移动健康技术在脑卒中患者认知功能康复中应用的范围综述

doi:10.3761/j.issn.0254-1769.2025.15.017

摘要/Abstract

摘要：

目的对移动健康技术在脑卒中患者认知功能康复中应用的研究进行范围综述，以识别移动健康技术的种类、干预内容要素及结局指标，为今后的研究提供借鉴。方法按照范围综述的方法学框架，系统检索中英文数据库中的相关研究，检索时限为建库至2025年2月16日。对纳入文献进行数据提取和汇总分析。结果纳入28篇文献，移动健康技术涉及应用程序、虚拟现实+应用程序、互联网平台、虚拟现实+互联网平台、远程康复系统。干预的内容要素包括认知功能训练、远程认知评估、监护与提醒、健康指导。结论基于移动健康技术的干预能有效改善脑卒中患者的认知功能及生活质量等。未来仍需开展大样本、高质量的研究为该领域提供更高质量的证据支持。

关键词: 脑卒中, 认知功能, 移动健康技术, 范围综述, 康复护理

Abstract:

Objective To describe the application related to mobile health（mHealth） technology in cognitive rehabilitation of stroke patients，aiming to identify the types of mHealth technologies，intervention content，and outcome measures，so as to provide references for future research. Methods According to the methodological framework of the scoping review，we systematically searched relevant studies in Chinese and English databases. The retrieval time was from establishment of databases to February 16，2025. Data extraction and meta-analysis were performed on the included literature. Results Totally 28 studies were finally included，involving 5 intervention types，including APP，VR combined with APP，the internet platform，VR integrated with the internet platform and telerehabilitation system. The content elements of the intervention included cognitive training，remote cognitive assessment，monitoring and reminders and health guidance. Conclusion The intervention types based on mHealth technology are diverse and the intervention strategies are rich，which can effectively improve the cognitive function of patients. It is necessary to conduct large-sample，high-quality and long-term follow-up studies to provide higher quality evidence support for this field in the future.

Key words: Stroke, Cognitive Function, Mobile Health Technology, Scoping Review, Rehabilitation Nursing

曾莹, 施慧, 史雅儒, 王月英, 王琴. 移动健康技术在脑卒中患者认知功能康复中应用的范围综述[J]. 中华护理杂志, 2025, 60(15): 1900-1906.

ZENG Ying, SHI Hui, SHI Yaru, WANG Yueying, WANG Qin. Mobile health technologies in cognitive rehabilitation of stroke patients：a scoping review[J]. Chinese Journal of Nursing, 2025, 60(15): 1900-1906.

图/表 2

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