Effectiveness of “Internet+” nursing intervention model on pain in cancer patients：a Meta-analysis

doi:10.3761/j.issn.0254-1769.2023.09.005

Abstract

Abstract:

Objective To systematically evaluate the impact of the nursing intervention model based on “Internet +” with cancer pain patients，and to explore the best intervention based on “Internet +” to alleviate their pain. Methods A systematic search of PubMed，Embase，Web of Science，Cochrane Library，CNKI，VIP，WanFang Data and CBM，was carried out to collect randomized controlled trials on nursing intervention model based on “Internet +” on cancer pain patients from inception to May 2022. There were 2 researchers who screened the literature，extracted data and evaluated the methodological quality. Meta-analysis was conducted with Revman 5.4 software. Results A total of 9 randomized controlled studies were included，involving 1049 patients. The results of the Meta-analysis showed that，compared to the conventional care，the nursing intervention model based on “Internet +” was effective in improving pain intensity in cancer patients[MD=-0.70，95%CI（-1.29，-0.11），P=0.03]，pain interference [MD=-0.71，95%CI（-1.08，-0.33），P=0.04]. In different “Internet +” intervention forms of each group，patients in the interactive health education group had the lowest pain intensity score，with significant statistical differences[MD=-0.23，95%CI（-0.43，-0.02），I²=0，P=0.03]. In addition，nursing intervention based on “Internet +” has a more significant improvement effect on pain intensity in cancer patients aged 50 to 60 years[MD=-0.26，95%CI（-0.46，-0.06），I²=0，P=0.01]. Conclusion The nursing intervention model based on “Internet+” can effectively improve the pain intensity and pain interference in cancer patients. Interactive health education is the best form of intervention.

Key words: Cancer, Internet+, Pain, Meta Analysis, Evidence-Based Nursing

摘要：

目的系统评价基于“互联网+”的护理干预对癌症患者疼痛的干预效果并探索最佳的干预形式。方法计算机检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、维普数据库、万方数据库和中国生物医学文献数据库中关于基于“互联网+”的护理干预对癌症患者疼痛效果的随机对照试验，检索时限为建库至2022年5月。由2名研究者独立进行文献筛选、资料提取、文献质量评价，采用RevMan 5.4软件进行Meta分析。结果共纳入9篇文献，包括1 049例患者。Meta分析结果显示，与常规护理相比，基于“互联网+”的护理干预能够有效降低癌症患者的疼痛强度[MD=-0.70，95%CI（-1.29，-0.11），P=0.03]、减少疼痛干扰[MD=-0.71，95%CI（-1.08，-0.33），P=0.04]；干预形式中，互动式健康教育组疼痛强度最低，差异具有统计学意义[MD=-0.23，95%CI（-0.43，-0.02），I²=0，P=0.03]。此外，基于“互联网+”的护理干预对50~<60岁癌症患者的疼痛强度改善效果更明显[MD=-0.26，95%CI（-0.46，-0.06），I²=0，P=0.01]。结论实施基于“互联网+”的护理干预能有效改善癌症患者的疼痛强度与疼痛干扰；互动式健康教育是最佳的干预形式。

关键词: 癌症, 互联网+, 疼痛, Meta分析, 循证护理学

LUO Xiaoyan, CUI Renshan, XU Xiumei, CUI Miaomiao, GUO Lingru, ZHOU Dan. Effectiveness of “Internet+” nursing intervention model on pain in cancer patients：a Meta-analysis[J]. Chinese Journal of Nursing, 2023, 58(9): 1056-1062.

雒晓燕, 崔仁善, 许秀梅, 崔苗苗, 郭玲茹, 周丹. 基于“互联网+”的护理干预对癌症患者疼痛影响的Meta分析[J]. 中华护理杂志, 2023, 58(9): 1056-1062.

Figures/Tables 4

Table 1 Characteristics of included studies（n=9）

Table 2 Methodological quality assessment for the included studies（n=9）

Figure 1 Effect of the nursing intervention based on “Internet +” on pain intensity in cancer patients

Figure 2 Effect of the nursing intervention based on “Internet +” on pain interference in cancer patients

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