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使用技术对接受辅助生殖技术的不孕不育个体进行补充干预:一项范围综述

Complementary Interventions Using Technology for Individuals With Infertility Using Assisted Reproductive Technology: A Scoping Review.

作者信息

Lee Jiwon, Kang Jaejin, Seok Jo Woon

机构信息

School of Nursing, Dongnam Health University, Suwon, South Korea.

College of Nursing, The Catholic University of Korea, Seoul, South Korea.

出版信息

Nurs Health Sci. 2025 Sep;27(3):e70227. doi: 10.1111/nhs.70227.

Abstract

The global rise in infertility highlights the need for personalized informational and psychological support. Digital health technology offers a promising avenue; however, knowledge gaps remain regarding optimal delivery methods, outcomes, and limitations. This scoping review synthesizes recent evidence on complementary interventions using technology for individuals with infertility undergoing reproductive technology-assisted interventions and evaluates their effectiveness and limitations. Seven databases were systematically searched to identify studies published in English or Korean between 2000 and December 2023. The risk of bias was assessed using the Joanna Briggs Institute checklist, and data were synthesized using a standardized template. Of 1353 screened studies, 16 were selected, featuring interventions such as web-based programs, mobile applications, and online meetings. Positive outcomes were observed in knowledge, stress reduction, self-efficacy, coping, and dietary behaviors. However, mixed results were found for fertility-related stress, depression, and anxiety, with no significant improvements in fertility-related quality of life, health behaviors, and pregnancy rates. While digital interventions show promise, further research is needed to validate their effectiveness through large-scale randomized controlled trials and to develop standardized assessment tools for better implementation and evaluation.

摘要

全球不孕症发病率的上升凸显了个性化信息和心理支持的必要性。数字健康技术提供了一条很有前景的途径;然而,在最佳交付方式、结果和局限性方面仍然存在知识空白。本范围综述综合了近期关于使用技术对接受生殖技术辅助干预的不孕症患者进行补充干预的证据,并评估了其有效性和局限性。系统检索了七个数据库,以识别2000年至2023年12月期间以英文或韩文发表的研究。使用乔安娜·布里格斯研究所清单评估偏倚风险,并使用标准化模板对数据进行综合。在筛选的1353项研究中,选择了16项,其干预措施包括基于网络的项目、移动应用程序和在线会议。在知识、减轻压力、自我效能感、应对能力和饮食行为方面观察到了积极结果。然而,在与生育相关的压力、抑郁和焦虑方面发现了混合结果,在与生育相关的生活质量、健康行为和妊娠率方面没有显著改善。虽然数字干预显示出前景,但需要进一步研究通过大规模随机对照试验验证其有效性,并开发标准化评估工具以更好地实施和评估。

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