针对术后患者报告结果的数字健康干预:一个网络元分析
Ziyue Luo1,2, Ruihao Zhou1,2, Jingwen Wei3
1Department of Anesthesiology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.
数字健康干预措施 (DHIs) 显示出改善手术后患者结果的希望. 扩展现实 (XR) 和移动应用程序有效减少焦虑和疼痛,提高生活质量.
科学领域:
- 数字健康数字健康
- 外科手术的结果
- 患者报告的结果
背景情况:
- 数字健康干预措施 (DHIs) 可能会提高手术环境中的患者报告结果 (PROs).
- 不同DHIs的比较有效性尚未得到充分证实.
研究的目的:
- 进行一个网络元分析,比较不同DHIs的有效性,以改善成年人接受选择性手术的术后PRO.
- 综合随机对照试验 (RCT) 的证据,以告知临床实践.
主要方法:
- 在主要数据库中识别到2025年3月1日的56个RCT (6,154名患者) 的网络元分析.
- 评估结果包括焦虑,疼痛,生活质量和满意度.
- 使用RoB 2评估偏差风险,使用GRADE评估证据确定性.
主要成果:
- 扩展现实 (XR) 显著减少了外科手术期间的焦虑 (中度确定性证据).
- 移动应用程序和XR在减少手术后疼痛方面表现出可能的有效性 (中度确定性证据).
- 2D视频干预显示了生活质量的最大改善 (高确定性证据),而XR提高了患者满意度 (中等确定性证据).
结论:
- DHI,特别是XR和移动应用程序,显示了改善关键外科手术期间患者报告结果的潜力.
- 对于不同的结果,特定的DHI可能更有效,建议量身定制的干预措施.
- 进一步的研究可以优化DHI的使用,以增强手术患者的恢复和经验.
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