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印度利用移动健康技术干预措施改善高血压和糖尿病管理与控制的效果——一项系统评价

Effectiveness of mobile health technology-enabled interventions to improve management and control of hypertension and diabetes in India- a systematic review.

作者信息

Huda Ramesh Kumar, Chowhan Rahul Singh, Seervi Dileep

机构信息

ICMR-National Institute for Implementation Research on Non-Communicable Diseases, Jodhpur, India.

出版信息

Prev Med Rep. 2025 May 2;54:103094. doi: 10.1016/j.pmedr.2025.103094. eCollection 2025 Jun.

Abstract

OBJECTIVES

In India, due to rapid urbanization, lifestyle changes, and the aging of the population, hypertension and diabetes have become the leading causes of morbidity and mortality over the past 20 years. The aim of this study is to evaluate the impact of mobile health (mHealth) technology interventions on hypertension and diabetes control in India.

METHODS

A comprehensive search in PubMed, Cochrane Library, Dimensions, and Google Scholar was conducted for studies conducted in India and published from inception to October 15th, 2024. The retrieved studies assessed the impact of mHealth technology interventions on hypertension and diabetes control in India. The Population, Intervention, Comparator, Outcomes, & Study Design (PICOS) framework outlined the key elements of the review. This systematic review uses secondary data, so no ethical approval is needed.

RESULTS

Of 782 potential articles assessed, eight met the inclusion criteria. mHealth technology-enabled Interventions were associated with significantly improved blood pressure, glycated hemoglobin (HbA1c) and Fasting Blood Glucose (FBG) in the intervention group compared to the control group. Additionally, digital health interventions, such as SMS-based education and mHealth platforms, greatly improve treatment adherence and patient satisfaction.

CONCLUSION

Due to an increasing burden of chronic diseases, incorporating mHealth interventions in routine healthcare could be a game-changing strategy toward improved health outcomes, especially in areas with limited resources and access to traditional care. The study provides a basis on which future research can be done to develop further and implement digital health strategies for the management and control of diabetes and hypertension.

摘要

目的

在印度,由于快速城市化、生活方式改变和人口老龄化,高血压和糖尿病在过去20年已成为发病和死亡的主要原因。本研究的目的是评估移动健康(mHealth)技术干预对印度高血压和糖尿病控制的影响。

方法

在PubMed、Cochrane图书馆、Dimensions和谷歌学术上进行全面检索,查找在印度开展并从开始至2024年10月15日发表的研究。检索到的研究评估了mHealth技术干预对印度高血压和糖尿病控制的影响。人群、干预措施、对照、结局和研究设计(PICOS)框架概述了该综述的关键要素。本系统评价使用二手数据,因此无需伦理批准。

结果

在评估的782篇潜在文章中,8篇符合纳入标准。与对照组相比,干预组中启用mHealth技术的干预措施与血压、糖化血红蛋白(HbA1c)和空腹血糖(FBG)显著改善相关。此外,基于短信的教育和mHealth平台等数字健康干预措施极大地提高了治疗依从性和患者满意度。

结论

由于慢性病负担日益加重,将mHealth干预措施纳入常规医疗保健可能是改善健康结局的一项改变游戏规则的策略,尤其是在资源有限且难以获得传统护理的地区。该研究为未来开展进一步研究以制定和实施用于糖尿病和高血压管理与控制的数字健康策略提供了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41ab/12104709/10c25ec7b77f/gr1.jpg

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