移动医疗用于脑卒中患者居家康复的范围综述

目的 对移动医疗在脑卒中患者居家康复中应用的研究进行范围审查，识别移动医疗的要素及应用效果，为未来脑卒中患者居家康复的实践提供参考。方法 以范围综述指南为方法学框架，检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、Scopus、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移动医疗在脑卒中患者居家康复中应用的相关研究。检索时限为建库至2023年3月20日。对纳入文献进行汇总和分析。结果 共纳入18篇文献，包含13篇随机对照试验和5篇类实验研究。移动医疗在脑卒中患者居家康复中应用的类型主要有应用程序、可穿戴设备、远程康复系统、网络信息化平台及社交媒体；居家康复内容涉及运动功能康复、语言功能康复、吞咽功能康复及心理康复；结局指标包括康复效果指标、生活质量、自我管理及患者体验。结论 移动医疗在脑卒中患者居家康复中的应用可行，且具有积极效果。未来应探索合适的脑卒中患者居家康复服务规范，在多学科团队协作的基础上，开发出具有专业性及普适性的移动医疗设备，提升移动医疗在脑卒中患者居家康复中应用的质量。

A scoping review on the application of mobile health in home rehabilitation for stroke patients

Objective To conduct a scoping review of research on the application of mobile health in home rehabilitation for stroke patients, identify the elements and application effects of mobile health, and provide a reference for future practice of home rehabilitation for stroke patients in the future. Methods Using the scoping review guidelines as the methodological framework, relevant studies on the application of mobile health in home rehabilitation of stroke patients were searched in PubMed, Embase, CINAHL, Web of Science, Cochrane Library, Scopus, CNKI, Wanfang Database, VIP database and Chinese biomedical literature database.The search time frame was from the establishment of the database to March 20, 2023.The included studies were summarized and analyzed. Results A total of 18 studies were included, including 13 randomized controlled trials and 5 quasi-experimental studies.Forms of mobile health in home rehabilitation for stroke patients mainly included applications, wearable devices, remote rehabilitation systems, network information platforms and social media.The content of home rehabilitation involved motor function rehabilitation, speech function rehabilitation, swallowing function rehabilitation and psychological rehabilitation. Outcome indicators mainly included rehabilitation effect indicators, quality of life, self-management and patient experience. Conclusion The application of mobile health in home rehabilitation for stroke patients is feasible and has positive effects.In the future, appropriate home rehabilitation service standards for stroke patients should be explored, and more professional and universal mobile medical equipment should be developed on the basis of multidisciplinary team collaboration, so as to improve the application quality of mobile health in home rehabilitation for stroke patients.