通过手机进行干预,以改善慢性阻塞性肺病患者对处方治疗的坚持:系统性审查
Andrea Paleo1, Catalina Carretta1, Francisca Pinto1
1School of Kinesiology, University of La Serena, La Serena 1700000, Chile.
Advances in respiratory medicine
|April 25, 2025
概括
移动健康 (mHealth) 干预措施显示了改善慢性阻塞性肺病 (COPD) 治疗坚持的潜力,特别是运动和症状监测. 然而,目前的证据是不一致的,需要进一步高质量的研究临床实施.
科学领域:
- 肺部医学 肺部医学
- 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:
- 慢性阻塞性肺病 (COPD) 对患者的治疗坚持提出了重大挑战.
- 需要有效的策略来支持这种渐进性呼吸系统疾病的长期管理.
研究的目的:
- 系统地审查移动健康 (mHealth) 干预措施与传统疗法的有效性,以改善COPD患者的治疗坚持.
- 评估特定的移动健康应用程序,如药物提醒和远程监控.
主要方法:
- 系统审查13个随机对照试验和比较队列研究发表到2023年7月.
- 搜索了MEDLINE,WEB OF SCIENCE和SCOPUS数据库,发现了4688个记录.
- 两名独立审稿人进行的研究选择,第三名审稿人解决差异.
主要成果:
- 在一些研究中,移动健康干预措施显示了治疗坚持度的改善,特别是在运动和症状监测方面.
- 关于mHealth对COPD的整体有效性的证据在包括的研究中不一致.
- 结果的变化凸显了对最佳的移动健康设计和实施进行进一步调查的需要.
结论:
- 移动健康干预措施有望提高COPD治疗坚持.
- 需要更高质量的,具有强大的设计的研究来证实这些潜在的益处,并指导临床采用.
- 进一步的研究对于确定mHealth在COPD管理中的最终作用至关重要.
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