@文章{信息:doi/10.2196/32946，作者=“Morken, Ingvild Margreta和Storm, Marianne和s{\o}reide, Jon Arne和Urstad, Kristin Hjorthaug和Karlsen, Bj{\o}rg和Huseb{\o}， Anne Marie Lunde”，标题=“心脏衰竭患者入院后随访使用电子健康解决方案:受限系统评价”，期刊=“J医学互联网研究”，年=“2022”，月=“2”，日=“15”，卷=“24”，数=“2”，页=“e32946”，关键词=“坚持;电子健康;心力衰竭;posthospitalization随访;病人的结果;背景:心力衰竭(HF)是一种发病率高、症状严重、治疗负担重、住院后30天内再入院风险高的临床综合征。COVID-19大流行揭示了使用电子卫生干预措施跟踪心衰患者的护理需求的重要性，以支持自我护理，提高生活质量，并降低医院和家庭过渡期间的再入院率。目的:本综述旨在总结心衰住院后电子健康干预措施的内容和实施方式的研究，探讨患者对干预措施的依从性，并研究其对患者自我护理、生活质量和再入院的影响。方法:采用限制性系统回顾研究设计。文献检索和综述遵循(PRISMA-S)系统评价和元分析首选报告项目文献检索扩展清单，并检索CINAHL、MEDLINE、Embase和Cochrane图书馆数据库中2015 - 2020年发表的研究。 The review process involved 3 groups of researchers working in pairs. The Mixed Methods Appraisal Tool was used to assess the included studies' methodological quality. A thematic analysis method was used to analyze data extracted from the studies. Results: A total of 18 studies were examined in this review. The studies were published between 2015 and 2019, with 56{\%} (10/18) of them published in the United States. Of the 18 studies, 16 (89{\%}) were randomized controlled trials, and 14 (78{\%}) recruited patients upon hospital discharge to eHealth interventions lasting from 14 days to 12 months. The studies involved structured telephone calls, interactive voice response, and telemonitoring and included elements of patient education, counseling, social and emotional support, and self-monitoring of symptoms and vital signs. Of the 18 studies, 11 (61{\%}) provided information on patient adherence, and the adherence levels were 72{\%}-99{\%}. When used for posthospitalization follow-up of patients with HF, eHealth interventions can positively affect QoL, whereas its impact is less evident for self-care and readmissions. Conclusions: This review suggests that patients with HF should receive prompt follow-up after hospitalization and eHealth interventions have the potential to improve these patients' QoL. Patient adherence in eHealth follow-up trials shows promise for successful future interventions and adherence research. Further studies are warranted to examine the effects of eHealth interventions on self-care and readmissions among patients with HF. ", issn="1438-8871", doi="10.2196/32946", url="//www.mybigtv.com/2022/2/e32946", url="https://doi.org/10.2196/32946", url="http://www.ncbi.nlm.nih.gov/pubmed/35166680" }