智慧医疗在肝移植患者延续性管理中应用的范围综述

doi:10.3761/j.issn.0254-1769.2025.04.018

摘要/Abstract

摘要：

目的对智慧医疗在肝移植患者延续性管理中的应用研究进行范围综述，旨在为未来开展智慧化肝移植管理提供参考。方法系统检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、Scopus、中国知网、万方数据库、维普数据库和中国生物医学文献数据库中的相关研究。检索时限为建库至2024年9月30日。对纳入的文献进行筛选和归纳总结。结果共纳入19篇文献。智慧医疗主要开展形式为应用程序、智慧医疗设备、远程康复平台。内容要素包括移植健康管理、康复方案规划、健康数据监测、远程医疗咨询、心理社会支持、随访监督。评价指标涉及生理指标、自我管理能力、健康相关生活质量、肝移植结局、患者满意度、可行性指标。结论智慧医疗在肝移植患者延续性管理应用中具有可行性和有效性，建议医护人员结合临床实际情况整合智慧医疗多元实践形式、深化内容要素和完善评价指标体系，以期提升肝移植患者延续性管理质量。

关键词: 肝移植, 智慧医疗, 延续性管理, 护理, 范围综述

Abstract:

Objective To provide a scoping review of studies on the application of intelligent healthcare for continuity management in liver transplant patients，in order to provide a reference for the future development of intelligent liver transplant management. Methods A systematic search of relevant studies was conducted in PubMed，Embase，CINAHL，Web of Science，Cochrane Library，Scopus，CNKI，Wanfang Database，VIP Database，and CBM from the establishment of the databases to 30 September 2024. Following this search，the included literature was screened，summarized，and analyzed. Results A total of 19 papers were included. The intervention forms included application，intelligent medical device，and remote rehabilitation platform. The content elements included transplant health management，rehabilitation program planning，health data monitoring，telemedicine consultation，psychosocial support，and follow-up supervision. The evaluation indicators included physiological indicators，self-management ability，health-related quality of life，transplantation outcomes，patient satisfaction，and feasibility indicators. Conclusion The application of intelligent healthcare in the continuity management of liver transplantation patients is feasible and effective，and it is recommended that healthcare professionals integrate the diverse practice forms of intelligent healthcare，deepen the content elements and refine the evaluation indicator system based on the actual clinical situation，in order to improve the quality of the continuity management of liver transplantation patients.

Key words: Liver Transplantation, Smart Medical Care, Continuity Management, Nursing Care, Scoping Review

孙旭, 周智聪, 夏雨, 安晓, 杨滕, 仝紫薇, 王红. 智慧医疗在肝移植患者延续性管理中应用的范围综述[J]. 中华护理杂志, 2025, 60(4): 507-513.

SUN Xu, ZHOU Zhicong, XIA Yu, AN Xiao, YANG Teng, TONG Ziwei, WANG Hong. Intelligent healthcare in the continuity management of patients with liver transplantation：a scoping review[J]. Chinese Journal of Nursing, 2025, 60(4): 507-513.

图/表 3

表1 PubMed检索策略

Table 1 Search strategies of PubMed database

图1 文献筛选流程图

Figure 1 Flow chart of literature screening

表2 纳入文献的基本特征（n=19）

Table 2 Characteristics of the included studies（n=19）

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