数字工具在提前护理规划方面的有效性:系统审查协议
Ravi Shankar1,2, Fiona Devi3, Qian Xu3
1Clinical Research & Innovation Office, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore.
Frontiers in medicine
|January 29, 2026
概括
数字工具可以提高预先护理规划 (ACP) 的参与率和完成率,而这些参与率在全球范围内仍然很低. 本综述综合了关于数字卫生干预措施的证据,以确定针对不同人口的有效策略.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 预先护理规划 (ACP) 提高了终身护理质量和患者自主权,但在全球范围内完成率很低 (20%-40%).
- 数字健康技术提供了潜在的解决方案,以克服传统的障碍,以ACP参与.
- 现有的审查是分散的,专注于特定的人群或技术,限制了概括性.
研究的目的:
- 综合评估数字工具和干预措施在促进非洲和非洲国家和地区参与,完成和质量的有效性.
- 确定数字ACP的成功干预组件和实施策略.
- 为医疗保健提供者,政策制定者和技术开发者提供基于证据的见解.
主要方法:
- 按照PRISMA指南进行系统的文献审查,搜索八个数据库和灰色文献,直到2025年7月.
- 包括RCT,准实验和观察性研究,评估成人 (≥18岁) 的ACP数字健康干预措施.
- 干预措施包括网络平台,移动应用程序,视频辅助和远程医疗;结果包括参与,完成和讨论质量;使用RoB 2和ROBINS-I进行质量评估;叙事合成和元分析.
主要成果:
- 本节不适用于协议.
- 本节不适用于协议.
- 本节不适用于协议.
结论:
- 本系统审查协议概述了一种严格的方法,用于综合预先护理规划数字工具的证据.
- 结果将为有效的数字ACP干预措施的实施提供信息,并确定未来的研究缺口.
- 结果将指导医疗保健提供者,政策制定者和技术开发者优化数字ACP战略.
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