Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Department of Medical Research, China Medical University Hospital, China Medical University, Taichung, Taiwan.
Ann Med. 2023 Dec;55(1):1092-1101. doi: 10.1080/07853890.2023.2187078.
The aim of this systematic review and meta-analysis was to identify, evaluate, and synthesize the evidence from studies that have investigated the treatment effect telemedicine interventions on depressive symptoms, quality of life, and work and social functioning in patients with depression. Six electronic databases (MEDLINE [1916-2021], PubMED [1950-2021], PsycINFO [1971-2021], Scopus [2004-2021], Embase [1972-2021], and CINAHL [1937-2021]) were systematically searched in March 2021. Reference lists of identified articles were hand searched. Randomized controlled trials were included if they investigated the treatment effects telemedicine interventions in patients who had a depression diagnosis. Quality assessment was evaluated using the critical appraisal checklists developed by the Joanna Briggs Institute. Seventeen (17) trials ( = 2,394) met eligibility criteria and were included in the analysis. Eleven (11) randomized controlled trials shared common outcome measures, allowing meta-analysis. The results provided evidence that treatment telemedicine interventions were beneficial for depressive symptoms (standardized mean difference= -0.44; 95% CI= -0.64 to -0.25; < .001) and quality of life (standardized mean difference= 0.25, 95% CI -0.01 to 0.49, = .04) in patients of depression. There were insufficient data for meta-analysis of work and social functioning. This study showed the positive effects of treatment telemedicine interventions on depressive symptoms and quality of life in patients with depression and supported the idea for clinical practice to establish a well-organized telepsychiatry system.KEY MESSAGESTelemedicine is effective at reducing symptoms of depression.Telemedicine can improve quality of life in persons with depression.
本系统评价和荟萃分析的目的是确定、评估和综合研究证据，这些研究调查了远程医疗干预对抑郁症患者的抑郁症状、生活质量以及工作和社会功能的治疗效果。2021 年 3 月，我们系统地检索了 6 个电子数据库（MEDLINE[1916-2021]、PubMED[1950-2021]、PsycINFO[1971-2021]、Scopus[2004-2021]、Embase[1972-2021]和 CINAHL[1937-2021]）。还对已确定文章的参考文献进行了手工检索。如果研究调查了远程医疗干预对有抑郁症诊断的患者的治疗效果，则纳入随机对照试验。使用 Joanna Briggs 研究所制定的批判性评估清单评估质量评估。符合条件的有 17 项（ = 2,394）试验，并纳入分析。有 11 项随机对照试验共享了共同的结局测量指标，允许进行荟萃分析。结果提供了证据表明，治疗 远程医疗干预对抑郁症状（标准化均数差=-0.44；95%CI=-0.64 至-0.25； < .001）和生活质量（标准化均数差=0.25；95%CI=-0.01 至 0.49； = .04）有有益作用。对于工作和社会功能的荟萃分析，数据不足。这项研究表明，远程医疗干预对抑郁症患者的抑郁症状和生活质量有积极影响，并支持为临床实践建立一个组织良好的远程精神病学系统的想法。关键信息远程医疗在减轻抑郁症状方面是有效的。远程医疗可以改善抑郁症患者的生活质量。
