ACTA FAC MED NAISS 2023;40(4):415-434 |
Original
article
UDC:
Running title: Digital Self-Care Training Program on the Quality of Life of Burn Patients
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 Deldar1,
Farnoosh Khodabandelool2, Mahdieh Arian3,5, Seyed
Javad Hosseini4, Razieh Froutan3,5
1Department
of Information Technology, School of Allied Medical Sciences,
SUMMARY
Background/Aim. 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 using the
relevant keywords. The random effects model meta-analysis was
carried out to compute the influence of common effect size, the
standardized mean difference (SMD) on health-related quality of life
(HRQOL) as the primary aim 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, six 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 the overall quality of life (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 of 92%. Subgroups analysis shows a significant effect
of telemedicine compared to normal care on the overall QOL in burn
victims between weeks 7 - 12 (SMD 1.7 (95% CI 0.43, 3), P = 0.009, I2
= 93%), and between weeks 2 - 6 (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.
Keywords: rehabilitation,
digital health, burn patient, self-care, education program