治疗骨关节炎的基于行为治疗的数字干预:系统审查和元分析
Beiyao Zhu1, Dian Zhu2, Xiao'ao Xue3
1Shanghai Jiao Tong University, The Ninth People's Hospital, Shanghai, China.
Journal of medical Internet research
|March 19, 2025
概括
数字行为疗法对骨关节炎 (OA) 疼痛和功能有短期的益处. 这些远程干预措施,包括认知行为疗法 (CBT) 和行为改变技术 (BCT),提供了可访问的OA管理选择.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 康复医学是康复的医学.
- 行为疗法是一种行为疗法.
背景情况:
- 骨关节炎 (OA) 带来了重大挑战,包括疼痛,功能衰退和运动能力下降.
- 随着OA负担日益增加,需要创新的医疗保健解决方案,通过数字技术推动远程康复的发展.
- 数字干预提供了一种可扩展的方法来管理OA症状并改善患者的治疗结果.
研究的目的:
- 对被诊断患有骨关节炎的患者进行基于行为治疗的数字干预措施的有效性进行系统审查.
- 评估这些数字工具对OA患者减轻疼痛,身体功能和自我效能的影响.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查,从研究开始到2023年6月,搜索主要数据库 (科学网,Embase,Cochrane图书馆,Ovid,PubMed).
- 纳入了10项涉及1895名OA患者的RCT,分析了使用认知行为疗法 (CBT) 或行为改变技术 (BCT) 的数字工具.
主要成果:
- 数字行为疗法对减少疼痛 (SMD -0.20) 和身体功能 (SMD -0.20) 产生了低至中度的短期影响.
- 观察到疼痛自我有效性的改善 (SMD 0.22).
- 基于行为改变技术 (BCT) 的干预措施在减少疼痛和身体功能方面显示出好处,而理疗师参与和基于网络的平台对结果产生了积极的影响.
结论:
- 中等和低质量的证据支持数字行为疗法的短期有效性,用于改善OA患者的疼痛,身体功能和自我有效性.
- 患者和医疗保健专业人员之间的情感互动的质量可能会影响临床结果.
- 数字干预是远程OA管理的一个有希望的途径,尽管对患者-提供者数字互动的进一步研究是有必要的.
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