%0期刊文章%@ 2291-5222 %I JMIR出版物%V 9% 卡塔尔世界杯8强波胆分析N 10% P e32544 %T远程保健干预对产后抑郁症妇女的有效性:系统综述及meta分析%A赵，陈刘红，蓝静芬，邓刘英，廖妮，岳燕，陈立群，温茵妮，吴石，谢a，日华+护理科，南方医科大学第七附属医院，佛山市丽水市李官路28号，528244，中国，86 189 2869 7126,xierihua928@hotmail.com %K远程医疗%K产后抑郁%K焦虑%K meta分析%D 2021 %7 7.10.2021 %9综述%J JMIR Mhealth Uhealth %G英文%X产后抑郁症(PPD)是一种普遍的心理健康问题，对受影响的妇女及其婴儿有严重的不良后果。临床试验发现，对患有产后抑郁症的妇女进行远程保健干预可增加可及性并提高治疗效果。然而，还没有通过系统综述对临床试验的证据进行全面的综合。目的:本研究的目的是评估远程医疗干预在减少女性产后抑郁症抑郁症状和焦虑方面的有效性。为了提高研究结果的同质性和可解释性，本文系统回顾了由爱丁堡产后抑郁量表(EPDS)测量的PPD。方法:电子检索PubMed、Cochrane图书馆、CINAHL、PsycINFO、CNKI和万方，以确定从开始到2021年2月28日关于远程医疗干预对女性PPD有效性的随机对照试验(rct)。数据提取和质量评估由两名研究人员独立完成。采用Cochrane偏倚风险工具评估纳入研究的质量，采用RevMan 5.4软件进行meta分析。 Results: Following the search, 9 RCTs with a total of 1958 women with PPD were included. The EPDS (mean difference=–2.99, 95% CI –4.52 to –1.46; P<.001) and anxiety (standardized mean difference=–0.39, 95% CI –0.67 to –0.12; P=.005) scores were significantly lower in the telehealth group compared with the control group. Significant subgroup differences were found in depressive symptoms according to the severity of PPD, telehealth technology, specific therapy, and follow-up time (P<.001). Conclusions: Telehealth interventions could effectively reduce the symptoms of depression and anxiety in women with PPD. However, better designed and more rigorous large-scale RCTs targeting specific therapies are needed to further explore the potential of telehealth interventions for PPD. Trial Registration: PROSPERO CRD42021258541; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=258541 %M 34617909 %R 10.2196/32544 %U https://mhealth.www.mybigtv.com/2021/10/e32544 %U https://doi.org/10.2196/32544 %U http://www.ncbi.nlm.nih.gov/pubmed/34617909