背景:尽管在治疗和早期诊断方面取得了进展,肺癌患者的寿命不如其他癌症患者。肺癌更常见的症状,比如呼吸困难,疲劳,和抑郁症,可以通过改善患者的身体机能来缓解。因此,良好的症状管理和改善健康相关生活质量(HRQoL)是该患者组的优先事项.然而,目前的医疗保健服务提供这种支持的能力有限。解决这一医疗保健资源问题的一种方法是使患者能够使用eHealth技术自我管理病情。
目的:本综述的目的是确定和评估支持肺癌患者改善或维持其身体机能的技术的现有研究,HRQoL,或者两者兼而有之。
方法:六个数据库-PubMed,WebofScience,CINAHL,MEDLINE,SPORTDiscus,和PsycINFO-从1990年1月1日至2023年4月30日进行了搜索。如果参与者包括年龄>18岁的肺癌患者,并且暴露于体育锻炼中,则研究适合纳入。锻炼,或通过具有或不具有比较器的电子或基于Web的应用程序提供的培训干预。此外,本研究必须报告干预对身体功能和HRQoL的影响.没有数字干预的远程医疗研究被排除在外。建议评估的分级,发展,采用评价体系对纳入论文质量进行评价。由于研究的异质性,进行了叙事综合。
结果:本综述按照PRISMA(系统评价和荟萃分析的首选报告项目)指南进行报告。通过我们的搜索,最初总共发现了794篇论文,其中,筛选后,8(1%)被证实适合列入审查。由于8篇论文中有2篇(25%)报道了同一研究的不同阶段,我们的分析中只纳入了7项研究.这些研究是在2010年至2018年期间在多个国家进行的,旨在开发一种技术并测试其可行性或接受度。确定的7种技术包括基于Web的应用程序,移动应用程序,和游戏机。研究证明了对步行距离的影响,肌肉力量,balance,呼吸困难症状,和癌症相关的疲劳。HRQoL评分也显示出改善。
结论:研究结果表明,eHealth技术可以对肺癌患者的身体功能和幸福感产生积极影响。但是有有限的研究证明了这些数字干预措施在更长时期内的影响。没有一项研究报告在常规临床实践中实施或采用移动健康或电子健康干预措施。强调需要在这一领域进一步研究。
背景:PROSPEROCRD42023414094;https://tinyurl.com/39hhbwyx。
BACKGROUND: Despite advancements in treatment and early diagnosis, people with lung cancer are not living as long as those with other cancers. The more common symptoms of lung cancer, such as breathlessness, fatigue, and depression, can be alleviated by improving patients\' physical functioning. Therefore, good symptom management and improved health-related quality of life (HRQoL) are priorities in this patient group. However, current health care services have limited capacity to provide this support. One way to address this issue of health care resources is to empower patients to self-manage their condition using eHealth technologies.
OBJECTIVE: The purpose of this review was to identify and assess available research on technologies that support persons with lung cancer to improve or maintain their physical functioning, HRQoL, or both.
METHODS: Six databases-PubMed, Web of Science, CINAHL, MEDLINE, SPORTDiscus, and PsycINFO-were searched from January 1, 1990, to April 30, 2023. Studies were suitable for inclusion if the participants included people with lung cancer aged >18 years who had been exposed to a physical activity, exercise, or training intervention that was delivered via an electronic or web-based application with or without a comparator. Furthermore, the study had to report on the impact of the intervention on physical functioning and HRQoL. Studies that focused on telemedicine without a digital intervention were excluded. The Grading of Recommendations Assessment, Development, and Evaluation system was used to assess the quality of the included papers. Due to the heterogeneity of the studies, a narrative synthesis was undertaken.
RESULTS: This review is reported in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. A total of 794 papers were initially identified through our search, of which, after screening, 8 (1%) were confirmed suitable for inclusion in the review. As 2 (25%) of the 8 papers reported on different stages of the same study, we included only 7 studies in our analysis. The studies were undertaken between 2010 and 2018 across multiple countries and aimed to develop a technology and test its feasibility or acceptance. The 7 technologies identified included web-based applications, mobile apps, and gaming consoles. The studies demonstrated impact on walking distance, muscle strength, balance, dyspnea symptoms, and cancer-related fatigue. HRQoL scores also showed improvement.
CONCLUSIONS: The findings indicate that eHealth technologies can positively impact physical functioning and well-being for people with lung cancer, but there are limited studies that demonstrate the impact of these digital interventions over longer periods. None of the studies reported on the implementation or adoption of a mobile health or eHealth intervention in routine clinical practice, highlighting the need for further research in this area.
BACKGROUND: PROSPERO CRD42023414094; https://tinyurl.com/39hhbwyx.