摘要
目的 对移动健康技术在脑卒中患者自我管理应用中的研究进行范围综述,以识别移动健康技术的主要形式、内容要素、结局指标及应用效果,为开展相关研究和临床实践提供参考依据.方法 以澳大利亚乔安娜布里格斯研究所的范围综述指南为框架,检索Cochrane Library、PubMed、CINAHL、Embase、Web of Science、中国知网、万方数据库和中国生物医学文献数据库中有关脑卒中患者自我管理中使用移动健康技术的中英文文献,检索时限均为建库至2023年12月31日.进行文献筛选与数据提取,并对纳入文献进行汇总与分析.结果 共纳入18篇文献,移动健康技术在脑卒中患者自我管理中应用的主要形式包括应用程序、社交媒体、可穿戴设备、网站平台、健康管理系统;应用内容涉及提供疾病知识及自我管理技能指导、运动管理、言语管理、服药管理、日常生活活动管理、健康数据监测、与医护人员沟通;结局指标包括自我管理能力指标、生理指标、心理指标、可行性指标、其他指标.结论 移动健康技术在脑卒中患者自我管理中的应用初见成效,仍需进一步验证.未来需构建"线上+线下"融合干预的服务模式,进一步开展多学科团队合作,定位老年患者群体,并开展高质量研究,探索科学、个体化的移动健康技术干预策略,以促进患者疾病康复和改善生活质量.
Abstract
Objective To conduct a scoping review of research on the application of mobile health technology in self-management for stroke patients,identifying the main types,content elements,outcome indicators,and effectiveness of mobile health technology to provide references for related research and clinical practice.Methods Based on the Joanna Briggs Institute's scoping review guidelines,a search was conducted in Cochrane Library,PubMed,CINAHL,Embase,Web of Science,China National Knowledge Infrastructure,Wanfang Data,and China Biology Medicine disc for Chinese and English literature on the use of mobile health technology in self-management of stroke patients,with a search timeframe up to December 31,2023.Literature screening and data extraction were performed,and the included studies were summarized and analyzed.Results A total of 18 studies were included.The main forms of mobile health technology used in stroke self-management included applications,social media,wearable devices,web platforms,and health management systems.Content areas covered knowledge provision and self-management skills,exercise management,speech management,medication management,daily activity management,health data monitoring,and communication with healthcare providers.Outcome indicators included self-management capability,physiological indicators,psychological indicators,feasibility indicators,and others.Conclusions The application of mobile health technology in stroke self-management has shown promising results,but further verification is needed.Future work should establish an integrated"online+offline"intervention model,promote multidisciplinary team collaboration,focus on elderly patients,and conduct high-quality research to explore scientific,individualized mobile health technology intervention strategies to enhance disease recovery and improve quality of life.
维普
万方数据