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Updated: Feb 13, 2026

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手机应用程序在手术后增强恢复:对协议遵守和结果的系统审查
Paula Duarte D'Ambrosio1, Felipe S Passos2, Rachid Eduardo Noleto da Nobrega Oliveira3
1Department of Thoracic Surgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo (FMUSP), São Paulo, Brazil.
mHealth
|February 12, 2026
概括
移动健康应用程序可以增强对手术后增强恢复 (ERAS) 协议的遵守,改善患者的康复和参与. 有证据表明,这些工具支持早期动员和口服摄入,而不会增加并发症.
科学领域:
- 在外科手术期间的医学.
- 数字健康数字健康
- 外科手术的结果
背景情况:
- 手术后增强恢复 (ERAS) 计划旨在优化手术患者的恢复并减少并发症.
- 患者遵守复杂的ERAS协议是一个持续的挑战.
- 移动健康 (mHealth) 应用程序提供了一个潜在的解决方案,以改善ERAS途径的遵守和结果.
研究的目的:
- 在ERAS计划中,系统地审查移动应用程序对协议遵守,康复质量和手术患者的临床结果的影响.
- 评估移动健康工具在支持遵守ERAS组件方面的有效性.
- 评估移动应用程序对患者康复指标和不良事件的影响.
主要方法:
- 在PubMed,EMBASE和Cochrane图书馆进行了系统的文献搜索,截至2025年2月.
- 包括比较ERAS护理与没有移动应用程序支持的研究.
- 主要结果是遵守ERAS协议;次要结果包括康复质量,满意度,并发症,停留时间和再录取.
主要成果:
- 涉及1623名患者的8项研究表明,移动应用程序改善了对ERAS组件的遵守,例如早期动员和口服摄入.
- 一些研究表明,康复质量-15分数和患者满意度有所改善,尽管并不总是统计学上显著.
- 没有报告并发症的增加;一些研究指出重新入院减少,感染和更好的疼痛控制.
结论:
- 移动医疗应用在提高ERAS协议中的坚持,恢复质量和患者参与方面表现有前途.
- 这些数字工具似乎是安全的,没有证据表明增加了不良结果.
- 由于目前证据质量和异质性的局限性,需要进一步进行高质量的随机对照试验.
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