移动医疗在前列腺癌根治术后尿失禁患者居家管理中应用的范围综述

doi:10.3761/j.issn.0254-1769.2025.20.005

摘要/Abstract

摘要：

目的对移动医疗应用于前列腺癌根治术后尿失禁患者居家管理的研究开展范围综述，为未来研究和临床实践提供参考。方法系统检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、中国知网、中国生物医学文献数据库、万方数据库、维普数据库和美国泌尿外科协会网站等专业学会网站，检索时限为建库至2025年3月7日，对纳入文献进行汇总和分析。结果共纳入19篇文献。干预形式包括应用程序、网络平台、通讯软件。干预内容包括健康教育、功能锻炼、自我管理、交流互动、随访管理。结局指标包括生理指标、心理指标、生活质量、自我管理、患者体验。结论移动医疗在前列腺癌根治术后尿失禁患者居家管理中应用具有一定的可行性，但其干预形式、内容以及评价指标仍需进一步拓展与完善，未来可结合多学科协作模式，构建更科学、系统的尿失禁患者居家管理方案。

关键词: 移动医疗, 前列腺癌根治术, 尿失禁, 家庭医疗保健服务, 范围综述, 护理

Abstract:

Objective To conduct a scoping review on the application of mobile health in the home management of patients with urinary incontinence after radical prostatectomy，providing references for future research and clinical practice. Methods A literature search was performed in the PubMed，Web of Science，Embase，CINAHL，Cochrane Library，China National Knowledge Infrastructure（CNKI），China Biomedical Literature Database（SinoMed），Wanfang Database，VIP Database，the website of the American Urological Association and so on from the establishment of databases to March 7，2025. The included literature was summarized and analyzed. Results A total of 19 pieces of literature were included. The forms of intervention included applications，online platforms，and communication software. The intervention contents covered health education，functional exercise，self-management，communication and interaction，and follow-up management. The outcome indicators included physiological indicators，psychological indicators，quality of life，self-management，patient experience. Conclusion The application of mobile health in the home management of patients with urinary incontinence after radical prostatectomy has certain feasibility.However，its forms of intervention，contents and evaluation indicators still need to be further expanded and improved. In the future，it is possible to explore the integration of emerging technologies，combine the multi-disciplinary collaboration model，and construct a more scientific and systematic home management plan for urinary incontinence patients.

Key words: Mobile Health, Radical Prostatectomy, Urinary Incontinence, Home Care Services, Scoping Review, Nursing Care

郭艳清, 杨丽杰, 吴庆怡, 方艳. 移动医疗在前列腺癌根治术后尿失禁患者居家管理中应用的范围综述[J]. 中华护理杂志, 2025, 60(20): 2464-2471.

GUO Yanqing, YANG Lijie, WU Qingyi, FANG Yan. Application of mobile health in the home management of patients with urinary incontinence after radical prostatectomy：a scoping review[J]. Chinese Journal of Nursing, 2025, 60(20): 2464-2471.

图/表 2

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