Wang Yiting, Kang Hua, Yang Fan, Hu Huiyu
School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.
Semin Dial. 2025 Jul-Aug;38(4):250-260. doi: 10.1111/sdi.70002. Epub 2025 Jul 21.
A systematic assessment was conducted to evaluate the effectiveness of digital health technology interventions on anxiety, depression, and treatment adherence in maintenance hemodialysis patients. A computerized search of 10 databases of randomized controlled trials of digital health technologies on anxiety, depression, and treatment adherence in maintenance hemodialysis patients was conducted for the period from database construction to December 5, 2024, and a meta-analysis of the included literature was performed using RevMan 5.4 and Stata 15.0 software to evaluate the level of evidence-based on GRADE. A total of 13 papers were included with 1063 maintenance hemodialysis patients. Meta-analysis results showed that digital health technology could reduce anxiety and depression and improve treatment adherence of maintenance hemodialysis patients. Digital health technology has a positive effect on anxiety, depression, and treatment adherence in maintenance hemodialysis patients. However, due to the limitations of the quality and quantity of included studies, as well as the heterogeneity of the findings, further validation of the results is necessary through the inclusion of more high-quality studies.
进行了一项系统评估，以评估数字健康技术干预对维持性血液透析患者焦虑、抑郁和治疗依从性的有效性。对10个关于数字健康技术对维持性血液透析患者焦虑、抑郁和治疗依从性的随机对照试验数据库进行了计算机检索，检索时间从数据库建立至2024年12月5日，并使用RevMan 5.4和Stata 15.0软件对纳入文献进行荟萃分析，以根据GRADE评估证据水平。共纳入13篇论文，涉及1063例维持性血液透析患者。荟萃分析结果表明，数字健康技术可减轻维持性血液透析患者的焦虑和抑郁，并提高其治疗依从性。数字健康技术对维持性血液透析患者的焦虑、抑郁和治疗依从性有积极影响。然而，由于纳入研究的质量和数量有限，以及研究结果的异质性，需要纳入更多高质量研究来进一步验证结果。
