对二次预防中风的mHealth干预措施进行范围审查:对政策和实践的影响
Liam P Allan1,2, Lin Beilei3, Jan Cameron1,4
1Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Victoria, Australia (L.P.A., J.C., M.T.O., D.A.C.).
Stroke
|October 6, 2023
概括
移动健康 (mHealth) 干预措施对中风二次预防有希望,但现实世界的翻译仍然是一个挑战. 在广泛采用之前,需要对临床有效性和成本效益进行更多研究.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 对于中风幸存者来说,二次预防非常重要.
- 移动健康 (mHealth) 干预措施有可能改善中风的二次预防.
- 关于这些移动健康干预措施的现实世界翻译的研究有限.
研究的目的:
- 更新关于mHealth干预对中风二次预防有效性的证据.
- 研究将这些干预措施转化为现实世界的实践.
主要方法:
- 2010-2023年间发表的随机对照试验 (RCT) 和定性/混合方法评估的系统审查.
- 搜索包括四个电子数据库和灰色文献.
- 联系主要调查人员以获取翻译数据.
主要成果:
- 确定了13个RCT和4个评估,主要使用短信服务 (SMS) 和智能手机应用程序.
- 干预可行性在4项试验中得到满足;风险因素/行为变化在6项试验中得到改善.
- 只有一个试验报告了中风复发作为主要结果,没有显著差异;只有一个干预措施显示了成功的现实世界翻译.
结论:
- 移动健康干预措施显示出改善中风二次预防的可行性和风险因素的潜力.
- 在广泛采用之前,需要更多关于临床有效性,成本效益和实际实施的证据.
- 为了将mHealth干预成功转化为对中风幸存者的日常护理,需要进一步调查.
相关概念视频
Levels of Health Promotion and Illness Prevention
12.7K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.7K
Acute Coronary Syndrome IV: Interprofessional Care
11
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
11
Atherosclerosis IV: Nursing Management
18
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
18
Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K


