%0期刊文章@ 1438- 8871% I JMIR出版物%V 24%卡塔尔世界杯8强波胆分析 N 1% P 30077% T数字咨询环境对焦虑、抑郁和对慢性疾病患者治疗依从性的有效性:系统综述%A Paalimäki-Paakki,Karoliina %A Virtanen,Mari %A Henner,Anja %A Nieminen,Miika T %A Kääriäinen，玛丽亚%+护理科学与健康管理研究单位，奥卢大学，Aapistie 5 A，奥卢，90220，芬兰，358 505365959，karoliina.paalimaki-paakki@oamk.fi %K移动健康%K移动健康%K电子健康%K数字健康%K移动应用程序%K智能手机应用程序%K网络%K远程医疗%K慢性疾病%K非传染性疾病%K网络干预%K手机%D 2022 %7 6.1.2022 %9回顾%J J医疗互联网Res %G英语%X背景:慢性病患者需要新颖的患者咨询方法，以支持他们在疾病不同阶段的自我护理。目前，关于数字咨询在管理患者焦虑、抑郁和坚持治疗方面的有效性的知识似乎是碎片化的，数字咨询的发展将需要对这部分干预措施有更全面的看法。目的:本研究旨在确定和综合现有的最佳证据，证明数字咨询环境在改善慢性疾病患者的焦虑、抑郁和治疗依从性方面的有效性。方法:系统检索EBSCO (CINAHL)、PubMed、Scopus和Web of Science数据库于2019年5月进行，并于2020年10月进行补充。该综述考虑的研究包括年龄≥18岁的慢性疾病成年患者;评估数字(移动、网络和无处不在)咨询干预措施的干预措施;焦虑、抑郁和坚持治疗，包括与坚持治疗相关的临床指标，作为结果。采用乔安娜布里格斯研究所随机对照试验或准实验研究的标准化关键评估工具评估方法学质量。 As a meta-analysis could not be conducted because of considerable heterogeneity in the reported outcomes, narrative synthesis was used to synthesize the results. Results: Of the 2056 records screened, 20 (0.97%) randomized controlled trials, 4 (0.19%) pilot randomized controlled trials, and 2 (0.09%) quasi-experimental studies were included. Among the 26 included studies, 10 (38%) digital, web-based interventions yielded significantly positive effects on anxiety, depression, adherence to treatment, and the clinical indicators related to adherence to treatment, and another 18 (69%) studies reported positive, albeit statistically nonsignificant, changes among patients who were chronically ill. The results indicate that an effective digital counseling environment comprises high-quality educational materials that are enriched with multimedia elements and activities that engage the participant in self-care. Because of the methodological heterogeneity of the included studies, it is impossible to determine which type of digital intervention is the most effective for managing anxiety, depression, and adherence to treatment. Conclusions: This study provides compelling evidence that digital, web-based counseling environments for patients who are chronically ill are more effective than, or at least comparable to, standard counseling methods; this suggests that digital environments could complement standard counseling. %M 34989681 %R 10.2196/30077 %U //www.mybigtv.com/2022/1/e30077 %U https://doi.org/10.2196/30077 %U http://www.ncbi.nlm.nih.gov/pubmed/34989681