通过数字卫生干预措施提高透析患者的治疗坚持:随机对照试验的系统审查和元分析
Zhe Zhang1, Xin-Ting Liang1, Xu-Wei He2
1Department of the Six Health Care, The Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
Renal failure
|March 27, 2025
概括
数字健康干预措施显著改善了透析患者的治疗坚持. 这些工具增强了药物,透析,饮食和流体管理的坚持,支持临床实践的整合.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 数字健康数字健康
- 基于证据的医学基于证据的医学.
背景情况:
- 透析患者在遵守复杂的治疗方案时面临挑战.
- 改善遵守是优化患者结果和降低医疗保健成本的关键.
研究的目的:
- 系统地评估数字健康干预措施 (DHIs) 在改善透析患者治疗坚持性方面的有效性.
- 对随机对照试验 (RCT) 进行元分析,以量化 DHI 对坚持的影响.
主要方法:
- 在2024年4月之前,对五个数据库进行了全面的搜索.
- 对17个RCT (1,438名患者) 进行了元分析,以确定标准化平均差异 (SMD) 和95%置信区间 (CI).
- 用GRADE方法来评估证据的确定性.
主要成果:
- 血压抑制剂在整体治疗坚持方面显著改善 (SMD 1.88).
- 在药物治疗 (SMD 1.45) 和透析坚持 (SMD 1.88) 方面,注意到了很大的改善.
- 在饮食坚持 (SMD 0.58) 和流体管理 (SMD -0.36) 中观察到适度的改善.
结论:
- 数字健康干预措施有效地改善了透析患者治疗坚持的各个方面.
- 这些发现支持将DHIs纳入该人群的标准临床护理.
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