移动医疗在老年康复中对健康状况的影响：系统综述。

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-10-10 DOI:10.1016/j.archger.2024.105654

Loes Oostrik , Marije Holstege , Jorit Meesters , Wilco Achterberg , Eléonore F van Dam van Isselt

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引用次数: 0

摘要

背景：老年康复对老年人急性病后的健康状况有积极影响。将移动医疗（mHealth）技术与老年康复相结合，可增加治疗时间和独立性，从而进一步改善疗效，并有可能促进功能恢复。以往的综述强调了积极的成果，但也强调需要对接受老年康复治疗的人群进行进一步调查：我们的主要目标是评估移动医疗应用对急性事件后老年人健康状况的影响。次要目标是检查这些研究中报告的结构和过程要素：系统回顾，包括 2010 年至 2024 年 1 月的研究。如果研究涉及老年人的急性病后护理，并使用了移动医疗干预措施，测量了健康结果并对干预组和对照组进行了比较，则符合条件。调整后的多纳比德结构-过程-结果（SPO）框架用于呈现报告的干预过程和结构：在对文献进行初步和二次筛选后，共纳入了 9 项报告 26 项健康结果的研究。移动医疗干预措施包括移动应用程序、可穿戴设备和网络平台。虽然大多数结果显示干预组和对照组都有所改善，但大多数结果更倾向于干预组。有关将其纳入日常实践的报告很少：结论：虽然移动医疗对老年康复患者的健康状况有积极影响，但不同研究的结果和方法存在差异，而且普遍存在较高的偏倚风险，因此需要谨慎解读。需要标准化的测量方法和共同创建的干预措施，以提高混合护理的成功率，并保持老年康复的可及性和可负担性。

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The effects of mHealth in geriatric rehabilitation on health status: A systematic review

Background

Geriatric rehabilitation positively influences health outcomes in older adults after acute events. Integrating mobile health (mHealth) technologies with geriatric rehabilitation may further improve outcomes by increasing therapy time and independence, potentially enhancing functional recovery. Previous reviews have highlighted positive outcomes but also the need for further investigation of populations receiving geriatric rehabilitation.

Objective

Our main objective was to assess the effects of mHealth applications on the health status of older adults after acute events. A secondary objective was to examine the structure and process elements reported in these studies.

Methods

Systematic review, including studies from 2010 to January 2024. Studies were eligible if they involved older adults’ post-acute care and used mHealth interventions, measured health outcomes and compared intervention and control groups. The adjusted Donabedian Structure-Process-Outcome (SPO) framework was used to present reported intervention processes and structures.

Results

After initial and secondary screenings of the literature, a total of nine studies reporting 26 health outcomes were included. mHealth interventions ranged from mobile apps to wearables to web platforms. While most outcomes showed improvement in both the intervention and control groups, a majority favored the intervention groups. Reporting of integration into daily practice was minimal.

Conclusion

While mHealth shows positive effects on health status in geriatric rehabilitation, the variability in outcomes and methodologies among studies, along with a generally high risk of bias, suggest cautious interpretation. Standardized measurement approaches and co-created interventions are needed to enhance successful uptake into blended care and keep geriatric rehabilitation accessible and affordable.

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.