临床决策支持系统在糖尿病护理中的应用:范围审查
Shan Huang1, Yuzhen Liang2, Jiarui Li3
1Endocrinology Department, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Journal of medical Internet research
|December 8, 2023
概括
临床决策支持系统 (CDSS) 通过提高血糖和脂质概况,有效地改善糖尿病护理. 这些系统为医生和患者提供安全可靠的助手,特别是那些资源有限的人.
科学领域:
- 医疗信息学 医疗信息学
- 内分泌学 在内分泌学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于复杂性和内分泌学家短缺,糖尿病护理面临着挑战.
- 临床决策支持系统 (CDSS) 越来越多地被使用,但提供者之间的认识是有限的.
- 需要对CDSS在糖尿病护理中的应用进行全面分析.
研究的目的:
- 总结CDSS在糖尿病护理中的研究格局.
- 审查CDSS的临床应用和对患者和医生的影响.
- 分析CDSS在糖尿病管理中的有效性和安全性.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查.
- 搜索包括7个电子数据库,截至2022年6月30日,以及会议摘要 (2021-2022).
- 数据选和绘制图表是由两个研究人员独立执行的.
主要成果:
- 包括85项研究,研究兴趣日益增长 (53%在过去5年发表).
- 大多数CDSS是基于知识的 (76%),主要用于治疗建议 (78%).
- CDSS显著改善了血糖 (71%),血压 (67%) 和脂质概况 (38%),但没有增加低血糖的风险.
结论:
- CDSS是改善糖尿病护理的有效和安全工具.
- 他们可以充当可靠的助手,特别是对于缺乏经验的医生.
- CDSS可以增强对患者的护理,这些患者无法获得专门的医疗资源.
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