%0期刊文章%@ 1438-8871 %I JMIR出版物%V 23%卡塔尔世界杯8强波胆分析 N 8% P e24015% T老年康复中的eHealth:有效性、可行性和可用性系统评价%A Kraaijkamp,Jules J M %A van Dam van Isselt,Eléonore F %A Persoon,Anke %A Versluis,Anke %A Chavannes,Niels H %A Achterberg，莱顿大学医学中心公共卫生和初级保健部门Wilco P %+，莱顿，2333 ZD，荷兰，31 610599869，J.J.M.Kraaijkamp@lumc.nl %K老年康复%K eHealth %K mHealth %K数字健康%K有效性%K可行性%K可用性%K系统评价%D 2021 %7 19.8.2021 %9评价%J J医学互联网Res %G英语%X背景:eHealth有可能改善接受老年康复的老年人的身体活动或平衡等结果。然而，一些挑战，如缺乏证据的有效性，可行性和可用性阻碍了电子健康在老年康复的成功实施。目的:本系统综述的目的是评估电子健康干预在老年人康复中的有效性、可行性和可用性的证据。方法:我们检索了7个数据库，包括在老年康复期间应用电子健康干预的随机对照试验、非随机研究、定量描述性研究、定性研究和混合方法研究。纳入的研究调查了eHealth在接受老年康复治疗的平均年龄≥70岁的老年患者中的有效性、可用性和可行性。使用混合方法评估工具评估质量，并使用收获图进行叙事综合。结果:共入选40项研究，各研究间存在临床异质性。在40项研究中，15项研究(38%)发现电子卫生干预措施至少与非电子卫生干预措施一样有效(27项研究中有56%为对照组)，11项研究(41%)发现电子卫生干预措施比非电子卫生干预措施更有效，1项研究(4%)报告了有利于非电子卫生干预措施的有益结果。 Of 17 studies, 16 (94%) concluded that eHealth was feasible. However, high exclusion rates were reported in 7 studies of 40 (18%). Of 40 studies, 4 (10%) included outcomes related to usability and indicated that there were certain aging-related barriers to cognitive ability, physical ability, or perception, which led to difficulties in using eHealth. Conclusions: eHealth can potentially improve rehabilitation outcomes for older patients receiving geriatric rehabilitation. Simple eHealth interventions were more likely to be feasible for older patients receiving geriatric rehabilitation, especially, in combination with another non-eHealth intervention. However, a lack of evidence on usability might hamper the implementation of eHealth. eHealth applications in geriatric rehabilitation show promise, but more research is required, including research with a focus on usability and participation. %M 34420918 %R 10.2196/24015 %U //www.mybigtv.com/2021/8/e24015 %U https://doi.org/10.2196/24015 %U http://www.ncbi.nlm.nih.gov/pubmed/34420918

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