基于“互联网+”的护理干预对癌症幸存者生活质量影响的荟萃分析

Effects of internet+nursing interventions on quality of life for cancer survivors:A Meta-analysis

目的:系统评价基于“互联网+”的护理干预对提高癌症幸存者生活质量的效果。方法:严格界定纳排标准,计算机检索中英文数据库中关于护士对癌症幸存者进行基于网络护理干预的随机对照试验(randomized controlled trial,RCT),由2名研究者对文献质量进行严格评价和资料提取,对符合质量标准的RCT通过RevMan5.3软件进行荟萃分析。结果:共纳入12篇RCT文献,其中英文文献8篇,中文文献4篇。结果显示:基于“互联网+”的护理干预可减轻癌症幸存者的癌因性疲乏(I 2=91%,P=0.04),缓解癌症幸存者的抑郁情绪(I 2=83%,P=0.003),提高其性功能(I 2=0%,P=0.01),以及性体验(I 2=0%,P<0.001),并且能够提高癌症幸存者的整体生活质量(I 2=67%,P<0.001)。结论:护理人员可通过网络对癌症幸存者进行远程护理干预,减轻幸存者疲乏症状,缓解其抑郁情绪,提高性体验,改善癌症幸存者的生活质量。

Objective:To systematically review the effect of internet+nursing intervention on improving the quality of life of cancer survivors.Methods:The inclusion and exclusion criteria were strictly defined,and both Chinese and English databases were searched by computer for randomized controlled trial(RCT)of internet-based nursing interventions for cancer survivors.Two independent researchers strictly evaluated the quality of the literature and extracted data,and RCT that met the quality standards were subjected to meta-analysis by RevMan5.3 software.Results:A total of 12 RCT articles were included,including 8 articles in English and 4 articles were in Chinese.The analysis results showed that internet-based nursing intervention significantly relieve cancer-related fatigue of cancer survivors(I 2=91%,P=0.04),alleviated the distress of cancer survivors(I 2=83%,P=0.003),improved their sexual function(I 2=0%,P=0.01)and sexual pleasure(I 2=0%,P<0.001),and improved the overall quality of life of cancer survivors(I 2=67%,P<0.001).Conclusion:Internet+nursing intervention for cancer survivors could relieve fatigue,alleviated the depression,improved their sexual experience,and improve the quality of life of cancer survivors.