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开发和评估远程信息处理平台以监测门诊大手术患者

Development and Evaluation of a Telematics Platform for Monitoring of Patients in Ambulatory Major Surgery.

机构信息

1 eVIDA Research Group, University of Deusto, Bilbao, Spain.

2 Unity of Surgery (UCSI), Hospital of Basurto, Bilbao, Spain.

出版信息

Telemed J E Health. 2019 Feb;25(2):152-159. doi: 10.1089/tmj.2017.0296. Epub 2018 Sep 26.

DOI:10.1089/tmj.2017.0296
PMID:30256743
Abstract

BACKGROUND

Ambulatory surgical procedures (ambulatory major surgery [AMS]), to which many people turn, do not require hospital admission. Patients may continue with their recovery from home on the same day they had surgery.

OBJECTIVE

The main purpose of this article is to provide a technological solution that may enable nurses to control the evolution of a large number of patients in real time.

METHODS

Java and Microsoft Band 2 SDK were used to program the mobile application (app), in contrast, Java, Hibernate, JSP, and Struts2 were used for the web app. The World Health Organization Quality Of Life (WHOQOL) and the System Usability Scale (SUS) questionnaires were applied for assessment purposes. IBM SPSS Statistics Data Editor was used for statistical analysis. Each test lasted 2 weeks, and the test itself involved completing the questionnaire about the patient's health using the mobile app. The average age of the individuals who took part in the study was 42.30 years, with a standard deviation of 17.63 years.

RESULTS

The tests involved in this system were conducted at the Ambulatory Major Surgery Unit in the Basurto Hospital, Basque Country, Spain on 20 participants with an average of 42.30 years and a standard deviation of 17.63 years. The application obtained a good score on the SUS ( \documentclass{aastex}\usepackage{amsbsy}\usepackage{amsfonts}\usepackage{amssymb}\usepackage{bm}\usepackage{mathrsfs}\usepackage{pifont}\usepackage{stmaryrd}\usepackage{textcomp}\usepackage{portland, xspace}\usepackage{amsmath, amsxtra}\usepackage{upgreek}\pagestyle{empty}\DeclareMathSizes{10}{9}{7}{6}\begin{document} $$\overline{X}$$ \end{document}  = 89.87 of 100, σ = 9.14). Using the WHOQOL questionnaire, the results were found better in the case of the patients' group than in the control group.

CONCLUSION

Using a developed multiplatform mobile app, patients noted an improvement in the care provided in the case of day surgery. The web platform accessed by nurses to make consultations has been integrated into the app service provider, while the bracelet sends the data to the app which receives it and then sends it on to the database. Healthcare staff then check patients' condition.

摘要

背景

许多人选择门诊手术(门诊大手术[AMS]),无需住院。患者可以在同一天手术结束后从家中继续康复。

目的

本文的主要目的是提供一种技术解决方案,使护士能够实时控制大量患者的病情发展。

方法

使用 Java 和 Microsoft Band 2 SDK 为移动应用程序(app)编程,而 Web 应用程序则使用 Java、Hibernate、JSP 和 Struts2。应用了世界卫生组织生活质量(WHOQOL)和系统可用性量表(SUS)问卷进行评估。使用 IBM SPSS Statistics Data Editor 进行统计分析。每项测试持续两周,测试本身涉及使用移动应用程序完成患者健康状况的问卷。参与研究的个体的平均年龄为 42.30 岁,标准差为 17.63 岁。

结果

该系统的测试在西班牙巴斯克地区巴斯克总医院的门诊大手术科进行,共有 20 名参与者,平均年龄为 42.30 岁,标准差为 17.63 岁。该应用程序在 SUS 上获得了不错的分数(\documentclass{aastex}\usepackage{amsbsy}\usepackage{amsfonts}\usepackage{amssymb}\usepackage{bm}\usepackage{mathrsfs}\usepackage{pifont}\usepackage{stmaryrd}\usepackage{textcomp}\usepackage{portland, xspace}\usepackage{amsmath, amsxtra}\usepackage{upgreek}\pagestyle{empty}\DeclareMathSizes{10}{9}{7}{6}\begin{document} $$\overline{X}$$ \end{document}  = 89.87 分,满分 100 分,σ = 9.14)。使用 WHOQOL 问卷,发现患者组的结果比对照组更好。

结论

使用开发的多平台移动应用程序,患者注意到日间手术护理的改善。护士用来进行咨询的网络平台已集成到应用程序服务提供商中,而手环将数据发送到应用程序,应用程序接收数据后再将其发送到数据库。然后,医护人员检查患者的病情。

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