离院后在门诊手术中的数字健康技术干预:系统性审查和元分析
Signe Berit Bentsen1, Mi Stjernberg, Johan Ræder
1From the Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway (SBB, GEE, PAH), the Department of Operating Services, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway (SBB), the Department of Postoperative and Intensive Care Nursing, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway (MS), the Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway (MS, JR), the Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway (MS), the Department of Anaesthesiology, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway (JR), the Library, Western Norway University of Applied Sciences, Bergen, Norway (MNT), the Section for Competence and Education, Førde Central Hospital, Førde, Norway (PAH).
数字健康干预措施 (DHIs) 通过减少症状和成本,显示出改善外科手术后康复的潜力. 然而,由于证据有限和发现不一致,需要更多的研究.
科学领域:
- 数字健康数字健康
- 术后恢复 术后恢复
- 医疗信息学 医疗信息学
背景情况:
- 门诊手术涉及患者早期出院,需要有效的医院外随访策略.
- 数字健康干预 (DHI) 为出院后的护理提供了潜在的解决方案,但缺乏系统性审查.
- 本综述通过评估户外外科手术随访中的DHI来解决这一差距.
研究的目的:
- 系统地审查和分析DHI在门诊手术后对患者安全,体验和效率的影响.
- 综合随机对照试验 (RCT) 关于DHI在出院后环境中的有效性的证据.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 在主要数据库 (MEDLINE,EMBASE,CINAHL,Cochrane Library,Scopus) 进行了搜索,截至2024年10月.
- 纳入标准侧重于成人门诊外科手术患者使用DHI退院后,与标准护理相比.
主要成果:
- 分析了涉及1397名患者的6项RCT.
- 在平均疼痛强度或意外医疗接触方面没有发现显著差异.
- 使用DHIs的患者报告症状减少 (例如,睡眠障碍,情绪波动,伤口问题),成本降低,福祉改善.
结论:
- 胃肠道阻断剂可以缓解某些出院后的症状,并降低门诊手术患者的成本,提高生活质量.
- 然而,目前的证据受限于少数研究,一些相互矛盾的结果和证据的低确定性.
- 需要进一步的高质量研究来确认这些潜在的好处,并解决现有的不确定性.
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