The primary outcome was the quality of life. The secondary outcomes were psychological symptoms, health conditions, satisfaction, and self-efficacy.
UNASSIGNED: Of 731 screened articles, 15 were included, comprising 1,831 participants. Our meta-analysis revealed that app-based interventions potentially improved quality of life (SMD = -0.58, 95% CI -1.00 to -0.16), alleviated psychological symptoms (SMD = -0.43, 95% CI -0.72,-0.15; p = .003), and enhanced self-efficacy (SMD = 0.90, 95% CI 0.26 to 1.53; p = 0.001). However, there was no statistically significant effect on satisfaction (SMD = 1.25, 95% CI-1.06 to 3.57; p = 0.23).
UNASSIGNED: Our findings suggest that mobile health apps hold promise in improving the well-being of cancer patients after surgery by enhancing their quality of life, health status, and self-efficacy, while also reducing anxiety and depression.
Many smartphone apps focus on managing health, particularly for activities such as exercise and preventing diseases such as obesity, diabetes, and mental health; however, there is a noticeable absence of specialized health management apps tailored for cancer patients after surgery. Smartphone app-based interventions have the potential to enhance quality of life, health status, self-efficacy, and decrease feelings of anxiety and depression in adult cancer patients after surgery.