推进最常见疾病和病症自我护理程序的国家平台:设计、评估和实施。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2024-11-06 DOI:10.1186/s12911-024-02744-4
Khadijeh Moulaei, Somayeh Salehi, Masoud Shahabian, Babak Sabet, Farshid Rezaei, Adrina Habibzadeh, Mohammad Reza Afrash
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引用次数: 0

摘要

背景:有效的自我保健做法对于保持健康和幸福至关重要,因为自我保健不足会导致健康风险增加和整体生活质量下降。为解决这些问题,一种很有前景的方法是利用渐进式网络应用程序(PWA)平台,通过必要的自我保健服务对个人进行教育并增强其能力。本研究旨在设计、实施和评估一个全国性的自我保健 PWA 平台,旨在提高促进健康和自我保健实践的可及性和有效性。该平台旨在改善自我保健过程,可供母亲、儿童、青少年、成人以及情绪和精神障碍患者使用:本研究分三个阶段进行。第一阶段,在与包括医生和其他专业人士在内的 19 名医疗保健提供者举行的 35 次会议上,确定了需要自我护理的最常见疾病和病症。然后根据利益相关者的意见对平台能力进行了评估。随后,在 15 次会议上,19 名医疗服务提供者确定了一份综合病症清单,这些病症可受益于专用决策辅助工具,以加强个人的自我护理过程。在第二阶段,根据这些常见疾病和病症以及功能设计了一个渐进式网络应用平台,并随后进行了评估。为了对该平台进行可用性评估,26 名评估人员对该系统进行了为期两周的使用。评估采用了 QUIS 5.5 问卷,并使用 SPSS 23 对结果进行了分析。在最后阶段,该系统在伊朗卫生和医学教育部下属的智能医科大学(SMUMS)实施:根据最常见的疾病和情况(n = 87)以及已确定的能力,国家自我保健平台设计了八个部分,分别针对 "母婴保健服务"、"母亲"、"婴儿"、"青少年"、"成年人"、"老年人"、"所有年龄组的健康"、"精神和情绪健康失调患者 "以及 "一般信息",用于用户教育。此外,该平台还提供 54 种决策辅助工具 (DA)、远程咨询服务和自我保健杂志(访问链接:https://khodmoragheb.ir/ )。这些功能的整合为自我护理提供了全面的支持和资源。所有评估维度的平均分都超过了 7 分,表明评估人员普遍认为该平台表现良好:所设计的国家自我保健平台为应对医疗保健挑战提供了一个前景广阔的解决方案。这一创新方法满足了个人的特殊需求,并将其覆盖范围扩大到了全球讲波斯语的患者,从而产生了全球影响。通过在国际范围内推广自我保健做法,该平台有助于为伊朗、阿富汗、塔吉克斯坦及其他国家的个人提供更具包容性和更方便的医疗保健服务。
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A national platform for advancing self-care processes for the most common illnesses and conditions: designing, evaluating, and implementing.

Background: Effective self-care practices are crucial for maintaining health and well-being, as inadequate self-care can lead to increased health risks and decreased overall quality of life. To address these issues, one promising approach involves leveraging progressive web app (PWA) platforms to educate and empower individuals with necessary self-care services. This study aims to design, implement, and evaluate a national self-care PWA platform, aiming to enhance accessibility and effectiveness in promoting health and self-care practices. The platform designed to improve self-care processes can be utilized by mothers, children, adolescents, youth, adults, and patients with emotional and mental disorders.

Methods: This study was conducted in three phases. In the first phase, during 35 meetings with 19 health care providers including physicians and another group of professionals, the most common illnesses and conditions that require self-care were identified. Platform capabilities were then assessed based on stakeholder opinions. Subsequently, during 15 meetings 19 health care providers identified a comprehensive list of conditions benefiting from dedicated decision aids to enhance individuals' self-care processes. In the second phase, a progressive web app platform was designed based on these common illnesses and conditions and capabilities and subsequently evaluated. To usability evaluation the platform, 26 evaluators utilized the system for two weeks. The QUIS 5.5 questionnaire was employed for evaluation, and the results were analyzed using SPSS 23. In the final phase, the system was implemented at the Smart University of Medical Sciences (SMUMS), affiliated with the Ministry of Health and Medical Education in Iran.

Results: Based on the most common illnesses and conditions (n = 87) and identified capabilities, the national self-care platform was designed with eight sections catering to 'Maternal and child health services,' 'Mothers,' 'Infants,' 'Teenagers,' 'Adults,' 'Elderly,' 'Health of All Age Groups,' 'Patients with Mental and Emotional Health Disorders,' and 'General Information' for user education. Furthermore, the platform features 54 decision aids (DA), teleconsultation services, and a self-care magazine (Access link: https://khodmoragheb.ir/ ). These features were integrated to provide comprehensive support and resources for self-care. A mean exceeding 7 was attained across all evaluated dimensions, indicating that evaluators generally agreed the platform performed well.

Conclusion: The designed national self-care platform offers a promising solution for managing healthcare challenges. This innovative approach addresses the specific needs of individuals and extends its reach to Persian-speaking patients worldwide, fostering a global impact. By embracing self-care practices on an international scale, this platform contributes to a more inclusive and accessible healthcare landscape for individuals in Iran, Afghanistan, Tajikistan, and beyond.

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CiteScore
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4.30%
发文量
567
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