基于移动应用程序的干预对乳腺癌患者生活质量的影响：系统回顾和荟萃分析

IF 3.7 2区医学 Q1 PSYCHIATRY

General hospital psychiatry Pub Date : 2025-10-09 DOI:10.1016/j.genhosppsych.2025.10.002

Ju Hyun Ahn , Myoungsuk Kim

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引用次数: 0

摘要

目的评价基于移动应用程序的干预对乳腺癌患者生活质量（QoL）的影响。方法采用PubMed、Cochrane Library、Embase、CINAHL、MEDLINE和Web of Science 6个数据库，对随机对照试验（RCTs）进行系统回顾和meta分析，评估基于移动应用程序的干预对乳腺癌患者的影响。采用随机效应模型，采用标准化平均差（SMD）来衡量干预效果。采用更新的Cochrane风险偏倚工具评估纳入研究的质量。结果共纳入21项rct。总体而言，基于移动应用程序的干预对乳腺癌患者的总体生活质量有中等影响（SMD = 0.61, 95%可信区间[CI]: 0.38-0.85）。在生活质量子域中，干预对情绪功能的影响中等（SMD = 0.54, 95% CI: 0.22-0.86），对社会功能的影响较小（SMD = 0.46, 95% CI: 0.17-0.74）。教育方案、多模式方案和较短的干预（12周）显示出更大的效果，特别是在接受治疗的患者中。干预方案的类型是干预效果的重要调节因子。结论基于移动应用程序的干预可以改善乳腺癌患者的整体生活质量，包括情绪和社交功能。然而，某些领域的有限数据表明需要进一步研究。对乳腺癌患者的影响基于移动应用程序的干预可以作为提高乳腺癌患者生活质量的工具。

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Effects of mobile app-based interventions on quality of life in patients with breast cancer: a systematic review and meta-analysis

Objective

This review assessed the effectiveness of mobile app-based interventions on the quality of life (QoL) of patients with breast cancer.

Methods

We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) using six databases (PubMed, Cochrane Library, Embase, CINAHL, MEDLINE, and Web of Science) to evaluate the effects of mobile app-based interventions on patients with breast cancer. The standardized mean difference (SMD) was used to measure the intervention effect using a random-effects model. The updated Cochrane Risk-of-Bias tool was used to assess the quality of the included studies.

Results

Twenty-one RCTs were included in the meta-analysis. Overall, mobile app-based interventions had a moderate effect on overall QoL in patients with breast cancer (SMD = 0.61, 95 % confidence interval [CI]: 0.38–0.85). Among QoL subdomains, the interventions had moderate effects on emotional functioning (SMD = 0.54, 95 % CI: 0.22–0.86) and small effects on social functioning (SMD = 0.46, 95 % CI: 0.17–0.74). Educational programs, multimodal programs, and shorter interventions (<12 weeks) showed greater effectiveness, particularly in patients undergoing treatment. The type of intervention program was an important moderator of the intervention effect.

Conclusions

Mobile app-based interventions can improve overall QoL in patients with breast cancer, including emotional and social functioning. However, limited data in some areas indicate a need for further research.

Implications for patients with cancer

Mobile app-based interventions can be used as tools to enhance the QoL of patients with breast cancer.

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来源期刊

General hospital psychiatry 医学-精神病学

CiteScore

9.60

自引率

2.90%

发文量

125

审稿时长

20 days

期刊介绍： General Hospital Psychiatry explores the many linkages among psychiatry, medicine, and primary care. In emphasizing a biopsychosocial approach to illness and health, the journal provides a forum for professionals with clinical, academic, and research interests in psychiatry''s role in the mainstream of medicine.