Mobile-Application-Based Interventions for Patients With Hypertension and Ischemic Heart Disease: A Systematic Review

Jin Yi CHOI; Heejung CHOI; GyeongAe SEOMUN; Eun Jung KIM

doi:10.1097/jnr.0000000000000382

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Mobile-Application-Based Interventions for Patients With Hypertension and Ischemic Heart Disease: A Systematic Review

Jin Yi CHOI ； Heejung CHOI ； GyeongAe SEOMUN ； Eun Jung KIM

The Journal of Nursing Research ； 28 卷 5 期 (2020 / 10 / 01) ， P1 - 19

英文 DOI： 10.1097/jnr.0000000000000382

mobile applications ； hypertension ； myocardial ischemia ； systematic review

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摘要 │ 参考文献 (59) │ 国际计量

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Background: Hypertension and ischemic heart disease are major causes of adult mortality. Related interventions to manage these conditions are important to implement during long, symptom-free periods. The recent proliferation of smartphones has spawned numerous health interventions that rely on mobile applications. Purpose: This systematic review was designed to summarize and analyze research on interventions using mobile applications for patients with hypertension and ischemic heart disease. Methods: We searched for related studies published from January 2006 to August 2017 on MEDLINE,EMBASE, CINAHL, and three Korean databases. Seventeen studies were identified and evaluated against eligibility criteria that included a focus on patients with hypertension or ischemic heart disease and a discussion of the detailed effects of a mobile-app-based intervention. All of the identified studies were evaluated qualitatively using a methodology checklist. Results: Twelve of the 17 studies were deemed as of acceptable quality according to the Scottish Intercollegiate Guideline Network quality assessment. According to the National Institutes of Health quality assessment tool, one article was of fair quality and four articles were of poor quality. Monitoring, education, and reminders were identified as application interventions. The effects of the app interventions were analyzed according to physiological factors, cognitive and behavioral factors, and psychological factors. Of the seven studies that measured blood pressure in patients with hypertension, five studies reported that the app-based interventions reduced blood pressure. Two of three studies showed a significant decrease of body mass index in patients with ischemic heart disease after the app-based interventions compared to the control group. Five of seven studies reported a significant change in medication adherence. Several studies showed different outcomes according to the disease, but the limited number of eligible studies was insufficient to demonstrate a conclusive effect. Conclusions: To ensure the long-term effects of mobile-application-based interventions, healthcare professionals should consider the functions of mobile applications. Moreover, because the focus of these interventions may differ based on the nature of the disease, it is recommended that the composition of interventions be tailored to the specific disease.

参考文献 ( 59 ) 〈TOP〉

Agbor-Etang, B. B.,Setaro, J. F.(2015).Management of hypertension in patients with ischemic heart disease.Current Cardiology Reports,17(12),119.
Albini, F.,Liu, X.,Torlasco, C.,Soranna, D.,Faini, A.,Ciminaghi, R.,Celsi, A.,Benedetti, M.,Zambon, A.,di Rienzo, M.,Parati, G.(2016).An ICT and mobile health integrated approach to optimize patients' education on hypertension and its managementby physicians: The patients optimal strategy of treatment(POST)pilot study.Annual International Conference of the IEEE Engineering in Medicine and Biology Society,2016,517-520.
Ammenwerth, E.,Woess, S.,Baumgartner, C.,Fetz, B.,van derHeidt, A.,Kastner, P.,Modre-Osprian, R.,Welte, S.,Poelzl,G.(2015).Evaluation of an integrated telemonitoring surveillance system in patients with coronary heart disease.Methodsof Information in Medicine,54(5),388-397.
Anderson, K.,Burford, O.,Emmerton, L.(2016).Mobile healthapps to facilitate self-care: A qualitative study of user experiences.PLOS ONE,11(5),e0156164.
Anglada-Martinez, H.,Martin-Conde, M.,Rovira-Illamola, M.,Sotoca-Momblona, J. M.,Sequeira, E.,Aragunde, V.,Moreno,M. A.,Catalan, M.,Codina-Jane, C.(2016).Feasibility andpreliminary outcomes of a web and smartphone-based medication self-management platform for chronically ill patients.Journal of Medical Systems,40(4),99.

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