基于网络的干预措施改善痴呆症患者家庭照顾者的心理健康:卡塔尔世界杯8强波胆分析元分析%赵a，一男%冯a，胡慧%，胡明玥%，胡恒宇%，李慧%，宁慧%，陈红婷%，陈慧静%，廖慧静%，彭璐璐%，林琳%+中南大学湘雅护理学院，中国长沙桐梓坡路172号，86 82650292,feng.hui@csu.edu.cn %K互联网%K教育%K心理健康%K照顾者%K痴呆%D 2019 %7 6.5.2019 %9综述%J J医学互联网研究%G英语%X背景:痴呆是全球老年人残疾和依赖的主要原因。在痴呆症患者(PwD)的护理人员中，它通常伴随着普遍的心理困扰，如抑郁和焦虑症状。照顾者的身心健康是一个先决条件，也是帮助残疾人尽可能长时间生活的承诺。基于网络的干预措施可以提供方便和有效的支持和教育工具，以潜在地减少与提供护理相关的负面结果。目的:本研究的目的是检查基于网络的干预对残疾家庭照顾者心理健康结果的影响，并探讨基于网络的干预的哪些组成部分起重要作用。方法:综合检索PubMed、摘录医学数据库、PsycINFO、Cochrane数据库和护理及相关健康文献累积索引，以web、caregiver等相关术语为关键词，检索2018年6月前发表的所有研究。根据既定的纳入和排除标准，共有2名审稿人独立审查所有已发表的摘要。我们提取了参与者、干预措施和结果的信息，并根据随机试验方法对文章质量进行了评价，采用了Cochrane干预措施系统评价手册推荐的方法。结果:共有815名护理人员参与了6项研究，其中4项研究将抑郁作为结果。 The analysis found that depression scores dropped an average of 0.23 (95% CI −0.38 to −0.07; P<.01) after Web-based interventions. In 2 studies of caregivers who were experiencing anxiety symptoms, the average score for anxiety dropped by 0.32 points (95% CI −0.50 to −0.14; P<.01). However, in terms of coping, pain, and stress, the Web-based interventions showed a poor effect. On the whole, the addition of professional psychological support on the basis of education can improve caregivers’ mental health. Conclusions: Internet-based interventions were generally effective at reducing anxiety and depression in dementia caregivers, although negative results were found in some studies. As for burden and stress, further research is required. %M 31066680 %R 10.2196/13415 %U //www.mybigtv.com/2019/5/e13415/ %U https://doi.org/10.2196/13415 %U http://www.ncbi.nlm.nih.gov/pubmed/31066680