数字赋能在老年慢性病患者管理中的应用现状

职业与健康 ›› 2025, Vol. 41 ›› Issue (17): 2425-2428.

数字赋能在老年慢性病患者管理中的应用现状

陈晨露, 邹小燕, 王焱皙

河南中医药大学护理学院,河南郑州 450046

收稿日期:2024-12-02 修回日期:2024-12-12 出版日期:2025-09-01 发布日期:2025-12-13
通信作者: 邹小燕,副教授,E-mail：13592505564@126.com
作者简介:陈晨露,女,在读硕士研究生,研究方向为护理信息化和护理教育。
基金资助:
河南省自然科学基金（232300421311）; 河南省高等学校重点科研项目（23B360003）; 河南中医药大学2021年教育教学改革研究与实践立项项目（2021JX68）

Current application status of digital empowerment in the management of elderly patients with chronic diseases

CHEN Chenlu,ZOU Xiaoyan,WANG Yanxi

Nursing College,Henan University of Chinese Medicine,Zhengzhou,Henan 450046,China

Received:2024-12-02 Revised:2024-12-12 Online:2025-09-01 Published:2025-12-13
Contact: ZOU Xiaoyan,Associate professor,E-mail：13592505564@126.com

摘要/Abstract

摘要： 数字赋能作为世界各国应对老龄化的有力手段,已广泛应用于国外老年慢性病患者管理中,我国在此方面仍处于初步研究阶段。为优化数字赋能在老年慢性病患者中的管理,本文综述了国内外数字赋能老年慢性病患者院内、外自我管理中的应用现状及其带来的问题及挑战,提出数字赋能对象概念缺乏创新、赋能工具缺少适老化设计、赋能过程仍待结构化3个问题并给予建议,以期为数字赋能更好地应用于我国老年慢性病管理提供一定的参考。

关键词: 数字赋能, 老年慢性病, 自我管理, 数字融入障碍, 数字鸿沟

Abstract: Digital empowerment as a powerful tool for countries to address aging populations,has been widely used in the management of elderly chronic disease patients abroad,while China is still in the early stages of research in this area. In order to optimize the management of digital empowerment in elderly chronic disease patients,the article reviews the current applications and the issues and challenges it brings in the inpatient and outpatient self-management of elderly chronic disease patients both domestically and internationally. It points out three problems：lack of innovation in the concept of digital empowerment targets,lack of age-appropriate design in empowerment tools,and the need for structured empowerment processes and provides recommendations,aiming to provide a reference for the better application of digital empowerment in the management of elderly chronic diseases in China.

Key words: Digital empowerment, Chronic diseases in the elderly, Self-management, Digital integration barriers, Digital divide

中图分类号:

R181.3⁺7

陈晨露, 邹小燕, 王焱皙. 数字赋能在老年慢性病患者管理中的应用现状. [J]职业与健康, 2025, 41(17): 2425-2428.

CHEN Chenlu,ZOU Xiaoyan,WANG Yanxi. Current application status of digital empowerment in the management of elderly patients with chronic diseases. [J]OCCUPATION AND HEALTH, 2025, 41(17): 2425-2428.

参考文献

[1] 王烨,胡嘉佩,钟烨,等.基于“七普”的我国城市人口老龄化空间演化特征研究[C]//中国城市规划学会.人民城市,规划赋能——2022中国城市规划年会论文集(14区域规划与城市经济).广州:广州市城市规划勘测设计研究院,2023:9.
[2] 尤燕,来玉泉,郭会敏,等.云南省白族老年慢性病人群健康素养现状及影响因素[J].大理大学学报,2022,7(2):82-87.
[3] 李晶,伍小兰.营造与“慢病”和谐共处的晚年[J].中国老年,2021(24):19.
[4] 姜婷婷,郭倩,徐亚苹,等.证据类型对在线健康信息标题选择的影响:眼动实验与启示[J].图书情报工作,2020,64(19):61-70.
[5] 国务院办公厅发布《关于促进“互联网+医疗健康”发展的意见》[J].医学信息学杂志,2018,39(5):94.
[6] 刘雪倩,高艺轩.数字赋能老年职业教育研究——基于SWOT分析的视角[J].中国成人教育,2023(19):9-15.
[7] 奚晓丽. 数字化赋能终身教育带领老年人跨越“数字鸿沟”[J].上海教育,2024(7):19.
[8] KEBEDE A S,OZOLINS L L,HOLST H,et al K.Digital engagement of older adults:Scoping review[J].J Med Internet Res,2022,24(12):e40192.
[9] MORLEY J,FLORIDI L.The limits of empowerment:How to reframe the role of mhealth tools in the healthcare ecosystem[J].Sci Eng Ethics, 2020,26(3):1159-1183.
[10] HAMBERGER M,IKONOMI N,SCHWAB J D,et al.Interaction empowerment in mobile health:Concepts,challenges,and perspectives[J].JMIR Mhealth Uhealth,2022,10(4):e32696.
[11] 张美春.数字赋能:社工助力社区智慧养老服务研究[D].南昌:南昌大学,2023.
[12] 袁书琪,杨筱曼,蔡青,等.社区居家老年人糖尿病足监测及干预的研究进展[J].护理学杂志,2023,38(22):120-124.
[13] SOUSA P,MARTINHO R,PARREIRA P,et al.Editorial:mHealth tools for patient empowerment and chronic disease management[J].Front,Psychol,2023,14:1206567.
[14] MCBRIDE C M,MORRISSEY E C,MOLLOY G J.Patients' experiences of using smartphone apps to support self-management and improve medication adherence in hypertension:Qualitative study[J].JMIR Mhealth Uhealth,2020,8(10):e17470.
[15] OROZCO-BELTRÁN D,MORALES C,ARTOLA-MENÉNDEZ S,et al.Effects of a Digital patient empowerment and communication tool on metabolic control in people with type 2 diabetes:The dempower multicenter ambispective study[J].JMIR Diabetes,2022,7(4):e40377.
[16] CHO J,KIM S,SHIN S,et al.Hospitalized patients accessing information on prescribed medications from the bedside terminal:A cross-sectional study[J].Int J Environ Res Public Health,2020,17(13):4850.
[17] 齐浩,陈净莲.融合KANO和感性工学的老年家用药箱设计方法[J].包装工程,2022,43(6):49-55.
[18] MUELLER-SCHOTTE S,ZUITHOFF N P A,VAN DER SCHOUW Y T,et al.Trends in risk of limitations in instrumental activities of daily living over age in older persons with and without multiple chronic conditions[J].J Gerontol A Biol Sci Med Sci,2020,75(1):197-203.
[19] VANSIMAEYS C,BENAMAR L,BALAGUÉ C.Digital health and management of chronic disease:A multimodal technologies typology[J].Int J Health Plann Manage,2021,36(4):1107-1125.
[20] SCHRAUBEN S J,APPEL L,RIVERA E,et al.Mobile health(mHealth) technology:Assessment of availability,acceptability,and use in CKD[J].Am J Kidney Dis,2021,77(6):941-950.
[21] 毛佳伊,黄欢欢,周婷婷,等.智能药物管理系统在老年慢性病患者住院-居家过渡期的应用[J].护理学报,2022,29(21):74-78.
[22] 盛芝仁,柳春波,郭晓莉,等.“互联网+护理服务”老年慢性病智能随访系统的构建及应用[J].中国护理管理,2023,23(2):166-170.
[23] 匡亚林. 老年群体数字融入障碍:影响要素、用户画像及政策回应[J].华中科技大学学报(社会科学版),2022,36(1):46-53.
[24] ZHOU L,BAO J,WATZLAF V,et al.Barriers to and facilitators of the use of mobile health apps from a security perspective:Mixed-methods study[J].JMIR Mhealth Uhealth,2019,7(4):e11223.
[25] 王也. 数字鸿沟与数字弱势群体的国家保护[J].比较法研究, 2023(5):121-137.
[26] STAMPE K,KISHIK S,MÜLLER SD.Mobile health in chronic disease management and patient empowerment:Exploratory qualitative investigation into patient-physician consultations[J].J Med Internet Res,2021, 23(6):e26991.
[27] 刘湘洪,吴晓岚.基于KANO-AHP-FAST的病房陪护机器人设计[J].工业设计,2023(5):154-157.
[28] 郝晨璐,胡铭.老年慢性病病人电子健康素养研究进展[J].护理研究,2023,37(3):506-510.
[29] URQUHART C,CURRELL R,GRANT M J,et al.Nursing record systems:Effects on nursing practice and healthcare outcomes[J].Cochrane Database Syst Rev,2018,5(5):CD002099.
[30] 徐佳慧,王吉平.基于智能手机的老年人电子健康素养教育指标体系的构建[J].护理研究,2023,37(9):1562-1567.
[31] BOSCH J,LUDWIG C,FLUCH-NIEBUHR J,et al.Empowerment for the digital transformation:Results of a structured blended-learning on-the-job training for practicing physicians in Germany[J].Int J Environ Res Public Health,2022,19(20):12991.
[32] KREYENSCHULTE T,BOHNET-JOSCHKO S.Transparenz and effizienz durch digitale gesundheitsversorgung? Ergebnisse eines surveys der Generation Y[J].Gesundheitswesen,2024, 86(1):49-58.
[33] KHATRI R B,ASSEFA Y,DURHAM J.Multidomain and multilevel strategies to improve equity in maternal and newborn health services in Nepal:Perspectives of health managers and policymakers[J].Int J Equity Health,2023,22(1):105.
[34] LORENZ C,GAIGL G,GÜLER D,et al.Structured implementation of digital,systematically updated guideline recommendations for enhanced adherence in schizophrenia(SISYPHOS)-protocol of a cluster-randomized trial[J].Trials,2022,23(1):807.