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首页> 外文期刊>Adolescent Health, Medicine and Therapeutics >Effect and features of information technology-based interventions on self-management in adolescent and young adult kidney transplant recipients: a systematic review
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Effect and features of information technology-based interventions on self-management in adolescent and young adult kidney transplant recipients: a systematic review

机译：基于信息技术的干预措施对青少年和年轻成人肾移植受者自我管理的影响和特征：系统评价

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Introduction: Adolescent and young adult periods are characterized by increased risk-taking, impulsive behavior, and nonadherence issues, which makes it equally challenging for patients and their health care professionals. Health information technology (IT) has the potential to empower patients. Objective: Determine the effects and features of IT-based interventions for self-management of adolescents and young adults in kidney transplant recipients. Materials and Methods: A comprehensive survey was done on Medline and Scopus in September 2018. Eligible studies included randomized controlled trials (RCTs) and quasi-experimental studies focused on automated IT-based interventions. Studies contained information about adolescent and young adult kidney transplant recipients aged under 25, all published in English. The articles were combined with each other based on the classification of outcomes, the type of interventions, and their impact. The studies were categorized based on the impact of interventions as positive and statistically significant, with no effect, or a combined effect (both positive significance and without effect). Results: In this review, of a total of 2,242 retrieved articles, collected from Scopus and PubMed databases, 5 studies met the full-text inclusion criteria. Interventions were performed using computerized systems (3 studies), smartphone application/personal digital ass (PDA) (1 study), and multiple components (1 study). These studies evaluated 15 outcomes, including 7 care process and 8 clinical outcomes. In 6 of 15 outcomes (40%), interventions had a statistically significant positive effect. Conclusion: IT-based interventions such as mobile health/personal digital assistant(PDA), computer systems and multi-component have the potential to improve self-management in adolescents and young adult kidney transplant recipients (care process outcomes). It is recommended to conduct complementary research to examine the effect of IT-based self-management interventions on clinical outcomes in kidney transplant recipients.
机译：简介：青少年时期的特点是冒险，冲动行为和不依从问题增多，这对患者及其医疗保健专业人员同样构成挑战。健康信息技术（IT）具有增强患者能力的潜力。目的：确定基于IT的干预措施对肾移植受者的青少年自我管理的效果和特点。材料和方法：2018年9月对Medline和Scopus进行了全面调查。合格的研究包括随机对照试验（RCT）和侧重于基于IT的自动化干预的准实验研究。研究包含有关25岁以下的青少年和年轻成人肾移植受者的信息，全部以英文发表。这些文章根据结果的分类，干预的类型及其影响相互结合。根据干预措施的影响将研究分类为阳性和统计学显着，无影响，或有综合影响（有积极意义和无影响）。结果：在本评价中，从Scopus和PubMed数据库收集的总共2242篇检索文章中，有5项研究符合全文纳入标准。使用计算机系统（3项研究），智能手机应用程序/个人数字资产（PDA）（1项研究）和多个组件（1项研究）进行干预。这些研究评估了15个结局，包括7个护理过程和8个临床结局。在15个结果中的6个（占40％）中，干预措施具有统计学意义的积极效果。结论：基于IT的干预措施，例如移动健康/个人数字助理（PDA），计算机系统和多组件系统，有可能改善青少年和成年肾移植受者的自我管理（护理过程结果）。建议进行补充研究，以检查基于IT的自我管理干预对肾移植接受者临床结局的影响。

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