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数字健康技术在应对 COVID-19 大流行中的远程护理应用:范围综述。

Digital health technology for remote care in response to the COVID-19 pandemic: a scoping review.

机构信息

Department of Occupational Therapy, College of Rehabilitation Sciences, University of Manitoba, Winnipeg (MB), Canada.

出版信息

Eur Rev Med Pharmacol Sci. 2021 Apr;25(8):3386-3394. doi: 10.26355/eurrev_202104_25751.

Abstract

COVID-19 pandemic has forced the emergency deployment of digital health technology (DHT) to provide remote care. DHT is a promising option to enable telehealth, and, by the same token, it contributes to the implementation of social distance measures. The objective of this scoping review is to investigate existing DHT solutions that have been put in place to enable remote care in response to the COVID-19 pandemic. Structured literature searches were performed in Medline (Ovid), Scopus and CINAHL with Full Text (EBSCOhost), with a mix of keywords and controlled vocabulary unique to each database. The librarian utilized the search strategy on respiratory pandemics created in April 2020 for Medline (Ovid) by Canadian Agency for Drugs and Technology in Health (CADTH). An additional search for grey literature was performed including pre-prints and reports in Google Advanced, LitCovid and MedRx. Two independent reviewers assessed the articles retrieved from the databases (n=131) based on pre-established inclusion criteria and included six articles. Analysis of the results revealed six different types of DHT, including 5 dedicated to telemedicine and one used to track activity of people who were confined to their homes. The results showed positive health-related outcomes and user behavior outcomes. This review revealed that there is limited literature on the use of DHT to enable remote care in response to a pandemic and therefore calls for more documentation of the ongoing deployment of DHTs to support patient safety and the delivery of quality care during the COVID-19 pandemic and beyond.

摘要

COVID-19 大流行迫使紧急部署数字医疗技术 (DHT) 以提供远程护理。DHT 是实现远程医疗的有前途的选择,并且同样有助于实施社交距离措施。本范围综述的目的是调查为应对 COVID-19 大流行而已经实施的远程护理的现有 DHT 解决方案。在 Medline (Ovid)、Scopus 和 CINAHL with Full Text (EBSCOhost) 中进行了结构化文献检索,使用了每个数据库特有的关键字和受控词汇的组合。图书馆员利用加拿大药物和技术评估机构 (CADTH) 于 2020 年 4 月为 Medline (Ovid) 创建的针对呼吸道流行病的搜索策略。还在 Google Advanced、LitCovid 和 MedRx 中进行了针对灰色文献的额外搜索,包括预印本和报告。两名独立评审员根据预先确定的纳入标准评估了从数据库中检索到的文章(n=131),并纳入了 6 篇文章。对结果的分析揭示了六种不同类型的 DHT,其中 5 种专门用于远程医疗,1 种用于跟踪被限制在家中的人的活动。结果显示出积极的健康相关结果和用户行为结果。本综述表明,关于在大流行期间使用 DHT 实现远程护理的文献有限,因此呼吁更多地记录正在部署的 DHT,以支持 COVID-19 大流行期间和之后的患者安全和提供高质量的护理。

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