网络认知行为疗法在肠易激综合征患者中的应用卡塔尔世界杯8强波胆分析系统评价与荟萃分析%A Kim,Hyunjung %A Oh,Younjae %A Chang,Sun Ju %+首尔国立大学护理科学研究所护理学院，首尔钟路区大学路103号，韩国首尔，03080,82 10 5226 8262,changsj@snu.ac.kr %K认知行为治疗%K肠易激综合征%K互联网%K症状%K生活质量%D 2022 %7 10.6.2022 %9 Review %J J Med internet Res %G English %X肠易激综合征是一种常见的功能性胃肠道疾病，对生活的各个方面都有负面影响。随着互联网的广泛使用，互联网提供的认知行为疗法已经发展并应用于控制肠易激综合征患者的症状和改善生活质量。然而，很少有研究系统地回顾了互联网传递的认知行为疗法对肠易激综合征的有效性。目的:本研究旨在系统回顾有关肠易激综合征患者使用网络认知行为治疗的研究，并评估网络认知行为治疗在改善症状严重程度、生活质量、心理状态和成本-效果方面的作用。方法:本荟萃分析包括检索6个数据库的相关出版物。从数据库检索到的1224篇出版物中，9项随机对照试验最终被纳入分析。结果:网络认知行为疗法包括基于暴露的认知行为疗法、自我管理的认知行为疗法和压力管理的认知行为疗法，共5 ~ 13次，疗程5 ~ 10周。网络认知行为治疗对症状严重程度有中大型影响(标准化平均差[SMD] -0.633; 95% CI –0.861 to –0.4304), quality of life (SMD 0.582; 95% CI 0.396-0.769), and cost-effectiveness (–0.372; 95% CI –0.704 to –0.039) at postintervention. The effects on symptom severity remained over time even after the intervention, short-term follow-up (SMD –0.391; 95% CI –0.560 to –0.221), and long-term follow-up (SMD –0.357; 95% CI –0.541 to –0.172). There was no significant difference in psychological status, including anxiety and depression, in those with irritable bowel syndrome compared to the controls during the postintervention period. Conclusions: This review demonstrates that internet-delivered cognitive behavioral therapy could be a cost-effective intervention for improving symptoms and the quality of life in patients with irritable bowel syndrome. However, studies are still insufficient regarding the use of internet-delivered cognitive behavioral therapy in these patients; therefore, more high-quality studies are required in the future. %M 35687389 %R 10.2196/35260 %U //www.mybigtv.com/2022/6/e35260 %U https://doi.org/10.2196/35260 %U http://www.ncbi.nlm.nih.gov/pubmed/35687389

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