@文章{info:doi/ 10.2199 /20709,作者="Matis, Juraj和Svetlak, Miroslav和Slezackova, Alena和Svoboda, Marek和{\v{S}}umec, Rastislav",标题="通过电子健康和移动健康为癌症患者提供的基于正心的项目:定量研究的系统回顾和综合",期刊="J Med Internet Res",年="2020",月="11",日="16",卷="22",数="11",页="e20709",关键词="eHealth;移动健康;正念;癌症;系统评价;背景:基于电子健康的正念计划(embp)在复杂的肿瘤学和姑息治疗中正在上升。然而,我们仍然处于回答embp如何有效,对谁有效,以及哪种交付模式最有效的问题的初级阶段。目的:本系统综述旨在探讨embp在改善癌症患者心理健康和幸福感方面的可行性和有效性,描述这些方案的干预特点和实施方式,并总结纳入研究的疗效、依从性和减损的调节因子、中介因子和预测因子的研究结果。方法:使用相关搜索词(如正念、程序、eHealth、肿瘤)及其变体搜索PubMed、psyinfo、Scopus和Web of Knowledge 4个数据库。对语言或出版物类型没有任何限制。 The results of the efficacy of eMBPs were synthesized through the summarizing effect estimates method. Results: A total of 29 published papers describing 24 original studies were included in this review. In general, the results indicate that eMBPs have the potential to reduce the levels of stress, anxiety, depression, fatigue, sleep problems, and pain, and improve the levels of mindfulness, posttraumatic growth, and some parameters of general health. The largest median of Cohen d effect sizes were observed in reducing anxiety and depression (within-subject: median −0.38, IQR −0.62 to −0.27; between-group:median −0.42, IQR −0.58 to −0.22) and facilitating posttraumatic growth (within-subject: median 0.42, IQR 0.35 to 0.48;between-group: median 0.32, IQR 0.22 to 0.39). The efficacy of eMBP may be comparable with that of parallel, face-to-faceMBPs in some cases. All studies that evaluated the feasibility of eMBPs reported that they are feasible for patients with cancer.Potential moderators, mediators, and predictors of the efficacy, attrition, and adherence of eMBPs are discussed. Conclusions: Although the effects of the reviewed studies were highly heterogeneous, the review provides evidence that eMBPs are an appropriate way for mindfulness practice to be delivered to patients with cancer. Thus far, existing eMBPs have mostly attempted to convert proven face-to-face mindfulness programs to the eHealth mode. They have not yet fully exploited the potential of eHealth technology. ", issn="1438-8871", doi="10.2196/20709", url="//www.mybigtv.com/2020/11/e20709/", url="https://doi.org/10.2196/20709", url="http://www.ncbi.nlm.nih.gov/pubmed/33196452" }
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