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基于智能手机的早产儿风险因素父母产前教育。

Smartphone-based prenatal education for parents with preterm birth risk factors.

机构信息

Medical College of Wisconsin, Milwaukee, USA.

University of Wisconsin Milwaukee, Milwaukee, USA.

出版信息

Patient Educ Couns. 2019 Apr;102(4):701-708. doi: 10.1016/j.pec.2018.10.024. Epub 2018 Oct 29.

Abstract

OBJECTIVE

To develop an educational mobile application (app) for expectant parents diagnosed with risk factors for premature birth.

METHODS

Parent and medical advisory panels delineated the vision for the app. The app helps prepare for preterm birth. For pilot testing, obstetricians offered the app between 18-22 weeks gestational age to English speaking parents with risk factors for preterm birth. After 4 weeks of use, each participant completed a questionnaire. The software tracked topics accessed and duration of use.

RESULTS

For pilot testing, 31 participants were recruited and 28 completed the questionnaire. After app utilization, participants reported heightened awareness of preterm birth (93%), more discussion of pregnancy or prematurity issues with partner (86%), increased questions at clinic visits (43%), and increased anxiety (21%). Participants reported receiving more prematurity information from the app than from their healthcare providers. The 15 participants for whom tracking data was available accessed the app for an average of 8 h.

CONCLUSION

Parents with increased risk for preterm birth may benefit from this mobile app educational program.

PRACTICE IMPLICATIONS

If the pregnancy results in preterm birth hospitalization, parents would have built a foundation of knowledge to make informed medical care choices.

摘要

目的

为有早产风险因素的孕妇开发一款教育性的移动应用程序(app)。

方法

家长和医学顾问小组为该应用程序勾勒出了愿景。该应用程序有助于为早产做准备。在试点测试中,产科医生在妊娠 18-22 周时向有早产风险因素的英语家长提供该应用程序。使用 4 周后,每位参与者都完成了一份问卷。该软件跟踪访问的主题和使用时间。

结果

在试点测试中,招募了 31 名参与者,其中 28 名完成了问卷调查。在使用该应用程序后,参与者报告说对早产的认识有所提高(93%),与伴侣更多地讨论怀孕或早产问题(86%),在就诊时提出更多问题(43%),焦虑感增加(21%)。参与者报告说从该应用程序中获得的早产信息比从医疗保健提供者那里获得的多。对于有可用跟踪数据的 15 名参与者,他们平均每天使用该应用程序 8 小时。

结论

有早产风险增加的父母可能会从这个移动应用程序教育项目中受益。

实践意义

如果妊娠导致早产住院,父母将有一个知识基础,以便做出明智的医疗保健选择。

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