慢性病患者移动健康自我管理体验的质性Meta整合

Mobile Health Self-Management Experiences among Chronic Disease Patients: A Qualitative Meta-Synthesis

摘要: 目的：系统评价和整合慢性病患者使用移动健康进行自我管理的体验，了解患者使用过程中的感受、偏好与期待，为优化移动健康自我管理服务、持续提升慢性病患者的自我管理能力提供依据。方法：计算机检索PubMed、Embase、Web of Science、The Cochrane Library、Scopus及中国生物医学文献数据库(CBM)、中国知网(CNKI)、万方、维普9个数据库，检索关于慢性病患者使用移动健康进行自我管理体验的质性研究，检索时限为建库至2025年7月，依据澳大利亚JBI循证卫生保健中心的质性研究真实性评价清单(2016)对纳入文献的质量进行评价，采用Meta整合方法对研究结果进行整合归纳。结果：共纳入16项研究，提炼52个结果，归纳为17个类别，综合成3个整合结果：慢性病患者使用移动健康进行自我管理的积极体验；慢性病患者使用移动健康进行自我管理面临的挑战与障碍；慢性病患者使用移动健康进行自我管理的期望。结论：医护工作者应该持续关注和了解慢性病患者使用移动健康进行自我管理的体验，未来可根据患者的意愿及反馈，从内容、性能、页面设计等方面进行完善，不断提升慢性病患者使用移动健康进行自我管理的可及性和体验，充分发挥移动健康在慢性病管理中的优势和积极作用。

Abstract: Objective: To systematically evaluate and integrate the experiences of chronic disease patients using mobile health for self-management, understand patients’ feelings, preferences, and expectations during the usage process, and provide a basis for optimizing mobile health self-management services and continuously improving the self-management capabilities of chronic disease patients. Methods: A computerized search was conducted in nine databases—PubMed, Embase, Web of Science, The Cochrane Library, Scopus, the Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Wanfang, and VIP—to identify qualitative studies on the experiences of chronic disease patients using mobile health for self-management. The search period ranged from the establishment of the databases to July 13, 2025. The quality of the included literature was evaluated in accordance with the Critical Appraisal Checklist for Qualitative Research (2016) from the Joanna Briggs Institute (JBI) Centre for Evidence-Based Health Care in Australia, and the Meta-synthesis method was adopted to integrate and summarize the research results. Results: A total of 16 studies were included, yielding 52 outcomes, which were categorized into 17 categories and synthesized into three integrated findings: positive experiences of chronic disease patients using mobile health for self-management; challenges and barriers faced by chronic disease patients using mobile health for self-management; and expectations of chronic disease patients using mobile health for self-management. Conclusion: Healthcare professionals should continue to monitor and understand the experiences of chronic disease patients using mobile health for self-management. In the future, based on patient preferences and feedback, improvements can be made in terms of content, performance, and page design to enhance the accessibility and experience of chronic disease patients using mobile health for self-management, thereby fully leveraging the advantages and positive role of mobile health in chronic disease management.