How technology in care at home affects patient self-care and self-management: a scoping review.
How technology in care at home affects patient self-care and self-management: a scoping review.
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DOI：
10.3390/ijerph10115541
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发表时间：
2013-10-29
影响因子：
--
通讯作者：
Friele RD
中科院分区：
文献类型：
--
作者：
Peeters JM;Wiegers TA;Friele RD
在家庭护理中使用技术具有潜在的好处，例如提高护理质量。这包括更加关注患者在管理其健康方面的作用，并增加患者在护理过程中的参与。本范围审查的目的是分析现有证据，以证明家庭护理技术对患者自我护理和自我管理的影响。使用适当的检索词，我们检索了Pubmed、Embase、科克伦图书馆、Cinahl、Picture和NIVEL数据库，检索时间为2002年至2012年。选择了33项研究（6项综述研究和27项单项研究）。从每项研究中提取影响并进行分类。在几乎所有的研究中，自我护理和自我管理的概念没有明确定义或操作。因此，基于荟萃分析，我们对结果指标进行了新的分类，并划分了以下层次：（1）能力（2）疾病管理（3）独立性（社会参与，自主性）。一般来说，患者的结局似乎是积极的或有希望的，但大多数研究都是试点研究。根据上述分类，我们没有发现有力的证据表明家庭护理技术对患者的自我护理和自我管理有（积极的）影响。未来的研究需要澄清如何利用技术来最大限度地发挥其效益。
The use of technology in care at home has potential benefits such as improved quality of care. This includes greater focus on the patients’ role in managing their health and increased patient involvement in the care process. The objective of this scoping review is to analyse the existing evidence for effects of technology in home-based care on patients’ self-care and self-management. Using suitable search terms we searched the databases of Pubmed, Embase, Cochrane Library, Cinahl, Picarta and NIVEL dating from 2002 to 2012. Thirty-three studies (six review studies and twenty-seven individual studies) were selected. Effects were extracted from each study and were classified. In almost all the studies, the concepts self-care and self-management are not clearly defined or operationalized. Therefore, based on a meta-analysis, we made a new classification of outcome measures, with hierarchical levels: (1) competence (2) illness-management (3) independence (social participation, autonomy). In general, patient outcomes appear to be positive or promising, but most studies were pilot studies. We did not find strong evidence that technology in care at home has (a positive) effect on patient self-care and self-management according to the above classification. Future research is needed to clarify how technology can be used to maximize its benefits.
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影响因子：
3.3
作者：
Kuo, Yen-Hung;Chien, Yi-Kuang;Liu, Ching-Kuan
通讯作者：
Liu, Ching-Kuan
DOI：
10.1089/1530562041641200
发表时间：
2004-06-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Chumbler, NR;Mann, WC;Kobb, R
通讯作者：
Kobb, R
影响因子：
12.7
作者：
Hoenig, H;Taylor, DH;Sloan, FA
通讯作者：
Sloan, FA
DOI：
10.1186/1748-5908-5-69
发表时间：
2010-09-20
期刊：
Implementation science : IS
影响因子：
--
作者：
Levac D;Colquhoun H;O'Brien KK
通讯作者：
O'Brien KK
影响因子：
4.7
作者：
Bujnowska-Fedak, Maria Magdalena;Puchala, Edward;Steciwko, Andrzej
通讯作者：
Steciwko, Andrzej