Meta analysis on effect of web-based continuous nursing care on negative emotions and quality of life with breast cancer patients after operation
WANG Shuo1 LYU Liming1 LIU Peipei1 CHENG Haiying2 YANG Xinyu1 ZHU Lijing1
1.School of Nursing, Shandong University of Traditional Chinese Medicine, Shandong Province, Ji′nan 250355, China;
2.Department of Burn and Plastic Surgery, Linyi City People′s Hospital, Shandong Province, Linyi 276000, China
Abstract:Objective To evaluate the effect of web-based continuous nursing care on negative emotions and quality of life with breast cancer patients after operation. Methods Randomized controlled trials (RCTs) about the impact of continuous nursing on negative emotions and quality of life with breast cancer patients after operation were searched in Chinese and English databases by computer. The searching time was from foundation to August 2018. Two researchers surveyed the literature, evaluated the quality and extracted the data. RevMan5.3 software was used to analyze the RCT which met the quality standards. Results A total of 13 RCTs including 1272 cases with breast cancer. The quality level of the included literature was above B level, and containing 2 high-quality studies. The results of Meta analysis showed that after the implementation of web-based continuous nursing, the scores of anxiety [SMD = 1.07, 95%CI (0.12, 2.02), P = 0.03] and depression [SMD = 1.14, 95%CI (0.28, 2.00), P = 0.01] in the intervention group were lower than those in the control group, the quality of life [SMD = 0.87, 95%CI (0.58, 1.15), P < 0.000 01] were significantly improved. Conclusion The web-based continuous nursing can effectively alleviate the anxiety and depression of breast cancer patients after operation and improve their quality of life, and is worthy of studying and applying further.
王硕1 吕利明1 刘培培1 程海英2 杨昕宇1 朱礼敬1. 基于网络平台的延续护理对乳腺癌术后患者负性情绪及生活质量影响的Meta分析[J]. 中国医药导报, 2019, 16(14): 152-157.
WANG Shuo1 LYU Liming1 LIU Peipei1 CHENG Haiying2 YANG Xinyu1 ZHU Lijing1. Meta analysis on effect of web-based continuous nursing care on negative emotions and quality of life with breast cancer patients after operation. 中国医药导报, 2019, 16(14): 152-157.
[1] González-Fernández S,Fernández-Rodríguez C,Mota-Alonso MJ,et al. Emotional state and psychological flexibility in breast cancer survivors [J]. Eur J Oncol Nurs,2017,30(2017):75-83.
[2] 吴珂,贾会英,妮娜,等.乳腺癌患者延续护理研究现状[J].护理学杂志,2017,32(20): 100-103.
[3] 戴淑娟,汪红英.微信护患沟通平台在中青年乳腺癌术后患者中的应用[J].护理学杂志,2017,32(14):98-100.
[4] 李凌,吴淼,厉淑静,等.微信延续性干预对乳腺癌病人术后癌因性疲乏与负面情绪的影响[J].护理研究,2017, 31(36):4675-4677.
[5] McCaughan E,Parahoo K,Hueter I,et al. Online support groups for women with breast cancer [J]. Cochrane Database of Systematic Reviews,2017:CD011652.
[6] 陈英,陈丽君,黄英凡,等.基于网络信息平台的跟踪干预对乳腺癌术后患者生活质量的影响[J]. 护理学杂志,2015,30(24):8-10.
[7] Higgins JP,Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 [EB/OL].[2011-03-01][2016-01-11].http://handbook.cochrane.org/.
[8] 张妍,赵雯婷,刘淑英,等.基于微信的延续护理对乳腺癌术后患者生活质量的影响[J].中华现代护理杂志,2016, 22(15):2166-2169.
[9] 徐海萍,王水,孙茹萍,等.移动互联网技术在乳腺癌患者术后康复个案管理中的应用研究[J].中国护理管理,2017,17(11):107-111.
[10] 凌珑,李玉环,陈聪.基于微信平台的延续护理对乳腺癌患者术后生存质量的影响[J].慢性病学杂志,2018, 19(3):55-57.
[11] 殷秀玲,黄丽.微信健康指导对乳腺癌术后出院病人心理及生活质量的影响[J].全科护理,2017,15(8):1005-1007.
[12] 李钰.微信延续性护理在改善乳腺癌改良根治术患者术后心理压力及生活质量中的应用[J].实用临床医药杂志,2017,21(14):68-71.
[13] Jiemin Z,Lyn Ebert,Xiangyu L,et al. Mobile Breast Cancer e-support Program for Chinese Women With Breast Cancer Undergoing Chemotherapy(Part 2):Multicenter Randomized Controlled Trial [J]. JMIR Mhealth Uhealth,2018,6(4):e104.
[14] Galiano-Castillo N,Cantarero-Villanueva I,Fernández-Lao C,et al. Telehealth System:A Randomized Controlled Trial Evaluating the Impact of an Internet-Based Exercise Intervention on Quality of Life,Pain,Muscle Strength,and Fatigue in Breast Cancer Survivors [J]. Cancer,2016, 122(20):3166-3174.
[15] Abrahams HJG,Gielissen MFM,Donders RRT,et al. The Efficacy of Internet-Based Cognitive Behavioral Therapy for Severely Fatigued Survivors of Breast Cancer Compared With Care As Usual:A Randomized Controlled Trial [J]. Cancer,2017,123(19):3825-3834.
[16] Admiraal JM,van der Velden AWG,Geerling JI,et al. Web-Based Tailored Psychoeducation for Breast CancerPatients at the Onset of the Survivorship Phase:A Multicenter Randomized Controlled Trial [J]. J Pain Symptom Manage,2017,54(4):466-475.
[17] Lee MK,Yun YH,Park HA,et al. A Web-based self-management exercise and diet intervention for breast cancer survivors:Pilot randomized controlled trial [J]. Int J Nurs Stud,2014,51(12):1557-1567.
[18] 吕利明,高慧,程海英.乳腺癌术后长期存活者阈下抑郁状况与生命质量的相关性研究[J].中国实用护理杂志,2017,33(4):259-264.
[19] Kwok C,White K. Perceived information needs and social support of Chinese-Australian breast cancer survivors [J]. Support Care Cancer,2014,22(10):2651-2659.
[20] 裘佳佳,李平.乳腺癌病人患病不同阶段的信息和照护需求[J].护理研究,2016,30(15):1823-1827.
[21] 张兰凤,叶赟,刘敏杰.延续性护理在癌症出院患者中的实践研究进展[J].中国护理管理,2012,12(11):91-94.
[22] 黄晓燕,胡雁,陆箴琦,等.网络支持项目对乳腺癌患者抑郁和疾病知识水平的影响[J].护理学杂志,2011,26(2):1-4.