| 中文摘要 |
心衰竭是一種影響全球超過2600萬人的慢性疾病，患者需嚴格遵守低鈉、限水的飲食建議並持續監測體液滯留症狀，以有效控制病情。本研究旨在評估行動醫療（mobile healthcare）是否能提升心衰竭患者在低鈉、限水飲食和體重監測方面的遵從行為，期未來提供臨床照護指引之參考。本文依循實證研究步驟，針對華藝線上圖書館學術網，CINAHL, Cochrane, MEDLINE, PubMed等五個中、英文資料庫進行系統性文獻檢索，並檢索相關引用文獻，篩選出截至2024年12月的隨機對照試驗，最終納入3篇文獻，並以Joanna Briggs Institute工具進行系統評析。結果顯示，行動醫療對健康行為傾向於具有顯著的正面效果，特別是對提升患者遵從限水和監測體重行為方面。然而，行動醫療的推行仍面臨患者接受意願不足、教育訓練欠缺、醫病信任關係、設備可及性以及科技更新等挑戰。未來建議進一步探索行動醫療的長期成效，並優化相關應用設計，以提供心衰竭患者更加全面的臨床照護支持。 |
| 英文摘要 |
Heart failure was a chronic disease affecting over 26 million individuals worldwide, requiring patients to adhere strictly to low-sodium and fluid-restricted dietary recommendations and continuously monitor fluid retention symptoms for effective disease management. This study aimed to evaluate whether mobile health interventions could enhance adherence to low-sodium and fluidrestricted diets and weight monitoring behaviors among heart failure patients. Following evidencebased research steps, we conducted a systematic literature search in databases such as Airiti Library, CINAHL, Cochrane, MEDLINE, PubMed, including references cited in related studies, focusing on randomized controlled trials published up to December 2024. Three randomized controlled trials were identified and appraised using the Joanna Briggs Institute critical appraisal tool. The results indicate that mobile health has a significantly positive effect on health behaviors, particularly in improving patients' adherence to fluid restrictions and weight monitoring. However, challenges remained in implementing mobile health, including limited patient acceptance, insufficient education and training, trust between patients and healthcare providers, accessibility of devices, and the rapid evolution of technology. Future studies should further explore the long-term impact of mobile health and optimize its design and applications to provide more comprehensive clinical support for heart failure patients. |
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