Feizalahzadeh Hossein, Tafreshi Mansoureh Zagheri, Moghaddasi Hamid, Farahani Mansoureh A, Khosrovshahi Hamid Tayebi, Zareh Zahra, Mortazavi Fakhrsadat
Author Affiliations: School of Nursing and Midwifery (Mr Feizalahzadeh and Dr Zagheri Tafreshi), and School of Allied Medical Sciences (Dr Moghaddasi), Shahid Beheshti University of Medical Sciences; Faculty of Nursing and Midwifery, Center Nursing Care Research, Iran University of Medical Sciences (Dr Farahani); and Faculty of Medicine (Drs Khosrovshahi and Mortazavi) and Emam Reza Hospital (Ms Zareh), Tabriz University of Medical Sciences, Tabriz, Iran.
Comput Inform Nurs. 2014 May;32(5):242-7. doi: 10.1097/CIN.0000000000000052.
Although patients on hemodialysis require effective education for self-care, several issues associated with the process raise barriers that make learning difficult. Computer-based education can reduce these problems and improve the quality of education. This study aims to develop and validate a theory-based multimedia application to educate Persian patients on hemodialysis. The study consisted of five phases: (1) content development, (2) prototype development 1, (3) evaluation by users, (4) evaluation by a multidisciplinary group of experts, and (5) prototype development 2. Data were collected through interviews and literature review with open-ended questions and two survey forms that consisted of a five-level scale. In the Results section, patient needs on hemodialysis self-care and related content were categorized into seven sections, including kidney function and failure, hemodialysis, vascular access, nutrition, medication, physical activity, and living with hemodialysis. The application designed includes seven modules consisting of user-controlled small multimedia units. During navigation through this application, the users were provided step-by-step information on self-care. Favorable scores were obtained from evaluations by users and experts. The researchers concluded that this application can facilitate hemodialysis education and learning process for the patients by focusing on their self-care needs using the multimedia design principles.
尽管接受血液透析的患者需要有效的自我护理教育，但与该过程相关的几个问题构成了障碍，使学习变得困难。基于计算机的教育可以减少这些问题并提高教育质量。本研究旨在开发并验证一个基于理论的多媒体应用程序，用于对波斯血液透析患者进行教育。该研究包括五个阶段：（1）内容开发，（2）原型开发1，（3）用户评估，（4）多学科专家小组评估，以及（5）原型开发2。通过开放式问题访谈和文献综述以及两份包含五级量表的调查问卷收集数据。在结果部分，血液透析自我护理方面的患者需求及相关内容被分为七个部分，包括肾功能与衰竭、血液透析、血管通路、营养、药物治疗、体育活动以及与血液透析相伴的生活。所设计的应用程序包括由用户控制的小型多媒体单元组成的七个模块。在浏览该应用程序时，会向用户逐步提供自我护理信息。用户和专家的评估都给出了不错的分数。研究人员得出结论，该应用程序通过运用多媒体设计原则关注患者的自我护理需求，能够促进患者的血液透析教育和学习过程。
