数字健康干预与母亲和新生儿结果的关联:系统审查和元分析
Jianing Wang1, Nu Tang2, Congcong Jin3
1Department of Maternal and Child Information Management, Women and Children's Hospital of Chongqing Medical University, Chonqing, China.
数字健康干预措施有效地减少了孕妇过度的妊娠体重增加. 这些干预措施还降低了流产和早产的风险,改善了母亲和新生儿的健康结果.
科学领域:
- 孕产妇与胎儿医学 孕产妇与胎儿医学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 孕期体重增加 (GWG) 显著影响母亲和新生儿的健康.
- 偏离GWG推的指导方针会增加并发症的风险.
- 数字健康干预措施显示出希望,但需要有效性评估.
研究的目的:
- 评估数字健康干预措施对GWG的影响.
- 评估对其他孕产妇和新生儿临床结果的影响.
主要方法:
- 42个随机对照试验 (RCT) 的系统审查和元分析.
- 搜索的主要数据库 (PubMed,Embase,科学网,科克兰图书馆) 截至2024年8月.
- 使用修订后的Cochrane工具评估偏差风险;使用Stata分析数据.
主要成果:
- 数字干预显著减少了GWG (SMD -0.19) 和过度的GWG (OR 0.79).
- 增加了充足的GWG (OR 1.33) 和降低流产 (OR 0.66) 和早产 (OR 0.8) 的风险.
- 复杂新生儿结局减少 (OR 0.93);其他结局没有显著差异.
结论:
- 数字化促进的医疗保健改善了特定的孕产妇和新生儿结果.
- 干预措施有效地缓解了过度的GWG,并保持了适当的体重增加.
- 将女性纳入数字健康团队是可行的,也是有益的.
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