预防心血管疾病的数字健康解决方案:系统审查
Yihan Qi1, Emma Mohamad1,2, Arina Anis Azlan1,2
1Centre for Research in Media and Communication, Faculty of Social Sciences and Humanities, Universiti Kebangsaan Malaysia, Selangor, Malaysia.
Journal of medical Internet research
|January 23, 2025
概括
数字健康工具通过改善行为和监测健康,显示出对心血管疾病 (CVD) 预防的希望. 然而,目前的干预措施需要扩大其关注范围,超越药物和体重,以解决更全面的CVD风险因素,以获得长期影响.
科学领域:
- 数字健康数字健康
- 预防心血管疾病 预防心血管疾病
- 卫生干预措施 卫生干预措施
背景情况:
- 心血管疾病 (CVD) 是全球主要的健康问题,其中很大一部分病例归因于可修改的风险因素.
- 数字健康解决方案为预防心血管疾病提供了一个有希望的途径,但它们的全面有效性仍在调查中.
研究的目的:
- 系统地审查用于预防心血管疾病的数字干预措施.
- 确定有效的数字CVD预防策略的关键组成部分.
- 确定研究缺口,以开发可持续的心血管疾病预防方法.
主要方法:
- 在Web of Science,Scopus和PubMed (2000年1月至2024年5月) 进行了遵循PRISMA指南的系统文献搜索.
- 专注于使用数字解决方案进行初级或二级心血管疾病预防的研究,不包括仅限电话或仅限摘要的出版物.
- 使用ROB 2和ROBINS-I工具评估了偏差风险,并提取了干预组件,结果和研究设计的数据.
主要成果:
- 在2871项已识别的研究中,30项符合纳入标准,其中24项是随机对照试验.
- 干预措施通常涉及基线评估,身体活动,戒烟和血压管理.
- 测量最常见的结果是血压,运动能力和体重,更少的研究关注饮食习惯或生活质量.
结论:
- 数字健康干预可以增强心血管疾病预防行为和健康监测,解决传统方法的局限性.
- 目前的数字心血管疾病预防策略通常集中在药物坚持,生活质量和体重管理上.
- 进一步的研究对于评估全面的数字干预对关键心血管结果的长期有效性至关重要.
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