电子健康和妊娠高血压疾病:系统性审查
Hillary Hu1,2,3, Nargis Noori3, Vincent Lee2,4
1Faculty of Medicine, The University of Sydney, Sydney, Australia.
Journal of medical Internet research
|September 10, 2025
概括
针对妊娠高血压疾病 (HDP) 的电子健康干预措施在改善血压监测和患者满意度方面表现有前途. 然而,目前的证据质量很低,限制了常规临床使用的建议.
科学领域:
- 产科和妇科 产科和妇科
- 数字健康数字健康
- 心血管健康 心血管健康
背景情况:
- 妊娠高血压障碍 (HDP) 影响高达10%的怀孕,对母亲和婴儿构成风险.
- 利用基于互联网的技术进行的电子健康干预,越来越多地被采用在医疗保健中,以改善结果.
研究的目的:
- 对患有或面临HDP风险的患者的电子健康干预措施进行系统审查.
- 评估这些数字健康战略的可行性,可接受性和临床结果.
主要方法:
- 对有关电子卫生干预和HDP的出版物进行了系统审查.
- 搜索包括诸如"远程医疗"",电子健康"",数字健康"",孕前"和"妊娠高血压"等术语.
- 在可能的情况下,对随机对照试验进行了元分析.
主要成果:
- 分析了100个出版物,其中有61539名参与者.
- 干预措施的重点是自我监测血压,数据传输和患者与医疗服务提供者的沟通.
- 电子卫生干预措施降低了再入院率,改善了血压检测和临床出诊率.
结论:
- 目前关于HDP电子卫生干预措施的证据质量不佳,不足以为例行临床建议.
- 这些干预措施似乎是可行的,安全的,对患者来说是可以接受的,具有减少医疗保健利用和改善随访的潜力.
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