中国防痨杂志2025，Vol.47Issue(11)：1433-1441,9.DOI:10.19982/j.issn.1000-6621.20250227
移动医疗技术在结核病患者健康管理中应用效果的Meta分析
Application effect of mobile medical technology in health management of tuberculosis patients:A Meta-analysis
摘要
Abstract
Objective:To systematically evaluate the application effect of mobile medical technology in tuberculosis patient health management,to provide reference for clinical practice.Methods:A systematic search of Web of Science,Embase,Cochrane Library,PubMed,CINAHL,CBM,CNKI,WanFang Data and VIP database was conducted for randomised controlled trials about mobile medical technology's usage on tuberculosis patient health management.The retrieval time limit was from database establishment to May 30,2025.Two researchers independently screened literature,extracted data and evaluated quality.Meta-analysis was performed using RevMan 5.4 and Stata 16.0 software.Results:A total of 10 articles and 5615 patients were included.Meta-analysis showed that after applying mobile medical technology for the health management of tuberculosis patients,treatment compliance rate(RR=1.20,95％CI:1.12-1.29,P＜0.001),treatment success rate(RR=1.09,95％CI:1.03-1.16,P=0.006),and sputum examination rate(RR=1.14,95％CI:1.06-1.22,P＜0.001)of the observation group were all statistically significantly higher than those of the conventional group.Adverse outcomes occurrence in the observation group was significantly lower than that of the conventional group(RR=0.75,95％CI:0.59-0.96,P=0.020).Subgroup analysis showed that compared with information reminders and electronic pill boxes,patients who received intervention through WeChat program(RR=1.28,95％CI:1.17-1.40,P＜0.001)and mobile face-to-face video(RR=1.29,95％CI:1.13-1.46,P＜0.001)had significantly higher treatment compliance rates;compared with hospital-community and hospital-family intervention models,patients took hospital-community-family intervention model had significantly higher treatment compliance rate(RR=1.24,95％CI:1.16-1.33,P＜0.001);compared with an ≤ 3 months intervention,patients getting intervention＞3 months had significantly higher treatment compliance rate(RR=1.23,95％CI:1.19-1.27,P＜0.001).Conclusion:The implementation of mobile medical technology can improve treatment compliance rate,treatment success rate and sputum examination rate of tuberculosis patients,and reduce incidence of adverse outcomes.Mobile medical technology with strong real-time interaction such as WeChat and mobile video can be used,together with adopting hospital-community-family linkage mode,extending intervention time,constructing intervention plan according to factors influencing usage of mobile medical technology,to further improve the intervention effect.关键词
结核/计算机通信网络/Meta分析/护理Key words
Tuberculosis/Computer communication networks/Mate-analysis/Nursing care分类
临床医学引用本文复制引用
高丹,姚丽伟,黄金鹏,刘晓霞,张玥,凌琳..移动医疗技术在结核病患者健康管理中应用效果的Meta分析[J].中国防痨杂志,2025,47(11):1433-1441,9.基金项目
浙江省中医药管理局(2025ZL443) （2025ZL443）
浙江省卫生健康委员会(2025KY1123) Administration of Traditional Chinese Medicine of Zhejiang Province(2025ZL443) （2025KY1123）
Zhejiang Provincial Health Commission(2025KY1123) （2025KY1123）
