@Article{info:doi/10.2196/10302，作者=“Lundgren, Johan and Johansson, Peter and Jaarsma, Tiny and Andersson, Gerhard and K{\“a}”rner K{\“o}hler, Anita”，标题=“基于网络的认知行为疗法治疗心衰和抑郁症的患者体验:定性研究”，期刊=“J Med Internet Res”，年=“2018”，月=“Sep”，日=“05”，卷=“20”，号=“9”，页=“e10302”，关键词=“认知疗法”;内容分析;抑郁症;心力衰竭;互联网;病人的经验;背景:基于网络的认知行为疗法(wCBT)已被提出作为一种可能的治疗心力衰竭和抑郁症状患者的方法。抑郁症状在心力衰竭患者中很常见，已知这种症状会显著恶化他们的健康状况。尽管在wCBT的效果方面有令人鼓舞的结果，但对于慢性心力衰竭和抑郁症状患者如何进行wCBT，还存在知识差距。目的:本研究的目的是探讨和描述通过wCBT干预心力衰竭和抑郁症状患者参与和接受卫生保健的经历。 Methods: In this qualitative, inductive, exploratory, and descriptive study, participants with experiences of a wCBT program were interviewed. The participants were included through purposeful sampling among participants previously included in a quantitative study on wCBT. Overall, 13 participants consented to take part in this study and were interviewed via telephone using an interview guide. Verbatim transcripts from the interviews were qualitatively analyzed following the recommendations discussed by Patton in Qualitative Research {\&} Evaluation Methods: Integrating Theory and Practice. After coding each interview, codes were formed into categories. Results: Overall, six categories were identified during the analysis process. They were as follows: ``Something other than usual health care,'' ``Relevance and recognition,'' ``Flexible, understandable, and safe,'' ``Technical problems,'' ``Improvements by real-time contact,'' and ``Managing my life better.'' One central and common pattern in the findings was that participants experienced the wCBT program as something they did themselves and many participants described the program as a form of self-care. Conclusions: Persons with heart failure and depressive symptoms described wCBT as challenging. This was due to participants balancing the urge for real-time contact with perceived anonymity and not postponing the work with the program. wCBT appears to be a valuable tool for managing depressive symptoms. ", issn="1438-8871", doi="10.2196/10302", url="//www.mybigtv.com/2018/9/e10302/", url="https://doi.org/10.2196/10302", url="http://www.ncbi.nlm.nih.gov/pubmed/30185405" }