Effects of remote interventions with digital health technologies in lung transplant patients:a meta-analysis
10.3761/j.issn.0254-1769.2024.11.016
- VernacularTitle:基于数字健康技术的远程干预在肺移植患者中应用效果的Meta分析
- Author:
Ge GUO
1
;
Meijuan LAN
;
Fei ZENG
;
Jiangshuyuan LIANG
;
Luyao GUO
;
Lingyun CAI
;
Peipei GU
;
Yan ZHU
Author Information
1. 310000 杭州市 浙江大学医学院附属第二医院护理部
- Keywords:
Digital Health Technology;
Lung Transplantation;
Self-Monitoring Compliance;
Remote Inter-vention;
Meta-Analysis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2024;59(11):1389-1396
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of remote interventions with digital health technologies in lung transplant patients.Methods Databases,including CKNI,Wangfang,VIP,CMB,Cochrane Library,PubMed,Embase,Web of Science,Scopus and BMJ Best Practice were searched from their inception to July 2023.There were 2 researchers who independently screened and extracted the literature,and then evaluated quality of the included studies.Meta-analysis was performed using RevMan 5.2.Results 10 studies with 1 262 patients were included.The results of meta-analysis showed that compared with conventional intervention,remote intervention based on digital health technology could improve self-monitoring compliance of lung transplant patients[0R=0.64,95％CI(0.46,0.88),P=0.006],improve quality of life including mental health status[OR=3.08,95％CI(0.41,5.74),P=0.020]and physical health status[OR=3.81,95％CI(1.19,6.43),P=0.004].In terms of the intervention forms,the application-based remote intervention had better self-monitoring compliance,and the difference was statistically significant(P=0.007).However,in terms of the comparison of readmission rate[OR=1.73,95％CI(0.98,3.04),P=0.060],anxiety[OR=-0.12,95％CI(-1.36,1.11),P=0.850],and depression[OR=0.62,95％CI(-0.80,2.03),P=0.390],the effect of intervention was unclear.Conclusion Remote intervention based on digital health technology can improve self-monitoring compliance and quality of life in lung transplant patients;applications are the optimal form of intervention.Limited by the quality and quantity of included studies and the heterogeneity of study results,more high-quality studies are needed to further verify the effects of digital health technology on readmission rates,anxiety and depression of lung transplant patients.
