青春期异常性关节炎患者的数字干预:系统性审查和元分析
Zihan Ren1, Yawen Chen1, Yufeng Li1
1School of Design, Shanghai Jiao Tong University, 800 Dongchuan Road, Minhang District, Shanghai, 200240, China, 86 18801971294.
JMIR pediatrics and parenting
|March 21, 2025
概括
数字干预措施有望通过减少疼痛和增加身体活动来改善青少年异常性关节炎 (JIA) 管理. 建议进一步进行高质量的研究,以确定最佳的治疗策略.
科学领域:
- 类风湿病学 类风湿病学
- 数字健康数字健康
- 儿科健康 儿科健康
背景情况:
- 青少年异常性关节炎 (JIA) 是一种慢性疾病,需要广泛的多学科护理.
- 数字干预提供了一个潜在的途径,以提高患者的治疗结果,并有效地管理JIA.
研究的目的:
- 评估数字干预对儿科JIA患者症状缓解和整体福祉的影响.
- 分析各种数字方法在JIA管理中的有效性.
主要方法:
- 在五个数据库中对随机对照试验 (RCT) 进行了系统的元分析.
- 包括11项涉及885名患有JIA的患者的研究,评估了疼痛,体力活动和生活质量等结果.
- 提取了有关干预功能和结果的数据,评估了偏差风险,并使用随机效应模型合成了结果.
主要成果:
- 在JIA患者中,数字干预显著减少疼痛 (SMD -0.19) 和增加体力活动 (SMD 0.37).
- 在生活质量,自我效能和与疾病有关的问题方面,观察到边际的,统计学上无意义的改善.
- 对于疼痛和与疾病相关的结果,证据质量中度,但对于身体活动,证据质量低.
结论:
- 数字干预措施在缓解疼痛和增强JIA患者的身体活动方面表现出有效性.
- 由于有限的样本规模和现有研究中的潜在偏差,需要进一步进行高质量的研究,以完善JIA的处理和管理.
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