Abstract:

Objective To identify the features and effects of mHealth App interventions，so as to provide guidance for future research. Methods A literature search was performed in the PubMed，Embase，Web of Science，CINAHL，Cochrane Library，CNKI，Wanfang，VIP，and CBM databases to identify relevant studies from the establishment of databases to April 2023. The included literature was summarized and analyzed. Results A total of 42 articles were included，involving 18 Chinese articles and 24 English ones. Functional features of the mHealth App include patient history and healthcare assessment，decision support for healthcare professionals，health education development and push；presentation features are personalization，visualization and gamification. The outcome indicators evaluation was mainly on mental health，multiple risk factor control，medication adherence，self-management，quality of life，and clinical outcomes. Conclusion Mobile health Apps have been effective in the application of secondary prevention of coronary heart disease，which can be better improved by combining WeChat groups and wearable devices and presenting them in a personalized and visual way. In the future，it is necessary to improve the function of the App and carry out studies with larger scale and long-term follow-up.

Key words: Coronary Heart Disease, Mobile Health, Application, Scoping Review, Nursing Care

摘要：

目的 对移动健康应用程序（application，App）在冠心病患者二级预防中应用的研究进行范围审查，以识别移动健康App的特点及应用现状，为未来该领域的研究提供指导。方法 检索PubMed、Embase、Web of Science、CINAHL、Cochrane Library、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相关研究，检索时限为建库至2023年4月。对纳入文献进行汇总和分析。结果 纳入42篇文献，其中中文文献18篇，英文文献24篇。移动健康App的功能包括患者病史和医护人员评估、医护人员决策支持、健康教育制订和推送等；呈现特点为个性化、可视化和游戏化。结局指标主要为心理健康、多重危险因素控制、服药依从性、自我管理、生活质量和临床结局。结论 移动健康App在冠心病患者二级预防的应用中具有一定的效果，通过结合微信群和可穿戴设备，以个性化、可视化的方式呈现，能更好地提高应用效果。未来需要不断完善App功能，开展更大规模、长期随访的研究。

关键词: 冠心病, 移动健康, 应用程序, 范围综述, 护理