@文章{信息}doi/10.2196/38697，作者=“刘思茹和李，吉利和万，丁媛和李，Runyi和Qu，詹和胡，云迪和刘嘉林”，标题=“电子健康自我管理干预心力衰竭患者的有效性:系统评价和荟萃分析”，期刊=“J Med Internet Res”，年=“2022”，月=“Sep”，日=“26”，卷=“24”，号=“9”，页=“e38697”，关键词=“心力衰竭;电子健康;自我管理;系统评价;心脏病;心血管疾病;背景:心力衰竭(HF)是一种常见的临床综合征，发病率高，经济负担重，再入院风险高。电子健康自我管理干预可能是改善心衰临床结果的有效途径。目的:本研究的目的是系统地回顾电子健康自我管理对心衰患者有效性的证据。方法:本研究仅纳入随机对照试验(rct)，通过检索EMBASE、PubMed、CENTRAL (Cochrane CENTRAL Register of controlled trials)和CINAHL数据库，从2011年1月1日至2022年7月12日，比较电子健康干预与常规护理对成年心衰患者的影响。 The Cochrane Risk of Bias tool (RoB 2) was used to assess the risk of bias for each study. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria were used to rate the certainty of the evidence for each outcome of interest. Meta-analyses were performed using Review Manager (RevMan v.5.4) and R (v.4.1.0 x64) software. Results: In total, 24 RCTs with 9634 participants met the inclusion criteria. Compared with the usual-care group, eHealth self-management interventions could significantly reduce all-cause mortality (odds ratio [OR] 0.83, 95{\%} CI 0.71-0.98, P=.03; GRADE: low quality) and cardiovascular mortality (OR 0.74, 95{\%} CI 0.59-0.92, P=.008; GRADE: moderate quality), as well as all-cause readmissions (OR 0.82, 95{\%} CI 0.73-0.93, P=.002; GRADE: low quality) and HF-related readmissions (OR 0.77, 95{\%} CI 0.66-0.90, P<.001; GRADE: moderate quality). The meta-analyses also showed that eHealth interventions could increase patients' knowledge of HF and improve their quality of life, but there were no statistically significant effects. However, eHealth interventions could significantly increase medication adherence (OR 1.82, 95{\%} CI 1.42-2.34, P<.001; GRADE: low quality) and improve self-care behaviors (standardized mean difference --1.34, 95{\%} CI --2.46 to --0.22, P=.02; GRADE: very low quality). A subgroup analysis of primary outcomes regarding the enrolled population setting found that eHealth interventions were more effective in patients with HF after discharge compared with those in the ambulatory clinic setting. Conclusions: eHealth self-management interventions could benefit the health of patients with HF in various ways. However, the clinical effects of eHealth interventions in patients with HF are affected by multiple aspects, and more high-quality studies are needed to demonstrate effectiveness. ", issn="1438-8871", doi="10.2196/38697", url="//www.mybigtv.com/2022/9/e38697", url="https://doi.org/10.2196/38697", url="http://www.ncbi.nlm.nih.gov/pubmed/36155484" }