电子健康干预在改善慢性阻塞性肺疾病或哮喘患者药物依从性中的有效性:卡塔尔世界杯8强波胆分析系统评价%A Schulte,Mieke H J %A Aardoom,Jiska J %A Loheide-Niesmann,Lisa %A Verstraete,Leonie L L %A Ossebaard,Hans C %A Riper,Heleen %+荷兰自由大学医学院临床、神经与发展心理学系，荷兰阿姆斯特丹，1081 BT, 31 2059 82619，h.riper@vu.nl %K慢性阻塞性肺疾病%K哮喘%K药物依从性%K运动依从性%K治疗依从性%K eHealth %K系统评价%K COPD %K依从性%K运动%K治疗%K评价%D 2021 %7 27.7.2021 %9评价%J J医学互联网研究%G英语%X慢性阻塞性肺疾病(COPD)或哮喘患者治疗依从性差是一个全球公共卫生问题，在患者健康和社会成本方面具有严重后果。电子健康是解决不合规问题的一个有潜力的工具。目的:本综述探讨了电子健康干预对COPD或哮喘患者药物依从性的影响。方法:系统检索Cochrane Library、PsycINFO、PubMed和Embase数据库中发表日期为2000年1月1日至2020年10月29日的研究。我们选择了针对成年COPD或哮喘患者的随机对照试验，评估了eHealth干预对药物依从性的有效性。纳入研究的偏倚风险使用Cochrane协作的偏倚风险工具进行检查。对结果进行了叙述性的回顾。 Results: In total, six studies focusing on COPD and seven focusing on asthma were analyzed. Interventions were mostly internet-based or telephone-based, and could entail telemonitoring of symptoms and medication adherence, education, counseling, consultations, and self-support modules. Control groups mostly comprised usual care conditions, whereas a small number of studies used a face-to-face intervention or waiting list as the control condition. For COPD, the majority of eHealth interventions were investigated as an add-on to usual care (5/6 studies), whereas for asthma the majority of interventions were investigated as a standalone intervention (5/7 studies). Regarding eHealth interventions targeting medication adherence for COPD, two studies reported nonsignificant effects, one study found a significant effect in comparison to usual care, and three reported mixed results. Of the seven studies that investigated eHealth interventions targeting medication adherence in asthma, three studies found significant effects, two reported nonsignificant effects, and two reported mixed effects. Conclusions: The mixed results on the effectiveness of eHealth interventions in improving treatment adherence for asthma and COPD are presumably related to the type, context, and intensity of the interventions, as well as to differences in the operationalization and measurement of adherence outcomes. Much remains to be learned about the potential of eHealth to optimize treatment adherence in COPD and asthma. %M 34313593 %R 10.2196/29475 %U //www.mybigtv.com/2021/7/e29475 %U https://doi.org/10.2196/29475 %U http://www.ncbi.nlm.nih.gov/pubmed/34313593