The effect of decision support systems on pain in patients with cancer: A systematic review and meta-analysis of randomized controlled trials.

Sezgin M. G., Bektas H.

Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing, cilt.54, sa.5, ss.578-588, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 54 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1111/jnu.12769
  • Dergi Adı: Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, Academic Search Premier, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Sayfa Sayıları: ss.578-588
  • Anahtar Kelimeler: cancer, decision-making, decision support system, nurse, nursing, pain, randomized controlled trial, symptom assessment, symptom management, systematic review and meta-analysis, MANAGEMENT, CARE
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Purpose This study was conducted to systematically examine the effect of decision support systems (DSSs) applied to patients with cancer on pain severity. Review methods Systematic review and meta-analysis. A search was done on Web of Science, Science Direct, PubMed, ProQuest, EBSCOhost/CINAHL Complete, Scopus, Springer Link, Cochrane Library, and Ovid databases, which covered a period until September 2021. Meta-analysis of the data was conducted on the CMA 3 software package. Comprehensive reviews were conducted by two independent researchers in line with the PICOS criteria. The study was conducted according to the PRISMA checklist. Findings Five randomized controlled trials with 1.880 participants were included in this systematic review and meta-analysis. In the study, visits, consultations, simulation of patient outcomes, telephone support, and email applications were employed for periods ranging from 6 weeks to 6 months. The evaluation of the meta-analysis results indicated that DSSs had positive effects on pain severity in patients with cancer (Hedge's g = 0.22; p < 0.001). Conclusion The findings of this systematic review and meta-analysis show that DSSs can be used as an effective and comfortable technological application in reducing the severity of pain in patients with cancer. Clinical relevance The use of DSSs for pain severity in patients with cancer is an effective method. In line with the findings of this systematic review and meta-analysis, awareness and knowledge levels of all health disciplines about DSSs will increase. It is believed that the use of DSSs to improve patient-centered care will be guiding.