%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 9% P e38030% T慢性疾病患者抑郁和焦虑的数字健康干预:范围审查%A Shah,Amika %A Hussain-Shamsy,Neesha %A Strudwick,Gillian %A Sockalingam,Sanjeev %A Nolan,Robert P %A Seto,Emily %+卫生政策、管理和评估研究所，达拉拉纳公共卫生学院，多伦多大学，学院街155号，ON, M5T 3M6，加拿大，1 416 978 4326，amika.shah@mail.utoronto.ca %K抑郁%K焦虑%K多种慢性疾病%K慢性疾病%K精神健康%K精神病学%K数字健康%K电子健康%K远程健康%K移动健康%K移动健康%K远程医疗%D 2022 %7 26.9.2022 %9回顾%J J医学互联网Res %G英语%X背景:慢性疾病的特点是病程长(≥1年)，需要持续医疗照顾，日常生活活动受到限制。这些经常与抑郁和焦虑共同发生，在患有慢性疾病的不断增长的人群中，这是常见的有害的共病。数字卫生干预(DHIs)有望克服这些人获得精神卫生支持的障碍;然而，针对慢性疾病患者抑郁和焦虑的DHIs的设计和实施仍有待探索。目的:本研究旨在探讨文献中关于DHIs在慢性疾病患者中预防、检测或治疗抑郁和焦虑方面的已知情况。方法:使用Arksey和O 'Malley框架对文献进行范围综述。对1990年至2019年期间在5个数据库中发表的文献进行了检索，并于2019年4月进行了更新。要纳入研究，必须描述DHI测试或设计用于预防、检测或治疗患有常见慢性疾病(关节炎、哮喘、糖尿病、心脏病、慢性阻塞性肺疾病、癌症、中风和阿尔茨海默病或痴呆症)的抑郁或焦虑。 Studies were independently screened by 2 reviewers against the inclusion and exclusion criteria. Both quantitative and qualitative data were extracted, charted, and synthesized to provide a descriptive summary of the trends and considerations for future research. Results: Database searches yielded 11,422 articles across the initial and updated searches, 53 (0.46%) of which were included in this review. DHIs predominantly sought to provide treatment (44/53, 83%), followed by detection (5/53, 9%) and prevention (4/53, 8%). Most DHIs were focused on depression (36/53, 68%), guided (32/53, 60%), tailored to chronic physical conditions (19/53, 36%), and delivered through web-based platforms (20/53, 38%). Only 2 studies described the implementation of a DHI. Conclusions: As a growing research area, DHIs offer the potential to address the gap in care for depression and anxiety among people with chronic conditions; however, their implementation in standard care is scarce. Although stepped care has been identified as a promising model to implement efficacious DHIs, few studies have investigated the use of DHIs for depression and anxiety among chronic conditions using such models. In developing stepped care, we outlined DHI tailoring, guidance, and intensity as key considerations that require further research. %M 36155409 %R 10.2196/38030 %U //www.mybigtv.com/2022/9/e38030 %U https://doi.org/10.2196/38030 %U http://www.ncbi.nlm.nih.gov/pubmed/36155409