Zhao Linlin, Li Na, Gu Lianqi, Shen Chen, Wang Rao, Yang Xin, Chu Zhiping
School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
The Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.
Risk Manag Healthc Policy. 2025 Mar 6;18:785-800. doi: 10.2147/RMHP.S496997. eCollection 2025.
The objective of this systematic review was to synthesize qualitative evidence to explore the promoters and barriers to implementing eHealth interventions from the perspective of female patients with urinary incontinence and healthcare providers.
Guiding patients to pelvic floor muscle training through eHealth can effectively improve urinary incontinence symptoms, and understanding the attitudes and perceptions of patients and healthcare providers is critical to the successful application of eHealth. However, systematic reviews that combine both views are lacking.
A systematic review of qualitative research and thematic synthesis. This was reported following the Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines 2020.
The search period was from the establishment of the database to May 2024, and eligible English literature was searched in PubMed, Web of Science, Cochrane Library, Embase, CINAHL, PsycINFO, and MEDLINE databases.
Two researchers independently screened and included the literature and used the Critical Appraisal Skills Program tool (CASP) to evaluate the methodological quality of the included literature. Themes were developed using thematic synthesis.
A total of nine studies were included, which included 678 patients and 13 healthcare providers. Four themes were condensed into ten categories: multiple motivations for eHealth use, diverse reasons for taking action, complex reasons for preventing action, and conflict in establishing eHealth use behaviors.
The majority of patients are enthusiastic about utilizing eHealth to train their pelvic floor muscles, although there are occasionally issues like low desire. Although some medical practitioners are not well versed in eHealth, their engagement can aid patients in making use of eHealth. The future should focus on the difficulties and needs of women with urinary incontinence during the use of eHealth exercise and improve the understanding of eHealth among healthcare personnel.
本系统评价旨在综合定性证据，从女性尿失禁患者和医疗服务提供者的角度探讨实施电子健康干预措施的促进因素和障碍。
通过电子健康指导患者进行盆底肌训练可有效改善尿失禁症状，了解患者和医疗服务提供者的态度及看法对于电子健康的成功应用至关重要。然而，缺乏将两种观点结合的系统评价。
对定性研究和主题综合进行系统评价。本研究按照2020年系统评价和Meta分析的首选报告项目（PRISMA）指南进行报告。
检索期为从数据库建立至2024年5月，在PubMed、科学网、Cochrane图书馆、Embase、CINAHL、PsycINFO和MEDLINE数据库中检索符合条件的英文文献。
两名研究人员独立筛选并纳入文献，并使用批判性评价技能计划工具（CASP）评估纳入文献的方法学质量。采用主题综合法提炼主题。
共纳入9项研究，包括678名患者和13名医疗服务提供者。四个主题浓缩为十个类别：使用电子健康的多种动机、采取行动的多样原因、阻碍行动的复杂原因以及建立电子健康使用行为中的冲突。
大多数患者热衷于利用电子健康进行盆底肌训练，尽管偶尔存在意愿不高之类的问题。虽然一些医务人员对电子健康并不精通，但他们的参与可帮助患者利用电子健康。未来应关注女性尿失禁患者在使用电子健康锻炼过程中的困难和需求，并提高医护人员对电子健康的认识。
