Volume 19, Issue 1 (Paramedical Sciences and Military Health (Spring 2024) 2024)                   Paramedical Sciences and Military Health 2024, 19(1): 58-72 | Back to browse issues page

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Raei Mehneh M, Kimiafar K, Mousavi Baigi S F, Marouzi P, Mousavi A S, Sarbaz M. The Effect of Self Care Application Breast Cancer Patients :A Systematic Review in Clinical Trials. Paramedical Sciences and Military Health 2024; 19 (1) :58-72
URL: http://jps.ajaums.ac.ir/article-1-400-en.html
1- Department of Health Information Technology, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran & Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
2- Department of Health Information Technology, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
3- Department of Health Information Technology, School of Paramedical and Rehabilitation Sciences, Mashhad University of Medical Sciences, Mashhad, Iran , sarbazm@mums.ac.ir
Abstract:   (570 Views)
Introduction: Quality of life, physical and mental performance (psychological well-being) have been reported to be poor in breast cancer patients who have received chemotherapy. Therefore, a proper follow-up method is essential. This systematic review was conducted with the aim of investigating the effect of telemedicine using a mobile application in the management of chemotherapy complications and the breast cancer patients’ quality of life.
Materials and Methods: A systematic review was conducted on randomized controlled trial studies by searching keywords in the title, abstract and keywords of the studies in the reliable scientific databases including Embase, Web of Science, Scopus and PubMed on February 1 in 2024. We followed the Preferences and Items of Systematic Reviews (PRISMA) guidelines. Studies of randomized controlled trials that used telemedicine using a mobile application to manage chemotherapy complications, quality of life in breast cancer patients, and their English full text were considered as inclusion criteria.
Results: Out of 16 included studies, 12 studies (75%) showed a significant improvement in the quality of life and reduction of side effects and self-management of breast cancer patients in the intervention group compared to the control group. However, in 4 studies (25%), there was not any significant difference between the control and intervention groups in terms of improving quality of life. In 3 of the included studies (19%), although the patients’ quality of life in the intervention group improved significantly compared to the control group. However, there was not any statistically significant difference regarding the level of depression and anxiety of the control and intervention groups.
Conclusion: The findings of this systematic review confirm that telemedicine approaches have the potential to be effective compared to traditional face-to-face treatments in the management of chemotherapy side effects and the breast cancer patients’ quality of life. These broad approaches may minimize barriers such as distance, time, and cost. Furthermore, improving the knowledge of patients by providing self-care recommendations and activating the role of patients in the care process will improve the health of breast cancer survivors.

 
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Type of Study: review | Subject: full articles
Received: 2024/03/24 | Accepted: 2024/07/6 | Published: 2024/09/1

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