远程医疗在类风湿关节炎患者延续性护理中应用的范围综述

doi:10.3761/j.issn.0254-1769.2025.19.019

摘要/Abstract

摘要：

目的对远程医疗在类风湿关节炎患者延续性护理中的应用进行范围综述，为开展相关研究提供参考。方法以范围综述方法学框架为指导，系统检索PubMed、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库、中国生物医学文献数据库共8个数据库，检索时限为建库至2025年3月18日，对纳入文献进行整合分析。结果共纳入26篇文献。远程医疗的主要载体形式包括应用程序、网络通信软件、远程管理平台、便携式电子设备；内容要素包含随访、监测、医疗咨询、健康教育、心理干预；评价指标涉及临床指标、自我管理指标、健康相关生活质量、满意度、可行性指标和其他指标。结论远程医疗应用于类风湿关节炎患者延续性护理中具有可行性和有效性，建议未来相关领域能够优化远程医疗应用功能、丰富内容要素和完善评价指标，以期提升患者的延续性护理质量。

关键词: 类风湿关节炎, 远程医疗, 延续性护理, 范围综述

Abstract:

Objective This paper reviews the application of telemedicine in the continuous care for patients with rheumatoid arthritis and provides a reference for relevant research. Methods Guided by the methodological framework of scoping review，we systematically searched a total of 8 databases including PubMed，Embase，Web of Science，Cochrane Library，CNKI，Wanfang Database，VIP Database，and China Biomedical Literature Database，and the search time period was from the establishment of the database to March 18，2025，and the included literature were analyzed for comprehensive analysis. Results A total of 26 articles were included. The main carrier forms of telemedicine include applications，network communication software，remote management platforms，and portable electronic devices. The content elements include remote follow-up，remote monitoring，remote medical consultation，remote education，and remote psychological intervention. The evaluation indicators included clinical indicators，self-management indicators，health-related quality of life，satisfaction，feasibility indicators and other indicators. Conclusion Telemedicine can be used as an emerging method to be applied to the continuous care of patients with rheumatoid arthritis，and it is suggested that the relevant fields can optimize the application function of telemedicine，enrich the content elements and improve the evaluation index，in order to improve the quality of continuous care for patients.

Key words: Rheumatoid Arthritis, Telemedicine, Continuous Care, Scoping Review

郭伊凡, 任桦, 白婧, 刘三娇. 远程医疗在类风湿关节炎患者延续性护理中应用的范围综述[J]. 中华护理杂志, 2025, 60(19): 2426-2432.

GUO Yifan, REN Hua, BAI Jing, LIU Sanjiao. Application of telemedicine in the continuous care of patients with rheumatoid arthritis：a scoping review[J]. Chinese Journal of Nursing, 2025, 60(19): 2426-2432.

图/表 1

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