Ayatollahi Haleh, Ghalandar Abadi Malihe, Hemmat Morteza
Health Management and Economics Research center, Iran University of Medical Sciences, Tehran, Iran.
Health Information Technology, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
BMJ Health Care Inform. 2019 Jun;26(1). doi: 10.1136/bmjhci-2019-000025.
High-risk pregnancy is an illness in which there are severe complications and problems that may cause fetal loss and requires continuous care. It seems that using telemedicine technology is helpful to provide wider access to prenatal care. The aim of this study was to compare the feasibility of using web-based and mobile-based technologies in caring for high-risk pregnancy.
This was a cross-sectional study and the participants included midwives and gynaecologists who worked at teaching hospitals. The data were collected by using two five-point Likert scale questionnaires which were designed based on the literature review. The questionnaires included two main sections: demographic questions and questions related to five aspects of a feasibility study. Face and content validity of the questionnaires were confirmed by the experts and the reliability was checked by using the test-retest method. The data were analysed using descriptive and inferential statistics.
In this study, 79 questionnaires were completed by 50 midwives (63.29%) and 29 gynaecologists (36.71%). Overall, midwives (p=0.001) and gynaecologists (p=0.003) believed that using mobile-based technologies was more feasible than using web-based technologies in caring for high-risk pregnancies.
It seems that planning for the future technological direction and providing mobile-based applications should be taken into account and prioritised to improve the quality of prenatal care and to increase access to healthcare services for high-risk pregnancies.
高危妊娠是一种存在严重并发症和问题的疾病,这些并发症和问题可能导致胎儿丢失,需要持续护理。使用远程医疗技术似乎有助于更广泛地提供产前护理。本研究的目的是比较使用基于网络和基于移动的技术护理高危妊娠的可行性。
这是一项横断面研究,参与者包括在教学医院工作的助产士和妇科医生。数据通过使用两份基于文献综述设计的五点李克特量表问卷收集。问卷包括两个主要部分:人口统计学问题和与可行性研究五个方面相关的问题。问卷的表面效度和内容效度经专家确认,信度通过重测法检验。数据采用描述性和推断性统计进行分析。
在本研究中,50名助产士(63.29%)和29名妇科医生(36.71%)完成了79份问卷。总体而言,助产士(p=0.001)和妇科医生(p=0.003)认为,在护理高危妊娠方面,使用基于移动的技术比使用基于网络的技术更可行。
似乎应考虑并优先规划未来的技术方向并提供基于移动的应用程序,以提高产前护理质量,并增加高危妊娠获得医疗服务的机会。