{"title":"The Impact of Health Technologies on Ostomy Care: A Systematic Review of Health Technologies Impact on Ostomy Care.","authors":"Khadijeh Moulaei, Elnaz Iranmanesh, Leila Ahmadian","doi":"10.1097/WON.0000000000001021","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this systematic review was to evaluate studies in which health information technology was used to improve ostomy care and management.</p><p><strong>Methods: </strong>Systematic literature review.</p><p><strong>Search strategies: </strong>The review was performed according to PRISMA Guidelines. Three scientific databases, Scopus, PubMed, and Web of Science, were searched with no time limitation using key words related to information technology and ostomy. The selection of articles and data collection were carried out by 2 reviewers and disagreements were resolved via discussion with a third, independent reviewer.</p><p><strong>Findings: </strong>The initial search of electronic databases retrieved 1679 elements; following removal of duplicate records, title and abstract review, and articles read in full for inclusion/exclusion criteria, 10 articles were included in the review. Analysis of findings from studies included in our review addresses technologies used to care for persons living with an ostomy. Elements were divided into 2 categories: (1) sensor-based wearable technologies, which were mostly used to assess the fecal output and fullness of ostomy pouching system, and (2) computer-based, tablet based, and smartphones platforms, which were used for teaching and learning. The most significant outcomes were increasing patients' knowledge and awareness of ostomy, enhancing patient's participation in self-care processes, and improving self-efficacy levels.</p><p><strong>Implications for practice: </strong>We found limited research regarding the effectiveness of technology-based interventions on the management of ostomy patients. Findings of this systematic review suggest that the application of technologies has created a positive effect on the management of an ostomy, provided opportunities for enhancing self-efficacy, self-care, and self-management. The results of this study can be a basis for designing efficient technology-based systems for the management of ostomy.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"50 6","pages":"489-494"},"PeriodicalIF":1.7000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Wound Ostomy and Continence Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/WON.0000000000001021","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: The purpose of this systematic review was to evaluate studies in which health information technology was used to improve ostomy care and management.
Methods: Systematic literature review.
Search strategies: The review was performed according to PRISMA Guidelines. Three scientific databases, Scopus, PubMed, and Web of Science, were searched with no time limitation using key words related to information technology and ostomy. The selection of articles and data collection were carried out by 2 reviewers and disagreements were resolved via discussion with a third, independent reviewer.
Findings: The initial search of electronic databases retrieved 1679 elements; following removal of duplicate records, title and abstract review, and articles read in full for inclusion/exclusion criteria, 10 articles were included in the review. Analysis of findings from studies included in our review addresses technologies used to care for persons living with an ostomy. Elements were divided into 2 categories: (1) sensor-based wearable technologies, which were mostly used to assess the fecal output and fullness of ostomy pouching system, and (2) computer-based, tablet based, and smartphones platforms, which were used for teaching and learning. The most significant outcomes were increasing patients' knowledge and awareness of ostomy, enhancing patient's participation in self-care processes, and improving self-efficacy levels.
Implications for practice: We found limited research regarding the effectiveness of technology-based interventions on the management of ostomy patients. Findings of this systematic review suggest that the application of technologies has created a positive effect on the management of an ostomy, provided opportunities for enhancing self-efficacy, self-care, and self-management. The results of this study can be a basis for designing efficient technology-based systems for the management of ostomy.
目的:本系统综述的目的是评价使用健康信息技术改善造口护理和管理的研究。方法:系统文献复习。搜索策略:根据PRISMA指南进行审查。使用信息技术和造口术相关的关键词对Scopus、PubMed和Web of Science三个科学数据库进行无时间限制的检索。文章的选择和数据的收集由两位审稿人进行，分歧通过与第三位独立审稿人的讨论来解决。结果:初步检索电子数据库检索到1679个元素;在删除重复记录、标题和摘要审查以及全文阅读纳入/排除标准后，10篇文章被纳入本综述。我们综述中纳入的研究结果分析涉及用于护理造口患者的技术。元素分为2类:(1)基于传感器的可穿戴技术，主要用于评估造口袋系统的粪便排出量和充盈度;(2)基于计算机、平板电脑和智能手机的平台，主要用于教学和学习。最显著的结果是增加了患者对造口术的知识和意识，提高了患者对自我保健过程的参与，提高了自我效能水平。实践意义:我们发现基于技术的干预对造口患者管理的有效性研究有限。本系统综述的结果表明，技术的应用对造口术的管理产生了积极的影响，为提高自我效能、自我护理和自我管理提供了机会。本研究的结果可以为设计高效的基于技术的造口管理系统提供基础。
期刊介绍：
The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care.
The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.
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