对于心房的自我管理的移动应用:系统的搜索和评估
Wojciech Losos1,2, Carrie Shao1,2, Biqi Wang1,2
1Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States of America.
medRxiv : the preprint server for health sciences
|July 17, 2025
概括
用于心房动 (AF) 自主管理的移动应用程序显示出希望,但缺乏全面的临床整合. 需要进一步开发以创建高质量的,基于证据的数字工具,以改善患者参与和结果.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗信息学 医疗信息学
背景情况:
- 心房动 (AF) 是一种普遍的心律失常,与中风,心力衰竭和医疗保健支出增加的风险有关.
- 有效的患者自我管理对于改善AF结果至关重要,但持续参与自我护理策略仍然是一个重大挑战.
- 移动健康 (mHealth) 应用程序为增强AF自我管理提供了潜在的解决方案,但其质量和临床相关性需要进行系统评估.
研究的目的:
- 系统评估可用于心房动自我管理的可用移动应用程序的质量和临床一致性.
- 确定这些应用程序的共同特征,并评估这些应用程序是否遵守基于证据的护理指南.
主要方法:
- 在果应用商店和谷歌游戏商店进行了结构化的搜索,寻找免费的英语AF自我管理应用程序.
- 应用程序根据包括诸如症状跟踪,药物提醒或教育内容等功能而进行了资格选.
- 移动应用程序评级表 (MARS) 用于评估应用程序在参与度,功能,美学和信息方面的质量.
主要成果:
- 在455个确定的应用中,只有5个满足了所有纳入标准.
- 共同特征包括症状和药物跟踪,但基于证据的护理领域的覆盖范围不一致.
- 平均MARS分数从4.07到4.53不等,高分的应用程序在功能和信息质量方面表现出色,但往往缺乏指导方针推的功能,如中风风险评估或个性化反.
结论:
- 在高质量,经过临床验证的数字工具中存在一个显著的差距,以支持心房的自我护理.
- 加强共同设计流程和建立更清晰的评估框架对于开发有效的AF自我管理的mHealth工具至关重要.
- 未来的数字健康解决方案应优先考虑全面整合指南推的护理,以最大限度地提高患者的益处.
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