{"title":"远程医疗对癌症患者痛苦、身体功能和自我效能的影响：一项随机对照试验的meta分析。","authors":"Yawen Su, Shu Zhang, Liyang Duan, Xiaolin Hu","doi":"10.1111/jocn.70089","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Cancer is a major social, public health and economic problem worldwide, causing physical and psychological distress to patients. The emerging telemedicine model in healthcare delivery has garnered significant interest because of its potential effectiveness.</p><p><strong>Objective: </strong>To assess the effects of telemedicine on distress, physical function, and self-efficacy in cancer patients.</p><p><strong>Design: </strong>This meta-analysis was conducted and reported in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 checklist.</p><p><strong>Methods: </strong>Six databases were searched for relevant studies published from inception to October 2024. The literature search and data collection were conducted by two separate researchers. The quality of the methodologies in the studies included was evaluated using the Cochrane Risk of Bias Tool. Data analysis was conducted using Review Manager (version 5.4).</p><p><strong>Result: </strong>Compared with the control group, patients who received telemedicine experienced significant reductions in distress (SMD = -0.44, 95% CI: -0.62 to -0.25, p < 0.00001, I<sup>2</sup> = 46%) and significant increases in physical function (SMD = 0.11, 95% CI: 0.01-0.22, p = 0.04, I<sup>2</sup> = 0%) and self-efficacy (SMD = 0.46, 95% CI: 0.23-0.69, p < 0.0001, I<sup>2</sup> = 0%).</p><p><strong>Conclusion: </strong>Telemedicine can effectively enhance the psychological health and physiological function of cancer patients, as well as their self-efficacy, suggesting a sustainable approach to the clinical care of cancer patients. Future studies are needed to further investigate the effectiveness of telemedicine interventions in different types of cancer patients and in different cultural contexts and to conduct long-term follow-up studies to evaluate their long-term effectiveness and cost-effectiveness.</p><p><strong>Clinical relevance: </strong>This systematic review and meta-analysis provides evidence to offer effective and sustainable telemedicine care among cancer patients.</p><p><strong>Patient and public contribution: </strong>No patient or public contribution.</p><p><strong>Trial registration: </strong>This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (Registration number: CRD42024604929) under the title 'The effectiveness of death education on death anxiety, depression and quality of life in patients with advanced cancer: A meta-analysis of randomised controlled trials'. The full study protocol could be obtained at https://www.crd.york.ac.uk/PROSPERO/view/CRD42024604929.</p>","PeriodicalId":50236,"journal":{"name":"Journal of Clinical Nursing","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effectiveness of Telemedicine on Distress, Physical Function and Self-Efficacy in Patients With Cancer: A Meta-Analysis of Randomised Controlled Trials.\",\"authors\":\"Yawen Su, Shu Zhang, Liyang Duan, Xiaolin Hu\",\"doi\":\"10.1111/jocn.70089\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Cancer is a major social, public health and economic problem worldwide, causing physical and psychological distress to patients. The emerging telemedicine model in healthcare delivery has garnered significant interest because of its potential effectiveness.</p><p><strong>Objective: </strong>To assess the effects of telemedicine on distress, physical function, and self-efficacy in cancer patients.</p><p><strong>Design: </strong>This meta-analysis was conducted and reported in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 checklist.</p><p><strong>Methods: </strong>Six databases were searched for relevant studies published from inception to October 2024. The literature search and data collection were conducted by two separate researchers. The quality of the methodologies in the studies included was evaluated using the Cochrane Risk of Bias Tool. Data analysis was conducted using Review Manager (version 5.4).</p><p><strong>Result: </strong>Compared with the control group, patients who received telemedicine experienced significant reductions in distress (SMD = -0.44, 95% CI: -0.62 to -0.25, p < 0.00001, I<sup>2</sup> = 46%) and significant increases in physical function (SMD = 0.11, 95% CI: 0.01-0.22, p = 0.04, I<sup>2</sup> = 0%) and self-efficacy (SMD = 0.46, 95% CI: 0.23-0.69, p < 0.0001, I<sup>2</sup> = 0%).</p><p><strong>Conclusion: </strong>Telemedicine can effectively enhance the psychological health and physiological function of cancer patients, as well as their self-efficacy, suggesting a sustainable approach to the clinical care of cancer patients. Future studies are needed to further investigate the effectiveness of telemedicine interventions in different types of cancer patients and in different cultural contexts and to conduct long-term follow-up studies to evaluate their long-term effectiveness and cost-effectiveness.</p><p><strong>Clinical relevance: </strong>This systematic review and meta-analysis provides evidence to offer effective and sustainable telemedicine care among cancer patients.</p><p><strong>Patient and public contribution: </strong>No patient or public contribution.</p><p><strong>Trial registration: </strong>This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (Registration number: CRD42024604929) under the title 'The effectiveness of death education on death anxiety, depression and quality of life in patients with advanced cancer: A meta-analysis of randomised controlled trials'. The full study protocol could be obtained at https://www.crd.york.ac.uk/PROSPERO/view/CRD42024604929.</p>\",\"PeriodicalId\":50236,\"journal\":{\"name\":\"Journal of Clinical Nursing\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-09-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/jocn.70089\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/jocn.70089","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}
The Effectiveness of Telemedicine on Distress, Physical Function and Self-Efficacy in Patients With Cancer: A Meta-Analysis of Randomised Controlled Trials.
Background: Cancer is a major social, public health and economic problem worldwide, causing physical and psychological distress to patients. The emerging telemedicine model in healthcare delivery has garnered significant interest because of its potential effectiveness.
Objective: To assess the effects of telemedicine on distress, physical function, and self-efficacy in cancer patients.
Design: This meta-analysis was conducted and reported in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) 2020 checklist.
Methods: Six databases were searched for relevant studies published from inception to October 2024. The literature search and data collection were conducted by two separate researchers. The quality of the methodologies in the studies included was evaluated using the Cochrane Risk of Bias Tool. Data analysis was conducted using Review Manager (version 5.4).
Result: Compared with the control group, patients who received telemedicine experienced significant reductions in distress (SMD = -0.44, 95% CI: -0.62 to -0.25, p < 0.00001, I2 = 46%) and significant increases in physical function (SMD = 0.11, 95% CI: 0.01-0.22, p = 0.04, I2 = 0%) and self-efficacy (SMD = 0.46, 95% CI: 0.23-0.69, p < 0.0001, I2 = 0%).
Conclusion: Telemedicine can effectively enhance the psychological health and physiological function of cancer patients, as well as their self-efficacy, suggesting a sustainable approach to the clinical care of cancer patients. Future studies are needed to further investigate the effectiveness of telemedicine interventions in different types of cancer patients and in different cultural contexts and to conduct long-term follow-up studies to evaluate their long-term effectiveness and cost-effectiveness.
Clinical relevance: This systematic review and meta-analysis provides evidence to offer effective and sustainable telemedicine care among cancer patients.
Patient and public contribution: No patient or public contribution.
Trial registration: This study was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (Registration number: CRD42024604929) under the title 'The effectiveness of death education on death anxiety, depression and quality of life in patients with advanced cancer: A meta-analysis of randomised controlled trials'. The full study protocol could be obtained at https://www.crd.york.ac.uk/PROSPERO/view/CRD42024604929.
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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