数字健康干预措施以改善重症监护室幸存者的康复:系统性审查
Nina Leggett1, Yasmine Ali Abdelhamid2, Adam M Deane2
1Department of Physiotherapy, Western Health, Melbourne, Victoria, Australia; Department of Critical Care, University of Melbourne, Melbourne Medical School, Melbourne, Victoria, Australia.
概括
数字健康干预措施对重症监护室 (ICU) 幸存者来说是有前途的,展示了良好的实施因素,如可接受性和坚持性. 需要进一步的研究来改善这些数字健康解决方案的覆盖范围和评估成本效益.
科学领域:
- 关键护理医学 关键护理医学
- 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:
- 对于重症监护室 (ICU) 幸存者的传统恢复模式在可用性,可访问性和有效性方面面临挑战.
- 数字健康干预为ICU后的护理提供了一个潜在的替代方案.
研究的目的:
- 系统地审查数字健康干预措施的实施因素 (覆盖范围,有效性,采用,实施和维护) 对ICU幸存者的数字健康干预.
- 评估这些干预措施对患者报告的健康结果的影响.
主要方法:
- 在2023年3月,在主要数据库 (MEDLINE,EMBASE,CINAHL,CENTRAL) 进行了全面的系统搜索.
- 在选了6482项研究后,包括了10项涉及686名接受数字化出院后护理的成年ICU幸存者的研究.
- 数据提取的重点是实施因素和患者报告的结果,并使用既有工具评估偏差风险.
主要成果:
- 所有包括的研究都报告了实施因素,具有很高的接受度,满意度和可用性.
- 干预的坚持率从46%到100%不等,保留率在12个月后高达100%.
- 由于方法差异和报告不足,对疗效和数字健康素养的评估受到限制;50%的研究存在一些偏差风险.
结论:
- 数字健康干预措施对于重症监护幸存者来说是可以实施的,显示出可变的坚持和保留.
- 未来的研究应该侧重于通过解决文化多样性,获取,识字和成本效益来增强覆盖范围.
- 优化数字健康策略对于改善ICU幸存者的长期康复结果至关重要.
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