基于范围综述的社区居民使用“健康档案式”APP的坚持度指标分析  

Analysis of adherence index of community residents using the"health record"APP based on scoping review

作　　者：谢沛杰 梁晓晴 范冠华[1] XIE Peijie;LIANG Xiaoqing;FAN Guanhua(Shantou University Medical College,Shantou,Guangdong 515041,China)

机构地区：[1]汕头大学医学院,广东汕头515041

出　　处：《中华全科医学》2023年第8期1416-1420,共5页Chinese Journal of General Practice

基　　金：广东省自然科学基金面上项目(2022A1515012192);广东省医学科研基金项目(A2021500,A2022535);广东省哲学社会科学“十四五”规划2022年度学科共建项目(GD22XXW10);汕头市科技计划医疗卫生类别项目(190716185262435,汕府科(2019)106号-10);汕头大学医学院PSBH课题(2019汕大医PSBH07);2022年度广东省本科高校教学质量与教学改革工程立项项目(粤高教函[2023]4号-581)。

摘　　要：目的对评估社区居民使用“健康档案式”APP的坚持度指标的相关文献,进行范围综述(scoping review),为进一步分析社区居民的相关坚持度提供参考。方法对PubMed、中国生物医学文献数据库(CBM)进行文献检索与采集。对纳入研究进行资料提取,包括研究基本信息、用于衡量坚持度的指标、相关分级标准等,对相关资料进行描述性分析。结果共纳入19篇文献。常用于评估坚持度的指标有:登录次数、使用时长、使用频率、使用天数、使用功能数量、应用保留率等;可归纳为5类:(1)使用频次(14/19,73.7%);(2)使用时长(6/19,31.6%);(3)使用广度(9/19,47.4%);(4)使用深度(4/19,21.1%);(5)保留率(9/19,47.4%),各类指标均在一定维度上反映了用户的实际使用情况。结论“使用频次”是受关注度最高的类别,进一步的研究可更多关注“使用时长”和“使用深度”两类指标;根据疾病种类及研究设计,合理选择坚持度指标评估,能够客观反映用户对应用程序的使用情况,对使用“健康档案式”APP进行健康管理是否有效提供了相应的证据;建议研究者同时采用多种类别指标对用户坚持度进行评估,以减少因指标量较单一或不适合带来的干预与偏移。Objective To conduct a scoping review on the relevant literatures evaluating the adherence index of community residents using the"health record"APP,and to provide a reference for further analysis of the relevant adherence index of community residents.Methods PubMed and CBM were used for literature retrieval and collection.Data were extracted from the included studies,including basic research information,indicators used to measure adherence and relevant grading standards,and descriptive analysis of the relevant data was performed.Results A total of 19 references were included.Indicators commonly used to evaluate adherence include:login times,duration of use,frequency of use,days of use,number of functions used,application retention rate,etc.They can be summarized into five categories:(1)Frequency of use(14/19,73.7%);(2)duration of use(6/19,31.6%);(3)width of use(9/19,47.4%);(4)depth of use(4/19,21.1%);(5)retention rate(9/19,47.4%).All indicators reflect the actual usage of users in a certain dimension.Conclusions"Frequency of use"is the most concerned category,and further research can pay more attention to"duration of use"and"depth of use".According to the type of disease and the research design,the reasonable selection of the adherence index evaluation can objectively reflect the users'use of the APP,and provide relevant evidence for the effectiveness of health management by using the"health record"APP.It is suggested that researchers use multiple categories of indicators to evaluate users'adherence at the same time,in order to reduce the intervention and deviation caused by the single set of indicators or inappropriate for this study.

关 键 词：电子健康档案 社区居民 坚持度 健康管理 指标 范围综述 

分 类 号：R197.61[医药卫生—卫生事业管理] R-058[医药卫生—公共卫生与预防医学]