Landspitali - the National University Hospital of Iceland, Reykjavik, Iceland; Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Patient Educ Couns. 2020 Oct;103(10):2018-2028. doi: 10.1016/j.pec.2020.05.027. Epub 2020 Jun 3.
To collect evidence on what types of technology and content are most effective in helping people with coronary heart disease (CHD) to change their modifiable cardiovascular risk factors.
A literature search was performed to find relevant studies published between 1 January 2008 and 31 December 2018 in PubMed, CINAHL, PROQUEST and Scopus databases. Selected outcomes were risk factors (exercise, diet, blood pressure, blood sugar, cholesterol, body mass index, tobacco use). The quality of the studies was evaluated according to Joanna Briggs Institute Reviewers Manual Checklists for risk for bias, TIDieR for quality of interventions, and PRISMA statement for presenting results.
Eighteen quantitative (17 RCT´s and one quasi-experimental) studies were included. Patient education delivered through telephone, text messaging, webpages, and smartphone applications resulted in significant changes in some risk factors of people with CHD. Sufficient descriptions of the content and intervention methods were lacking.
Patient education delivered with technology can help people with CHD to modify their risk factors. There is a need for better descriptions of the content and delivery of educational interventions in studies.
Patient education needs to be delivered with technological solutions that best support the multidimensional needs of CHD patients.
收集有关帮助冠心病（CHD）患者改变可改变心血管危险因素的最有效技术和内容类型的证据。
在 PubMed、CINAHL、PROQUEST 和 Scopus 数据库中，检索了 2008 年 1 月 1 日至 2018 年 12 月 31 日期间发表的相关研究。选择的结局指标为危险因素（运动、饮食、血压、血糖、胆固醇、体重指数、吸烟）。根据 Joanna Briggs 研究所审查员手册偏倚风险检查表、TIDieR 干预质量检查表和 PRISMA 陈述报告结果，对研究质量进行评估。
纳入了 18 项定量研究（17 项 RCT 和 1 项准实验研究）。通过电话、短信、网页和智能手机应用程序进行的患者教育，可显著改变 CHD 患者的某些危险因素。对内容和干预方法的充分描述缺乏。
利用技术进行的患者教育可以帮助 CHD 患者改变其危险因素。研究中需要更好地描述教育干预的内容和实施方法。
患者教育需要通过最能满足 CHD 患者多维需求的技术解决方案来提供。
