Xiaoli Chen, Chuanmei Zhu, Juejin Li, Lin Zhou, Shu Zhang, Yun Zhang, Xiaolin Hu
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引用次数: 0
摘要
目的：评估远程锻炼干预对癌症患者生活质量的影响，同时考虑远程锻炼干预的持续时间、干预类型和癌症患者性别对生活质量的影响：方法：对 PubMed (MEDLINE)、Embase、CINAHL、Cochrane Central Register of Controlled Trials (CENTRAL)、Web of Science 和 PsycINFO 数据库中从开始到 2023 年 8 月 21 日进行了检索。利用 Cochrane 协作组织的偏倚风险工具 2 估算偏倚风险，并进行了 "推荐分级 "评估。统计分析采用 R Studio：该荟萃分析包含八项试验。与对照组相比，远程锻炼干预（SMD=0.41，95% CI：0.12 至 0.70，p < .010；I2=54%，p=.030）对提高癌症患者的生活质量有积极影响。分组分析表明，当远程锻炼持续时间大于或等于 10 周时，远程锻炼对提高癌症患者的生活质量更有效。此外，研究还发现远程锻炼对女性癌症患者的生活质量有更大的优势。此外，在远程锻炼的干预类型中，基于网络或电话的形式都不能显著提高癌症患者的生活质量：结论：远程锻炼干预是提高癌症患者生活质量的一种具有成本效益且可行的非药物补充方式。有必要进行更多的大样本、精心设计的随机对照试验，以进一步验证远程锻炼对癌症患者生活质量的影响：注册编号：CRD42023477147。
Effect of tele-exercise interventions on quality of life in cancer patients: A meta-analysis.
Purpose: To evaluate the impacts of tele-exercise intervention with cancer patients' quality of life, taking into account the influence of the duration of tele-exercise intervention, type of intervention, and gender of cancer patients on quality of life.
Methods: The PubMed (MEDLINE), Embase, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, and PsycINFO databases were searched from inception to August 21, 2023. The Cochrane Collaboration's Risk of Bias tool 2 was utilized to estimate the risk of bias, and the Grading of Recommendations, Assessment. For statistical analyses, R Studio was employed.
Results: This meta-analysis contained eight trials. When compared to controls, tele-exercise interventions (SMD=0.41, 95% CI: 0.12 to 0.70, p < .010; I2=54%, p=.030) have a positive influence on boosting the quality of life within cancer patients. Subgroup analyses demonstrated the greater effectiveness of tele-exercise in enhancing the quality of life of cancer patients when the duration was greater than or equal to 10 weeks. Furthermore, tele-exercise was found to have a stronger advantageous effect with quality of life among female cancer. In addition, among the types of interventions for tele-exercise, neither web-based nor telephone-based formats significantly enhanced quality of life among cancer patients.
Conclusions: Tele-exercise interventions are a cost-effective and feasible non-pharmacologic complementary way to promote cancer patients' quality of life. Additional large-sample, carefully designed randomized controlled trials are warranted to further validate the impact of tele-exercise concerning cancer patients' quality of life.
期刊介绍：
Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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