Abstract:

Objective To conduct a scoping review of the application of chatbots in the supportive care of patients with breast cancer，providing references for future research and clinical nursing practice. Methods A comprehensive literature search was conducted in PubMed，Embase，Web of Science，the Cochrane Library，CINAHL，China National Knowledge Infrastructure（CNKI），Wanfang Data，VIP Database，and the China Biomedical Literature Database（SinoMed）from database inception to December 8，2025. Data from eligible studies were extracted and synthesized descriptively. Results A total of 11 studies were included. Among them，chatbots were mainly based on hybrid technology（n=6） and provided support to patients through text-only interaction（n=6）. The intervention content primarily focused on 4 domains：informational support（n=7），psychological support and emotional regulation （n=3），symptom monitoring and management（n=3），and lifestyle guidance（n=4）. Outcome measures primarily covered information level，physiological status，self-management，quality of life，as well as feasibility and user satisfaction. Conclusion Chatbots demonstrate promising potential in the supportive care of patients with breast cancer，particularly showing high feasibility in providing informational support. However，several challenges remain，including the lack of standardized intervention duration and substantial heterogeneity in outcome indicators and measurement instruments. Future studies should focus on higher-quality，more refined，and stage-specific research designs，and actively explore collaborative implementation models integrating chatbots with offline nursing services to better leverage their potential value.

Key words: Chatbots, Breast Neoplasms, Supportive Care, Scoping Review, Evidence-Based Nursing

摘要：

目的 对聊天机器人在乳腺癌患者支持性照护中的应用现状进行范围综述，为未来研究与临床实践提供参考。方法 系统检索PubMed、Embase、Web of Science、Cochrane Library、CINAHL、中国知网、万方数据库、维普数据库和中国生物医学文献数据库，检索时限为建库至2025年12月8日，对纳入文献进行汇总和分析。结果 共纳入11篇文献。其中，聊天机器人主要采用混合技术型（6项）、以纯文本交互方式（6项）为患者提供支持。干预内容聚焦信息支持（7项）、心理支持与情绪调节（3项）、症状监测与管理（3项）及生活方式指导（4项）。评价指标涵盖信息水平、心理状态、生理状态、自我管理、生活质量、满意度及可行性。结论 聊天机器人在乳腺癌患者支持性照护中显示出一定应用潜力，尤其在信息支持方面具有较高的可行性，但目前仍存在干预时长缺乏统一标准、评价指标与测量工具异质性较高等问题。未来可开展更高质量的分阶段、精细化研究，积极探索聊天机器人与线下支持性照护相结合的协同实施模式，更充分地发挥聊天机器人的潜在价值。

关键词: 聊天机器人, 乳腺癌, 支持性照护, 范围综述, 循证护理学