电子症状监测用于家庭息护理:系统性审查
Suning Mao1, Liu Liu1,2, Cheng Miao1,3
1State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Palliative medicine
|June 5, 2024
概括
在家庭息护理中,电子症状监测显示了改善患者福祉和潜在降低成本的前景. 然而,需要更多的标准化研究来确认其对临床结果的影响.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 家庭息护理面临协调和沟通挑战,特别是在医院过渡期间.
- 电子症状监测 (ESM) 提供实时数据,以改善患者与医疗服务提供者的沟通.
- 目前缺乏对家庭息护理中ESM的系统评估.
研究的目的:
- 系统地评估ESM在家庭息护理中的可行性,有效性和局限性.
- 评估现有证据的质量,并确定研究缺口.
- 为未来的研究和临床实践提供影响.
主要方法:
- 系统性审查,元分析和叙事合成 (CRD42023457977).
- 在MEDLINE,CENTRAL和Embase数据库中进行全面的电子搜索.
- 手动搜索参考文献和引用以确定相关研究,直到2023年9月.
主要成果:
- 包括20项研究,大多数患者积极参与ESM.
- 在没有显著的成本增加的情况下,ESM可以提高生活质量,福祉和症状得分.
- 关于ESM对生存,住院和紧急诊所的影响的证据是有限的,这是由于数据的变化和较低的统计能力.
结论:
- 家庭息护理中的ESM有可能改善患者报告的结果并减少医疗保健利用率.
- 不同ESM系统之间的不一致性阻碍了可比性和最终结论.
- 未来的研究应该使用标准化的协议和验证的尺度来澄清ESM在这种环境中的好处.
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