Monitorização de doenças crônicas não transmissíveis mediante o uso de tecnologias: uma revisão integrativa da literatura
DOI:
https://doi.org/10.53660/PRW-2452-4501Palavras-chave:
Doenças Crônicas não Transmissíveis (DCNTs), Monitorização fisiológica, TecnologiaResumo
Diante do contexto de envelhecimento populacional e aumento das Doenças Crônicas não Transmissíveis (DCNT), há uma urgência na criação de mecanimos que favoreçam a compatibilidade entre a demanda atual de monitoramento das condições clínicas dos indivíduos e ferramentas disponíveis para a realização desse processo. Nesse intuito, o presente estudo objetivou a análise crítica de estudos que vincularam o uso ferramentas tecnológicas para o monitoramento de DCNTs e parâmetros fisiológicos por meio de uma revisão integrativa, a qual seguiu os direcionamentos circunscritos à estratégia PICO (Acrômio para Patient, Intervention, Comparation e Outcome) para a etapa inicial de busca de artigos e à estratégia PRISMA (Page et al., 2021) durante todo o processo de desevolvimento científico. Foram analisados vinte artigos, dos quais, onze concordaram sobre o aspecto benéfico do uso das tecnologias. No entanto, nove estudos abordaram potenciais riscos de utilização de tal monitoramento. Em suma, os achados do presente estudo integram as análises positivas do uso das tecnologias com ressalvas tangíveis à provacidade e à automatização do cuidado.
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Referências
AGARWAL, S. et al. “Decision-Support Tools via Mobile Devices to Improve Quality of Care in Primary Healthcare Settings”. Organizado por Cochrane Effective Practice and Organisation of Care Group. Cochrane Database of Systematic Reviews 2021, no 7 (27 de julho de 2021). https://doi.org/10.1002/14651858.CD012944.pub2.
ARNETT, D.et al. 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation, v. 140, n. 11, p. e596–e646, 10 set. 2019. https://doi.org/10.1161/CIR.0000000000000678
BASHOLLI, A. et al. “Sensor-Based Platforms for Remote Management of Chronic Diseases in Developing Regions: A Qualitative Approach Examining the Perspectives of Healthcare Professionals”. Health Informatics Journal 27, no 1 (janeiro de 2021): 146045822097935. https://doi.org/10.1177/1460458220979350.
BLINKA, M. et al. “Developing a Sensor-Based Mobile Application for in-Home Frailty Assessment: A Qualitative Study”. BMC Geriatrics 21, no 1 (dezembro de 2021): 101. https://doi.org/10.1186/s12877-021-02041-z.
BRASIL. Ministério da Saúde. Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis (DCNT) no Brasil 2011-2022. Brasília: Ministério da Saúde, 2011. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/plano_acoes_enfrent_dcnt_2011.pdf. Acesso em: 10 jul. 2024.
BRASIL. Ministério da Saúde. Vigitel Brasil 2021: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: Ministério da Saúde, 2021. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/publicacoes-SVS/vigitel/vigitel-2021.pdf/view. Acesso em: 10 jul. 2024.
CIKOMOLA, J. et al. “Diabetes Mellitus and Laboratory Medicine in Sub-Saharan Africa: Challenges and Perspectives”. Acta Clinica Belgica 74, no 3 (4 de maio de 2019): 137–42. https://doi.org/10.1080/17843286.2018.1498179.
COSTA STUTZEL, M. et al. “Multi-Part Quality Evaluation of a Customized Mobile Application for Monitoring Elderly Patients with Functional Loss and Helping Caregivers”. BMC Medical Informatics and Decision Making 19, no 1 (dezembro de 2019): 140. https://doi.org/10.1186/s12911-019-0839-3.
DE GUZMAN, K. et al. “Economic Evaluations of Remote Patient Monitoring for Chronic Disease: A Systematic Review”. Value in Health 25, no 6 (junho de 2022): 897–913. https://doi.org/10.1016/j.jval.2021.12.001.
DIN, D. S. et al. “Monitoring Walking Activity with Wearable Technology in Rural-Dwelling Older Adults in Tanzania: A Feasibility Study Nested within a Frailty Prevalence Study”. Experimental Aging Research 46, no 5 (19 de outubro de 2020): 367–81. https://doi.org/10.1080/0361073X.2020.1787752.
FALCIONELLI, N. et al. “Indexing the Event Calculus: Towards Practical Human-Readable Personal Health Systems”. Artificial Intelligence in Medicine 96 (maio de 2019): 154–66. https://doi.org/10.1016/j.artmed.2018.10.003.
GUPTA, A. et al. “Effectiveness of a Community Health Worker (CHW) Training in Monitoring and Care of Patients with Chronic Obstructive Pulmonary Disease (COPD) in Rural Gujarat, India”. Journal of Family Medicine and Primary Care 9, no 4 (2020): 1910. https://doi.org/10.4103/jfmpc.jfmpc_1193_19.
WHO.World Health Organization. WHO guideline: Recommendations on digital interventions for health system strengthening. Geneva, Switzerland, 2019. Licence: CC BY-NC-SA 3.0 IGO.
WHO.World Health Organization. GO for eHealth. mHealth: new horizons for health through mobile technologies: second global survey on eHealth. 2011. Disponível em: https://apps.who.int/iris/handle/10665/44607. Acesso em: 29 jun. 2024.
IQBAL, J. et al. “Reimagining Healthcare: Unleashing the Power of Artificial Intelligence in Medicine”. Cureus, 4 de setembro de 2023. https://doi.org/10.7759/cureus.44658.
KUJALA, U. M. et al. “Chronic Diseases and Objectively Monitored Physical Activity Profile among Aged Individuals – a Cross-Sectional Twin Cohort Study”. Annals of Medicine 51, no 1 (2 de janeiro de 2019): 78–87. https://doi.org/10.1080/07853890.2019.1566765.
LEO, G. et al. “Interactive Remote Patient Monitoring Devices for Managing Chronic Health Conditions: Systematic Review and Meta-Analysis”. Journal of Medical Internet Research 24, no 11 (3 de novembro de 2022): e35508. https://doi.org/10.2196/35508.
LIU, P. et al. “The Effect of Smart Homes on Older Adults with Chronic Conditions: A Systematic Review and Meta-Analysis”. Geriatric Nursing 40, no 5 (setembro de 2019): 522–30. https://doi.org/10.1016/j.gerinurse.2019.03.016.
MARDINI, M. et al. “A Survey of Healthcare Monitoring Systems for Chronically Ill Patients and Elderly”. Journal of Medical Systems 43, no 3 (março de 2019): 50. https://doi.org/10.1007/s10916-019-1165-0.
MCBAIN, H. et al. “The Impact of Self-Monitoring in Chronic Illness on Healthcare Utilisation: A Systematic Review of Reviews”. BMC Health Services Research 15, no 1 (junho de 2015): 565. https://doi.org/10.1186/s12913-015-1221-5.
MOHAMMED, K. et al. “Real-Time Remote-Health Monitoring Systems: A Review on Patients Prioritisation for Multiple-Chronic Diseases, Taxonomy Analysis, Concerns and Solution Procedure”. Journal of Medical Systems 43, no 7 (julho de 2019): 223. https://doi.org/10.1007/s10916-019-1362-x.
ODENDAAL, W. et al. “Health Workers’ Perceptions and Experiences of Using mHealth Technologies to Deliver Primary Healthcare Services: A Qualitative Evidence Synthesis”. Organizado por Cochrane Effective Practice and Organisation of Care Group. Cochrane Database of Systematic Reviews, 26 de março de 2020. https://doi.org/10.1002/14651858.CD011942.pub2.
PAGE, M. et al. “The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews”. BMJ, 29 de março de 2021, n71. https://doi.org/10.1136/bmj.n71.
PRADO, P. et al. “Monitoring and Evaluation Platform for HEARTS in the Americas: Improving Population-Based Hypertension Control Programs in Primary Health Care”. Revista Panamericana de Salud Pública 46 (16 de setembro de 2022): 1. https://doi.org/10.26633/RPSP.2022.161.
RICHARDS, J. et al. “Face-to-Face versus Remote and Web 2.0 Interventions for Promoting Physical Activity”. Em Cochrane Database of Systematic Reviews, organizado por The Cochrane Collaboration, CD010393. Chichester, UK: John Wiley & Sons, Ltd, 2013. https://doi.org/10.1002/14651858.CD010393
SNOSWELL, C. et al. “A Systematic Review and Meta-Analysis of Change in Health-Related Quality of Life for Interactive Telehealth Interventions for Patients With Asthma”. Value in Health 24, no 2 (fevereiro de 2021): 291–302. https://doi.org/10.1016/j.jval.2020.09.006.
VIZITIU, C. et al. “Exhaustive Description of the System Architecture and Prototype Implementation of an IoT-Based eHealth Biometric Monitoring System for Elders in Independent Living”. Sensors 21, no 5 (6 de março de 2021): 1837. https://doi.org/10.3390/s21051837.
XIE, Y. et al. “Integration of Artificial Intelligence, Blockchain, and Wearable Technology for Chronic Disease Management: A New Paradigm in Smart Healthcare”. Current Medical Science 41, no 6 (dezembro de 2021): 1123–33. https://doi.org/10.1007/s11596-021-2485-0.
