针对孕产妇发病率的信息技术干预:范围审查
Jill Inderstrodt1,2,3, Julia C Stumpff4, Rebecca C Smollen5
1Department of Health Policy and Management, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States.
这次审查发现,大多数数字健康工具的目标是孕期糖尿病,妊娠前和围产期心理健康. 有机会将这些技术扩展到其他孕产妇健康状况,如产后出血.
科学领域:
- 孕产妇健康信息学
- 数字健康干预措施 数字健康干预措施
- 怀孕并发症 怀孕并发症
背景情况:
- 越来越多的孕妇表现出较差的健康状况,增加并发症的风险.
- 基于技术的干预提供了一种监测和治疗高危孕妇的策略.
- 预防孕产妇疾病和治疗周产期疾病是这些干预措施的关键目标.
研究的目的:
- 进行针对孕产妇发病率设计和测试的信息技术干预措施的范围审查.
- 确定技术类型,所涉及的条件和所研究的人群.
主要方法:
- 搜索了MEDLINE,Embase和Cochrane图书馆的相关研究.
- 包括测试成人女性医疗或临床信息学干预措施的研究.
- 专注于包括子宫前症,妊娠期糖尿病 (GDM),早产,严重的孕产妇发病率和围产期心理健康等疾病.
主要成果:
- 80项研究符合纳入标准,其中许多研究涉及多种疾病.
- 大多数干预措施的目标是孕期糖尿病 (GDM) 或围产期心理健康 (73%),其次是孕前炎症 (15%).
- 常见的技术包括智能手机/平板电脑应用 (32%),远程医疗 (26%),远程监控 (14%). 在49%的研究中报告了患者健康结果.
结论:
- 信息技术干预主要针对GDM,妊娠前和心理健康状况.
- 有可能适应现有的技术,如移动应用程序,用于诸如产后出血等疾病.
- 关于母婴发病率信息学的文献仍然存在重大差距,这表明有机会进行更广泛的应用.
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