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开发用于炎症性肠病的移动健康应用程序:对功能和技术的系统评价

Developing Mobile Health Applications for Inflammatory Bowel Disease: A Systematic Review of Features and Technologies.

作者信息

Akbarian Parvin, Asadi Farkhondeh, Sabahi Azam

机构信息

Department of Health Information Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Health Information Technology, Ferdows Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

Middle East J Dig Dis. 2024 Oct;16(4):211-220. doi: 10.34172/mejdd.2024.394. Epub 2024 Oct 30.

Abstract

BACKGROUND

Patients with inflammatory bowel disease (IBD) require lifelong treatment, which significantly impacts their quality of life. Self-management of this disease is an effective factor in managing chronic conditions and improving patients' quality of life. The use of mobile applications is a novel approach to providing self-management models and healthcare services for patients with IBD. The present systematic review aimed to identify the features and technologies used in the development of IBD disease management applications.

METHODS

This systematic review was conducted according to PRISMA guidelines in PubMed, Scopus, and Web of Sciences databases up to August 8, 2023, which included initial searches, screening studies, assessing eligibility and risk of bias, and study selection. The data extraction form was based on the study objectives, including bibliographic information from articles, such as the first author's name, year of publication, country of origin, and details related to mobile health applications, such as the name of the application, features and technologies used, advantages and disadvantages, main outcomes, and other results. The content of the research was analyzed according to the research objectives.

RESULTS

In the initial review of four databases, a total of 160 articles were retrieved and subsequently entered into EndNote. After removing duplicates and irrelevant studies based on title, abstract, and full-text assessments, 12 articles were finally selected. The studies were conducted between the years 2015 and 2024. 100% of the applications designed for patients with IBD were aimed at treatment, 83% were for self-management of the disease, and 33% of the applications were intended for disease diagnosis. The features of IBD management applications were categorized into four groups: education, monitoring, counseling, and diagnosis and treatment.

CONCLUSION

Various mobile applications have been developed for the management of IBD, each differing in features and technologies used. While current IBD applications have limited capabilities in diagnosing disease severity, they still hold significant potential in empowering patients through education, counseling, and monitoring. The integration of artificial intelligence and decision support systems may enhance the effectiveness and reliability of these applications.

摘要

背景

炎症性肠病(IBD)患者需要终身治疗,这对他们的生活质量有重大影响。这种疾病的自我管理是管理慢性病和提高患者生活质量的一个有效因素。使用移动应用程序是为IBD患者提供自我管理模式和医疗服务的一种新方法。本系统评价旨在确定IBD疾病管理应用程序开发中使用的功能和技术。

方法

本系统评价按照PRISMA指南在截至2023年8月8日的PubMed、Scopus和科学网数据库中进行,包括初步检索、筛选研究、评估纳入资格和偏倚风险以及研究选择。数据提取表基于研究目标,包括文章的书目信息,如第一作者姓名、出版年份、原产国,以及与移动健康应用程序相关的详细信息,如应用程序名称、使用的功能和技术、优缺点、主要结果和其他结果。根据研究目标对研究内容进行分析。

结果

在对四个数据库的初步检索中,共检索到160篇文章,随后录入EndNote。在根据标题、摘要和全文评估去除重复和不相关的研究后,最终选择了12篇文章。这些研究在2015年至2024年期间进行。为IBD患者设计的应用程序中,100%旨在治疗,83%用于疾病自我管理,33%的应用程序用于疾病诊断。IBD管理应用程序的功能分为四类:教育、监测、咨询以及诊断和治疗。

结论

已经开发了各种用于IBD管理的移动应用程序,每个应用程序在使用的功能和技术方面都有所不同。虽然目前的IBD应用程序在诊断疾病严重程度方面能力有限,但它们在通过教育、咨询和监测增强患者能力方面仍具有巨大潜力。人工智能和决策支持系统的整合可能会提高这些应用程序的有效性和可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae46/11725021/fe34648f1cd0/mejdd-16-211-g001.jpg

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