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自动交互式语音应答系统在慢性病患者诊后管理中应用的范围综述

Application of automated interactive voice response systems in post-diagnosis management of chronic disease patients: a scoping review

摘要目的:总结自动交互式语音应答系统(AIVRS)在慢性病患者诊后管理的应用现状。方法:计算机检索PubMed、Embase、Web of Science、CINAHL、Cochrane Library、中国知网、万方数据库、中国生物医学文献数据库和维普网,检索时限为建库至2024年5月25日。由2名研究人员根据纳入和排除标准筛选文献、提取数据。结果:共纳入16篇文献。AIVRS在慢性病患者诊后管理中的内容主要包括自我护理指导、服药管理和决策支持;结局指标主要为可行性评价及效果评价。结论:AIVRS在慢性病患者诊后管理中具有可行性,但仍存在AIVRS的技术、性能、使用单模态数据评估患者结局指标等不足。未来可强化AIVRS在慢性病患者诊后管理干预的理论基础,适当增加互动模块、提供实时指导,以提高AIVRS诊后管理效果。

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abstractsObjective:To summarize the current status of the application of automated interactive voice response systems (AIVRS) in post-diagnosis management of chronic disease patients.Methods:A computer search was conducted in PubMed, Embase, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure, Wanfang Data, China Biology Medicine disc, and VIP, covering the literature from establishing these databases to May 25, 2024. Two researchers screened the literature and extracted data based on inclusion and exclusion criteria.Results:A total of 16 articles were included. The content of AIVRS in post-diagnosis management of chronic disease patients mainly includes self-care guidance, medication management, and decision support. The outcome indicators primarily focus on feasibility evaluation and effect evaluation.Conclusions:AIVRS is feasible in post-diagnosis management of chronic disease patients. However, there are still shortcomings, such as technical limitations, performance issues, and the use of unimodal data to assess patient outcome indicators. Future research could strengthen the theoretical foundation of AIVRS in post-diagnosis management interventions, appropriately add interactive modules, and provide real-time guidance to improve the effectiveness of AIVRS in post-diagnosis management.

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