微信干预对患者健康行为依从性的研究进展
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摘要
目的对微信干预患者依从性的干预内容、干预结构形式和评价指标进行综述。方法计算机检索PubMed、SCIE、Embase、CHINAL complete、维普期刊资源整合服务平台、万方数据知识服务平台、中国知网和中国生物医学文献数据库等8个数据库,英文检索词包括"wechat,intervention,adherence/compliance/follow-up",中文检索词包括"微信,依从性"。检索时限为2012年1月—2017年6月。根据纳入和排除标准筛选文献、进行质量评价。结果纳入6篇文献,微信干预内容以健康教育为主,通过微信公众号的形式,干预频率一般为1～3次/周,评价指标主要是依从性和健康状况指标;微信干预有效提高了患者依从性。结论未来研究需要加强微信干预方案构建的理论依据,提供干预内容和形式的证据来源,以及选择科学可靠的评价指标,以期切实提高患者依从性。
Objective To review the content, implementation method and evaluation index of WeChat intervention on patient's medication compliance. Methods Databases of PubMed, SCIE, Embase, CHINAL complete, VIP, Wanfang, CNKI, CBM were searched according to predetermined searching strategies, from January 2012 to June 2017. The key words were "wechat, intervention, adherence/compliance/follow-up". Studies were selected according to inclusion criterions, exclusion criterions, and quality assessment. Results 6 articles were included. The main content of WeChat intervention was health education, which was often sent via Wechat Offical Account and one to three times per week. Evaluation index of WeChat intervention was mainly on changes of compliance and health condition. WeChat intervention effectively enhance patient's medication compliance. Conclusion Future WeC hat intervention studies should strengthen theoretical basis of intervention project, provide evidence of intervention content and form, and chose scientific evaluation index to really enhance patient's medication compliance.
Objective To review the content, implementation method and evaluation index of WeChat intervention on patient's medication compliance. Methods Databases of PubMed, SCIE, Embase, CHINAL complete, VIP, Wanfang, CNKI, CBM were searched according to predetermined searching strategies, from January 2012 to June 2017. The key words were "wechat, intervention, adherence/compliance/follow-up". Studies were selected according to inclusion criterions, exclusion criterions, and quality assessment. Results 6 articles were included. The main content of WeChat intervention was health education, which was often sent via Wechat Offical Account and one to three times per week. Evaluation index of WeChat intervention was mainly on changes of compliance and health condition. WeChat intervention effectively enhance patient's medication compliance. Conclusion Future WeC hat intervention studies should strengthen theoretical basis of intervention project, provide evidence of intervention content and form, and chose scientific evaluation index to really enhance patient's medication compliance.
引文
[1]屈金莲,张涛,宋杰,等.出院后精神分裂症患者服药依从性电话和短信干预的1年随访[J].中国心理卫生杂志,2015,29(9):656-661.
[2]Ershad SR,Sadoughi F,Jamshidi OR,et al.The Effectiveness of Mobile Phone Text Messaging in Improving Medication Adherence for Patients with Chronic Diseases:A Systematic Review[J].Iran Red Crescent Med J,2016,18(5):e25183.
[3]李若和,周建丽,许兵,等.微信健康教育在骨质疏松患者随访中的应用[J].护理学报,2015,22(4):66-68.
[4]岳生香,周军.手机微信在孕妇产前健康教育中的应用[J].中国健康教育,2015,31(11):1098-1099.
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[7]李香风,刘薇.微信对改善癌症患者疼痛强度及服药依从性的效果评价[J].中华护理杂志,2015,50(12):1454-1457.
[8]Feng SY,Liang ZB,Zhang RK,et al.Effects of mobile phone WeChat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery:a 3-month follow-up study[J].Eur Arch Otorhinolaryngol,2016,274(3):1477-1485.
[9]冯俊艳,张冰倩,何文英,等.微信健康教育在脑卒中患者延续护理中的应用[J].河北医药,2017,39(3):474-477.
[10]张婷,席明霞,谢和宾,等.微信督导对初治肺结核患者服药依从性的影响[J].中国继续医学教育,2017,9(5):209-211.
[11]郑小雅,刘同欣,王方正,等.微信公众平台对鼻咽癌放疗患者治疗及护理依从性的影响[J].中国现代医生,2017,55(2):156-160.
[12]Moon SJ,Lee WY,Hwang JS,et al.Accuracy of a screening tool for medication adherence:a systematic review and meta-analysis of the Morisky Medication Adherence Scale-8[J].PLoS One,2017,12(11):e0187139.
[13]刘宇伟,吕淑荣.个人健康行为改变主要理论及其整合应用[J].中国健康教育,2018,34(3):284-287.
[14]任湘,王青山.基于文献计量的我国微信研究述评[J].图书馆学刊,2015,37(4):121-124.
[15]阚庭,张静.健康信念模式和理性计划行为理论在健康行为领域的综合应用[J].中华行为医学与脑科学杂志,2015,24(3):284-288.
[16]邱瑞瑾,孙杨,胡嘉元,等.临床研究中选择结局指标测量工具的方法[J].中国循证医学杂志,2018,18(2):238-243.
[2]Ershad SR,Sadoughi F,Jamshidi OR,et al.The Effectiveness of Mobile Phone Text Messaging in Improving Medication Adherence for Patients with Chronic Diseases:A Systematic Review[J].Iran Red Crescent Med J,2016,18(5):e25183.
[3]李若和,周建丽,许兵,等.微信健康教育在骨质疏松患者随访中的应用[J].护理学报,2015,22(4):66-68.
[4]岳生香,周军.手机微信在孕妇产前健康教育中的应用[J].中国健康教育,2015,31(11):1098-1099.
[5]胡雁,郝玉芳.循证护理学[M].北京:人民卫生出版社,2018:58-65.
[6]Li X,Xu ZR,Tang N,et al.Effect of intervention using a messaging app on compliance and duration of treatment in orthodontic patients[J].Clinical Oral Investigations,2015,20(8):1849-1859.
[7]李香风,刘薇.微信对改善癌症患者疼痛强度及服药依从性的效果评价[J].中华护理杂志,2015,50(12):1454-1457.
[8]Feng SY,Liang ZB,Zhang RK,et al.Effects of mobile phone WeChat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery:a 3-month follow-up study[J].Eur Arch Otorhinolaryngol,2016,274(3):1477-1485.
[9]冯俊艳,张冰倩,何文英,等.微信健康教育在脑卒中患者延续护理中的应用[J].河北医药,2017,39(3):474-477.
[10]张婷,席明霞,谢和宾,等.微信督导对初治肺结核患者服药依从性的影响[J].中国继续医学教育,2017,9(5):209-211.
[11]郑小雅,刘同欣,王方正,等.微信公众平台对鼻咽癌放疗患者治疗及护理依从性的影响[J].中国现代医生,2017,55(2):156-160.
[12]Moon SJ,Lee WY,Hwang JS,et al.Accuracy of a screening tool for medication adherence:a systematic review and meta-analysis of the Morisky Medication Adherence Scale-8[J].PLoS One,2017,12(11):e0187139.
[13]刘宇伟,吕淑荣.个人健康行为改变主要理论及其整合应用[J].中国健康教育,2018,34(3):284-287.
[14]任湘,王青山.基于文献计量的我国微信研究述评[J].图书馆学刊,2015,37(4):121-124.
[15]阚庭,张静.健康信念模式和理性计划行为理论在健康行为领域的综合应用[J].中华行为医学与脑科学杂志,2015,24(3):284-288.
[16]邱瑞瑾,孙杨,胡嘉元,等.临床研究中选择结局指标测量工具的方法[J].中国循证医学杂志,2018,18(2):238-243.