一般的な慢性疾患の患者のデジタルヘルスケア:体系的レビューとメタ解析
Hadeel Zaghloul1, Kareem Fanous1, Lina Ahmed1
1Department of Internal Medicine, Weill Cornell Medicine in Qatar, Al Luqta Street, PO Box 24144, Doha, Qatar, 974 66107560.
Journal of medical Internet research
|August 25, 2025
まとめ
デジタルヘルス・リテラシー (DHL) は慢性疾患の管理に不可欠です このレビューでは,糖尿病,高血圧,関節リウマチの患者で全体的に高いDHLが見られたが,状態によって変動がある.
科学分野:
- デジタル・ヘルス
- 医療情報学
- 慢性疾患 の 管理
背景:
- デジタル・ヘルス・テクノロジー (DHT) は慢性疾患の自己管理と遵守に不可欠です
- 効果的なDHT使用には,適切なデジタルヘルスリテラシー (DHL) が必要です.
- DHLとその影響要因の評価は,デジタルヘルスリソースのアクセシビリティと使いやすさを改善するための鍵です.
研究 の 目的:
- eHealth Literacy Scale (eHEALS) を使用して,糖尿病 (DM),高血圧,およびリウマチ性関節炎 (RA) の患者のDHLを評価する.
- DHLの平均スコアを決定し,DHLに影響を与える人口統計的/社会経済的要因を特定する.
- 将来の戦略開発のために,DHLの病気管理への影響を調査する.
主な方法:
- PRISMAのガイドラインに沿った体系的なレビューとメタ分析.
- 2022年8月までの7つのデータベース (PubMed,SCOPUS,Embase,ERIC,CINAHL,LISTA,Google Scholar) で検索し,2024年10月に更新しました.
- eHEALSを用いたDM,高血圧,またはRAの成人の8つの研究 (2527人の参加者) が含まれており,ニューカッスル・オタワスケールで品質が評価されました.
主要な成果:
- 総合平均eHEALSスコアは27. 03 (95%CI25. 08- 28. 98) で,全体的に高いDHLを示しています.
- DM (27.79),高血圧 (28.48),RA (24.74) によるDHLスコアが異なった.
- 年齢,教育,雇用,インターネットの知覚はDHLに影響を与えました. 限られた研究のためにメタレグレーションは実現できませんでした.
結論:
- 慢性疾患の意思決定と 効果的な健康管理には DHL が不可欠です
- 限定的な研究は,DHLの決定因子とその完全な影響を包括的に分析することを妨げています.
- DHLの格差に対処し,デジタルヘルスのリソースへの公平なアクセスを確保するには,より多くの研究が必要です.
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