Colorafi Karen
College of Nursing, Washington State University, Spokane, WA, USA.
Mhealth. 2016 Apr 14;2:13. doi: 10.21037/mhealth.2016.03.09. eCollection 2016.
The presence of social support, and more recently, connection, has been linked to multiple health benefits and longevity measures and the lack of connection is associated with premature morbidity and mortality. Connected health is a growing industry, and we were interested in determining whether or not scholars in the field have established the ways in which technology could facilitate or promote connection between patients and healthcare providers. This integrative literature review sought to collect and analyze research studies addressing social support or connection in a sample of patients with diabetes to evaluate the social support or connection metrics in use, the type of technology deployed by researchers to achieve connection, and to assess the state of the science in this area. We hypothesized that being connected to someone who cares is good for your health. We believe this holds true even when connection is accomplished with mobile technologies. Thirty five studies were included in this review, 21 utilized technology to enhance patient-provider connection. The articles included in this review were from a total of more than nine countries and took place in hospital, physician office, and community settings. They represented people from childhood through to old age. Technologies evaluated include: telephone interventions, email, text messaging, interactive voice response (IVR), video blogs, apps, websites, and social media. There were multiple operational definitions of social support and self-management used as variables within the studies. Findings from this review suggest that being connected does matter to patients with diabetes, and being connected to family matters the most, even though the associations are complex and not always predictable. Furthermore, patients with diabetes will utilize a variety of technologies to connect with healthcare providers, team members, and even other people with the same disease. The use of technology with diabetes patients positively impacts a variety of health outcomes, such as HbA1c, weight, physical activity, healthy eating, cholesterol and frequency of glycemic monitoring.
社会支持以及最近出现的人际联结与多种健康益处和长寿指标相关联，而缺乏人际联结则与过早发病和死亡有关。移动健康是一个不断发展的行业，我们感兴趣的是确定该领域的学者是否已经确立了技术能够促进患者与医疗服务提供者之间联结的方式。这篇综合性文献综述旨在收集和分析针对糖尿病患者样本中社会支持或人际联结的研究，以评估所使用的社会支持或人际联结指标、研究人员为实现联结而部署的技术类型，并评估该领域的科学现状。我们假设与关心自己的人建立联结有益健康。我们相信，即使通过移动技术实现联结，这一点依然成立。本综述纳入了35项研究，其中21项利用技术来增强患者与提供者之间的联结。本综述纳入的文章来自总共九个以上的国家，研究场景包括医院、医生办公室和社区。研究对象涵盖了从儿童到老年的各个年龄段。评估的技术包括：电话干预、电子邮件、短信、交互式语音应答（IVR）、视频博客、应用程序、网站和社交媒体。研究中使用了多种社会支持和自我管理的操作定义作为变量。本综述的结果表明，建立联结对糖尿病患者确实很重要，与家人建立联结最为重要，尽管这种关联很复杂且并非总是可预测的。此外，糖尿病患者会利用各种技术与医疗服务提供者、团队成员甚至其他患有相同疾病的人建立联结。对糖尿病患者使用技术对多种健康结果产生积极影响，如糖化血红蛋白（HbA1c）、体重、身体活动、健康饮食、胆固醇和血糖监测频率。
