@文章{信息}doi/10.2196/16972，作者=“Aardoom, Jiska Jo{\“e}lle and Loheide-Niesmann, Lisa and Ossebaard, Hans C and Riper, Heleen”，标题=“电子健康干预提高成人阻塞性睡眠呼吸暂停患者治疗依从性的有效性:meta分析综述”，期刊=“J Med Internet Res”，年=“2020”，月=“Feb”，日=“18”，卷=“22”，数=“2”，页=“e16972”，关键词=“阻塞性睡眠呼吸暂停”;持续气道正压;治疗依从性;病人依从性;远程医疗;电子健康;荟萃分析;背景:成人阻塞性睡眠呼吸暂停(OSA)患者持续气道正压通气(CPAP)治疗依从性差是一个常见问题。通过信息和通信技术(即电子保健)提供的战略可以通过对患者进行教育、实时监测呼吸暂停症状和日常生活中的持续呼吸pap坚持、自我管理以及在设备或治疗出现问题时早期识别和随后的干预来解决治疗依从性问题。然而，现有的电子健康技术在改善CPAP依从性方面的有效性尚未得到系统的研究。 Objective: This meta-analytic review was designed to investigate the effectiveness of a broad range of eHealth interventions in improving CPAP treatment adherence. Methods: We conducted a systematic literature search of the databases of Cochrane Library, PsycINFO, PubMed, and Embase to identify relevant randomized controlled trials in adult OSA populations. The risk of bias in included studies was examined using seven items of the Cochrane Collaboration risk-of-bias tool. The meta-analysis was conducted with comprehensive meta-analysis software that computed differences in mean postintervention adherence (MD), which was defined as the average number of nightly hours of CPAP use. Results: The meta-analysis ultimately included 18 studies (N=5429 adults with OSA) comprising 22 comparisons between experimental and control conditions. Postintervention data were assessed at 1 to 6 months after baseline, depending on the length of the experimental intervention. eHealth interventions increased the average nightly use of CPAP in hours as compared with care as usual (MD=0.54, 95{\%} CI 0.29-0.79). Subgroup analyses did not reveal significant differences in effects between studies that used eHealth as an add-on or as a replacement to care as usual (P=.95), between studies that assessed stand-alone eHealth and blended strategies combining eHealth with face-to-face care (P=.23), or between studies of fully automated interventions and guided eHealth interventions (P=.83). Evidence for the long-term follow-up effectiveness of eHealth adherence interventions remains undecided owing to a scarcity of available studies and their mixed results. Conclusions: eHealth interventions for adults with OSA can improve adherence to CPAP in the initial months after the start of treatment, increasing the mean nightly duration of use by about half an hour. Uncertainty still exists regarding the timing, duration, intensity, and specific types of eHealth interventions that could be most effectively implemented by health care providers. ", issn="1438-8871", doi="10.2196/16972", url="//www.mybigtv.com/2020/2/e16972", url="https://doi.org/10.2196/16972", url="http://www.ncbi.nlm.nih.gov/pubmed/32130137" }