Effectiveness of Technology-Based Intervention in Symptom Management in Pediatric Oncology Patients: A Systematic Review and Meta-Analysis

IF 2.3 4区医学 Q1 NURSING

Seminars in Oncology Nursing Pub Date : 2025-04-01 DOI:10.1016/j.soncn.2025.151808

Eyşan Hanzade Savaş , Aylin Akça Sümengen , Remziye Semerci

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引用次数: 0

Abstract

Background

Technology-based interventions are increasingly integrated to improve symptom management of pediatric oncology patients. However, evidence for their effectiveness remains low across various studies characterized by different methodologies and patient populations. This study aimed to synthesize and analyze the effectiveness of technology-based intervention in symptom management in pediatric oncology patients.

Methods

Six databases (PubMed, Web of Science, Cochrane Library, Ovid MEDLINE, CINAHL, and Scopus) were searched from January 1, 2014, to January 1, 2024. The methodological quality of the included studies was assessed using the Cochrane and JBI checklists. The PRISMA guidelines for systematic reporting were followed in this study. The search protocol has been registered with the PROSPERO International Prospective Register of Systematic Reviews (CRD42024516320).

Results

Thirteen studies with 624 pediatric oncology patients were analyzed. Significant differences were found between intervention and control groups in pain (Hedge's g = −0.695, 95% CI: −0.994 to −0.396, p < 0.001), fear (Hedge's g = −0.737, 95% CI: −1.01 to −0.464, p < 0.001), anxiety, and nausea and vomiting (Hedge's g = −0.573, 95% CI: −0.912 to −0.235, p < 0.001).

Conclusion

The findings indicate that VR, iPad, humanoid robots, and Pain Squad reduce pain in pediatric oncology. VR, biofeedback-based VR, and iPads also alleviate fear, while all three plus humanoid robots mitigate anxiety. VR, interactive mobile apps, tablet games, text reminders, and iPads effectively decrease nausea and vomiting. More research is needed to evaluate the long-term effects of these interventions.

查看原文本刊更多论文

技术干预在儿科肿瘤患者症状管理中的有效性：一项系统综述和荟萃分析。

背景：以技术为基础的干预措施越来越多地用于改善儿科肿瘤患者的症状管理。然而，在以不同方法和患者群体为特征的各种研究中，其有效性的证据仍然很低。本研究旨在综合分析技术干预在小儿肿瘤患者症状管理中的效果。方法：检索2014年1月1日至2024年1月1日的6个数据库（PubMed、Web of Science、Cochrane Library、Ovid MEDLINE、CINAHL和Scopus）。采用Cochrane和JBI检查表对纳入研究的方法学质量进行评估。本研究遵循PRISMA系统报告指南。该搜索方案已在普洛斯佩罗国际前瞻性系统评价注册（CRD42024516320）注册。结果：对13项研究624例儿童肿瘤患者进行了分析。干预组与对照组在疼痛（Hedge's g = -0.695,95% CI: -0.994至-0.396,p < 0.001）、恐惧（Hedge's g = -0.737,95% CI: -1.01至-0.464,p < 0.001）、焦虑、恶心和呕吐（Hedge's g = -0.573,95% CI: -0.912至-0.235,p < 0.001）方面存在显著差异。结论：研究结果表明，VR、iPad、人形机器人和Pain Squad可以减轻儿科肿瘤患者的疼痛。VR、基于生物反馈的VR和ipad也能减轻恐惧，而这三者加上人形机器人也能减轻焦虑。VR、互动移动应用、平板电脑游戏、文本提醒和ipad都能有效减少恶心和呕吐。需要更多的研究来评估这些干预措施的长期影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in Oncology Nursing Nursing-Oncology (nursing)

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

45 days

期刊介绍： Seminars in Oncology Nursing is a unique international journal published six times a year. Each issue offers a multi-faceted overview of a single cancer topic from a selection of expert review articles and disseminates oncology nursing research relevant to patient care, nursing education, management, and policy development.