Use of Personal Health Records to Support Diabetes Self-management An Integrative Review

被引:3
|
作者
Fisher-Grace, Khaliah [1 ]
Turk, Melanie T. [1 ]
Anthony, Mary K. [2 ]
Chia, Lichun [1 ]
机构
[1] Duquesne Univ, Sch Nursing, 5th Floor Fisher Hall,600 Forbes Ave, Pittsburgh, PA 15282 USA
[2] Kent State Univ, Coll Nursing, Kent, OH 44242 USA
关键词
Diabetes; Distress; Patient portal; Personal health record; Psychosocial; Self-management; PATIENT USE;
D O I
10.1097/CIN.0000000000000682
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
More than 30 million persons in the United States have diagnosed or undiagnosed diabetes. Persons with chronic types of diabetes must learn self-management principles and techniques and perform self-care behaviors to reduce the risk of diabetes-related complications. An electronic personal health record is one type of technology commonly used to support diabetes self-management. This integrative review examines research on how personal health records incorporate or address the American Association of Diabetes Educators self-care behaviors, diabetes-related psychosocial concerns, and the diabetes-related clinical quality-of-care measures of hemoglobin A(1c), low-density lipoprotein cholesterol, and blood pressure. In the majority of studies reviewed, participants showed improvement in the self-care behavior or physiological outcome examined. Findings were inconclusive about the impact of personal health record use on diabetes distress. Results also revealed a lack evidence of patient specific factors influencing intention to use a personal health record for management of type 2 diabetes mellitus. Despite evidence that personal health record use improves diabetes self-management, they are underutilized. Implications for practice include understanding what influences intention to use a personal health record. Further research is also needed to determine the impact of personal health record use on diabetes distress.
引用
收藏
页码:298 / 305
页数:8
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