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                          1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 腰痛患者管理中移动医疗中的应用

                            腰痛患者管理中移动医疗中的应用

                            时间:2019-03-09 13:27作者:杨芳 肖霞
                            本文导读:这是一篇关于腰痛患者管理中移动医疗中的应用的文章,腰痛(Lumbago)是骨科常见疾病,具有发病率高,医疗花费高的特点。在世界范围内,高达80%的人在一生中都经历过腰痛,是患者就医的常见原因,也是导致患者失去劳动能力的主要原因之一。

                              摘    要: 腰痛是骨科常见疾病,不仅给患者带来痛苦,而且给社会带来沉重的经济负担。近年来,移动医疗在腰痛患者管理中的应用得到广泛的高度关注。本研究从移动医疗的概述及其在腰痛患者管理中的应用进行研究进展综述,以期为在腰痛患者管理中更好的开展移动医疗提供参考。

                              关键词: 移动医疗; 腰痛; 护理管理;

                              YAOTONG(Lumbago)SHIGUKECHANGJIANJIBING,JUYOUFABINGLVGAO,YILIAOHUAFEIGAODETEDIAN。ZAISHIJIEFANWEINEI,GAODA80%DERENZAIYISHENGZHONGDOUJINGLIGUOYAOTONG,SHIHUANZHEJIUYIDECHANGJIANYUANYIN,YESHIDAOZHIHUANZHESHIQULAODONGNENGLIDEZHUYAOYUANYINZHIYI[1,2]。ZAIJUEDADUOSHUGUOJIA,YAOTONGDEZHENZHIFEIYONGZAIYILIAOFEIYONGZHONGZHANBIJIAOGAO,WEISHEHUIDAILAICHENZHONGDEJINGJIFUDAN,JUTONGJI,MEIGUOMEINIANHUAFEIZAIYAOTONGHUANZHEDEYILIAOFEIYONGCHAOGUO900YIMEIYUAN,BINGQIEHAIZAIZHUNIANZENGJIA[3]。JINGUANDUIYUYAOTONGZUILIXIANGDEZHILIAOFANGANMUQIANSHANGWUDINGLUN,DANSHIHUANZHEDEJIJIPEIHEZAITIGAOZHILIAOXIAOGUOZHONGZHIGUANZHONGYAO,ZHEIZAIYAOTONGZHILIAODEGUOJIZHINANZHONGYOUZHONGYAOTUIJIAN[4]。ZHANGQILIANGHAODEHUANZHEGUANLISHIRENHEZHILIAOFANGANCHENGGONGDEGUANJIAN[5]。JIWANGYOUYUJISHUSHOUDUANDEQUEFA,DUIYUJIAQIANGHUANZHEDEZHANGQIGUANLI,TIGAOHUANZHEDEYICONGXINGBIJIAOKUNNAN。JINNIANLAI,SUIZHEYIDONGJISHUDEKUAISUFAZHAN,WEITUPOCHUANTONGYILIAOZAISHIJIANHEKONGJIANSHANGDEXIANZHITIGONGLEKENENG。YIDONGYILIAO(Mobile health)YEYINGYUNERSHENG,BINGQIEKUAISUFAZHAN,ZAIHUANZHEGUANLIZHONGFAHUILEYUELAIYUEDADEZUOYONG[6,7,8,9,10,11,12]。BENYANJIUJIANGDUIYIDONGYILIAOZAIYAOTONGHUANZHEGUANLIZHONGDEYINGYONGJINZHANZUOYIZONGSHU。ZHIZAIWEIGENGHAOGUANLIYAOTONGHUANZHETIGONGCANKAO。

                              1、 移动医疗的概述

                              YIDONGYILIAODEGAINIANSHIYOUYINGGUOHUANGJIASHENGWUYIXUEGONGCHENGJIAOSHOUIstepanian RobertZAI2006NIANSHOUCITICHU,DINGYIWEIYONGYIDONGTONGXUNHEWANGLUOSHEBEIWEIJIANKANGTIGONGFUWUDEYILIAOXITONG[13]。2010NIAN,SHIJIEWEISHENGZUZHIZAIYIXIANGQUANQIUDIAOCHABAOGAOZHONGDUIYIDONGYILIAODEDINGYISHIYIYIDONGDIANHUA、HUANZHEJIANCESHEBEI、GERENSHUZIZHULI(Person digital assistant,PDA)YIJIQITAWUXIANSHEBEIDENGYIDONGSHEBEIWEIZHICHIDEYILIAOHEGONGGONGJIANKANGSHIJIAN[14]。YIDONGYILIAOYOUZHUYUJIAQIANGYIHURENYUANYUHUANZHEZHIJIANDEGOUTONG,JUYOUXINXIHUACHENGDUGAO、SUDUKUAI、XIAOLVGAO、YILIAOCHENGBENDI、GEXINGHUAFUWUDUODENGTEDIAN[15,16]。ZHUYAOZAIJIBINGYUFANG、BINGQINGJIANCE、ZIWOGUANLI、TIGAOYICONGXING、YUANCHENGZHILIAO、JIANKANGJIAOYUHECUJINJIANKANGXINGWEIDENGFANGMIANFAHUIZUOYONG[15]。

                              2 、移动医疗在腰痛患者管理中的应用

                              YAOTONGDECHANSHENG、FAZHANHEZHUANGUISHOUDAOSHENGLI、XINLIHESHEHUIDUOFANGMIANDEYINGXIANG,ZHANGQI、SHISHI、BIANJIEDEHUANZHEGUANLIYOUZHUYUQUANMIANPINGGUHUANZHE、CUJINBINGQINGKUAISUHUIFU、JIANSHAOFUFA、JIAQIANGJIANKANGJIAOYUHETIGAOHUANZHEMANYIDU[3,17,18,19]。YIDONGYILIAOZAICHUANTONGYILIAODEJICHUSHANGTUOZHANLEYILIAOFUWUDESHIJIANHEKONGJIAN。MUQIAN,ZAIYAOTONGHUANZHEGUANLIZHONGZHUYAOYINGYONGZAIBINGQINGPINGGUHEJIANCE、HUANZHEXINXIFANKUI、JIANDUZHIDAOZHILIAO、JIANKANGJIAOYUDENGFANGMIAN。GENJUCAIYONGYIDONGYILIAODEFANGSHIBUTONG,JUTIYINGYONGYANJIUJINZHANRUXIA。

                              2.1、 短信在腰痛患者管理中的应用

                              短信作为手机传统的交流沟通方式,具有经济、便捷、较少干扰的特点,是早期移动医疗中的主要沟通和教育方式,目前仍然发挥着重要作用。Axen等[20]对腰痛患者进行多中心前瞻性观察研究,向患者每周发送腰痛相关的询问短信,并将患者的短信回复进行记录和分析,结果发现患者的平均短信回复率高达82.5%,从而证实短信是一种便捷友好的、患者乐于接受的腰痛管理方式。Lilje等[21]对腰痛患者进行专业手法治疗后,利用手机短信定期提醒患者在没有腰痛时坚持家庭康复锻炼,以期减少腰痛的复发,保持治疗的长期效果,结果发现这种方式及时有效,能够促进患者坚持康复锻炼,有助于患者腰痛的缓解。王桂荣等[22]利用手机短信的形式对腰痛患者进行健康教育,短信以文本加音频和文本加视频的两种形式进行,短信内容根据疾病对患者的危害、病因、好发人群、诱发因素、预防措施、治疗方法以及疾病的不同时期,由专科医生和护士确定短信内容,结果发现手机短信健康教育组患者的焦虑评分、抑郁评分、腰痛复发率明显低于常规健康教育的对照组,知识知晓率、遵医率明显高于对照组,证实了手机短信形式教育有助于提高腰痛患者的健康教育效果。
                             

                            腰痛患者管理中移动医疗中的应用
                             

                              2.2、 微信在腰痛患者管理中的应用

                              JINNIANLAI,WEIXINCHENGWEISHISHITONGXUNDEZHONGYAOFANGSHI,YUELAIYUEDUODIBEIDAZHONGGUANGFANSHIYONG。JUYOUFANGBIANKUAIJIE、XINXICHUANBOSUDUKUAI、FANWEIGUANG、CHENGBENDIDENGTEDIAN,TONGSHIHAIKEYILIYONGWEIXINQUN、WEIXINGONGZHONGHAODENGDUOZHONGFANGSHIGUANLIHUANZHE,RANGYIHUANGOUTONGGENGJIASHENGDONGXINGXIANG,GENGJIAJUYOUHUDONGXING[23,24,25]。CHENFANGDENG[24]KAIZHANYAOBEIBUJIAOYUKECHENG,BINGSHELIBEIBUJIAOYUWEIXINGONGZHONGHAO,TUISONGJIAOYUKECHENGZUIXINDONGTAI,FENXIANGYAOBEITONGKEPUZHISHI,TONGGUOWEIXINGONGZHONGHAOXUNWENHUANZHEBINGQINGHUANJIEQINGKUANG,BINGYAOQIUHUANZHEJISHIFANKUIKANGFUDUANLIANQINGKUANG。TUISONGDEKEPUZHISHIBAOKUOLINIANPIAN、DONGZUOPIAN、YINSHIPIAN、WENDAPIANHEGEANPIAN。GAIYANJIUFAXIANHUANZHEZHITUITAIGAOSHIYANYANGXINGBILI、YAOTONGPINGFEN、YAOBUROURENXINGYURUYUANSHIXIANGBIJUNMINGXIANGAISHAN,HUANZHEGONGNENGDUANLIANDEYICONGXINGYEMINGXIANZENGQIANG。HUANGYINGMIAODENG[25]JIYUWEIXINPINGTAIKAIZHANJIANKANGCUJINGUANLIMOSHIGAISHANHUANZHEDESHENGHUOFANGSHI,JIEGUOXIANSHIWEIXINZUHUANZHEJIANKANGCUJINSHENGHUOFANGSHIWENJUANPINGFEN、YAOZHUIGONGNENGPINGFENJUNMINGXIANYOUYUDUIZHAOZU。BAIYANHONGDENG[23]TONGGUOJIANLIWEIXINQUN,TUISONGYUFANGYAOZHUIXIANGGUANBAOJIANZHISHI、KANGFUJIHUAHEYAOBEIJIDUANLIANFANGSHI,BINGSHOUJIHUANZHEBINGQINGFANKUI,ZHENDUIXINGTIGONGJIANKANGZHIDAOFANGAN,JIEGUOFAXIANWEIXINZUHUANZHEDUIGUANLIFUWUDEMANYIDU、HUANZHESHENGHUOZHILIANGPINGFENJUNMINGXIANYOUYUDUIZHAOZU。

                              2.3、 可穿戴监测系统在腰痛患者管理中的应用

                              ZAIYAOTONGZHENZHIZHONG,DANGQIANCUNZAIDEZHUYAOWENTISHIHUANZHEZIWOBAOGAODEKEXINDU、PINGGUHUANZHEDEZHUNQUEDU、ZHILIAODEYICONGDUDENG[26]。RANER,MUQIANYAOTONGZHENZHIZHUYAOSHIZAILINCHUANGJIUZHENSHIDANSHIJIANDIANDERENWEIHUANJINGDUIHUANZHEJINXINGPINGGU,YINCIDUIHUANZHEBINGQINGDEPANDUANHEZHILIAOXIAOGUODEPINGJIABUGOUQUANMIAN。SUIZHEYIDONGYILIAOZHONGKECHUANDAIJIANCEXITONGDEYANJIUJINZHAN,LIYONGZHEIXIEXINXING、WUCHUANG、BIANJIEDESHEBEIZAIGENGZHANGDESHIJIANNEI,ZAIJIALI、GONGZUOCHANGSUODENGGENGZIRANDEHUANJINGZHONGDUIHUANZHEJINXINGLIANXUDEJIANCE,YOUXIAOMIBULECHUANTONGYILIAOFANGSHIDEBUZU。ChhikaraDENG[26]LIYONGDUOZHONGGANSHOUDEKECHUANDAIJIANCEXITONG,JIANCEYAOTONGHUANZHEYAOZHUIHEGUPENYUNDONG、SHUIMIANZHANGAIQINGKUANG、JIROUPILAOCHENGDUHEHUODONGMOSHI,ZHENGSHIKECHUANDAIJIANCEXITONGSHIYIZHONGXINXINGDE、LIANGHAODE、ZONGHEXINGDEPINGGUYAOTONGDAOZHISHINENGCHENGDUDESHOUDUAN,BINGYOUZHUYUFAXIANYUSHINENGXIANGGUANDERENTIHUODONGFANGSHI。DekkerDENG[27]LIYONGKECHUANDAIJIANCEXITONGDUIYAOTONGHUANZHEJINXINGJIANCE,DEDAOLIANXUDE、YUSHIJIANXIANGGUANDEGERENSHUJU,BINGTONGGUOJIANCEXITONGFANKUIZHIDAOHUANZHEDIAOZHENGZIJIDEHUODONGFANGSHI,JIEGUOFAXIANDADUOSHUHUANZHETONGGUOZHEITAOXITONGLEJIELEZIJIDEHUODONGQINGKUANG,BINGQIEJIANCEXITONGDESHUJUFANKUIDUIHUANZHEYAOTONGDEHUANJIEQIDAOLEZHENGXIANGZUOYONG。GAIYANJIUJIEGUOZHENGSHIZHEIZHONGJIYUSHISHIJIANCEHUANZHEHUODONGMOSHIJINXINGGEXINGHUAFANKUIDEKECHUANDAIJIANCEXITONGZAIYAOTONGHUANZHEDEGEXINGHUAZHILIAOZHONGJUYOULIANGHAODEYINGYONGQIANJING。KreinDENG[28]LIYONGJIBUQI、FANKUIXINGXINXIHESHUZISHEQU3BUFENZUCHENGDEKECHUANDAIJIANCEXITONGJINXINGGUANLIYAOTONGHUANZHEDESUIJIDUIZHAOYANJIU,JIEGUOXIANSHIKECHUANDAIJIANCEXITONGZUDEHUANZHEYAOZHUIGONGNENGZHANGAIPINGFENYOUYUCHANGGUIGUANLIZUHUANZHE。BanosDENG[29]LIYONGHANYOUGUANXINGCHUANGANQIHEJIDIANGANSHOUQIDEKECHUANDAIJIANCEXITONG,TONGGUOZIDONGHUODEDEHUANZHEQUGANZISHI、JIROUPILAOCHENGDUDENGSHUJUPINGGUHUANZHEQUGANNAILISHIYANSHUJU,LEJIEYAOTONGHUANZHEZAITENGTONGKANGFUZHONGDEJIROUZHUANGTAI,BINGJIANGJIEGUOSHANGCHUANJIYISHENG,YOUZHUYUYISHENGSUISHIGUANLIHUANZHEHETIGONGZHILIAOJIANYI。GAIYANJIUZHENGSHIZHEITAOKECHUANDAIJIANCEXITONGJUYOULIANGHAODEXINDUHEKEYONGDU,SHIYIZHONGLIANGHAODEQUGANNAILIPINGGUGONGJU,YILIAOZHUANJIADEPINGGUDUIZHEITAOXITONGYEXIANSHICHULELIANGHAODEMANYIDU。

                              2.4、 手机应用在腰痛患者管理中的应用

                              SHOUJIYIJINGCHENGWEIXIANDAIRENXUEXI、GONGZUOHESHENGHUOZHONGBUKEQUESHAODEYIDONGSHEBEI。SUIZHEZHINENGSHOUJIDEGUANGFANSHIYONG,SHOUJIYINGYONG(Application,APP)CHENGWEIYIZHONGYONGYUJIANKANGGUANLIDEXINSHOUDUAN[5,6,7,8,9,10,11,12]。YUGUOQUYIYUYAN、WENZIDENGWEIZHUYAOFANGSHIDECHUANTONGHUANZHEGUANLIFANGSHIXIANGBI,APPJUYOUGENGJIAXINGSHIDUOYANG、TONGSUYIDONG、LINGHUOBIANJIE、XINXIFENGFU、JIEYUECHENGBENDENGTEDIAN,QITONGGUOJIANKANGXINXITUISONG、SHOUJISHUJU、JIESHOUZIXUNDENGFANGSHIWEIHUANZHETIGONGJIANKANGXINXI、LEJIEHUANZHEBINGQING、ZHIDAOHUANZHEZHILIAOHECUJINHUANZHEJIANKANGXINGWEI[5,6,7]。HuberDENG[30]HUIGUXINGYANJIUSHIYONGSHOUJIYINGYONGZHIDAOHUANZHEZHILIAOYAOTONGDEXIAOGUO,JIEGUOFAXIANHUANZHEDEYAOTONGPINGFENMINGXIANJIANGDI,BINGQIECHAYIYOUTONGJIXUEYIYI,ZHENGSHILEAPPNENGGOUYOUZHUYUYAOTONGHUANZHEDEZHILIAO。IrvineDENG[31]LIYONGSHOUJIYINGYONGDUIYAOTONGHUANZHEJINXINGSUIJIDUIZHAOYANJIU,JIEGUOFAXIANSHOUJIYINGYONGZUHUANZHEZAISHENTIJINENG、XINGWEIXUE、GONGZUONENGLIDENGPINGJIAZHIBIAOSHANGJUNMINGXIANYOUYUDUIZHAOZU。Peterson[32]LIYONGAPPDUIYAOTONGHUANZHEJINXINGYUANCHENGYINPIN、SHIPINKANGFUBANGZHUHEJIANCEBINGQING,GENZONGHUANZHEMEITIANYAOTONGDECHENGDUHEKANGFUXUNLIANYICONGXING,JIEGUOFAXIANSUOYOUHUANZHEJUNDADAOLEGERENDEKANGFUMUBIAO,KANGFUXUNLIANYICONGXINGBIAOXIANYOUXIU。DUIYUKANGFUGUOCHENGZHONGHUANZHECHUXIANDEZANSHIXINGDETENGTONGJIAZHONG,ZAIYUANCHENGKANGFUDEZHIDAOXIA,HUANZHEJUNNENGGOUDULIJIEJUE。HUANZHEDUIZHEIZHONGKANGFUMOSHIBIAOXIANCHUGAODUDEMANYI。ClementDENG[5]HUIGUXINGYANJIUYAOTONGHUANZHESHIYONGJUYOUSHOUJIHUANZHEFANKUIXINXIDESHENGJIHOUDESHOUJIYINGYONG,JIEGUOFAXIAN,HUANZHESHIYONGSHENGJIHOUDEAPPJINXINGKANGFUDUANLIANDEQIANGDUMINGXIANZENGJIA,BINGQIEHUANZHEYAOTONGDECHENGDUYEMINGXIANJIANQING。GAIYANJIUZHENGSHIZAIAPPSHENGJIZHONGGAIJINSHOUJIHUANZHEDEFANKUIXINXINENGGOUTISHENGHUANZHEDUIAPPDESHIYONGDU,YOULIYUGAISHANHUANZHEDEYAOTONG。

                              3、 总结和展望

                            棋牌大全下载安装   YIDONGYILIAOZUOWEIYIZHONGXINXINGDEYILIAOMOSHIYOUZHUYUTIGONGHUANZHEGENGJIAXIANGXIDEBINGQINGHEXINGCHENGGENGJIAHELIDEFANGAN,DUIYAOTONGDEYUFANG、ZHENDUANHEZHILIAOJUYOUZHONGDAERSHENYUANDEYIYI,SHENZHIKENENGCHENGWEIWEILAIYAOTONGLINCHUANGYILIAOZHONGBUKEHUOQUEDEZHONGYAOSHOUDUAN。MUQIAN,YIDONGYILIAOZAIWOGUOYAOTONGHUANZHEGUANLIZHONGDEYINGYONGSHANGCHUYUQIBUJIEDUAN,YOUQISHIZAIXINXINGDEKECHUANDAIJIANCEXITONGHEAPPFANGMIAN。YINCI,YOUBIYAOZAIWOGUODALIFAZHANYIDONGYILIAO,ZAILINCHUANGSHIJIANZHONGFAHUIYIDONGYILIAODEYOUSHI,GENGGAOXIAO、GENGJINGQUE、GENGQUANMIANDIFUWUYUYISHENGHEHUANZHE,YOUZHUYUJINYIBUTISHENGWOGUOYAOTONGDEZHILIAOSHUIPING。

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