支持多病症自我管理的数字应用:一个范围审查
Lucy Smith1, Glenn Simpson1, Sian Holt1
1Primary Care Research Centre, University of Southampton, Southampton, UK.
International journal of medical informatics
|May 27, 2025
概括
数字工具在管理多病症方面表现有前途,但对老年人和工作年龄人口仍然存在证据差距. 未来的研究应该集中在理论驱动的,定制的数字干预措施上,以改善自我管理和结果.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 多病症 (两个或更多的长期疾病) 是医疗保健系统面临的日益挑战.
- 数字技术为个性化自我管理支持提供了可扩展的解决方案.
- 这些工具有可能改善多种疾病患者的获取,参与和量身定制的护理.
研究的目的:
- 综合当前关于成人多病症自我管理的数字应用程序的证据.
- 在这个群体中识别数字工具采用的好处,障碍和促进者.
主要方法:
- 进行了全面的范围审查.
- 在主要数据库 (PubMed,科学网,EMBASE等) 进行系统搜索. 在2024年1月16日之前进行.
- 从最初的1974篇文章中,包括了31项研究.
主要成果:
- 对于多病症自我管理的数字应用程序通常得到了很好的接受,有效性各不相同.
- 关键的好处包括增强的沟通,症状跟踪和患者自主权.
- 指出了隐私问题,患者负担和参与问题等障碍,这些障碍受到社会人口统计学和数字素养的影响.
结论:
- 目前的数字工具不足以应对数字素养较低的老年人以及具有多病症的劳动年龄人口.
- 更广泛的上下文因素对于采用数字工具至关重要.
- 未来的研究需要以理论为导向,根据疾病群和用户个人资料量身定制的工具开发,以改善高风险群体的自我管理和结果.
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