移动医疗技术用于慢性伤口居家护理的范围综述
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女,硕士在读,学生

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湖南省自然科学基金科卫联合项目(2022JJ70073);湖南省普惠性政策与创新环境建设计划科普专题项目(2023ZK4063)


A scoping review of mobile health technology in home care for chronic wounds
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    目的 对移动医疗技术在慢性伤口居家护理应用的基本内容、应用效果和现存问题等进行范围综述,为促进慢性伤口居家护理发展提供参考。方法 系统检索PubMed、Web of Science、Cochrane Library、Embase、Science Direct、中国知网、万方数据知识服务平台、维普网、中国生物医学文献数据库中的相关研究,检索时间为建库至2024年5月18日,对纳入研究进行汇总分析。结果 共纳入43篇文章。移动医疗技术主要包括应用程序、移动网络平台、可穿戴设备、远程治疗系统;管理的慢性伤口类型包括压力性损伤、糖尿病足、下肢静脉溃疡、难愈性手术伤口;干预内容包括健康教育、伤口管理、居家监测、居家治疗;结局指标包括治疗效果、就医情况、自我管理指标、医患体验。结论 移动医疗技术在慢性伤口居家护理的应用能够降低患者就医费用,具有可行性、有效性及安全性。未来还需继续完善相关法律法规,保障患者和医务人员权益,以及开展更多高质量研究,更好地改善患者结局。

    Abstract:

    Objective To conduct a scoping review of research on the application of mobile health technology in home care for chronic wounds, to summarize the fundamental aspects, application outcomes, and existing issues of mobile health technologies in home care for chronic wounds, and to provide insights to promote the development of chronic wound home care.Methods A systematic search was conducted across databases including PubMed, Web of Science, Cochrane Library, Embase, Science Direct, CNKI, Wanfang Data Knowledge Service Platform, Weipu, and the China Biomedical Literature Database.The search period extended from the inception of these databases until May 18, 2024, and included a comprehensive analysis of the identified studies.Results A total of 43 articles were included in the review.Mobile health technologies primarily encompass applications, mobile network platforms, wearable devices, and telehealth systems.The types of chronic wounds managed include pressure injuries, diabetic foot ulcers, lower limb venous ulcers, and difficult-to-heal surgical wounds.Interventions involve health education, wound management, home monitoring, and home treatment.Outcome measures include treatment effectiveness, healthcare utilization, self-management indicators, and patient-provider experiences.Conclusion The application of mobile health technologies in home care for chronic wounds can reduce patient healthcare costs and demonstrates feasibility, effectiveness, and safety.Future efforts should focus on improving relevant laws and regulations to protect the rights of patients and healthcare providers, as well as conducting more high-quality research to enhance patient outcomes.

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辛慧琳,戴薇薇,张其健,彭伶丽,韩辉武,唐琼芳,田含章.移动医疗技术用于慢性伤口居家护理的范围综述[J].护理学杂志,2025,(7):117-124

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  • 收稿日期:2024-11-01
  • 最后修改日期:2025-01-22
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  • 在线发布日期: 2025-05-12