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首页> 外文期刊>BMC Medical Informatics and Decision Making >Effectiveness of IT-based interventions on self-management in adult kidney transplant recipients: a systematic review
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Effectiveness of IT-based interventions on self-management in adult kidney transplant recipients: a systematic review

机译：基于IT的疗效对成人肾移植受者自我管理的有效性：系统审查

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Kidney transplant outcomes are broadly associated with transplant recipients’ capacity in following a complex and continuous self-management regimen. Health information technology has the potential to empower patients. This systematic review aimed to determine the impacts of IT-based interventions for self-management in kidney transplant recipients. A comprehensive investigation was performed in MEDLINE (via PubMed) and EMBASE (via Scopus) in April 2019. Eligible studies were the randomized controlled trials which aimed to design an automated IT-based intervention. All English papers including adult kidney transplant recipients were included. To assess the clinical trial’s quality, Cochrane Collaboration’s assessment tool was employed. The articles were integrated based on category of outcomes, characteristics of interventions, and their impact. The interventions were classified based on the used IT-based tools, including smart phones, coverage tools, computer systems, and a combination of several tools. The impact of interventions was defined as: (1) positive effect (i.e. statistically significant), and (2) no effect (i.e. not statistically significant). A total of 2392 articles were retrieved and eight publications were included for full-text analysis. Interventions include those involving the use of computerized systems (3 studies), smart phone application (3 studies), and multiple components (2 studies). The studies evaluated 30 outcomes in total, including 24 care process and 6 clinical outcomes. In 18 (80%) out of 30 outcomes, interventions had a statistically significant positive effect, 66% in process and 33% in clinical outcomes. IT-based interventions (e.g. mobile health applications, wearable devices, and computer systems) can improve self-management in kidney transplant recipients (including clinical and care process outcomes). However, further evaluation studies are required to quantify the impact of IT-based self-management interventions on short- and long-term clinical outcomes as well as health care costs and patients' quality of life.
机译：肾移植结果与移植受者的能力大致关联，遵循复杂和持续的自我管理方案。健康信息技术有可能赋予患者。该系统审查旨在确定其基于IT的干预措施对肾移植受者的自我管理的影响。在2019年4月在Medline（通过Pubmed）和Embase（通过Scopus）进行了全面调查。符合条件的研究是随机对照试验，其旨在设计自动化的基于IT的干预。包括成年肾移植接受者在内的所有英语文件。为评估临床试验的质量，采用Cochrane协作的评估工具。根据结果​​，干预措施的特征及其影响，整合了物品。干预措施是根据使用的基于IT的工具分类，包括智能手机，覆盖工具，计算机系统以及多个工具的组合。干预的影响被定义为：（1）阳性效应（即统计学上显着），（2）无效（即没有统计学意义）。还检索了2392篇文章，并列出了八种出版物进行全文分析。干预包括涉及使用计算机化系统（3研究），智能手机应用程序（3研究）和多个组件（2研究）的那些。研究总共评估了30种结果，包括24种护理过程和6种临床结果。 18（80％）在30个结果中，干预措施具有统计学上显着的阳性效应，56％的过程和33％的临床结果。基于IT的干预（例如，移动健康应用，可穿戴设备和计算机系统）可以改善肾移植受者的自我管理（包括临床和护理过程结果）。然而，需要进一步的评估研究来量化IT的自我管理干预对短期和长期临床结果以及医疗保健成本和患者的生活质量。

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