[0]移动应用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卡塔尔世界杯8强波胆分析效性:随机对照试验的系统评价和荟萃分析[刘a，谢凯锋，谢珍珍，or A,Calvin Kalun] +香港大学工业与制造系统工程学系，8-7室，8/f。，香港大学黄克京大楼，香港，香港，852 39172587,klor@hku.hk %K移动应用程序%K 2型糖尿病%K高血压%K自我保健%D 2020 %7 4.8.2020 %9综述Mhealth Uhealth英文%X背景:移动应用程序辅助自我保健干预措施是支持2型糖尿病和高血压等慢性疾病患者自我保健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;否则，数据分析采用叙述性综合。结果:共鉴定并分析了27项试验。对于主要结局，使用移动应用辅助自我护理干预与HbA1c水平显著降低相关(标准化平均差[SMD] - 0.44, 95% CI - 0.59至- 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. %M 32459654 %R 10.2196/15779 %U http://mhealth.www.mybigtv.com/2020/8/e15779/ %U https://doi.org/10.2196/15779 %U http://www.ncbi.nlm.nih.gov/pubmed/32459654