Department of Public Health Sciences, University of Turin, Turin, Italy.
Hospital Medical Direction, A.O.U. City of Health and Science of Turin, Turin, Italy.
Health Promot Int. 2023 Apr 1;38(2). doi: 10.1093/heapro/daad006.
Psychological complications of chronic diseases are often underestimated because they may be interpreted as normal consequences of the underlying illness. Additionally, chronic patients may find several obstacles to healthcare access, including physical, socioeconomic, geographical and psychological barriers. Social media may be potential tools to provide psychological care extending the possibility of treatment where the offer is limited. This review aimed to explore the use of social media in administering psychological interventions to patients with chronic noncommunicable diseases. Following the PRISMA guidelines, a systematic review was conducted by searching PubMed, Embase and PsycInfo (from 2004 to 2021). Randomized controlled trials outlining the social media use in administering psychological assistance to patients with chronic noncommunicable diseases were considered eligible. Out of 9838 records identified, 75 papers were included. Peer-to-peer interaction was the most used (n = 22), mainly via chat rooms and forums. Interventions were mostly administered to patients with psychiatric (n = 41) or oncologic disorders (n = 12). This work highlighted a lack of tailored interventions based on disease, age or gender, and a use of a limited range of relatively old platforms such as emails, blogs and forums. To administer efficient interventions, it would be advisable to continuously analyze the evolving use of these tools.
慢性病的心理并发症常常被低估，因为它们可能被解释为潜在疾病的正常后果。此外，慢性患者可能会遇到多种获得医疗保健的障碍，包括身体、社会经济、地理和心理障碍。社交媒体可能是提供心理护理的潜在工具，可以在治疗提供有限的情况下扩大治疗的可能性。本综述旨在探讨社交媒体在管理慢性非传染性疾病患者心理干预中的应用。根据 PRISMA 指南，通过搜索 PubMed、Embase 和 PsycInfo（2004 年至 2021 年）进行了系统综述。符合条件的是概述了在管理慢性非传染性疾病患者心理援助中使用社交媒体的随机对照试验。在确定的 9838 条记录中，有 75 篇论文入选。点对点交互是使用最多的（n = 22），主要通过聊天室和论坛进行。干预措施主要针对精神科（n = 41）或肿瘤科疾病患者（n = 12）。这项工作强调了缺乏基于疾病、年龄或性别的针对性干预措施，以及对相对较旧的平台（如电子邮件、博客和论坛）的使用范围有限。为了进行有效的干预，建议不断分析这些工具的不断发展的使用情况。
