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اولین کنگره بین المللی رویکردهای نوین سبک زندگی، پیشگیری و درمان سرطان
Investigating the Effects of Tele-Nursing Care on Individuals with Cancer: A Systematic Review
نویسندگان :
Amir Hossein Shafighi (دانشگاه علوم پزشکی شهید بهشتی) , Mohaddeseh Peyvastegar (سایر) , Fatemeh Ashouri (سایر) , Arezoo Kordian (سایر) , Maryam Aziznia (سایر)
کلمات کلیدی :
Cancer،Nursing،Tele-nursing،Tele-health،Health
چکیده :
Introduction: Cancer, as a non-communicable, chronic and recurring disease, is the result of the uncontrollable reproduction and growth of abnormal cells. Cancer is associated with many considerable consequences on all aspects of human life. Moreover, it is recognized as one of the main causes of death universally. So far, numerous care or cure approaches have been introduced and implemented in order to deal with cancer. Along with the increasing progress of technology, novel approaches of cancer care or cure have been presented, the most important of which are tele-health or tele-nursing care services. Tele-nursing is defined as the provision of health care using information technology, when there is a physical distance between the patient and the nurse. Tele-nursing is used in order to enhance the educational, care and symptom management strategies for chronic diseases such as hypertension. Due to the existence of significant limitations in financial, human, hospital and infrastructure resources in providing long-term care to individuals with cancer, tele-nursing care can be a suitable compensation for the mentioned limitations. Therefore, the present study was implemented aiming to “determining the effects of tele-nursing care on individuals with cancer”. Method: The present study was conducted by reviewing the published and available “Persian” and “English” sources in databases of “Magiran”, “Irandoc”, “SID”, “MEDLINE”, “Cochrane Library”, “ScienceDirect”, “PubMed” and “Google Scholar”, between 2018 to 2022. Accordingly, the searching process was conducted using the keywords of “Nursing”, “Nurse”, “Cancer”, “Malignancy”, “Neoplasm”, “Tele-nursing” and eventually “Tele-health”. Ultimately, among the 168 initial articles, 25 articles were selected and analyzed. Results: Based on the reviewed studies, tele-nursing care for individuals with various types of cancers contains providing services in three general levels of education, care and management of cancer symptoms. The mentioned measures were “virtual monitoring”, “medication management”, “sympathy and relieving suffering”, “providing emergency services”, “managing long-term symptoms”, and finally, “specialized care”. Accordingly, such services are often provided through phone calls, video calls, mobile phone or personal computer based softwares, and eventually, educational content in the form of educational audio-visual files. It is necessary to indicate that the implemented measures have had significant consequences for individuals suffering from various types of cancer, their personal caregivers and finally health care providers such as nurses. In addition, the aforementioned services have had higher simplicity and safety compared to the traditional approaches. Following the use of tele-nursing, clients were able to communicate with their nurses at any time, any place. Besides, the principle of “privacy” has received more attention. Further, tele-nursing care had brought significant reduction in care and treatment costs, alongside the re-hospitalization mitigation. Another advantage was the extensiveness of such service compared to traditional approaches. Following such services, more individuals had benefited from nursing care, and concurrently, more convenience had been provided for health care providers. Ultimately, following the enhancement of the clients' self-management and self-confidence, their tendency and cooperation for such new services had become much more than the traditional approaches. Conclusion: Based on the findings, tele-nursing care has had numerous outstanding consequences among individuals with cancer, their personal caregivers and as well, the health care providers such as nurses. Recommendations: Considering the mentioned significant consequences of such an approach, along with the increasing global growth of information technology, paying further attention to tele-health and tele-nursing approaches is indispensable. Hence, implementing the necessary measures in order to outstretch such approaches in Iran is recommended.
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