针对慢性伤口管理的数字健康干预:系统性审查和元分析
Xinrui Bai1, Hongyan Zhang2, Yanxia Jiao1
1Evidence-Based Nursing Centre, School of Nursing, Lanzhou University, Lanzhou, Gansu, China.
Journal of medical Internet research
|July 16, 2024
概括
数字健康干预 (DHI) 对慢性伤口护理具有前景,但与常规护理相比,其有效性的证据有限. 需要进一步的高质量试验来确认它们的益处.
科学领域:
- 医疗信息学 医疗信息学
- 伤口护理 伤口护理
- 卫生技术评估 卫生技术评估
背景情况:
- 数字健康干预 (DHI) 越来越多地被探索用于治疗慢性伤口.
- 目前的证据比较DHI与常规护理,并评估干预变异性是不够的.
研究的目的:
- 为了评估DHIs在患有慢性伤口的成年患者中伤口愈合的有效性.
- 为了确定不同类型的DHI是否会对伤口愈合结果产生不同的影响.
主要方法:
- 25项研究 (8125名患者) 的系统审查和元分析,包括RCT,队列和准实验设计.
- 截至2023年8月,搜索了9个数据库;使用已有的工具评估了研究质量.
- 使用随机效应模型将95%的CI与相对风险 (RRs) 汇集在一起;执行子组和灵敏度分析.
主要成果:
- 对20项研究 (6535名患者) 的分析发现,DHI与常规护理之间的伤口愈合 (RR 1.02) 或全因死亡率 (RR 1.08) 没有显著差异.
- 高血压抑制剂与不良事件的显著减少有关 (RR 0.44).
- 亚组分析表明,数字平台对伤口愈合有积极的影响 (RR 2.19);大多数研究表明,DHI与常规护理无差.
结论:
- 数字健康干预是治疗慢性伤口的可行选择.
- 需要高质量的随机对照试验来加强证据基础.
- 需要进一步的研究来阐明DHIs的详细临床疗效.
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