摘要
目的 综合目前应用远程医疗管理炎症性肠病(inflammatory bowel disease,IBD)患者的相关证据,以期为IBD患者远程照护方案的制定提供参考依据.方法 检索BMJ Best Practice、UpToDate、JBI、Cochrane Librar-y、苏格兰学院间指南网、国际指南网、加拿大安大略注册护士协会指南网、Campbell协作网、美国卫生及公共服务部医疗研究与质量局网站、PubMed、Embase、Web of Science、美国远程医疗协会、中国知网、维普数据库等中与IBD患者远程医疗管理相关的临床实践指南、证据总结、专家共识、系统评价等,检索时限为建库至2023年12月23日,由2位研究者独立进行文献筛选、质量评价和证据综合.结果 共纳入文献11篇,其中包含1篇指南和10篇系统评价.从远程管理评估、远程管理、远程管理效果、存在的问题4个维度进行归纳,最终形成11条最佳证据.结论 临床医护人员应充分评估IBD患者的实际病情及个人意愿,合理使用远程医疗,为IBD患者提供及时、有效的指导,提高护理质量.
Abstract
Objective To summarize the relevant evidence on the current application of telemedicine in the management of inflammatory bowel disease(IBD)patients,in order to provide a reference for the formulation of their telecare programs.Methods The clinical practice guidelines,evidence summaries,expert consensus,and system evaluations related to remote medical management for IBD patients were searched in such databases as BMJ Best Practice,UpToDate,JBI,Cochrane Library,Scottish Interinstitutional Guidelines Network,International Guidelines Network,Ontario Registered Nurses Association Guidelines Network,Campbell Collaboration Network,American Guidelines Network,PubMed,Embase,Web of Science,the American Telemedicine Association,CNKI and VIP database,with time setting from the inception until December 23,2023.Then,literature screening,quality evaluation and evidence analysis were conducted by two researchers independently.Results A total of 11 literatures were screened,including 10 systematic reviews and 1 guideline.Finally 11 best pieces of evidence were formed from the four dimensions of management plan,evaluation,effect and problem.Conclusion The clinical medical staff should fully evaluate the actual situation and willingness of patients to improve the nursing quality by using telemedicine rationally and providing timely and effective guidance for IBD patients.
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