用电子健康技术为肝移植接受者进行自我管理:范围审查
Soo Hyun Kim1, Kyoung-A Kim2, Sang Hui Chu3
1School of Nursing, Johns Hopkins University, Baltimore, MD, United States.
Journal of medical Internet research
|July 4, 2024
概括
电子健康技术对肝移植接受者管理他们的健康充满希望,但当前的工具需要在酒精复发预防和个性化支持等领域进行改进. 进一步的研究应该集中在数字包容和定制干预措施上.
科学领域:
- 移植科学 移植科学
- 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:
- 肝移植是治疗末期肝病和癌症的常见治疗方法,结果有所改善.
- 接受者需要终身自我管理,包括药物坚持和生活方式调整.
- 电子健康技术为优化自我管理提供了潜力,但由于移植后的复杂性,其采用速度很慢.
研究的目的:
- 审查电子健康技术的使用,以支持肝移植接受者的自我管理.
- 确定这些技术的好处和挑战.
- 建议该领域的未来研究方向.
主要方法:
- 使用Arksey和O'Malley方法进行了范围审查.
- 在五个主要的电子数据库 (PubMed,CINAHL,Embase,PsycINFO,Web of Science) 进行了搜索.
- 包括涉及成年肝移植接受者和基于电子健康的自我管理的研究,使用TIDieR和Lorig & Holman的核心技能进行质量评估.
主要成果:
- 包括15项研究,重点关注生活方式管理,药物坚持和远程监测.
- 对于预防酒精复发的电子健康干预措施存在重大差距.
- 使用了移动应用程序和远程医疗等技术,但对决策和协作功能的整合有限.
结论:
- 电子健康干预措施显示了肝移植接受者个性化护理的潜力.
- 未来的研究应该优先考虑预测模型,患者生成的数据和数字人与人互动.
- 解决数字沟,确保多元化人口的包容性,对于未来的电子健康自我管理研究至关重要.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
Tissue Transplantation
354
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
354
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
Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84


