期刊
ASIA-PACIFIC JOURNAL OF ONCOLOGY NURSING
卷 9, 期 12, 页码 -出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.apjon.2022.100117
关键词
Breast cancer; Telehealth; Exercise; Physical activity
类别
资金
- China Medical Board
- National Natural Science Foundation of China
- Natural Science Foundation of Hunan Province, China
- Hunan Women's Federation
- [20-369]
- [81703084]
- [2022JJ30774]
- [19WTB03]
Telehealth-based exercise intervention has a positive effect on the physical activity, physical performance, fatigue, and quality of life of breast cancer patients, and should be promoted clinically.
Telehealth-based exercise intervention as a non-pharmacological intervention has gradually emerged in breast cancer (BC), which shows feasibility and high levels of patient satisfaction. This systematic review aims to identify the effect of telehealth-based exercise interventions on the physical activity (PA) of patients with BC. We searched CENTRAL, CINAHL, PsycINFO, EMBASE, PubMed, Web of Science, ClinicalTrials.gov, CNKI, Wanfang, VIP, and SinoMed. Study selection and quality appraisal were performed independently by two reviewers. The review pro-tocol was registered in PROSPERO (CRD42022326484). Nine studies, which included 1127 patients with BC, were identified. Compared with usual care, the telehealth-based exercise intervention had a significantly positive effect on PA (Standardized mean difference (SMD) = 0.26, 95% confidence interval (CI) 0.09 to 0.43, P = 0.003), aerobic capacity (SMD = 0.20, 95% CI 0.03 to 0.38, P = 0.02), upper body function (Mean difference (MD) =-4.56, 95% CI-7.66 to-1.47, P = 0.004), upper muscle strength (SMD = 0.26, 95% CI 0.09 to 0.42, P = 0.002), lower muscle strength (SMD =-0.95, 95% CI-1.27 to-0.62, P < 0.00001), abdominal muscle strength (MD = 23.85, 95% CI 13.84 to 33.86, P < 0.000,01), fatigue (SMD = 0.56, 95% CI 0.13 to 1.00, P = 0.01), and quality of life (SMD = 0.26, 95% CI 0.04 to 0.49, P = 0.02). Conversely, anthropometric and body composition and pain did not differ signifi-cantly between the two groups. Telehealth-based exercise intervention improved PA, physical performance, fatigue, and quality of life of patients with BC compared with routine care, which should be promoted clinically as a comprehensive treatment for BC.
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