乳腺癌患者使用移动医疗工具质性研究的Meta整合  

Meta-aggregation of qualitative studies on users′experience of mobile health applications for patients with breast cancer

作　　者：刘苹 罗尧岳[1] 李群 何燕 易俊儒 邹颖 谌一凡 邓赟 易露茜 Liu Ping;Luo Yaoyue;Li Qun;He Yan;Yi Junru;Zou Ying;Chen Yifan;Deng Yun;Yi Luxi(School of Nursing,Hunan University of Traditional Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学护理学院,湖南长沙410208 [2]湖南格尔智慧科技有限公司 [3]中南大学湘雅二医院

出　　处：《护理学杂志》2024年第17期20-25,共6页Journal of Nursing Science

基　　金：湖南省自然科学基金项目(2023JJ70053);乳腺癌术后出院患者中西医个性化多阶段康复专项计划(横向项目)。

摘　　要：目的系统整合乳腺癌患者使用移动医疗工具的体验和感受,为研发更符合患者需求的移动医疗工具提供参考。方法在Web of Science、PubMed、Cochrane Library、Embase、中国知网、万方数据、维普网检索关于乳腺癌患者使用移动医疗工具的质性研究,检索时限为建库至2024年3月,按照JBI质性研究质量评价标准进行文献质量评价,采用汇集性整合法对结果进行整合。结果共纳入12篇文献,提炼出70个明确的研究结果,将相似的研究结果归纳形成11个新类别,最终得出3个整合结果:乳腺癌患者使用移动医疗工具的有益体验;影响乳腺癌患者使用移动医疗工具的因素;乳腺癌患者使用移动医疗工具的期望。结论乳腺癌患者对移动医疗工具的使用体验较好,但也从功能设计、信息支持、社会支持等方面提出多样化的需求。医护人员及研发人员需关注患者在使用移动医疗工具过程中的体验和感受,完善相关配套支持体系,以帮助患者实现自我管理。Objective To systematically integrate breast cancer patients′experiences and feelings related to using and interacting within mobile health(mHealth)applications,and to provide evidence for improving user-centric mHealth apps.Methods Using a systematic search strategy,7 databases(Web of Science,PubMed,Cochrane Library,Embase,CNKI,Wanfang Database and VIP)were searched from database inception to March 2024.Qualitative and/or mixed method studies reporting breast cancer patients′experience of using mHealth apps were retrieved and screened.Assessment of methodological limitations was conducted using JBI critical appraisal checklist for qualitative research,and the results were integrated using meta-aggregation.Results Twelve eligible studies were included in the synthesis.Seventy findings were identified from the studies and 11 subthemes were generated.Finally,three themes were developed:benefits of mHealth apps;factors influencing their use;expectations of mHealth apps.Conclusion Most breast cancer patients have positive experiences of using mHealth apps,but they also have diversified demands in terms of functional design,information support,social support,etc.Medical personnel and manufacturers should focus on patients′experiences of using mHealth apps,and improve the relevant supporting system,in an effort to help patients achieve self-management.

关 键 词：乳腺癌 移动医疗 远程医疗 体验 延续护理 同伴支持 质性研究 Meta整合 

分 类 号：R473.73[医药卫生—护理学] R737.9[医药卫生—临床医学]