移动和电子卫生技术在结石病的管理和预防中:系统性审查
G N Ungerer1, J S Winoker2, K A Healy3
1Department of Urology, Mayo Clinic, Rochester, MN, USA.
Actas urologicas espanolas
|June 26, 2023
概括
移动和电子健康工具对结石疾病 (KSD) 管理,改善液体摄入量和支架跟踪有希望. 然而,需要更严格的研究来确认有效性并指导临床使用.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 数字健康数字健康
- 医疗信息学 医疗信息学
背景情况:
- 结石病 (KSD) 是一种普遍存在的泌尿病状况,需要持续管理.
- 移动健康 (mHealth) 和电子健康技术为增强慢性疾病护理和促进行为改变提供了潜力.
- 评估目前关于KSD的mHealth和eHealth应用的证据对于改善治疗和预防策略至关重要.
研究的目的:
- 系统地审查关于mHealth和eHealth在结石疾病 (KSD) 背景下使用,益处和局限性的现有文献.
- 确定数字健康工具正在用于KSD管理和预防的关键领域.
主要方法:
- 进行了对初级研究研究的系统审查.
- 引用按标题和摘要进行了选,随后对KSD评估和管理中的mHealth和eHealth相关研究进行了全文审查.
主要成果:
- 分析了37篇文章,涵盖"智能"水瓶/液体跟踪 (增加摄入量) 的应用程序,尿道支架跟踪 (改善保留率),虚拟石头诊所 (改善访问,降低成本) 和智能手机内镜 (成本有效的成像).
- 在线KSD患者信息通常质量不佳,特别是在YouTube上.
- 大多数研究都是概念验证,对长期临床结果或有效性的评估有限.
结论:
- 移动健康和电子健康技术在KSD预防,干预和患者教育方面具有重要的现实应用.
- 目前缺乏严格的疗效研究,这阻碍了基于证据的结论和临床指南的整合.
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