不同数字健康技术对急性心肌梗死患者居家自我管理能力干预效果的网状Meta分析OA

Objective:To evaluate the effects of different digital health technologies(DHT)on home-based self-management ability in patients with acute myocardial infarction(AMI)using network meta-analysis.Method:A systematic search was conducted in 10 databases for relevant RCTs from inception to October 2025.Two researchers independently screened the literature and extracted data.RevMan 5.4.1 and Stata 17 software were used for analysis.Result:25 RCTs involving 2 763 AMI patients were included.According to the results of network meta-analysis and cumulative ranking probability,interventions based on the WeChat platform were most effective in improving self-management ability,medication adherence,quality of life,and reducing anxiety and depression in AMI patients.Text messaging was the best intervention for reducing adverse cardiovascular events,and the combination of WeChat with a mobile app was the most effective approach for lowering unplanned readmission rates.Conclusion:Current evidence suggests DHT is effective in improving home-based self-management ability in AMI patients,but findings require further validation by large-sample,multicenter,rigorously designed RCTs.