数字健康干预在农村老年人抑郁管理中应用的范围综述

doi:10.3761/j.issn.0254-1769.2026.01.005

摘要/Abstract

摘要：

目的对数字健康干预在农村老年人抑郁管理中的干预方案设计及应用状况进行综述，以期为相关研究与实践提供参考。方法依据范围综述方法框架，系统检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、PsycINFO、Scopus、中国知网、万方数据库、维普数据库、中国生物医学文献数据库，检索时限为建库至2025年8月30日，对纳入研究进行分析与总结。结果共纳入16篇文献，包括12篇随机对照试验和4篇类实验研究，涉及美国、韩国、巴西、中国等多个国家。数字健康干预主要采用行为激活、问题解决疗法、心理教育等心理干预方法，通过电话、视频、移动应用程序、可穿戴设备等技术载体实施。干预内容涵盖远程会话、消息推送、监测反馈、家庭访问、课程培训等，支持模式包括专业治疗师主导、非专业人士实施、自助式等。评价指标包括抑郁症状、健康状况及其相关生活质量、焦虑症状、生理功能、社会功能、孤独感、幸福感、生理指标、睡眠质量、病耻感、电子健康素养、自我效能、感知压力、个人资源、医疗资源，以及可行性和可接受性评估。结论数字健康干预在农村老年人抑郁管理中显示出一定的可行性和可接受性，尤其在突破地域限制、提升服务可及性方面具有明显优势。

关键词: 数字健康干预, 农村人口, 老年人, 抑郁管理, 心理护理, 范围综述

Abstract:

Objective This scoping review aimed to examine the design and implementation of digital health interventions for managing depression among older adults living in rural areas，in order to provide evidence and guidance for future research and practice. Methods Following the methodological framework for scoping reviews，a systematic search was conducted in PubMed，Web of Science，Embase，Cochrane Library，CINAHL，PsycINFO，Scopus，CNKI，Wanfang Database，VIP Database，and Chinese Biomedical Literature Database from inception to August 30，2025. Eligible studies were analyzed and synthesized descriptively. Results A total of 16 studies were included，comprising 12 randomized controlled trials and 4 quasi-experimental studies. The studies were conducted in several countries，such as the United States，South Korea，Brazil，and China. Digital health interventions primarily employed psychological approaches such as behavioral activation，problem-solving therapy，and psychoeducation，delivered through technological platforms including telephone，video，mobile applications，and wearable devices. Intervention components included remote sessions，message reminders，monitoring and feedback，home visit，and online training programs，with delivery models ranging from therapist-led to lay facilitator-delivered and self-guided formats. Assessment indicators included depressive symptoms，health status and health-related quality of life，anxiety symptoms，physiological functioning，social functioning，loneliness，well-being，physiological indicators，sleep quality，stigma，e-health literacy，self-efficacy，perceived stress，personal resources，and healthcare resource utilization，as well as feasibility and acceptability. Conclusion Digital health interventions demonstrate certain feasibility and acceptability in managing depression among older adults in rural areas，particularly in overcoming geographic barriers and enhancing service accessibility.

Key words: Digital Health Interventions, Rural Population, Aged, Depression Management, Psychological Care, Scoping Review

汪婧颖, 罗雅婷, 贾思培, 甘港, 刘敏, 张秋香, 谢建飞. 数字健康干预在农村老年人抑郁管理中应用的范围综述[J]. 中华护理杂志, 2026, 61(1): 38-45.

WANG Jingying, LUO Yating, JIA Sipei, GAN Gang, LIU Min, ZHANG Qiuxiang, XIE Jianfei. A scoping review of digital health interventions for depression management among older adults in rural areas[J]. Chinese Journal of Nursing, 2026, 61(1): 38-45.

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