癌症患者使用移动医疗工具体验的Meta整合

doi:10.3761/j.issn.1672-9234.2023.05.016

摘要/Abstract

摘要：

目的系统评价和整合癌症患者使用移动医疗工具体验的质性研究，为改善移动医疗工具技术提供依据。方法在Web of Science、PubMed、the Cochrane Library、Embase、Scopus、中国知网、中国生物医学数据库文献服务系统、万方数据库、维普数据库检索关于癌症患者使用移动医疗工具体验的质性研究，检索时限为建库至2022年2月。结果共纳入13篇研究，提炼出33个明确的研究结果，将相似的研究结果归纳形成10个新类别，最终综合得出4个整合结果：癌症患者使用移动医疗工具的益处；癌症患者使用移动医疗工具的挑战；癌症患者使用移动医疗工具的影响因素；癌症患者使用移动医疗工具的期望和偏好。结论医疗保健专业人员应该关注和了解癌症患者使用移动工具的体验，根据其意愿及反馈提升技术，丰富功能，进一步指导和规范其对移动医疗工具的使用。

关键词: 远程医学, 定性研究, 癌症患者, 移动医疗, 体验, Meta整合

Abstract:

Objective To systematically evaluate and integrate the qualitative studies on the experience of cancer patients using mobile health tools in order to provide references for improving the mobile health tools technology. Methods To collect qualitative studies on the experience of cancer patients using mobile medical tools, we searched databases including Web of Science, PubMed, the Cochrane Library, Embase, Scopus, CNKI, SinoMed, Wanfang database, and CQVIP. The search period is from the establishment of the database to February 2022. Results A total of 13 studies were included. Thirty-three clear research results were extracted, which were summarized into ten new categories. Finally, four integrated results were obtained：the benefits of using mobile health tools for cancer patients, the challenges of using mobile health tools, influencing factors of using mobile health tools, and expectations and preferences for using mobile health tools. Conclusion Healthcare professionals should pay attention to and understand the experience of using mobile tools among cancer patients enhance technologies according to patients’ wishes and feedback, enrich functions, and further guide and standardize their use of mobile health tools.

Key words: Telemedicine, Qualitative Research, Cancer patients, Mobile health tools, Experience, Meta-synthesis

王冰瑶, 付光蕾, 杨莹, 徐华秀, 肖春叶, 谭捷琳. 癌症患者使用移动医疗工具体验的Meta整合[J]. 中华护理教育, 2023, 20(5): 599-606.

WANG Bingyao, FU Guanglei, YANG Ying, XU Huaxiu, XIAO Chunye, TAN Jielin. Meta-synthesis of qualitative studies on the experience of cancer patients using mobile health tools[J]. Chinese Journal of Nursing Education, 2023, 20(5): 599-606.

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参考文献 33

[1]	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3):209-249. doi: 10.3322/caac.v71.3
[2]	Miller KD, Nogueira L, Mariotto AB, et al. Cancer treatment and survivorship statistics,2019[J]. CA Cancer J Clin, 2019, 69(5):363-385. doi: 10.3322/caac.v69.5
[3]	Wei WQ, Zeng HM, Zheng RS, et al. Cancer registration in China and its role in cancer prevention and control[J]. Lancet Oncol, 2020, 21(7):e342-e349. doi: 10.1016/S1470-2045(20)30073-5 pmid: 32615118
[4]	Kelley MM, Kue J, Brophy L, et al. Mobile health applications,cancer survivors,and lifestyle modification:an integrative review[J]. Comput Inform Nurs, 2021, 39(11):755-763.
[5]	Doyle-Lindrud S. State of eHealth in cancer care:review of the benefits and limitations of eHealth tools[J]. Clin J Oncol Nurs, 2020, 24(3):10-15. doi: 10.1188/20.CJON.S1.10-15 pmid: 32441698
[6]	Free C, Phillips G, Galli L, et al. The effectiveness of mobile-health technology-based health behaviour change or disease management interventions for health care consumers:a systematic review[J]. PLoS Med, 2013, 10(1):e1001362. doi: 10.1371/journal.pmed.1001362
[7]	Global diffusion of eHealth:making universal health coverage achievable:report of the third global survey on eHealth[EB/OL]. [2022-08-04]. https://www.who.int/publications/i/item/978924-1511780.
[8]	Albahri AS, Zaidan AA, Albahri OS, et al. Real-time fault-tolerant mHealth system:comprehensive review of healthcare services,opens issues,challenges and methodological aspects[J]. J Med Syst, 2018, 42(8):137. doi: 10.1007/s10916-018-0983-9 pmid: 29936593
[9]	Collado-Borrell R, Escudero-Vilaplana V, Ribed-Sánchez A, et al. Smartphone applications for cancer patients;what we know about them?[J]. Farmacia Hosp, 2016, 40(1):25-35.
[10]	Cox A, Lucas G, Marcu A, et al. Cancer survivors’ experience with telehealth:a systematic review and thematic synthesis[J]. J Med Internet Res, 2017, 19(1):e11. doi: 10.2196/jmir.6575
[11]	Penedo FJ, Oswald LB, Kronenfeld JP, et al. The increasing value of eHealth in the delivery of patient-centred cancer care[J]. Lancet Oncol, 2020, 21(5):e240-e251. doi: 10.1016/S1470-2045(20)30021-8 pmid: 32359500
[12]	郑红颖, 王星星, 王璧霞, 等. 移动应用程序干预对改善院外癌症患者生活质量的Meta分析[J]. 解放军护理杂志, 2018, 35(19):30-35.
	Zheng HY, Wang XX, Wang BX, et al. Effect of APP intervention on quality of life among out-patient with cancer:a meta-analysis[J]. Nurs J Chin PLA, 2018, 35(19):30-35.
[13]	Li JJ, Liu Y, Jiang JJ, et al. Effect of telehealth interventions on quality of life in cancer survivors:a systematic review and meta-analysis of randomized controlled trials[J]. Int J Nurs Stud, 2021, 122:103970. doi: 10.1016/j.ijnurstu.2021.103970
[14]	Chan RJ, Crichton M, Crawford-Williams F, et al. The efficacy,challenges,and facilitators of telemedicine in post-treatment cancer survivorship care:an overview of systematic reviews[J]. Ann Oncol, 2021, 32(12):1552-1570. doi: 10.1016/j.annonc.2021.09.001 pmid: 34509615
[15]	胡雁, 彭健. 我国质性研究系统评价和Meta整合论文的质量评价[J]. 中国护理管理, 2020, 20(4):490-495.
	Hu Y, Peng J. Quality evaluation of Systematic Review and Meta-synthesis of qualitative studies in China[J]. Chin Nurs Manag, 2020, 20(4):490-495.
[16]	胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京: 人民卫生出版社, 2018.
[17]	Lubberding S, van Uden-Kraan CF, Te Velde EA, et al. Improving access to supportive cancer care through an eHealth application:a qualitative needs assessment among cancer survivors[J]. J Clin Nurs, 2015, 24(9/10):1367-1379. doi: 10.1111/jocn.12753
[18]	Power JM, Tate DF, Valle CG. Experiences of African American breast cancer survivors using digital scales and activity trackers in a weight gain prevention intervention:qualitative study[J]. JMIR Mhealth Uhealth, 2020, 8(6):e16059. doi: 10.2196/16059
[19]	Miropolsky EM, Scott Baker K, Abbey-Lambertz M, et al. Participant perceptions on a fitbit and facebook intervention for young adult cancer survivors:a qualitative study[J]. J Adolesc Young Adult Oncol, 2020, 9(3):410-417. doi: 10.1089/jayao.2019.0072
[20]	Brennan L, Kessie T, Caulfield B. Patient experiences of rehabilitation and the potential for an mHealth system with biofeedback after breast cancer surgery:qualitative study[J]. JMIR Mhealth Uhealth, 2020, 8(7):e19721. doi: 10.2196/19721
[21]	Ivankova NV, Rogers LQ, Herbey II, et al. Features that middle-aged and older cancer survivors want in web-based healthy lifestyle interventions:qualitative descriptive study[J]. JMIR Cancer, 2021, 7(4):e26226. doi: 10.2196/26226
[22]	Roberts AL, Potts HW, Koutoukidis DA, et al. Breast,prostate,and colorectal cancer survivors’ experiences of using publicly available physical activity mobile apps:qualitative study[J]. JMIR Mhealth Uhealth, 2019, 7(1):e10918. doi: 10.2196/10918
[23]	Robertson MC, Tsai E, Lyons EJ, et al. Mobile health physical activity intervention preferences in cancer survivors:a qualitative study[J]. JMIR Mhealth Uhealth, 2017, 5(1):e3. doi: 10.2196/mhealth.6970
[24]	Puszkiewicz P, Roberts AL, Smith L, et al. Assessment of cancer survivors’ experiences of using a publicly available physi-cal activity mobile application[J]. JMIR Cancer, 2016, 2(1):e7. doi: 10.2196/cancer.5380
[25]	Groarke JM, Richmond J, Sharry J, et al. Acceptability of a mobile health behavior change intervention for cancer survivors with obesity or overweight:nested mixed methods study within a randomized controlled trial[J]. JMIR Mhealth Uhealth, 2021, 9(2):e18288. doi: 10.2196/18288
[26]	Husebø AML. Stakeholders’ perspectives on eHealth support in colorectal cancer survivorship:qualitative interview study[J]. JMIR Cancer, 2021, 7(3):e28279. doi: 10.2196/28279
[27]	王鹏程, 王迪, 孟爱凤, 等. 青年癌症患者使用移动健康应用体验的质性研究[J]. 中华现代护理杂志, 2021, 27(16):2151-2155.
	Wang PC, Wang D, Meng AF, et al. Experience of young cancer patients using mobile health applications:a qualitative research[J]. Chin J Mod Nurs, 2021, 27(16):2151-2155.
[28]	Jibb LA, Stevens BJ, Nathan PC, et al. Perceptions of adolescents with cancer related to a pain management app and its evaluation:qualitative study nested within a multicenter pilot feasibility study[J]. JMIR Mhealth Uhealth, 2018, 6(4):e80. doi: 10.2196/mhealth.9319
[29]	Heiniger LE, Smith AB, Olver I, et al. E-TC:development and pilot testing of a web-based intervention to reduce anxiety and depression in survivors of testicular cancer[J]. Eur J Cancer Care (Engl), 2017, 26(6). doi:10.1111/ecc.12698. doi: 10.1111/ecc.12698
[30]	Jansen F, van Uden-Kraan CF, van Zwieten V, et al. Cancer survivors’ perceived need for supportive care and their attitude towards self-management and eHealth[J]. Support Care Cancer, 2015, 23(6):1679-1688. doi: 10.1007/s00520-014-2514-7 pmid: 25424520
[31]	仲冬梅, 李正俊, 付立. 肝细胞癌患者心理困扰现状及其影响因素分析[J]. 解放军护理杂志, 2018, 35(5):19-23.
	Zhong DM, Li ZJ, Fu L. Prevalence and related factors of psychological distress among patients with hepatocellular carcinoma[J]. Nurs J Chin PLA, 2018, 35(5):19-23.
[32]	Leonardsen AL, Hardeland C, Helgesen AK, et al. Patient experiences with technology enabled care across healthcare settings-a systematic review[J]. BMC Health Serv Res, 2020, 20(1):779. doi: 10.1186/s12913-020-05633-4
[33]	Pailler ME, Johnson TM, Kuszczak S, et al. Adjustment to acute leukemia:the impact of social support and marital satisfaction on distress and quality of life among newly diagnosed patients and their caregivers[J]. J Clin Psychol Med Settings, 2016, 23(3):298-309. doi: 10.1007/s10880-016-9459-6