Rangraz Jeddi Fatemeh, Rezaiimofrad Mohammad Reza
Health information management. Kashan University of Medical Sciences, Kashan, Iran.
Health Environmental, Kashan University of Medical sciences, Kashan, Iran.
Acta Inform Med. 2013 Dec;21(4):241-5. doi: 10.5455/aim.2013.21.241-245. Epub 2013 Dec 4.
Self-care management could empower patients to management of their health. Tele-health is the remote exchange of data between a patient and medical staff to improve healthcare quality.
The aim of this research was developing common data elements to provide Tele self-care management and improve quality of care.
This was a cross-sectional study based on Delphi approach was done in 2011. Data was extracted by three sessions' of conversation with 20 faculty members. Data had more than 75% agreement was inserted in minimum data element list, data with lower than 50% agreement was considered as failed data and whom was agreed between 50%-75% of participants were reconsidered for conversation until three sessions and after re-voting it was failed or accepted.
Results showed that self-care divides in three main categories and also some sub-categories including:1-Immunity and Safety with two subcategories (A: Prevention of Disease and B: Awareness and Knowledge about Disease); 2-Health Security and Maintains in six subcategories (A: Labratoary Test Results; B: Vital Data Monitoring; C: Rehabilitation; D: Drug Information; E: Follow up and F: Dental Health), 3- Well-Being Education in four subcategories (A: Nutrition; B: Health Promotion; C: Life Style Improvement and D: Patient Activity).
Consideration of all aspects of self management including information about prevention of disease, knowledge about disease, laboratory test result, vital signs monitoring, rehabilitation, drug information, follow up, dental health, nutrition, health promotion, life style improvement and patient activities is necessary.
自我护理管理可使患者能够自主管理自身健康。远程医疗是患者与医务人员之间进行的数据远程交换,以提高医疗质量。
本研究的目的是开发通用数据元素,以提供远程自我护理管理并提高护理质量。
这是一项基于德尔菲法的横断面研究,于2011年进行。通过与20名教员进行三轮对话来提取数据。达成超过75%共识的数据被列入最小数据元素列表,达成低于50%共识的数据被视为失败数据,而达成50%-75%共识的数据则会被重新考虑进行对话,直至三轮对话结束,重新投票后决定其是否通过。
结果显示,自我护理分为三个主要类别以及一些子类别,包括:1-免疫与安全,有两个子类别(A:疾病预防;B:疾病认知与知识);2-健康保障与维持,有六个子类别(A:实验室检查结果;B:生命体征监测;C:康复;D:药物信息;E:随访;F:口腔健康);3-健康素养教育,有四个子类别(A:营养;B:健康促进;C:生活方式改善;D:患者活动)。
有必要考虑自我管理的各个方面,包括疾病预防信息、疾病知识、实验室检查结果、生命体征监测、康复、药物信息、随访、口腔健康、营养、健康促进、生活方式改善和患者活动等。