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صفحه اصلی
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اولین کنگره بین المللی رویکردهای نوین سبک زندگی، پیشگیری و درمان سرطان
The effect of telenursing on care of patients with cancer: a systematic review
نویسندگان :
Hasanali Jafarpoor (دانشگاه علوم پزشکی بابل) , Morteza Rahimnejad (دانشگاه علوم پزشکی بابل) , Mostafa Mostafazadeh_Bora (دانشگاه علوم پزشکی بابل)
کلمات کلیدی :
Telenursing،nurse،cancer،health care
چکیده :
Purpose: cancer is chronic disease that can create numerous health problems. These problems can manage via cooperation between patient and health care provider. Patient education is one of the most important goals in providing health care services. The utility of novel approaches such as telenursing can help patient with cancer. Despite the important this issue, telenursing as new paradigm needs more attention in various aspects of patient management and true effect of telenursing is unclear. This study aimed to assess the effect of telenursing on care of patients with cancer. Methods: we searched electronic database from inception up to February 7 2022. The database include science direct, PubMed, Scopus, and Cochran database. In this study, the search process includes combination of keywords based on MeSH terms. All of articles with sevsral terms in title ″telenursing″, ″tele _nursing″, ″cancer″, ″neoplasm″, ″tumor″, and ″malignancy″was included. According to inclusion and exclusion criteria, articles were assessed and duplicate papers were removed. Then, title and abstracts of suitable articles were screened and the content of article was assessed. Two researcher extracted the data article based on a data extraction form including publication information (name of first author, year, and location), study design (trial design), total sample size, intervention period), participant characteristics (gender and mean age), and main outcomes, including the effect of intervention on cancer care. Finding: our initial search yielded 412 recorded, 8 studies were included. The studies was conducted in various countries including Iran (n=2), japan (n=1), Denmark (n=1), China (n=1), USA (n=2), and Brazil (n=1). The data collected during time of study, recommends that telenursing improve supportive care needs of patients with cancer, quality of care, and patient satisfactory. Also, it decrease cancer complication as fatigue, nausea, depression, anxiety, pain, and feeling of well-being and reduce cost related cancer. Satisfaction rates of patients in telenursing groups (93%) higher than home health visits (81%), significantly. Also, telenursing visits cost was lower than home visits. Other studies assess the effect of telenursing on supportive care needs in 5 dimensions psychological, health system and information (HIS), patient care and support, physical and daily living, and sexuality that show telenursing groups had lower score than control groups. Also, telenursing groups were lower postoperative complications, decrease nausea and vomiting related to chemotherapy, pain, and cancer-related-fatigue. Conclusion: although, most studies demonstrate that telenursing in cancer care is effective, a big challenge in this study was methodological heterogeneity and various instruments tool that influence correct assessment telenursing on cancer care. Yet still the notability of telenursing and its dimensions is extremely imprecise. Telenursing is as a new model in current century. The use of technology can help removal of long distance and cost restriction. According to studies assessment and methodology in this study, we suggest that future studies include deep concepts telenursing and benefit on all of aspects cancer care. The use of telenursing in future studies can improve nursing concepts.
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