居家脑卒中患者远程健康管理的范围综述

Tele-health management in stroke patients at home: a scoping review

  • 摘要:
    目的 对居家卒中患者远程健康管理的相关研究进行范围综述。
    方法 按照范围综述报告框架,在9个数据库或网站中进行系统文献检索,检索时限为2013年1月1日—2023年5月1日。
    结果 共纳入52篇文献,来自12个国家,大多数为干预性研究。远程健康管理应用于居家卒中患者中正逐渐成为一种趋势,依托康复机器人、虚拟现实康复游戏、社交平台、居家健康网络平台等载体进行康复训练、病情监测、健康教育和指导、随访与提醒。
    结论 居家卒中患者远程健康管理内容较丰富,评价指标较多。今后的康复训练应增强康复电子游戏的游戏性,提升患者体验,使用基于医疗大数据的人工智能为患者提供辅助支持;同时规范远程健康管理方案各模块内容,并鼓励照护者参与居家卒中患者的远程健康管理,以更好地发挥远程健康管理在卒中后居家健康管理领域中的作用。

     

    Abstract:
    Objective To conduct a scoping review on studies of tele-health management for stroke patients at home.
    Methods According to the reporting framework of scoping review, a systematic literature search was performed in 9 databases or websites from January 1, 2013 to May 1, 2023.
    Results A total of 52 literatures from 12 countries were included, most of which were interventional studies. Tele-health management was gradually becoming a trend in the application of stroke patients at home, relying on rehabilitation robots, virtual reality rehabilitation games, social platforms, home health network platforms and other carriers for rehabilitation training, disease monitoring, health education and guidance, follow-up and reminder.
    Conclusion The contents of tele-health management for stroke patients at home are abundant, with many evaluation indexes. In the future, rehabilitation training should enhance the gameplay of rehabilitation video games, improve patient's experience, and use artificial intelligence based on medical big data to provide auxiliary support for patients; at the same time, the content of each module of the tele-health management program should be standardized, and caregivers are encouraged to participate in the tele-health management of stroke patients at home, so as to better play the role of tele-health management in the field of post-stroke health management at home.

     

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