移动健康技术在围手术期脊柱护理中的作用:一项系统综述和叙述性综合分析

The Role of Mobile Health Technology in Perioperative Spinal Care: A Systematic Scoping Review and Narrative Synthesis.

作者信息

Hayat Jafar, Ramadhan Mohammed, Gonnah Ahmed R, Alfadhli Alwaleed, Al-Naseem Abdulrahman O

机构信息

General Surgery, Sheikh Jaber Al-Ahmad Al-Sabah Hospital, Kuwait City, KWT.

Medicine, Ministry of Health, Kuwait, Hawally, KWT.

出版信息

Cureus. 2024 Feb 15;16(2):e54254. doi: 10.7759/cureus.54254. eCollection 2024 Feb.

Abstract

Smartphone applications play a crucial role in contemporary healthcare by aiming to enhance patient care through technology. Mobile health (mHealth) applications have proven to have transformative potential in enhancing patients' outcomes in candidates undergoing orthopedic and spinal surgery. In the context of the pervasive use of smartphones and the exponential growth of mHealth apps, totaling over 99,000 in 2021, the applications had a significant impact on lifestyle management, supporting initiatives like smoking cessation with motivational reminders and progress tracking. Patient compliance is significantly enhanced, reducing surgery cancellations and improving outcomes through effective adherence to pre-operative treatments and instructions. Physiotherapy receives a substantial boost as mHealth facilitates video-guided exercises, potentially improving compliance and treatment outcomes. Data collection takes on innovative dimensions, with mHealth apps capturing post-operative metrics like physical activity, offering valuable insights into patient recovery trends. Remote care is streamlined through features like photo uploads and direct messaging, proving especially beneficial in times of crises such as the COVID-19 pandemic. Despite these merits, challenges emerge, including issues related to technological literacy, potential discrimination due to paywalls, and concerns about patient data confidentiality. Overcoming these challenges requires standardized approaches, legislative measures, and ongoing research to refine and optimize mHealth applications for diverse healthcare settings.

摘要

智能手机应用程序在当代医疗保健中发挥着关键作用,旨在通过技术提升患者护理水平。移动健康(mHealth)应用程序已被证明在改善接受骨科和脊柱手术患者的治疗效果方面具有变革潜力。在智能手机广泛使用以及mHealth应用程序呈指数级增长的背景下(2021年此类应用程序总数超过99000个),这些应用程序对生活方式管理产生了重大影响,通过提供激励提醒和进展跟踪等方式支持戒烟等举措。患者的依从性显著提高,通过有效遵守术前治疗和指示,减少了手术取消情况并改善了治疗效果。随着mHealth促进视频指导锻炼,物理治疗得到了极大推动,这可能会提高依从性和治疗效果。数据收集呈现出创新维度,mHealth应用程序可捕捉术后身体活动等指标,为患者恢复趋势提供有价值的见解。通过照片上传和直接消息传递等功能简化了远程护理,在诸如新冠疫情等危机时期尤其有益。尽管有这些优点,但也出现了一些挑战,包括与技术素养相关的问题、付费墙可能导致的歧视以及对患者数据保密性的担忧。克服这些挑战需要标准化方法、立法措施以及持续研究,以便针对不同的医疗保健环境改进和优化mHealth应用程序。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/632a/10944329/c437da00bf38/cureus-0016-00000054254-i01.jpg

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