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电子健康干预改善系统性红斑狼疮患者健康结局的系统评价

E-Health Interventions to Improve Health Outcomes in Patients with Systemic Lupus Erythematosus: A Systematic Review.

作者信息

Canal-Pérez Ana, Navas-Otero Alba, Ortiz-Rubio Araceli, Heredia-Ciuró Alejandro, Raya-Benítez Julia, Martín-Núñez Javier, Valenza Marie Carmen

机构信息

Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Av. de la Ilustración 60, 18016 Granada, Spain.

Department of Nursing, Faculty of Health Sciences, University of Granada, Av. de la Ilustración 60, 18016 Granada, Spain.

出版信息

Healthcare (Basel). 2024 Aug 12;12(16):1603. doi: 10.3390/healthcare12161603.

Abstract

BACKGROUND

Systemic lupus erythematosus (SLE) is a heterogeneous autoimmune disease that involves damage to one or more organs and systems. E-Health technologies have been used to improve the quality of care and to minimize the cost of rehabilitation services. This study aimed to provide the most recent and convincing evidence on the rehabilitation effects of e-Health interventions compared to conventional treatments.

METHODS

A systematic review was conducted. Inclusion criteria were defined following PICO recommendations (i.e., populations, intervention, comparison and outcome measures). Methodological quality and risk-of-bias were assessed for each study.

RESULTS

Six studies met the inclusion criteria, providing data on 743 individuals with SLE. Results indicated that e-Health interventions improved health outcomes, such as disease management or emotional status. Methodological quality was moderate and low risk-of-bias was found in the majority of the studies included.

CONCLUSIONS

For patients with SLE, e-Health interventions are a safe rehabilitation intervention to improve health outcomes. However, more high-quality studies with large samples are needed, with a focus on the long-term outcomes of e-Health interventions for patients with SLE.

摘要

背景

系统性红斑狼疮(SLE)是一种异质性自身免疫性疾病,会累及一个或多个器官及系统。电子健康技术已被用于提高护理质量并降低康复服务成本。本研究旨在提供与传统治疗相比,电子健康干预康复效果的最新且有说服力的证据。

方法

进行了一项系统综述。按照PICO建议(即人群、干预措施、对照和结局指标)确定纳入标准。对每项研究的方法学质量和偏倚风险进行评估。

结果

六项研究符合纳入标准,提供了743例SLE患者的数据。结果表明,电子健康干预改善了健康结局,如疾病管理或情绪状态。方法学质量中等,纳入的大多数研究偏倚风险较低。

结论

对于SLE患者,电子健康干预是一种安全的康复干预措施,可改善健康结局。然而,需要更多高质量的大样本研究,重点关注SLE患者电子健康干预的长期结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26b4/11353259/89f0495ed97b/healthcare-12-01603-g001.jpg

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