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、...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。展开更多
Background: Integrative nutrition has been defined as providing a combination of medical nutrition therapy including a personalized investigation on the root cause of chronic diseases due to poor lifestyle. It has bee...Background: Integrative nutrition has been defined as providing a combination of medical nutrition therapy including a personalized investigation on the root cause of chronic diseases due to poor lifestyle. It has been evident that integrative nutrition has a strong impact in weight management. Case Report: 5 case reports were investigated in the current study where we reported 5 cases of participants that have completed a 6-month duration of a telenutrition weight loss program, supported with weekly telemonitoring and monthly telehealth coaching following an integrative nutrition approach. All participants have significantly lost weight through a 6-month period. Additionally, each participant has worked on specific aspect in their lifestyle following the circle of life components to overcome struggles in following their diets and support weight management. All 5 participants had a significant negative correlation between weight and having fun, home cooking, spirituality, sports, and their jobs, which means that being satisfied with the mentioned (CoL) measures, lower values of the weight and increase steps. Thus, future research must carry similar interventions with long term durations and evaluate the most common aspect of life associated with obesity.展开更多
目的:分别对数字健康领域内以电子健康、移动健康、远程健康和数字健康为主题的文章进行可视化分析,分析近年来的研究进展、研究热点及发展趋势。方法:对Web of Science数据库进行检索,借助Cite Space分析软件对1962年—2021年4个主题...目的:分别对数字健康领域内以电子健康、移动健康、远程健康和数字健康为主题的文章进行可视化分析,分析近年来的研究进展、研究热点及发展趋势。方法:对Web of Science数据库进行检索,借助Cite Space分析软件对1962年—2021年4个主题相关文献的年度发文量、发文国家、作者、关键词及突显词进行整理分析。结果:发文量呈逐年上升趋势。美国、英国、澳大利亚、中国、德国、加拿大等国家发文量较高。发文较多的作者有TOROUS J、BATES D W等。研究热点多集中于数字技术在心理健康问题及以个人为中心的慢性病自我管理方面的应用。结论:心理健康和以个人为中心的慢性病自我管理是本领域的研究热点,未来研究将更多集中于数字健康和远程健康。展开更多
In the United States(US)the role of the general practitioner in primary care is changing rapidly as the team leader in the new“Patient-centered Medical Home”model of care that is designed to improve the management o...In the United States(US)the role of the general practitioner in primary care is changing rapidly as the team leader in the new“Patient-centered Medical Home”model of care that is designed to improve the management of chronic disease.The“Collaborative Care Model”is an integrated model of treating multiple medical and behavioral conditions.These new approaches include a nurse case manager who serves as the key point of contact to provide education,facilitate treatment adherence,and guide the patient to improvements in nutrition and physical activity that cause obesity and chronic disease.A gap analysis was conducted comparing the US and Chinese general practitioner models for providing care to patients with chronic diseases.The results of the analysis were used to make recommendations for adding components of these models that are feasible and effective for Chinese general practitioners in community health centers.展开更多
Advances in computing technology promise to aid in achieving the goals of healthcare. We review how such changes can support each of the goals of healthcare as identified by the U.S. Institute of Medicine： safety, ef...Advances in computing technology promise to aid in achieving the goals of healthcare. We review how such changes can support each of the goals of healthcare as identified by the U.S. Institute of Medicine： safety, effectiveness, patient-centricity, timeliness, efficiency, and equitability. We also describe current foci of computing technology research aimed at realizing the ambitious goals for health information technology that have been set by the American Recovery and Reinvestment Act of 2009 and the Health Reform Act of 2010. Finally, we mention efforts to build health information technologies to support improved healthcare delivery in developing countries.展开更多
Diabetes has become an increasingly important health problem worldwide due to its prevalence.Although effective treatments for diabetes management have been developed,many patients have difficulty in achieving their t...Diabetes has become an increasingly important health problem worldwide due to its prevalence.Although effective treatments for diabetes management have been developed,many patients have difficulty in achieving their therapeutic goals.Regular exercise training is suggested to prevent or delay the symptoms and complications of type 2 diabetes along with other medical treatments.It has become necessary to develop new rehabilitation models and practices in order to cope with the changing needs of the population.Treatment models using technology can be effective in disease management.Telerehabilitation may be effective as part of the rehabilitation program in the home environment,especially for patients who are unable to participate in conventional center-based rehabilitation due to transport difficulties or work resumption.Telerehabilitation is defined as the delivery of rehabilitation services via telecommunication technology,including phone,internet,and videoconference communications between the patient and health care provider.It is possible that telerehabilitation may benefit people with type 2 diabetes in similar ways with telemonitoring and interactive health communication systems.Although the applicability of telehealth methods has been proven in previous studies,telerehabi-litation studies in type 2 diabetes are inadequate in the literature.With larger,multicentered randomized controlled studies,established clinical guidelines can be developed that will ultimately improve patient outcomes.展开更多
文摘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。
文摘Background: Integrative nutrition has been defined as providing a combination of medical nutrition therapy including a personalized investigation on the root cause of chronic diseases due to poor lifestyle. It has been evident that integrative nutrition has a strong impact in weight management. Case Report: 5 case reports were investigated in the current study where we reported 5 cases of participants that have completed a 6-month duration of a telenutrition weight loss program, supported with weekly telemonitoring and monthly telehealth coaching following an integrative nutrition approach. All participants have significantly lost weight through a 6-month period. Additionally, each participant has worked on specific aspect in their lifestyle following the circle of life components to overcome struggles in following their diets and support weight management. All 5 participants had a significant negative correlation between weight and having fun, home cooking, spirituality, sports, and their jobs, which means that being satisfied with the mentioned (CoL) measures, lower values of the weight and increase steps. Thus, future research must carry similar interventions with long term durations and evaluate the most common aspect of life associated with obesity.
文摘目的:分别对数字健康领域内以电子健康、移动健康、远程健康和数字健康为主题的文章进行可视化分析,分析近年来的研究进展、研究热点及发展趋势。方法:对Web of Science数据库进行检索,借助Cite Space分析软件对1962年—2021年4个主题相关文献的年度发文量、发文国家、作者、关键词及突显词进行整理分析。结果:发文量呈逐年上升趋势。美国、英国、澳大利亚、中国、德国、加拿大等国家发文量较高。发文较多的作者有TOROUS J、BATES D W等。研究热点多集中于数字技术在心理健康问题及以个人为中心的慢性病自我管理方面的应用。结论:心理健康和以个人为中心的慢性病自我管理是本领域的研究热点,未来研究将更多集中于数字健康和远程健康。
文摘In the United States(US)the role of the general practitioner in primary care is changing rapidly as the team leader in the new“Patient-centered Medical Home”model of care that is designed to improve the management of chronic disease.The“Collaborative Care Model”is an integrated model of treating multiple medical and behavioral conditions.These new approaches include a nurse case manager who serves as the key point of contact to provide education,facilitate treatment adherence,and guide the patient to improvements in nutrition and physical activity that cause obesity and chronic disease.A gap analysis was conducted comparing the US and Chinese general practitioner models for providing care to patients with chronic diseases.The results of the analysis were used to make recommendations for adding components of these models that are feasible and effective for Chinese general practitioners in community health centers.
基金supported by grants U54 LM008748 and R01 LM009723 from the National Library of MedicineR01 EB001659 from the National Institute of Biomedical Imaging and BioengineeringONC #10510949 from the Office of the National Coordinator for Health Information Technology
文摘Advances in computing technology promise to aid in achieving the goals of healthcare. We review how such changes can support each of the goals of healthcare as identified by the U.S. Institute of Medicine： safety, effectiveness, patient-centricity, timeliness, efficiency, and equitability. We also describe current foci of computing technology research aimed at realizing the ambitious goals for health information technology that have been set by the American Recovery and Reinvestment Act of 2009 and the Health Reform Act of 2010. Finally, we mention efforts to build health information technologies to support improved healthcare delivery in developing countries.
文摘Diabetes has become an increasingly important health problem worldwide due to its prevalence.Although effective treatments for diabetes management have been developed,many patients have difficulty in achieving their therapeutic goals.Regular exercise training is suggested to prevent or delay the symptoms and complications of type 2 diabetes along with other medical treatments.It has become necessary to develop new rehabilitation models and practices in order to cope with the changing needs of the population.Treatment models using technology can be effective in disease management.Telerehabilitation may be effective as part of the rehabilitation program in the home environment,especially for patients who are unable to participate in conventional center-based rehabilitation due to transport difficulties or work resumption.Telerehabilitation is defined as the delivery of rehabilitation services via telecommunication technology,including phone,internet,and videoconference communications between the patient and health care provider.It is possible that telerehabilitation may benefit people with type 2 diabetes in similar ways with telemonitoring and interactive health communication systems.Although the applicability of telehealth methods has been proven in previous studies,telerehabi-litation studies in type 2 diabetes are inadequate in the literature.With larger,multicentered randomized controlled studies,established clinical guidelines can be developed that will ultimately improve patient outcomes.
