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移动医疗在膝骨关节炎自我管理中的应用:范围综述。

mHealth for the Self-management of Knee Osteoarthritis: Scoping Review.

机构信息

Department of Physical Therapy, School of Health Sciences, Shinshu University, Matsumoto, Japan.

Department of Rehabilitation, Hanamizuki Orthopedics Sports Clinic, Kiyosu, Japan.

出版信息

J Med Internet Res. 2023 May 8;25:e38798. doi: 10.2196/38798.

Abstract

BACKGROUND

Educating patients on the self-management of knee osteoarthritis (OA) reportedly reduces pain, improves activities of daily living, and even reduces health care costs.

OBJECTIVE

This scoping review will summarize the current evidence on mobile health (mHealth) and smartphone app-based disease self-management for patients with knee OA.

METHODS

PubMed, Web of Science, the Cochrane Central Register of Controlled Trials, and CINAHL were systematically searched in May 2021 using the keywords "knee osteoarthritis," "mobile health," and "self-management." Studies that investigated patients with knee OA based on radiography or clinical diagnosis were included. The following criteria were applied to the mobile phone apps included in the search-derived studies: the ability to (1) record and manage symptoms, (2) provide patient education, and (3) guide and record activities of daily living. Studies eligible for inclusion in this scoping review were interventional trials or observational studies published in English.

RESULTS

This scoping review included 8 reports, of which 3 were randomized controlled trials and 1 was a conference abstract. Most studies provided data on the outcomes of pain, physical function, and quality of life.

CONCLUSIONS

An increasing number of reports are addressing the effectiveness of mHealth in patients with knee OA, and the data suggest that mHealth efficacy is similar to conventional management of health.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.17504/protocols.io.buuxnwxn.

摘要

背景

据报道,对膝骨关节炎 (OA) 患者进行自我管理教育可减轻疼痛、改善日常生活活动能力,甚至降低医疗保健费用。

目的

本范围综述将总结移动健康 (mHealth) 和基于智能手机应用的疾病自我管理在膝骨关节炎患者中的现有证据。

方法

2021 年 5 月,我们系统地检索了 PubMed、Web of Science、Cochrane 中央对照试验注册库和 CINAHL,使用的关键词为“膝骨关节炎”“移动健康”和“自我管理”。纳入基于影像学或临床诊断的膝骨关节炎患者的研究。对搜索结果研究中包含的手机应用程序采用了以下标准:(1)记录和管理症状的能力;(2)提供患者教育的能力;(3)指导和记录日常生活活动的能力。符合本范围综述纳入标准的研究为发表在英文期刊上的干预性试验或观察性研究。

结果

本范围综述纳入了 8 项报告,其中 3 项为随机对照试验,1 项为会议摘要。大多数研究提供了关于疼痛、身体功能和生活质量结局的数据。

结论

越来越多的报告关注 mHealth 在膝骨关节炎患者中的有效性,数据表明 mHealth 的疗效与传统健康管理相似。

国际注册报告识别码(IRRID):RR2-10.17504/protocols.io.buuxnwxn。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9bc/10203920/d495fab294db/jmir_v25i1e38798_fig1.jpg

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