数字健康技术应用于乳腺癌相关淋巴水肿远程管理的范围综述OA

Objective To systematically review the clinical studies on the application of digital health technologies in remote management of breast cancer-related lymphedema(BCRL),aiming to provide reference for related clinical practice.Methods Articles on the application of digital health technologies in remote BCRL management were searched in Chinese and English databases,including CNKI,Wanfang Data,VIP,SinoMed,PubMed,Web of Science,Cochrane Library,and Embase,from their establishment to August 2025.Two investigators independently screened articles,extracted data,and summarized the modalities,elements,outcome indicators,and effects of remote BCRL management for analysis.Results A total of 17 articles were included,comprising 13 English articles(1 by Chinese authors)and 4 Chinese articles,published between 2014 and 2025.Randomized controlled trials were the predominant study type(9 articles).The main modalities of digital health technologies applied in remote BCRL management included social platforms,customized systems,wearable devices and smart devices,and smart platforms;these technologies encompassed 6 elements,namely health education,rehabilitation guidance,consultation and communication,psychosocial support,self-management,and remote monitoring;outcome indicators included physiological indicators,quality of life,self-management indicators,cognitive competence,and feasibility indicators.Conclusion Digital health technologies for remote BCRL management are diverse in modality;their elements are comprehensive but poorly integrated and insufficiently personalized;their outcome indicators are abundant but remain insufficiently comprehensive and standardized.In the future,resources should be further integrated to promote standardized and precise development of remote management,thereby improving the quality of life of BCRL patients.