对心力衰竭患者的基于移动应用程序的干预:系统性审查和元分析
Yun-Xia Ni1, Xue-Hui Liu1, Li He1
1Department of Cardiology West China Hospital Sichuan University/West China School of Nursing Sichuan University, Chengdu, China.
Journal of nursing management
|April 14, 2025
概括
移动健康应用程序有效减少心力衰竭住院和改善患者的生活质量. 需要进一步的研究来证实这些对心力衰竭管理的好处.
科学领域:
- 心脏病学 心脏病学
- 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:
- 移动健康 (mHealth) 应用程序显示出改善心力衰竭 (HF) 管理的希望.
- 现有的关于mHealth干预HF死亡率,住院,自我护理和生活质量等结果的现有证据是有限的和不确定的.
研究的目的:
- 对心力衰竭患者的基于mHealth应用程序的干预措施的有效性进行系统审查和元分析.
- 评估这些干预措施对死亡率,住院率,自我护理和生活质量的影响.
主要方法:
- 在六个主要数据库中进行了全面的文献搜索,截至2023年10月21日.
- 数据提取和偏差风险评估是由两位作者独立进行的,他们使用了Cochrane风险偏差工具.
- 使用审查经理和R进行了元分析,使用灵敏度,子组和GRADE分析来评估证据确定性.
主要成果:
- 该审查包括24项研究,涉及2886名参与者.
- 移动健康干预措施显著减少了与心力衰竭相关的住院治疗 (RR=0.72) 和改善生活质量 (SMD=0.46).
- 没有观察到对所有原因死亡率,心血管死亡率,所有原因住院治疗或自我护理的显著影响.
结论:
- 基于mHealth应用程序的干预措施在减少与心力衰竭相关的住院治疗和提高患者生活质量方面表现出有效性.
- 虽然有希望,但需要更多高质量的随机对照试验来巩固这些发现并指导临床实践.
- 护理管理可以考虑mHealth干预措施在HF患者护理中的潜在好处,等待进一步的强有力的证据.
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