TY - JOUR AU - Meglic, Matic AU - Furlan, Mirjana AU - Kuzmanic, Marja AU - Kozel, Dejan AU - Baraga, Dusan AU - Kuhar, Irma AU - Kosir, Branko AU - Iljaz, Rade AU - Novak Sarotar，布丽吉塔AU - Dernovsek, Mojca Zvezdana AU - Marusic, Andrej AU - Eysenbach, Gunther AU - Brodnik, Andrej PY - 2010 DA - 2010/12/19 TI -支持协作抑郁症护理的电子健康服务的可行性:地中海的初步研究结果乔- J互联网Res SP - e63六世12 - 5 KW -抑郁KW -病人护理管理KW -信息系统KW -互联网KW -治疗结果KW -药物依从性千瓦试点研究KW -可行性研究KW -协同护理AB -背景:治疗和支持的组织变更电子健康开始发挥着重要的作用在提高疾病的治疗效果和提供有成本效益的保健管理。“Improvehealth。eu "是一种支持治疗抑郁症患者的新型电子健康服务。它通过结合基于Web和移动的信息和通信技术系统以及与护理管理人员的联系，提供积极的患者参与和协作护理管理。目标:我们的目标是评估一种新型电子健康服务的可行性。方法:“改善健康”干预。eu "服务是在一项试点研究过程中探索的，该研究比较了两组接受常规治疗的患者和接受常规治疗并进行电子保健干预的患者。我们比较了两组患者的药物依从性和结局指标，并进一步探讨了干预组的使用情况和对干预的总体看法。结果:在46例患者中成功实施了干预，其中40例为女性。 Of the 46 patients, 25 received treatment as usual, and 21 received the intervention in addition to treatment as usual. A total of 55% (12/25) of patients in the former group and 45% (10/21) in the latter group finished the 6-month pilot. Available case analysis indicated an improvement of adherence in the intervention group (odds ratio [OR] = 10.0, P = .03). Intention-to-treat analysis indicated an improvement of outcome in the intervention group (ORs ranging from 0.35 to 18; P values ranging from .003 to .20), but confidence intervals were large due to small sample sizes. Average duration of use of the intervention was 107 days. The intervention was well received by 81% (17/21) of patients who reported feeling actively engaged, in control of their disease, and that they had access to a high level of information. In all, 33% (7/21) of the patients also described drawbacks of the intervention, mostly related to usability issues. Conclusions: The results of this pilot study indicate that the intervention was well accepted and helped the patients in the course of treatment. The results also suggest the potential of the intervention to improve both medication adherence and outcome measures of treatment, including reduction of depression severity and patients becoming “healthy.” SN - 1438-8871 UR - //www.mybigtv.com/2010/5/e63/ UR - https://doi.org/10.2196/jmir.1510 UR - http://www.ncbi.nlm.nih.gov/pubmed/21172765 DO - 10.2196/jmir.1510 ID - info:doi/10.2196/jmir.1510 ER -