在腹部手术后基于应用程序的家庭监测的可行性:系统性审查
Klara Amalie Linde Thorhauge1, Jannick Brander Hansen1, Julie Jensen1
1Department of Gastrointestinal and Hepatic Diseases, Copenhagen University Hospital - Herlev and Gentofte, Denmark; Emergency Surgery Research Group Copenhagen (EMERGE Cph), Copenhagen University Hospital - Herlev and Gentofte, Denmark.
American journal of surgery
|June 3, 2024
概括
在腹部手术后的手机应用程序家庭监测显示了不同的可行性. 减肥手术的响应率最高,但研究偏差是一个问题.
科学领域:
- 外科手术的结果
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在腹部手术后的术后恢复带来了重大挑战.
- 医疗保健的财务限制推动了人们对移动应用程序的兴趣.
- 基于应用程序的家庭监控被探索为术后护理的解决方案.
研究的目的:
- 系统地审查和评估基于应用程序的家庭监测对腹部手术后的患者的可行性.
- 报告手术康复过程中数字健康干预措施的有效性和挑战.
主要方法:
- 通过使用MEDLINE,EMBASE和Cochrane图书馆进行了系统审查.
- 搜索是在2023年10月17日进行的.
- 该审查遵循了PRISMA系统审查指南.
主要成果:
- 审查包括了36篇文章,其中17篇来自美国或加拿大.
- 基于应用程序的监控响应率差异很大,从11.9%到100%.
- 腹腔,上部胃肠道和结直肠外科手术的患者群体表现出最高的反应率. 所有研究都报告了一定程度的偏见.
结论:
- 基于应用程序的家庭监测可行性在腹部手术类型之间有很大差异.
- 在减肥手术中观察到高响应率,尽管其他因素可能会影响这一点.
- 总体上,偏差的高程度和研究质量的变化限制了关于应用程序基础监测有效性的结论的强度.
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