The effectiveness of telehealth programs on the mental health of women with breast cancer: A systematic review.

OBJECTIVE: The purpose of this systematic review is to determine the evidence-based information and results about the effectiveness of telehealth programs on the mental health of women with breast cancer. Methods: The research process was carried out using PRISMA guidelines. Randomized controlled trials with available abstract and full text, which were published in English with the keywords "telehealth," "telemedicine," "web-based therapy," "telepsychiatry," "online therapy" and "breast cancer" in Pub Med, PsycINFO, Medline, Science Direct, Scopus, Web of Sciences and Cochrane databases between 2015-2019 were searced. As a result of the evaluations, the research was completed with 16 studies meeting the research criteria. Results: There was strong evidence for reduce the fear of relapse of cancer, depressive symptoms and severity of depression, distress, intrusive thoughts, anxiety, sleep disorder, insomnia, improve quality of life and for improve cognitive functions, improve psychological strength and sleep quality of telehealth programs in women with breast cancer. Furthermore, evidence was found for increase psychological health, functionality, optimism and control over the future, positive mood and life appreciation, and drug compliance of these programs. Conclusion: This review found evidence for the effectiveness of telehealth programs on the mental problems of women with breast cancer. In this sense, it is recommended to expand the use of telehealth programs, which can save time and cost, are accessible and easily applicable by nurses, to improve the mental health of women with breast cancer, and further studies are recommended.

The effect of guided imagery and reflexology on pain intensity, duration of labor and birth satisfaction in primiparas: randomized controlled trial.

The aim of the researchers is to determine the effects of guided imagery and foot reflexology on pain intensity, duration of labor, and birth satisfaction. While cervical dilation was 4 cm, the guided imagery group has watched the guided imagery video; the reflexology group has received reflexology for both feet for 30 min. The mean VAS scores of the experimental groups were statistically lower than the mean score of the control group. The difference between the time averages of the groups was found to be significant. Birth satisfaction meanscores of the experimental groups was found to be higher than the control group.