The effect of self-care training program based on digital health on the quality of life of burn patients: A systematic review and meta-analysis:

Kolsoum  Deldar; Farnoosh  Khodabandelool; Mahdieh  Arian; Seyed Javad  Hosseini; Razieh Froutan

doi:10.5937/afmnai40-45800

Kolsoum Deldar
Farnoosh Khodabandelool Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Mahdieh Arian Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
Seyed Javad Hosseini Department of Pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Razieh Froutan Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

DOI: https://doi.org/10.5937/afmnai40-45800

Sažetak

Background: The present systematic review and meta-analysis, aimed at evaluating the impact of self-care training programs based on digital health on the quality of life of burn patients.

Methods: Electronic databases such as Science Direct, Medline/PubMed, Web of Science, Scopus, ProQuest, Google Scholar, and Cochrane library were searched independently by two researchers by relevant keywords. The Random effects model meta-analysis was carried out to compute the common effect size, the standardized mean difference (SMD), on HRQOL as the primary outcome of the study. Funnel plots were drawn to assess the publication bias, and I-squared index was utilized to assess the heterogeneity. Subgroup analyses were carried out accordingly. From a total of 105 studies, 6 studies were eligible to attend in the final meta-analysis.

Results: The results showed a significant effect of digital health compared to normal care on overall QoL in burn victims (SMD 1.2, (95% CI 0.58, 1.8), P=0.0001, I²=92%). The I² index shows a high level of heterogeneity with a value (92%). Subgroups analysis show a significant effect of telemedicine compared to normal care on overall QoL in burn victims between 7-12 weeks (SMD 1.7, (95% CI 0.43, 3), P=0.009, I²=93%), and between 2-6 weeks (SMD 1.4, (95% CI 0.5, 2.3), P=0.002, I²=89%) and >13 weeks (SMD 0.09, (95% CI -0.17, 0.35), P=0.5, I²=0%).

Conclusion: According to the presented results, it seems that new digital technologies have brought benefits including a positive impact on the quality of life score of burn victims.