中国全科医学

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电子健康技术在心力衰竭患者居家管理中的应用进展

陈科君, 杨怡菲, 宫静, 杨滨旭, 周静   

  • 收稿日期:2023-11-13 修回日期:2024-02-05 接受日期:2024-03-27
  • 通讯作者: 周静
  • 基金资助:
    国家自然科学基金(82360289); 遵义医科大学研究生科研基金立项课题(ZYK179)

Application Progress of Electronic Health Technology in Home Management of Patients with Heart Failure

CHEN Kejun, YANG Yifei, GONG Jing, YANG Binxu, ZHOU Jing   

  • Received:2023-11-13 Revised:2024-02-05 Accepted:2024-03-27
  • Contact: ZHOU Jing
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摘要: 心力衰竭是一种严重危害全球居民健康的心血管疾病,具有慢性、迁延性的病程特点,以居家为核心的有效管理是控制症状和改善患者预后的关键。电子健康(e-health)技术是心衰居家管理研究领域的热点之一,具有突破时间、空间壁垒的优势,能够实现居家患者健康状态连续监测、智能评估、动态管理。本文对心衰患者居家管理e-health相关研究进行系统梳理,探讨其在心衰患者药物管理、运动康复、风险评估、症状管理以及其他方面的应用价值,同时对e-health系统数字包容性欠佳、运转体系不完善、数据安全存在风险等局限进行分析及展望,旨在为创新心衰患者居家管理模式提供借鉴。

关键词: 心力衰竭, 电子健康, 居家管理, 移动医疗, 综述

Abstract: Heart failure as a chronic and debilitating cardiovascular disease that poses a serious threat to global health, effective management centered on home care is essential for controlling symptoms and improving patient outcomes.  Electronic health (e-health) technology has emerged as a prominent focus, providing an crucial means to overcome temporal and spatial barriers and achieve continuous monitoring, intelligent assessment, and dynamic management of patients’ health status. This paper systematically sorts out the related research on e-health in home management of patients with heart failure, and discusses its application value in drug management, exercise rehabilitation, risk assessment, symptom management and other aspects of patients with heart failure. It also analyzes and prospects the limitations of the e-health system such as poor digital inclusion, imperfect operation system, and risk of data security. The purpose of this study is to provide reference for the innovation of home management model for patients with heart failure.

Key words: Heart failure, Electronic health, Home management, Mobile health, Review