慢病管理糖尿病患者移动医疗应用程序使用体验质性研究的系统评价和Meta整合  

Systematic Review and Meta Integration of Qualitative Research on the Use of Mobile Medical Apps for Chronic Disease Management Diabetes Patients

作　　者：秦芮 马丽[1] 邢欢 QIN Rui;MA Li;XING Huan(School of Nursing,Ningxia Medical University,Yinchuan,Ningxia,750000 China)

机构地区：[1]宁夏医科大学护理学院,宁夏银川750000

出　　处：《中国卫生产业》2020年第3期8-14,共7页China Health Industry

基　　金：国家重点研发计划课题(2017YFC0114105);宁夏回族自治区重点研发计划项目(2018BFG02009)。

摘　　要：目的系统评价糖尿病患者使用移动医疗应用程序的应用体验,主要了解患者的态度和感受,为之后优化糖尿病慢病管理工作提供借鉴。方法检索收集PubMed、 Embase、Cochrane Library、中国知网(China national knowledge infrastructure,CNKI)和万方数据资源系统有关糖尿病患者移动医疗应用程序使用体验的质性研究。检索时限均为建库至2018年8月,并将文献按照澳大利亚JBI循证卫生保健中心质性研究的质量评价标准和GRADE系统进行评价,应用Meta整合方法将研究结果进行整合。结果共纳入7项研究,提炼出34个研究结果,将类似的结果汇合成6个新的类别,并最终形成3个整合结果。整合结果 1:患者对移动医疗应用程序持积极态度认为其有利于自己更好地管理疾病。整合结果 2:患者在使用移动医疗应用程序时的心理体验呈阶段性改变。整合结果 3:患者在疾病管理时对移动医疗应用程序的使用度主要是受其自身、管理制度和程序3个方面的影响。结论医护人员应充分重视和了解糖尿病患者在使用移动医疗应用程序时的应用体验,并根据患者的感受制定和优化管理计划、完善程序功能,进一步指导和规范糖尿病慢病管理工作。Objective To systematically evaluate the application experience of patients with diabetes using mobile medical applications, mainly to understand the attitudes and feelings of patients, and to provide reference for the optimization of chronic diabetes management in the future. Methods Retrieval and qualitative research on PubMed, Embase, Cochrane Library,China National Knowledge Infrastructure(China National Knowledge Infrastructure,CNKI) and Wanfang Data Resource System related to the experience of using mobile medical applications for patients with diabetes. The search time limit was from the establishment of the database to August 2018, and the literature was evaluated according to the quality evaluation standards of the qualitative research of the JBI Evidence-based Health Care Center in Australia and the GRADE system.The meta-integration method was used to integrate the research results. Results A total of 7 studies were included, 34 research results were extracted, similar results were combined into 6 new categories, and finally 3 integrated results were formed. Integrated Result 1: patients have a positive attitude towards mobile medical applications which will help you to better manage your disease. Integrated Outcome 2: Patients ’psychological experience when using mobile medical applications changes in stages. Integrated Outcome 3: Patients’ use of mobile medical applications in disease management which is mainly affected by its own, management system and procedures. Conclusion Medical staff should pay full attention to and understand the application experience of patients with diabetes when using mobile medical applications, and formulate and optimize management plans and improve procedures based on patients’ feelings function, to further guide and standardize the management of chronic diseases of diabetes.

关 键 词：糖尿病患者 慢病管理 移动医疗应用程序 系统评价 Meta整合 

分 类 号：R47[医药卫生—护理学]