Integrative review: the effectiveness of internet-based interactive programs for women with breast cancer undergoing treatment
Integrative review: the effectiveness of internet-based interactive programs for women with breast cancer undergoing treatment
复制标题
综合评价：基于互联网的互动项目对接受治疗的乳腺癌女性的有效性
DOI：
10.1188/17.onf.e42-e54
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发表时间：
2017
影响因子：
1.9
通讯作者：
Sally Wai-Chi CHAN
中科院分区：
文献类型：
--
作者：
Zhu JM;Ebert L;Sally Wai-Chi CHAN
问题识别：已经开发了基于互联网的互动计划，以满足正在接受治疗的乳腺癌妇女的健康需求，但关于这些计划的有效性，证据不足。本文旨在综合英文或中文关于乳腺癌患者接受治疗的症状苦恼、社会支持、自我效能、生活质量和心理健康等方面的研究。文献检索：检索CINAHL plus全文数据库，Medline，Mosby‘s Index，PancINFO，Scope us，Web of Science，Joanna Briggs Institute，Cochrane Library，Embase，中国国家知识基础设施，检索时间为2015年4月。资料评价：共检索到174篇文献，产生23篇合格文献。通过手动搜索，可以找到另外5篇符合条件的文章。评价和综合了3项定性研究和15项定量研究。数据被分析和比较，以确定不同文章的异同。综合：由医疗保健专业人员主持的基于互联网的互动项目对女性的自我效能感、症状苦恼和心理健康有积极的影响，但对社会支持和生活质量的影响不是决定性的。结论：温和的基于互联网的互动节目对正在接受治疗的乳腺癌妇女来说是一种很有前途的干预措施。.对研究的应用：在不同国家和文化中进行的具有更强大的研究设计和理论框架的研究是有必要的，以阐明这些计划的有效性.知识翻译：.医疗保健专业人员可以将基于互联网的互动计划纳入他们对正在接受治疗的乳腺癌妇女的常规干预中，以提高她们的健康结果。护士可以通过主持基于互联网的互动程序来提供连续性护理。护士还可以向女性提供指导和建议，以选择可用的基于互联网的缓和互动计划。..政策制定者、医院管理人员和医疗保健组织的护士管理人员可以对员工进行电子健康培训，并分配资源以进一步推动这一努力。。
Problem Identification: Internet-based interactive programs have been developed to address health needs for women with breast cancer undergoing treatment, but inadequate evidence has been established regarding the effectiveness of these programs. This article aims to synthesise studies published in English or Chinese regarding the effectiveness of these programs on the outcomes of symptom distress, social support, self-efficacy, quality of life, and psychological well-being for women with breast cancer undergoing treatment..Literature Search: CINAHL plus with full text, Medline, Mosby’s Index, PsycINFO, Scopus, Web of Science, Joanna Briggs Institute, Cochrane Library, Embase, and China National Knowledge Infrastructure were searched from the beginning of each database to April 2015. .Data Evaluation: 174 articles were retrieved yielding 23 eligible articles. A manual search led to additional 5 eligible articles. Three qualitative and 15 quantitative studies were evaluated and synthesized. Data were analysed and compared to identify similarities and differences across articles..Synthesis: Internet-based interactive programs moderated by healthcare professionals have demonstrated positive effects on women’s self-efficacy, symptom distress, and psychological well-being, but inconclusive effects on social support and quality of life. .Conclusion: Moderated internet-based interactive programs are a promising intervention for women with breast cancer undergoing treatment. .Implication for research: Studies with more robust research designs and theoretical frameworks, conducted in different countries and cultures, are warranted to elucidate the effectiveness of these programs..Knowledge Translation: .•.Healthcare professionals can incorporate internet-based interactive programs into their routine interventions for women with breast cancer who are undergoing treatment to enhance their health outcomes. .•.Nurses could provide continuity of care through moderating internet-based interactive program. Nurses can also provide guidance and advice to women to select available moderated internet-based interactive program. .•.Policy makers, hospital administrators, and nurse administrators from healthcare organizations can train staff in e-health and allocate resources to further advance this effort. .