1 Department of Health Information Management, Iran University of Medical Sciences, Tehran, Iran.
2 Paediatric Endocrinology & Metabolism, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Health Inf Manag. 2016 Apr;45(1):16-26. doi: 10.1177/1833358316639456.
Self-management skills are essential for patients with diabetes mellitus to minimise the risks of complications from their condition. The aim of this research was to develop a web-based application for self-management of type 1 diabetes, suitable for use by patients, their carers and physicians.
The study was comprised of two phases, the first being analysis of the kind of information and capabilities required by potential users of the system. Based on the results derived from the first phase of the study, the system prototype was designed and then evaluated using the 'think aloud' method and a standard questionnaire. The application was designed for use by patients, their carers and physicians. Patients could enter the level of blood glucose, insulin and activities on a daily basis, and physicians were able to supervise a patient's health status from a distance.
Users were generally satisfied with the final version of the system. People with a wide range of literacy skills were able to use the system effectively.
Patients or their carers could use the web-based application as a log book by entering the level of blood glucose and insulin doses on a regular basis, and as an educational resource to improve self-management skills. Physicians could use the system at any time convenient to them to support patients by giving medical advice. Further research is needed to report the effectiveness of the system in practice.
对于糖尿病患者来说，自我管理技能对于将病情并发症风险最小化至关重要。本研究旨在开发一种适用于 1 型糖尿病患者、其护理人员和医生使用的基于网络的自我管理应用程序。
该研究由两个阶段组成，第一阶段是分析系统潜在用户所需的信息和功能类型。基于第一阶段研究的结果，设计了系统原型，然后使用“出声思考”方法和标准问卷对其进行评估。该应用程序设计用于患者、其护理人员和医生使用。患者可以每天输入血糖、胰岛素和活动水平，医生可以远程监督患者的健康状况。
用户对系统的最终版本总体上较为满意。具有不同文化程度的用户都能够有效地使用该系统。
患者或其护理人员可以将基于网络的应用程序作为日志记录器，定期输入血糖和胰岛素剂量水平，并将其作为提高自我管理技能的教育资源。医生可以在任何方便的时间使用该系统，通过提供医疗建议来支持患者。需要进一步的研究来报告系统在实践中的有效性。
