慢性疾病的康复技术:我们会沉没还是游泳?
Amber LaMarca1, Ivy Tse2, Julie Keysor3
1Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA 02129, USA.
Healthcare (Basel, Switzerland)
|October 28, 2023
概括
外骨架和VR等康复技术可以改善慢性疾病的家庭护理. 然而,采用和有效性的挑战阻碍了广泛使用,需要新的试验设计才能成功实施.
科学领域:
- 康复医学 康复医学 康复医学
- 卫生技术评估 卫生技术评估
- 数字健康数字健康
背景情况:
- 慢性疾病是导致残疾的主要原因,但许多患者没有达到建议的炼水平来管理.
- 康复技术,包括外骨,虚拟/增强现实和远程监控,为基于证据的家庭护理提供了潜力.
- 尽管技术进步,但在家庭环境中广泛采用康复技术仍然有限.
研究的目的:
- 审查关键康复技术的临床需求,有效性和实施挑战.
- 探索外骨,虚拟/增强现实和远程监控在管理流行慢性疾病中的应用.
- 确定克服采用障碍并促进这些技术融入患者生活的战略.
主要方法:
- 一个叙事综述,综合现有关于康复技术的文献.
- 检查三个特定技术:外骨,虚拟/增强现实和远程监控.
- 在各种慢性疾病 (神经,肌肉骨,代谢,肺,心脏) 中讨论临床需求,疗效和实施障碍.
主要成果:
- 越来越多的证据支持技术在康复中的有效性,但它通常受到研究设计异质性的限制.
- 缺乏长期结果数据和采用指标,目前限制了对技术影响的充分理解.
- 在广泛采用和实施这些先进的康复工具方面,仍然存在重大挑战.
结论:
- 康复技术有望弥合临床环境和家庭护理之间的差距,改善可访问性和自我管理.
- 克服采用挑战对于实现这些创新的全部潜力至关重要.
- 混合有效性和实施试验是指导成功的技术开发和在康复中采用的有希望的方法.
更多相关视频
相关概念视频
Specialized Care Centers and Settings-II
736
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
736
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Heart Failure VI: Adjunct Therapies
15
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
15
Classification of Illness
7.5K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.5K
Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K


