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Effects of digital self-management symptom interventions on symptom outcomes in adult cancer patients: A systematic review and meta-analysis

Authors
 Soo Hyun Kim  ;  Ji Hyun Sung  ;  Sung-Hee Yoo  ;  Sanghee Kim  ;  Kyunghwa Lee  ;  Eui Geum Oh  ;  Jiyeon Lee 
Citation
 EUROPEAN JOURNAL OF ONCOLOGY NURSING, Vol.66 : 102404, 2023-10 
Journal Title
EUROPEAN JOURNAL OF ONCOLOGY NURSING
ISSN
 1462-3889 
Issue Date
2023-10
Keywords
Anxiety ; Depression ; Digital technology ; Fatigue ; Meta-analysis ; Pain ; Self-management ; Systematic review
Abstract
Purpose: Digital self-management (SM) interventions targeting symptom relief have demonstrated positive as well as null outcomes, whereas no study has synthesized the effect of the interventions. In this study, we aimed to evaluate the effectiveness of digital SM symptom interventions on symptom outcomes in adult cancer patients.

Methods: A systematic review and meta-analysis based on the previous scoping review was conducted. Six databases (PubMed, CINAHL, Embase, the Cochrane Library, RISS [Korean], and KoreaMed [Korean]) were searched. Population was adult cancer patients. Intervention was SM interventions applying digital health tool targeting symptom management. Comparison was usual care, waitlist controls or active controls. The primary outcome was symptom burden, and the secondary outcomes were individual symptoms.

Results: Our meta-analysis of 32 randomized controlled trials (RCTs) including 7888 patients demonstrated that digital SM symptom interventions had a significant effect on reducing symptom burden (effect size [ES] = -0.230) and relieving pain (ES = -0.292), fatigue (ES = -0.417), anxiety (ES = -0.320), and depression (ES = -0.261).

Conclusions: Digital SM interventions can improve symptom outcomes in adult cancer patients. Oncology nurses should be aware that digital SM interventions have demonstrated promising outcomes in cancer patient care.
Full Text
https://www.sciencedirect.com/science/article/pii/S1462388923001382
DOI
10.1016/j.ejon.2023.102404
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Sanghee(김상희) ORCID logo https://orcid.org/0000-0002-9806-2757
Oh, Eui Geum(오의금) ORCID logo https://orcid.org/0000-0002-6941-0708
Lee, Jiyeon(이지연) ORCID logo https://orcid.org/0000-0001-6413-329X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/196502
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