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心血管专科护理中的生成式人工智能:一项范围综述

Generative artificial intelligence in cardiovascular specialty care: a scoping review.

作者信息

Zheng Xinglin, Zou Huina, Wu Linjing, Dong Peihuang, Yuan Wenhui, Chen Yuan

机构信息

Xiamen Cardiovascular Hospital, Xiamen University, Xiamen, China.

School of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, China.

出版信息

BMC Nurs. 2025 Jul 19;24(1):947. doi: 10.1186/s12912-025-03594-9.

Abstract

BACKGROUND

The current research on the application of generative artificial intelligence in has shown rapid growth, and most of the existing research focuses on general nursing scenarios. And is still in the exploratory stage in the specialty field and lacks a systematic compendium of its application in the field of cardiovascular specialty nursing.

OBJECTIVE

A review of studies related to the application of generative artificial intelligence in the field of specialized cardiovascular nursing informing relevant research and practice.

METHODS

This review was conducted according to the JBI guidelines for scoping reviews, using the PRISMA-ScR reporting tool.The databases searched included PubMed, Embase, Web of Science, APA PsycNetInfo (Ovid), the Cochrane Library, MEDLINE (Ovid), CINAHL, SinoMed, CNKI, WanFang databases, peer-reviewed studies written in English and Chinese from the time of database construction until March 29, 2025. Eligible studies were screened by title and abstract, and full-text screening was performed by two independent evaluators.

RESULTS

Nineteen studies were included in this review, and the main application tools were 9 text generation models, 3 multimodal generation models, 4 temporal prediction models, and 3 chatbots. The application scenarios mainly include clinical decision support, patient health management, and nursing education and counseling. Generative artificial intelligence has outstanding effects in reducing nursing workload and precise intervention, but there are limitations in the field of health education and counseling, such as logical disconnection, poor information quality, and lack of humanistic care.

CONCLUSIONS

Generative artificial intelligence provides technical support for the intelligent transformation of cardiovascular specialty care, especially effective in the areas of clinical decision support and patient health management. There is an urgent need to solve the existing problems to promote its in-depth application in this field, and it is suggested that future research focuses on the construction of specialized multimodal models.

摘要

背景

目前关于生成式人工智能应用的研究呈现快速增长态势,且现有研究大多聚焦于一般护理场景。在专科领域仍处于探索阶段,缺乏其在心血管专科护理领域应用的系统综述。

目的

综述生成式人工智能在心血管专科护理领域应用的相关研究,为相关研究与实践提供参考。

方法

本综述依据JBI循证综述指南进行,采用PRISMA-ScR报告工具。检索的数据库包括PubMed、Embase、Web of Science、APA PsycNetInfo(Ovid)、Cochrane图书馆、MEDLINE(Ovid)、CINAHL、中国生物医学文献数据库、中国知网、万方数据库,检索自建库至2025年3月29日期间发表的中英文同行评议研究。通过标题和摘要筛选符合条件的研究,由两名独立评估者进行全文筛选。

结果

本综述纳入19项研究,主要应用工具包括9种文本生成模型、3种多模态生成模型、4种时间预测模型和3种聊天机器人。应用场景主要包括临床决策支持、患者健康管理以及护理教育与咨询。生成式人工智能在减轻护理工作量和精准干预方面效果显著,但在健康教育与咨询领域存在逻辑脱节、信息质量差以及缺乏人文关怀等局限性。

结论

生成式人工智能为心血管专科护理的智能化转型提供了技术支持,在临床决策支持和患者健康管理方面尤其有效。迫切需要解决现有问题以促进其在该领域的深入应用,建议未来研究聚焦于专业多模态模型的构建。

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