电子健康支持的心脏衰竭的自我管理和远程监测:随机对照试验的系统审查和元分析
Derren Rampengan1, Stevanus Surya2, Diski Saisa3
1Medical Doctor Program, Faculty of Medicine, Universitas Sam Ratulangi - Prof Dr RD Kandou Central General Hospital, Manado, North Sulawesi, Indonesia.
Heart international
|December 11, 2025
概括
电子健康干预措施显著减少了心力衰竭 (HF) 患者入院的数量. 虽然对死亡率和生活质量的影响需要进一步研究,但电子健康是改善高风险自我管理的宝贵工具.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 电子健康促进了健康信息交换,家庭监测和患者对心力衰竭 (HF) 自主管理的赋权.
- 有效的自我管理对于患有慢性疾病的患者至关重要,如HF.
研究的目的:
- 评估电子卫生干预措施在改善心力衰竭患者自我管理方面的有效性.
主要方法:
- 37项随机对照试验的系统审查和元分析,涉及13,366名参与者.
- 在多个数据库 (Cochrane,PubMed,Scopus等) 进行了搜索. 截至 2025 年 2 月 25 日.
- 使用Cochrane风险偏差2.0评估研究质量,并使用Review Manager软件分析数据.
主要成果:
- 电子卫生干预措施显著减少了与HF相关的住院病例 (OR:0.73).
- 在所有原因死亡率 (OR:0.93),心血管死亡率 (OR:0.85) 或与HF相关的知识 (SMD:0.53) 中没有发现显著差异.
- 生活质量在明尼苏达州总分 (MD: -7.25) 上呈现了边缘性改善.
结论:
- 将电子健康,特别是远程医疗纳入标准的高频护理,大大减少了住院患者的数量.
- 电子健康对死亡率,生活质量和知识的影响需要进一步研究.
- 标准化电子健康整合是一种务实的策略,旨在提高HF管理和患者的治疗成果.
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