移动医疗应用程序在慢性阻塞性肺疾病患者自我管理中的应用：系统评价和荟萃分析其疗效。
Mobile health applications in self-management of patients with chronic obstructive pulmonary disease: a systematic review and meta-analysis of their efficacy.
机构信息
School of Nursing, Hubei University of Chinese Medicine, Wuhan, China.
Research Support Center, Brigham Young University, Provo, UT, USA.
出版信息
BMC Pulm Med. 2018 Sep 4;18(1):147. doi: 10.1186/s12890-018-0671-z.
BACKGROUND
Mobile health applications are increasingly used in patients with Chronic Obstructive Pulmonary Disease (COPD) to improve their self-management, nonetheless, without firm evidence of their efficacy. This meta-analysis was aimed to assess the efficacy of mobile health applications in supporting self-management as an intervention to reduce hospital admission rates and average days of hospitalization, etc. METHODS: PubMed, Web of Science (SCI), Cochrane Library, and Embase were searched for relevant articles published before November 14th, 2017. A total of 6 reports with randomized controlled trials (RCTs) were finally included in this meta-analysis.
RESULTS
Patients using mobile phone applications may have a lower risk for hospital admissions than those in the usual care group (risk ratio (RR) = 0.73, 95% CI [0.52, 1.04]). However, there was no significant difference in reducing the average days of hospitalization.
CONCLUSION
Self-management with mobile phone applications could reduce hospital admissions of patients with COPD.
背景
移动医疗应用程序在慢性阻塞性肺疾病（COPD）患者中越来越多地被用于改善自我管理，但缺乏其疗效的确凿证据。本荟萃分析旨在评估移动医疗应用程序作为干预措施支持自我管理以降低住院率和平均住院天数等的疗效。
方法
检索了 PubMed、Web of Science（SCI）、Cochrane Library 和 Embase 中截至 2017 年 11 月 14 日发布的相关文章。最终共有 6 项随机对照试验（RCT）的报告纳入本荟萃分析。
结果
使用手机应用程序的患者的住院风险可能低于常规护理组（风险比（RR）=0.73，95%CI [0.52, 1.04]）。然而，在减少平均住院天数方面没有显著差异。
结论
使用手机应用程序进行自我管理可以降低 COPD 患者的住院率。
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