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Web-based Self-management Support Interventions for Cancer Survivors: A Systematic Review and Meta-analyses

机译:癌症幸存者的基于网络的自我管理支持干预:系统审查和荟萃分析

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Those who are living with cancer as a chronic disease need to self-manage the late and long-term effects of cancer and its treatment. We conducted systematic searches of English-language peer-reviewed publications in PubMed, Cumulative Index for Nursing and Allied Health Literature, Cochrane Central Register of Controlled Trials, and EMBASE between January 2000 and June 2014. We searched for web-based interventions designed to help cancer survivors manage their symptoms and the side effects of cancer treatments, which yielded 37 studies that were systematically reviewed. For the meta-analyses, five articles were selected for fatigue, seven for depression, five for anxiety, and five for overall quality of life. The most popular mode of intervention delivery was "peer-to-peer access" in the communicative functions category, followed by "the use of an enriched information environment" in the automated functions category. The effectss across all outcome measures were small to moderate compared to standard care. Healthcare providers could use information technologies to support self-management among cancer survivors based on their needs across the cancer care continuum.
机译:那些与癌症生活为慢性病的人需要自我管理癌症的晚期和长期影响及其治疗。我们在PubMed,累计指数中进行了系统性搜索了累积的护理和盟军健康文献,Cochrane Central of受控试验中的Cochrane Central Registics,并在2000年1月至2014年期间实施了。我们搜索了旨在帮助的基于网络的干预措施癌症幸存者管理癌症治疗的症状和副作用,其产生了37项,系统地审查了37项研究。对于荟萃分析,选择五篇文章疲劳,七种抑郁症,五个用于焦虑,五个用于整体生活质量。最受欢迎的干预模式在通信函数类别中是“对等访问”,然后在自动函数类别中“使用丰富的信息环境”。与标准护理相比,所有结果措施的影响都小于中等。医疗保健提供者可以根据他们对癌症护理连续体的需求来支持癌症幸存者之间的自我管理来支持自我管理。

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