Department of Physical Therapy, Faculty of Health Sciences, University of Granada, 18007 Granada, Spain.
Int J Environ Res Public Health. 2021 Dec 2;18(23):12692. doi: 10.3390/ijerph182312692.
BACKGROUND: Adults living with Chronic Obstructive Pulmonary Disease (COPD) often have difficulties when trying to access health care services. Interactive communication technologies are a valuable tool to enable patients to access supportive interventions to cope with their disease. The aim of this revision and meta-analysis is to analyze the content and efficacy of web-based supportive interventions in quality of life in COPD. METHODS: Medline (via PubMed), Web of Science, and Scopus were the databases used to select the studies for this systematic review. A screening, analysis, and assessment of the methodological quality was carried out by two independent researchers. A meta-analysis of the extracted data was performed. RESULTS: A total of 9 of the 3089 studies reviewed met the inclusion criteria. Most repeated web content elements were educational and involved communication with healthcare professional content. Finally, seven of the nine studies were included in a quantitative analysis. Web-based supportive interventions significantly improved quality of life when added to usual care (SMD = -1.26, 95% CI = -1.65, -0.86; < 0.001) but no significant differences were found when compared with an autonomous pedometer walking intervention ( = 0.64) or a face-to-face treatment ( = 0.82). CONCLUSION: This systematic review and meta-analysis suggests that web-based supportive interventions may complement or accompany treatments in COPD patients due to the advantages of online interventions. The results obtained should be treated with caution due to the limited number of studies in this area and methodological weaknesses.
背景:患有慢性阻塞性肺疾病(COPD)的成年人在尝试获得医疗保健服务时经常会遇到困难。交互式通信技术是一种使患者能够获得支持性干预措施以应对其疾病的有价值的工具。本次修订和荟萃分析的目的是分析基于网络的支持性干预措施在 COPD 患者生活质量方面的内容和效果。
方法:我们使用 Medline(通过 PubMed)、Web of Science 和 Scopus 数据库来选择本系统评价的研究。两名独立研究人员对筛选、分析和评估方法学质量进行了评估。对提取的数据进行了荟萃分析。
结果:在审查的 3089 项研究中,共有 9 项符合纳入标准。最常重复的网络内容元素是教育性的,并且涉及与医疗保健专业人员的交流内容。最终,9 项研究中有 7 项被纳入定量分析。与常规护理相比,基于网络的支持性干预措施可显著改善生活质量(SMD = -1.26,95%CI = -1.65,-0.86;<0.001),但与自主计步器步行干预( = 0.64)或面对面治疗( = 0.82)相比无显著差异。
结论:本系统评价和荟萃分析表明,基于网络的支持性干预措施可能会补充或伴随 COPD 患者的治疗,因为在线干预具有优势。由于该领域研究数量有限且存在方法学缺陷,因此应谨慎对待所获得的结果。
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