信息化风险沟通在心血管疾病一级预防中应用的范围综述  

Application of information-based risk communication in primary prevention of cardiovascular diseases:a scoping review

作　　者：靳雨佳 江湖 王晓萱 易景娜 梅永霞[1] 郭芝廷[2] 张振香[1] 林蓓蕾[1] JIN Yujia;JIANG Hu;WANG Xiaoxuan;YI Jingna;MEI Yongxia;GUO Zhiting;ZHANG Zhenxiang;LIN Beilei

机构地区：[1]郑州大学护理与健康学院,郑州市450001 [2]浙江大学医学院附属第二医院护理部

出　　处：《中华护理杂志》2025年第8期1019-1024,F0003,共7页Chinese Journal of Nursing

基　　金：国家自然科学基金青年基金项目(72104221);中国博士后科学基金(2023M743197);河南省重点研发与推广专项科技攻关项目(232102310170)。

摘　　要：目的对基于电子健康技术的风险沟通在心血管疾病一级预防中的应用进行范围综述,为未来开展相关研究及应用提供参考。方法系统检索PubMed、Cochrane Library、Embase、Web of Science、CINAHL、PsycINFO、中国知网、万方数据库和中国生物医学文献数据库,检索时限为建库至2024年3月1日,对纳入文献进行汇总和分析。结果共纳入24篇文献。心血管疾病风险沟通中应用的电子健康技术形式包括网站、计算机决策支持系统、电子健康档案、应用程序、电子邮件、电话、短信;应用功能包括风险评估、风险告知、个性化建议、跟踪与提醒;结局指标包括风险认知、生理指标、生活方式和行为、心理指标、可行性评价、决策相关、医患沟通、意向相关、风险评分、医生开具药物处方情况。结论基于电子健康技术开展心血管疾病风险沟通在提高患者风险认知、促进健康行为等方面具有潜在价值。有必要持续完善电子健康技术的功能,逐步提高精准化、智能化程度,以更好地满足医护人员和患者的需求,推动心血管疾病一级预防工作有效开展。Objective To review the application scope of risk communication based on eHealth technology in the primary prevention of cardiovascular diseases,so as to provide references for future research and application.Methods A systematic search was conducted in PubMed,Cochrane Library,Embase,Web of Science,CINAHL,PsycINFO,CNKI,Wanfang database,and SinoMed.The search time limit was from the establishment of databases to March 1,2024.The included literature was summarized and analyzed.Results A total of 24 articles were included.The forms of eHealth technology applied in risk communication for primary prevention of cardiovascular include online websites,computerized decision support systems,electronic health records,mobile applications,email,telephone,and text messages.The functions include risk assessment,risk notification,personalized advice,risk tracking and reminders.The outcome indicators include risk perception,physiological indicators,lifestyle and behavior,psychological indicators,feasibility evaluation,decision correlation,doctor-patient communication,intention,risk score,and physician drug prescription.Conclusion The use of eHealth technology in risk communication of cardiovascular diseases has potential value in improving patients’risk perception and promoting healthy behaviors.It is necessary to continuously improve the functions of eHealth technology and enhance its precision and intelligence,so as to better meet the needs of medical staff and patients and promote the efficient implementation of primary prevention of cardiovascular diseases.

关 键 词：电子健康技术 心血管疾病 风险沟通 范围综述 护理 

分 类 号：R473.5[医药卫生—护理学]