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首页> 外文期刊>Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer >Effects of Internet-based psycho-educational interventions on mental health and quality of life among cancer patients: a systematic review and meta-analysis
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Effects of Internet-based psycho-educational interventions on mental health and quality of life among cancer patients: a systematic review and meta-analysis

机译：基于互联网的心理教育干预对癌症患者心理健康和生活质量的影响：系统审查和荟萃分析

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Purpose To systematically review evidence regarding the benefits of Internet-based psycho-educational interventions among cancer patients. Methods We performed a systematic review with meta-analysis and qualitative evidence synthesis. Systematic searches for published studies in English or Chinese identified eligible randomized and clinical controlled trials. The following databases were searched: Medline, Embase, CINAHL, PsycINFO, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), Proquest Digital Dissertations, Foreign Medical Retrieval System, China National Knowledge Infrastructure, China Science and Technology Journal Database, China Wanfang Database, and Taiwanese Airiti Library. We also searched the gray literature and reviewed reference lists from relevant articles. Studies were scored for quality using the Cochrane Risk of Bias Tool. Results Seven eligible studies (1220 participants) were identified that used three intervention tools: website programs (n = 5), e-mail counseling (n = 1), and a single-session psycho-educational intervention (n = 1). The quality of all studies was moderate. The meta-analysis showed that Internet-based psycho-educational interventions had a significant effect on decreasing depression (standardized mean difference (SMD) - 0.58, 95% confidence interval (CI) (- 1.12, - 0.03), p = 0.04) and fatigue (mean difference (MD) - 9.83, 95% CI (- 14.63, - 5.03), p < 0.01). However, there was no evidence for effects on distress (SMD - 1.03, 95% CI (- 2.63, 0.57), p = 0.21) or quality of life (MD 1.10, 95% CI (- 4.42, 6.63), p = 0.70). Conclusion Internet-based psycho-educational interventions reduce fatigue and depression in cancer patients. More rigorous studies with larger samples and long-term follow-up are warranted to investigate the effects of these interventions on cancer patient quality of life and other psychosocial outcomes.
机译：旨在系统地审查关于癌症患者互联网的心理教育干预措施的益处的验证。方法采用荟萃分析和定性证据合成进行了系统审查。用于英文或中文的发布研究的系统搜索确定了符合条件的随机和临床对照试验。搜索以下数据库：MEDLINE，EMBASE，CINAHL，PSYCINFO，科学网站，Cochrane中央登记册（中央），Proquest数字论文，外国医疗检索系统，中国国家知识基础设施，中国科技期刊数据库，中国万方数据库，以及台湾Airiti库。我们还搜索了灰色文献，并从相关文章中审查了参考文章。使用偏置工具的Cochrane风险评分质量的研究。结果七项合格研究（1220名参与者）被确定使用三种干预工具：网站程序（N = 5），电子邮件咨询（N = 1），以及单一会话的心理教育干预（n = 1）。所有研究的质量都适中。荟萃分析表明，基于互联网的心理教育干预措施对降低抑郁症（标准化平均差（SMD） - 0.58,95％置信区间（CI）（ - 1.12,0.03），P = 0.04）和疲劳（平均差异（MD） - 9.83,95％CI（ - 14.63， - 5.03），P <0.01）。但是，没有证据遇险影响（SMD - 1.03,95％CI（ - 2.63,0.57），P = 0.21）或寿命质量（MD 1.10,95％CI（4.42,6.63），P = 0.70 ）。结论基于互联网的心理教育干预减少癌症患者的疲劳和抑郁。有必要更严格的样本和长期随访的研究，以研究这些干预措施对癌症患者生活质量和其他心理社会结果的影响。

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