护理人员对慢性病移动健康管理体验的Meta整合

目的 系统评价护理人员利用移动健康进行慢性病管理的体验，为改善移动健康管理服务提供依据。方法 计算机检索Medline (Ovid)、Embase、Cochrane Library、Web of Science、CINAHL、中国知网、万方数据库和维普数据库，检索有关护理人员利用移动健康进行慢性病管理体验的质性研究，检索时限为建库至2023年2月。依据JBI质性研究质量评价标准评价文献质量，采用Meta整合方法对原始研究结果进行整合。结果 共纳入8篇文献，提炼出66个原始研究结果，归纳为10个新类别，综合为2个整合。护士使用移动健康进行慢性病管理感知益处；护士使用移动健康进行慢性病管理感知障碍。结论 移动健康有助于护理人员进行慢性病管理，但其使用仍存在一些障碍，应从移动健康的易用性、移动健康与传统管理手段的融合、健全相关制度保障等方面完善。

Nurses′ experiences of utilizing mobile health in chronic disease management：a Meta-synthesis

Objective To systematically review and synthesize nurses′ experiences of utilizing mobile health(mHealth) in chronic disease management, and to provide references for improvement of mHealth service. Methods Such databases as Medline (Ovid),Embase,Cochrane Library,Web of Science,CINAHL, CNKI, Wanfang Data and VIP were searched to collect qualitative studies on nurses′ experiences of utilizing mHealth in chronic disease management. The search time frame was limited from database inception to February, 2023. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies. Meta-synthesis was used to integrate results. Results A total of 8 studies were included to extract 66 research results, which were later grouped into 10 categories; then the 10 categories were further factored into 2 synthesized findings:the perceived benefits of nurses in using mHealth for chronic disease management;the perceived barriers of nurses in using mHealth for chronic disease management. Conclusion mHealth is helpful for nurses to manage patients with chronic diseases, but there are still some barriers in its use. Measures should be taken from the aspects of usability improvement, the integration of mHealth and traditional management services, and refinement in relevant policies.