数据驱动的数字健康技术在糖尿病足的远程临床护理中:一个范围审查
Joel Lazarus1, Iulia Cioroianu2, Beate Ehrhardt3
1Department of Social and Policy Studies, University of Bath, Bath, United Kingdom.
Frontiers in clinical diabetes and healthcare
|September 20, 2023
概括
数字健康技术 (DHT) 对远程糖尿病足 (DFU) 护理有希望,但目前的研究往往缺乏整合. 未来的研究应该专注于全面的,多源数据系统,以实现个性化的DFU管理.
科学领域:
- 数字健康数字健康
- 医疗技术 医疗技术 医学技术
- 医疗保健信息学 医疗保健信息学
背景情况:
- 数字健康技术 (DHT) 正在迅速发展,为远程患者监测和治疗提供了潜力.
- 由于感染,截肢和死亡率高,糖尿病足 (DFU) 带来了重大的临床和经济挑战.
- 需要持续监控的DFU管理的性质使其成为DHT应用的主要候选者.
研究的目的:
- 对数据相关的挑战和发展远程DFU护理综合DHT的机会进行范围审查.
- 为DFU管理分析DHT的现状,包括它们的特征,技术准备以及临床试验范围.
主要方法:
- 在Web of Science,MEDLINE和Scopus中进行了系统的文献搜索.
- 包括同行评审的实验,观察,案例系列和定性研究.
- 在选了1925篇初步论文和388篇全文评论后,选出了81篇手稿.
主要成果:
- 只有19%的研究使用了多个DHT.
- 大多数研究集中在"治疗手册" (56%) 或"预防自主" (26%) 的干预措施上.
- 一个较小的比例 (10%) 涉及"治疗自主"干预措施,通常报告的患者坚持和满意度很高.
结论:
- DHT具有显著的潜力,可以实现DFU的个性化远程管理.
- 需要进行更大规模的研究,以充分评估DHT在DFU护理中的影响.
- 有机会开发综合监测和决策支持系统,以捕获多来源数据,以全面管理DFU.
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