@文章{信息:doi/10.2196/15779，作者=“刘开峰和谢真真和Or, Calvin Kalun”，标题=“移动app辅助自我护理干预对改善2型糖尿病和/或高血压患者预后的有效性:随机对照试验的系统评价和荟萃分析”，期刊=“JMIR Mhealth Uhealth”，年=“2020”，月=“8”，日=“4”，卷=“8”，号=“8”，页=“e15779”，关键词=“移动app;2型糖尿病;高血压;背景:移动应用辅助自我护理干预是支持慢性疾病(如2型糖尿病和高血压)患者自我护理的新兴有前途的工具。这些干预措施的有效性需要进一步探索更多的支持证据。目的:对随机对照试验(rct)进行系统回顾和荟萃分析，以检验针对2型糖尿病和/或高血压的移动应用辅助自我保健干预措施在改善患者预后方面的有效性。方法:我们按照Cochrane协作指南，检索MEDLINE、Cochrane Library、EMBASE和CINAHL Plus，检索2007年1月至2019年1月间发表的相关研究。主要结局包括血红蛋白A1c (HbA1c)水平、收缩压(SBP)和舒张压(DBP)的变化。其他临床、行为、知识和社会心理相关结果的变化被纳入次要结果。对至少两项试验中报告的主要结局和客观次要结局进行meta分析; otherwise, a narrative synthesis was used for data analysis. Results: A total of 27 trials were identified and analyzed. For primary outcomes, the use of mobile app-assisted self-care interventions was associated with significant reductions in HbA1c levels (standardized mean difference [SMD] −0.44, 95{\%} CI −0.59 to −0.29; P<.001), SBP (SMD −0.17, 95{\%} CI −0.31 to −0.03, P=.02), and DBP (SMD −0.17, 95{\%} CI −0.30 to −0.03, P=.02). Subgroup analyses for primary outcomes showed that several intervention features were supportive of self-management, including blood glucose, blood pressure, and medication monitoring, communication with health care providers, automated feedback, personalized goal setting, reminders, education materials, and data visualization. In addition, 8 objective secondary outcomes were meta-analyzed, which showed that the interventions had significant lowering effects on fasting blood glucose levels and waist circumference. A total of 42 secondary outcomes were narratively synthesized, and mixed results were found. Conclusions: Mobile app-assisted self-care interventions can be effective tools for managing blood glucose and blood pressure, likely because their use facilitates remote management of health issues and data, provision of personalized self-care recommendations, patient--care provider communication, and decision making. More studies are required to further determine which combinations of intervention features are most effective in improving the control of the diseases. Moreover, evidence regarding the effects of these interventions on the behavioral, knowledge, and psychosocial outcomes of patients is still scarce, which warrants further examination. ", issn="2291-5222", doi="10.2196/15779", url="http://mhealth.www.mybigtv.com/2020/8/e15779/", url="https://doi.org/10.2196/15779", url="http://www.ncbi.nlm.nih.gov/pubmed/32459654" }