鉴定出院后中风和心肌梗塞患者的移动卫生干预措施:一个范围审查
Nermeen Bashar1, Salima Saleem Aamdani2,3, Shantul Khalid4
1Department of Medicine, Aga Khan University, Karachi, Pakistan.
BMJ open
|July 30, 2025
概括
移动健康 (mHealth) 干预措施对心肌梗塞 (MI) 和中风患者的出院后护理有希望. 然而,女性的代表性不足和来自低收入国家的有限数据凸显了对包容性,以用户为中心的设计的需求.
科学领域:
- 心血管医学 心血管医学
- 神经学 神经学
- 数字健康数字健康
背景情况:
- 心肌梗塞 (MI) 和中风患者的出院后护理面临着由于沟通碎片化和协调不良的挑战.
- 移动健康 (mHealth) 提供了一个潜在的解决方案,以改善护理连续性和二次预防.
- 关于移动健康干预措施在这些患者群体中的有效性和实施情况的数据有限.
研究的目的:
- 系统地审查和评估现有的关于MI和中风患者出院后护理的mHealth干预措施的文献.
- 确定共同的移动健康策略,研究结果和参与者人口统计数据.
- 评估证据的质量,并确定当前研究中的差距.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 从2016年7月到2024年7月,在PubMed,CINAHL,Scopus和Cochrane数据库中进行了搜索.
- 符合条件的研究包括随机对照试验和观察性研究,评估mHealth干预措施,以治疗出院后的MI和中风护理,重点关注死亡率,功能能力,再入院和不良事件等结果.
主要成果:
- 包括31项涉及14631名参与者的研究,平均年龄为59.9岁;大多数参与者是男性.
- 移动应用程序是最常见的干预措施 (17项研究),通常与远程传感器或短信相结合.
- 多模式远程康复显示出比单模式移动健康干预更好的结果,功能能力和生活质量是最被评估的结果.
结论:
- 退院后的MI和中风护理的mHealth采用正在增加,但存在显著的差异,包括女性参与者的代表性不足和来自中低收入国家的有限研究.
- 虽然移动健康干预措施通常显示出积极的结果,但必须解决导致数字差距的背景因素.
- 未来的研究和政策应该优先考虑包容性,以用户为中心的设计,并整合客观的测量工具.
更多相关视频
相关概念视频
01:28Acute Coronary Syndrome IV: Interprofessional Care
29
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
29
01:23Atherosclerosis IV: Nursing Management
51
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
51
01:27Coronary Artery Disease V: Interprofessional Care
33
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
33
01:22Myocarditis IV: Nursing Management
28
Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
28
01:29Cardiomyopathy V: Interprofessional Care
34
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
34
01:27Peripheral Artery Disease III: Interprofessional Care
29
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
29