Web-based cognitive interventions on subjective cognitive impairment in cancer survivors:A systemic review  

网络认知干预对癌症患者主观认知障碍的影响:系统综述

作　　者：Ye Wang Yi Zhang Rongyu Li Zheng Sun Qiuping Li 王叶;张艺;李荣玉;孙政;李秋萍

机构地区：[1]Wuxi School of Medicine,Jiangnan University,Wuxi,China [2]Affiliated Hospital of Jiangnan University,Wuxi,China

出　　处：《International Journal of Nursing Sciences》2024年第4期429-438,共10页国际护理科学（英文）

基　　金：The National Natural Science Foundation of China supports this review(No.82172844);The funder had no role in study design,data collection and analysis,manuscript preparation,or decision to publish.

摘　　要：Objective:Cancer survivors have experienced subjective cognitive impairment(SCI)when they received cancer diagnoses or treatments.Their psychosocial and emotional statuses were also impacted.With the advancement of web technologies,web-based cognitive interventions have been implemented in the management and the alleviation of the SCI,the psychosocial distress,and the emotional distress in cancer survivors.This review aimed to summarize the intervention contents of web-based cognitive interventions for SCI,and to explore the effects of the interventions on SCI,psychosocial status,and emotional health.Methods:Six databases(CINAHL Plus,Cochrane Library,Embase,APA PsycInfo,PubMed and CNKI)were searched from the establishment of databases up to December 2023.Literature references were also manually searched for related articles.Results:This review contained 21 studies that covered the contents of web-based cognitive interventions,such as computer-assisted cognitive training,online cognitive rehabilitation,cognitive behavior therapy with the Internet,telehealth physical exercise,and web-based mindfulness interventions.The effects of web-based cognitive interventions positively impacted SCI for cancer survivors.Also,these interventions showed varying degrees of effectiveness in alleviating psychosocial and emotional distresses.Conclusion:By summarizingfive types of cognitive intervention contents delivered via web technology,this review demonstrated that web-based cognitive interventions optimized SCI and overall psychosocial and emotional statuses for the cancer survivors.It is recommended that future research focus on the development of customized web-based cognitive interventions for individuals with SCI,along with their psychosocial and emotional statuses.目的 基于网络认知干预对主观认知障碍(subjective cognitive impairment,SCI)的干预内容,探讨干预内容对癌症患者SCI、社会心理和情绪状态的影响。方法 对6个数据库(CINAHL、Cochrane Library、Embase、PsycINFO、PubMed和CNKI)进行检索,检索时间为数据库建立到2023年12月。同时手动检索了相关文章的参考文献。 结果 该综述纳入了21项研究,总结了网络认知干预(如计算机辅助认知训练、在线认知康复、网络认知行为疗法、远程保健体育锻炼和网络正念干预)的内容。基于网络的认知干预对癌症患者的SCI有积极的改善作用,5种基于网络的认知干预对缓解患者心理社会和情绪困扰方面表现出不同程度的效果。 结论 该综述总结了5种网络技术认知干预的内容,并证明了基于网络的认知干预可以优化癌症患者的SCI以及整体社会心理和情绪状况。建议未来研究考虑个体的社会心理和情绪状况,开发针对SCI的、量身定制的网络认知干预项目。

关 键 词：Cancer survivors Cognitive dysfunction Internet-based cognitive intervention Subjective cognitive impairment Psychosocial status Emotional distress 

分 类 号：R473.73[医药卫生—护理学]