心血管疾病患者数字健康干预促进因素和障碍因素的系统评价
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女,硕士在读,学生

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科研项目:华中科技大学同济医学院附属同济医院护理专项基金(2023C03);武汉市护理学会科研基金项目(WHHL202405)


Systematic review of facilitators and barriers of digital health interventions for patients with cardiovascular diseases
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    目的 对心血管疾病数字健康干预的促进因素和障碍因素的相关文献进行系统评价,以促进数字健康干预在护理领域的发展与应用。 方法 系统检索中国知网、万方数据知识服务平台、PubMed、Web of Science等中英文数据库中心血管疾病患者数字健康干预影响因素的相关文献,检索时限为建库至2025年4月20日,采用混合方法评估工具进行质量评价,以实施性研究综合框架对影响因素进行归纳和整理。 结果 纳入25篇文献,其中11项定量研究、9项定性研究和5项混合方法研究,涉及3 420例心血管疾病患者、3 061名医务人员、139名其他相关者。通过分析,提取出23项促进因素和25项障碍因素,归纳出创新、外部环境、内部环境、个体特征、实施过程5个类别。 结论 心血管疾病患者数字健康干预受多方面因素共同影响,较多的障碍因素集中于内部环境、创新及个体特征。医护人员需针对影响因素在个性化干预方案设计、医疗环境等方面进一步优化干预策略,以提高心血管疾病患者对数字健康干预的使用率和健康获益。

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    Objective To systematically review literature on facilitators and barriers of digital health interventions for cardiovascular diseases, so as to promote the development and application of digital health interventions in the nursing field. Methods A systematic search was conducted in CNKI, Wanfang, PubMed, and Web of Science, with a timeframe from inception of the databases to April 20,2025.The Mixed Methods Appraisal Tool was adopted for quality evaluation, and the influencing factors were summarized and organized based on the Consolidated Framework for Implementation Research (CFIR). Results A total of 25 articles were included, covering 11 quantitative studies, 9 qualitative studies, and 5 mixed-methods studies, involving 3,420 patients with cardiovascular diseases, 3,061 medical staff, and 139 other relevant individuals. Through analysis, 23 facilitators and 25 barriers were extracted, which were categorized into 5 dimensions:innovation, external environment, internal environment, individual characteristics, and implementation process. Conclusion Digital health interventions for patients with cardiovascular diseases are affected by multiple factors, and most barriers are concentrated in internal environment, innovation, and individual characteristics. Medical staff need to optimize intervention strategies in aspects like personalized intervention plan design and medical environment based on these influencing factors, so as to improve the utilization rate of digital health interventions and health benefits for patients with cardiovascular diseases.

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周淼,何细飞,张诗怡,金晓露,陈亚男,崔怡爽,陆丽娟.心血管疾病患者数字健康干预促进因素和障碍因素的系统评价[J].护理学杂志,2026,41(3):104-109

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  • 收稿日期:2025-09-26
  • 最后修改日期:2025-11-21
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  • 在线发布日期: 2026-03-09