Or Calvin K L, Valdez Rupa S, Casper Gail R, Carayon Pascale, Burke Laura J, Brennan Patricia Flatley, Karsh Ben-Tzion
Department of Manufacturing Engineering & Engineering Management, City University of Hong Kong, Kowloon Tong, Hong Kong.
Work. 2009;33(2):201-9. doi: 10.3233/WOR-2009-0867.
Sicker patients with greater care needs are being discharged to their homes to assume responsibility for their own care with fewer nurses available to aid them. This situation brings with it a host of human factors and ergonomic (HFE) concerns, both for the home care nurse and the home dwelling patient, that can affect quality of care and patient safety. Many of these concerns are related to the critical home care tasks of information access, communication, and patient self-monitoring and self-management. Currently, a variety of health information technologies (HITs) are being promoted as possible solutions to those problems, but those same technologies bring with them a new set of HFE concerns. This paper reviews the HFE considerations for information access, communication, and patients self-monitoring and self-management, discusses how HIT can potentially mitigate current problems, and explains how the design and implementation of HIT itself requires careful HFE attention.
病情较重、护理需求较大的患者在出院回家后要自行负责护理，而能够提供帮助的护士却更少了。这种情况给家庭护理护士和居家患者都带来了一系列人为因素和人体工程学（HFE）方面的问题，这些问题可能会影响护理质量和患者安全。其中许多问题都与信息获取、沟通以及患者自我监测和自我管理等关键的家庭护理任务有关。目前，各种健康信息技术（HIT）被作为这些问题的可能解决方案加以推广，但这些技术本身也带来了一系列新的HFE问题。本文回顾了在信息获取、沟通以及患者自我监测和自我管理方面的HFE考量，讨论了HIT如何有可能缓解当前的问题，并解释了HIT本身的设计和实施如何需要HFE的精心关注。
