远程干预在肺移植患者延续性护理中应用的范围综述  

Telehealth intervention in the continuous nursing of patients with lung transplantation:a scoping review

作　　者：胡树菁 王奕 高宝 朱虹[2] 杨东霞[2] 齐星宇 孙菁[2] HU Shujing;WANG Yi;GAO Bao;ZHU Hong;YANG Dongxia;QI Xingyu;SUN Jing

机构地区：[1]中日友好医院护理部,北京市100029 [2]中日友好医院肺移植科,北京市100029 [3]清华长庚医院肝胆胰中心

出　　处：《中华护理杂志》2023年第14期1773-1780,共8页Chinese Journal of Nursing

摘　　要：目的对远程干预在肺移植患者延续性护理中的应用研究进行范围综述,以识别远程干预的方式、内容要素和应用效果,为肺移植护理人员开展相关干预提供参考依据。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、维普数据库、万方数据库和中国生物医学数据库中的相关研究,检索时间为建库至2023年1月5日。对纳入文献进行汇总和分析。结果纳入29篇文献,远程干预的主要形式包括应用程序、便携式电子设备、网络通信软件、网站平台。远程干预的内容要素主要涉及远程监测、远程教育、远程康复、远程门诊、远程心理干预、远程认知干预。结局类型主要为生理指标、心理指标、自我管理指标、移植结局指标、可行性指标。结论应用程序和便携式电子设备是肺移植患者延续性护理的主要形式,内容全面、功能丰富的远程医疗设备更受肺移植患者的关注,远程医疗对于肺移植患者的可行性、安全性及有效性已得到证实。医护人员可利用远程技术进一步增加肺移植患者延续性护理内容。未来仍需开展大量远程干预研究,促进肺移植患者的健康,改善移植患者的结局。Objective To identify the specific interventions,content elements and application effects of telehealth,so as to provide the guidance for future research.Methods The literature was retrieved from PubMed,Embase,Cochrane Library,Web of Science,CNKI,Wanfang,and CBM databases.The included studies were summarized and analyzed.The search time was from the establishment of the databases to January 5th,2023.Results A total of 29 articles were included.The intervention forms included application,portable electronic device,network communication software,and website.The content elements included remote monitoring,education,rehabilitation,outpatient,psychological and cognitive intervention.The outcome types were mainly physiological indicators,psychological indicators,self-management,clinically outcome,and feasibility.Conclusion The main forms of continuous nursing are mobile applications and portable electronic devices.Comprehensive content and rich functions of devices are more favored by patients.Telehealth intervention is feasible,safe,and effective.Medical workers can further broaden the service of continuous nursing for patients with lung transplantation by remote technology.In the future,studies on telehealth intervention are still needed to promote the health of patients and improve the outcomes of patients.

关 键 词：肺移植 远程健康 延续性护理 移动医疗 范围综述 护理信息学 

分 类 号：R473.6[医药卫生—护理学]