The effectiveness of web-based mobile health interventions in paediatric outpatient surgery: A systematic review and meta-analysis of randomized controlled trials.
In: Journal of Advanced Nursing (John Wiley & Sons, Inc.), Jg. 76 (2020-08-01), Heft 8, S. 1949-1960
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Zugriff:
Aims: To evaluate the effectiveness of web-based mobile health interventions on paediatric patients and their parents in the day surgery context, where the primary outcome was children's pre-operative anxiety and secondary outcomes were postoperative pain and parents' anxiety and satisfaction with entire course of the day surgery. Design: A systematic review and meta-analysis of randomized controlled trials. Data sources: CENTRAL, CINAHL, Scopus, Ovid MEDLINE, and Web of Science were systematically searched without time limits (up to December 2018). Review methods: Studies were appraised using the Cochrane risk of bias tool. A random effect meta-analysis of children's pre-operative anxiety was performed. Results: Eight studies with a total of 722 patients were included in the analysis. The effectiveness of web-based mobile health interventions, including age-appropriate videos, web-based game apps, and educational preparation games made for the hospital environment, was examined in pre-operative settings. A meta-analysis (N = 560 children) based on six studies found a statistically significant reduction in pre-operative anxiety measured by the Modified Yale Pre-operative Anxiety Scale with a moderate effect size. Three studies reported parental satisfaction. Conclusion: Web-based mobile health interventions can reduce children's pre-operative anxiety and increase parental satisfaction. Web-based mobile health interventions could be considered as non-pharmacological distraction tools for children in nursing. There is not enough evidence regarding the effectiveness of reducing children's postoperative pain and parental anxiety using similar interventions. Impact: Web-based mobile health interventions reduce children's pre-operative anxiety and could therefore be considered as non-pharmacological distraction tools for children in nursing. [ABSTRACT FROM AUTHOR]
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The effectiveness of web-based mobile health interventions in paediatric outpatient surgery: A systematic review and meta-analysis of randomized controlled trials.
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Autor/in / Beteiligte Person: | Rantala, Arja ; Pikkarainen, Minna ; Miettunen, Jouko ; He, Hong-Gu ; Pölkki, Tarja |
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Zeitschrift: | Journal of Advanced Nursing (John Wiley & Sons, Inc.), Jg. 76 (2020-08-01), Heft 8, S. 1949-1960 |
Veröffentlichung: | 2020 |
Medientyp: | academicJournal |
ISSN: | 0309-2402 (print) |
DOI: | 10.1111/jan.14381 |
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