电子健康干预措施在改善心血管疾病患者服药的有效性:系统性审查和元分析
Yiqun Miao1, Yuan Luo1, Yuhan Zhao1
1School of Nursing, Capital Medical University, Beijing, China.
Journal of medical Internet research
|July 15, 2024
概括
结合的电子健康干预措施,包括短信短信和电话支持,对于改善心血管疾病患者的药物坚持是最有效的. 远程监控,电话支持和应用程序干预也显示出与通常护理相比的显著好处.
科学领域:
- 心血管疾病 心血管疾病
- 电子健康干预措施 电子健康干预
- 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗
背景情况:
- 在心血管疾病 (CVD) 中,药物不服药显著阻碍治疗成功.
- 电子健康干预提供了有希望的解决方案,以改善患者对药物的坚持.
研究的目的:
- 进行网络元分析 (NMA),比较和排名各种电子卫生干预措施的有效性.
- 确定最佳的eHealth策略,以提高心血管疾病患者的药物坚持.
主要方法:
- 在多个数据库 (PubMed,Embase,Web of Science等) 中进行系统搜索. 对于随机对照试验 (RCT).
- 频率主义网络元分析 (NMA) 来比较干预的有效性.
- 使用Cochrane偏差风险工具评估文献质量,通过GRADE方法评估证据的确定性.
主要成果:
- 分析了21个涉及3904名患者的RCT.
- 综合干预,远程监控,电话支持和手机应用程序显著改善了与常规护理相比的药物坚持.
- 综合干预显示出最有可能成为最有效的策略,也显示出对血压的积极影响.
结论:
- 综合干预 (SMS短信和电话支持) 是最有效的eHealth策略,用于改善心血管疾病患者的药物服药.
- 远程监控,电话支持和基于应用程序的干预也是一种有效的替代方案.
- 建议进一步进行大规模的多中心试验,以验证研究结果并探索实施差异.
关键词:
坚持性 坚持性心脏病学心脏病学心脏病学心血管疾病的心血管疾病心血管疾病心血管疾病数字健康数字健康毒品 毒品 毒品 是一种药物.药物 药物 药物 药物 药物 药物电子健康 电子健康心灵的心灵心灵的心灵心灵的心灵药物治疗 药物治疗药物治疗的坚持 药物治疗的坚持药物 药物 药物 药物进行元分析.这是一个元分析.网络元分析 网络元分析药物制造业的制药公司制药公司的药品.药品制品制品制品制品制品制品制品制品药品制药公司 药品制药公司药房 药房 药房 药房 药房药理学 药理学 药理学 药理学 药理学药物治疗药物治疗药房 药房 药房 药房审查方法论 审查方法论审查方法 审查方法.搜索 搜索 搜索 搜索 搜索在搜索中搜索.在寻找,寻找,寻找.综合合成 综合合成综合合成是一种合成.这是一个系统的系统的系统的系统.相关概念视频
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