对电子监测进行系统审查,以增加患有喘儿童的药物坚持
Maryam Hassani1, Jennifer Barrows2, Sean D Young1
1University of California, Irvine, California, USA.
Pediatric pulmonology
|October 28, 2025
概括
电子监测设备 (EMD) 在改善喘儿童吸入性皮质类固醇 (ICS) 附着性方面表现有前途. 这些可穿戴设备可以提高药物坚持和喘控制,尽管仍然需要全面的策略.
科学领域:
- 儿科肺病学 儿科肺病学
- 数字健康数字健康
- 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗
背景情况:
- 儿童的喘管理通常是由于吸入性皮质类固醇 (ICS) 的不良坚持.
- 这种不遵守导致严重的健康问题,包括恶化,急诊室访问,住院和死亡率.
- 电子监测设备 (EMD) 提供了一种潜在的解决方案,以改善坚持和结果,但它们在儿科患者群体中的使用需要进一步调查.
研究的目的:
- 系统地审查EMDs的可行性和有效性,以改善喘儿童的ICS坚持.
- 评估EMD对喘控制和儿科患者医疗保健利用的影响.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 在PubMed和CINAHL中使用与喘,EMD和药物坚持相关的关键词进行了搜索.
- 纳入标准规定了英语,自2000年以来发表的同行评审文章,涉及EMD对21岁以下喘患者的ICS遵守的参与者.
主要成果:
- 14项研究 (持续时间2-12个月) 符合标准,招聘率可变,保留率高.
- 一般来说,EMD被发现是可行的,对参与者来说是可以接受的.
- 六项研究显示,ICS对EMD和反的遵守程度有所改善,七项研究报告了更好的喘控制,四项研究表明急诊室访问和住院减少.
结论:
- 脑电阻器,特别是持续反的脑电阻器,可以增强喘息儿童的吸入性皮质类固醇坚持.
- 虽然EMD证明了有效性,但不一致的结果强调了综合方法的必要性,以解决最佳喘管理的行为和系统因素.
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