@Article{信息:doi 10.2196 / / jmir。1286，作者=“Samoocha, David和Bruinvels, David J和Elbers, Nieke A和Anema, Johannes R和van der Beek, Allard J”，标题=“基于网络的干预对患者赋权的有效性:一个系统回顾和元分析”，期刊=“J医学互联网研究”，年=“2010”，月=“6”，日=“24”，卷=“12”，数=“2”，页=“e23”，关键词=“患者赋权;互联网;背景:患者赋权正日益普及和应用。由于互联网和电子健康的可能性不断增加，许多旨在增强患者能力的举措都是在网上实施的。目的:我们的目的是评估与常规护理或面对面干预相比，基于网络的干预是否在增加患者赋权方面有效。方法:通过检索1985年1月至2009年1月的MEDLINE、EMBASE和psyinfo数据库进行系统综述。从搜索策略中检索到的7096篇独特引文中，我们纳入了14篇满足所有纳入标准的随机对照试验(rct)。对评审作者使用Downs和Black检查表评估获得的研究的方法学质量。对测量可比结果的研究进行meta分析。 The GRADE approach was used to determine the level of evidence for each outcome. Results: In comparison with usual care or no care, Web-based interventions had a significant positive effect on empowerment measured with the Diabetes Empowerment Scale (2 studies, standardized mean difference [SMD] = 0.61, 95{\%} confidence interval [CI] 0.29 - 0.94]), on self-efficacy measured with disease-specific self-efficacy scales (9 studies, SMD = 0.23, 95{\%} CI 0.12 - 0.33), and on mastery measured with the Pearlin Mastery Scale (1 study, mean difference [MD] = 2.95, 95{\%} CI 1.66 - 4.24). No effects were found for self-efficacy measured with general self-efficacy scales (3 studies, SMD = 0.05, 95{\%} CI -0.25 to 0.35) or for self-esteem measured with the Rosenberg Self-Esteem Scale (1 study, MD = -0.38, 95{\%} CI -2.45 to 1.69). Furthermore, when comparing Web-based interventions with face-to-face deliveries of the same interventions, no significant (beneficial or harmful) effects were found for mastery (1 study, MD = 1.20, 95{\%} CI -1.73 to 4.13) and self-esteem (1 study, MD = -0.10, 95{\%} CI -0.45 to 0.25). Conclusions: Web-based interventions showed positive effects on empowerment measured with the Diabetes Empowerment Scale, disease-specific self-efficacy scales and the Pearlin Mastery Scale. Because of the low quality of evidence we found, the results should be interpreted with caution. The clinical relevance of the findings can be questioned because the significant effects we found were, in general, small. ", issn="1438-8871", doi="10.2196/jmir.1286", url="//www.mybigtv.com/2010/2/e23/", url="https://doi.org/10.2196/jmir.1286", url="http://www.ncbi.nlm.nih.gov/pubmed/20581001" }