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[使用移动健康技术的心力衰竭教育干预:系统评价]

[Education interventions in heart failure using m-Health: Systematic review].

作者信息

Camino Ortega Emma, Baroja Gil de Gómez Ana, González Gamarra Amelia, Cuevas-Budhart Miguel Angel, García Klepzig Jose Luis, Gómez Del Pulgar García-Madrid Mercedes

机构信息

Centro de Salud Goya, Servicio Madrileño de Salud (SERMAS), Madrid, España.

Unidad de Investigación Médica en Enfermedades Nefrológicas, CMN Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

出版信息

Aten Primaria. 2023 Nov;55(11):102734. doi: 10.1016/j.aprim.2023.102734. Epub 2023 Aug 26.

Abstract

OBJECTIVE

To provide the best scientific evidence available on the effectiveness of therapeutic education programs through digital health in patients with heart failure.

DESIGN

Systematic review of randomized clinical trials.

DATA SOURCES

Six databases were included due to their relevance in Health Sciences: PubMed, EMBASE, Scielo, Cochrane, CINAHL, and Web of Science.

SELECTION OF STUDIES

In English and Spanish, studies carried out between 2018 and 2023 were selected. After evaluating the methodological quality of the studies, the Jadad tool was used to discriminate those that did not meet said quality. In total, 8 articles from 6 different countries were included.

DATA EXTRACTION

The review and analysis of the documents were carried out by independent pairs. The Cochrane tool for RoB 2 randomized clinical trials was used to assess the risk of bias.

RESULTS

All the applications had therapeutic education, it was also assessed that they had monitoring, evaluation of signs and symptoms, drug titration, and professional follow-up through the application.

CONCLUSION

This review reveals the significant impact of therapeutic education in increasing patient knowledge, reducing hospital readmissions, and improving functional status and self-care. This makes digital health a valuable tool to complement nursing care in patients with heart failure.

摘要

目的

提供关于数字健康治疗教育项目对心力衰竭患者有效性的现有最佳科学证据。

设计

随机临床试验的系统评价。

数据来源

纳入六个因其与健康科学相关性的数据库:PubMed、EMBASE、Scielo、Cochrane、CINAHL和科学网。

研究选择

选择2018年至2023年间开展的英文和西班牙文研究。在评估研究的方法学质量后,使用雅达工具辨别不符合该质量的研究。总共纳入来自6个不同国家的8篇文章。

数据提取

由独立的两人小组对文献进行综述和分析。使用Cochrane的RoB 2随机临床试验工具评估偏倚风险。

结果

所有应用程序都有治疗教育内容,还评估了它们具有监测、体征和症状评估、药物滴定以及通过应用程序进行专业随访。

结论

本综述揭示了治疗教育在增加患者知识、减少医院再入院以及改善功能状态和自我护理方面的显著影响。这使得数字健康成为补充心力衰竭患者护理的有价值工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa08/10470284/e27aef5bfefd/gr1.jpg

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