ACTA FAC MED NAISS 2023;40(4):415-434

Original article

UDC: 614.2:616-001.17:004
DOI: 10.5937/afmnai40-45800

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,
Shahroud University of Medical Sciences, Sharoud, Iran
2Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4Department of Pediatric Nursing, School of Nursing and Midwifery,
Mashhad University of Medical Sciences, Mashhad, Iran
5Department of Medical-Surgical Nursing, School of Nursing and Midwifery,
Mashhad University of Medical Sciences, Mashhad, Iran

 

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

 

 

 Corresponding author:
  Razieh Froutan
  e-mail: froutanr@mums.ac.ir