为患有慢性疾病的患者开发护士主导的移动健康干预框架:系统性审查和德尔菲研究
Jianing Hua1, Dan Sun1, Huihong Wang2
1Burn & Trauma Treatment Center, Affiliated Hospital of Jiangnan University, Wuxi, Jiangsu, China.
Digital health
|October 24, 2025
概括
这项研究开发了一个由护士领导的22项移动健康 (mHealth) 干预框架,用于慢性疾病管理. 该框架使用系统审查和Delphi方法创建,为移动健康实施提供基于证据的基础.
科学领域:
- 护理 护理 护理
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 移动健康 (mHealth) 对慢性疾病管理至关重要,提供以患者为中心的护理.
- 现有的护士领导的移动健康解决方案往往缺乏经验支持.
- 需要一个结构化的框架来指导有效的移动健康实施.
研究的目的:
- 为护士主导的移动健康 (mHealth) 干预制定一个全面的框架.
- 支持mHealth在慢性疾病管理中的实施.
- 为移动医疗服务建立一个强大的经验基础.
主要方法:
- 对PubMed,科学网,科克兰图书馆,CNKI和万芳数据库进行系统审查.
- 德尔菲方法涉及13名护理专家在两个轮.
- 使用利克特优先级表 (1-5) 建立共识.
主要成果:
- 从16篇审查文章中确定了36个潜在的框架项目.
- 通过专家共识提炼项目,删除7个项目并合并6.
- 完成了22项框架,包括三个领域:医院前,医院内和医院后的连续性.
结论:
- 德尔菲批准的22项框架为护士领导的移动健康干预提供了基于证据的基础.
- 强调需要一个结构化干预框架的mHealth.
- 强调将框架实际集成到现有的移动健康系统中.
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