University of Alabama, Tuscaloosa, AL, USA.
J Telemed Telecare. 2018 Jul;24(6):392-403. doi: 10.1177/1357633X17706285. Epub 2017 Apr 27.
Introduction Given the rapid global growth of older adults with chronic condition(s), the present study explored the effects of telehealth technologies on self-management among older adults with chronic condition(s). Methods Clinical trial studies on telehealth self-management for older adults with chronic condition(s) published in peer reviewed journals were reviewed systematically. In addition, the potential biases were assessed for included studies. Results This review identified 31 articles regarding the effectiveness of telehealth technologies on self-management among older adults. Discussion According to the findings of the present study, telehealth technologies have shown effectiveness on improving self-care skills, improving self-monitoring behaviours and improving clinical outcomes among older adults with chronic condition(s) in different settings. Using telehealth technologies is an advisable intervention for promoting older patients' self-management. However, it is critical to consider racial diversity and culture-related health behaviour differences when using telehealth technologies.
介绍 鉴于患有慢性疾病的老年人在全球范围内的快速增长，本研究探讨了远程医疗技术对患有慢性疾病的老年人自我管理的影响。
方法 系统地回顾了发表在同行评议期刊上的关于远程医疗自我管理对患有慢性疾病的老年人影响的临床试验研究。此外，还评估了纳入研究的潜在偏倚。
结果 本综述确定了 31 篇关于远程医疗技术对慢性疾病老年人自我管理有效性的文章。
讨论 根据本研究的结果，远程医疗技术已显示出在不同环境中提高慢性病老年人自我护理技能、改善自我监测行为和改善临床结果的有效性。使用远程医疗技术是促进老年患者自我管理的一种可行干预措施。然而，在使用远程医疗技术时，必须考虑种族多样性和与文化相关的健康行为差异。
