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本文引用的文献

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Privacy and Security in Mobile Health: A Research Agenda.移动健康中的隐私与安全:一项研究议程。
Computer (Long Beach Calif). 2016 Jun;49(6):22-30. doi: 10.1109/MC.2016.185. Epub 2016 Jun 13.
2
Telemedicine Technologies for Diabetes in Pregnancy: A Systematic Review and Meta-Analysis.妊娠期糖尿病的远程医疗技术:系统评价与荟萃分析
J Med Internet Res. 2016 Nov 9;18(11):e290. doi: 10.2196/jmir.6556.
3
Designing and Developing a Mobile Smartphone Application for Women with Gestational Diabetes Mellitus Followed-Up at Diabetes Outpatient Clinics in Norway.为挪威糖尿病门诊随访的妊娠期糖尿病女性设计并开发一款移动智能手机应用程序。
Healthcare (Basel). 2015 May 21;3(2):310-23. doi: 10.3390/healthcare3020310.
4
Mobile application as a prenatal education and engagement tool: A randomized controlled pilot.移动应用作为产前教育和参与工具:一项随机对照试验
Patient Educ Couns. 2016 Apr;99(4):578-582. doi: 10.1016/j.pec.2015.11.006. Epub 2015 Nov 10.
5
The use of cell phones and radio communication systems to reduce delays in getting help for pregnant women in low- and middle-income countries: a scoping review.在低收入和中等收入国家使用手机和无线电通信系统以减少孕妇获得帮助的延迟:一项范围综述
Glob Health Action. 2015 Sep 10;8:28887. doi: 10.3402/gha.v8.28887. eCollection 2015.
6
Web-based telemedicine system is useful for monitoring glucose control in pregnant women with diabetes.基于网络的远程医疗系统有助于监测糖尿病孕妇的血糖控制情况。
Diabetes Technol Ther. 2015 May;17(5):349-54. doi: 10.1089/dia.2014.0223. Epub 2015 Jan 28.
7
Pregnant women's interest in a website or mobile application for healthy gestational weight gain.孕妇对用于健康孕期体重增加的网站或移动应用程序的兴趣。
Sex Reprod Healthc. 2014 Dec;5(4):182-4. doi: 10.1016/j.srhc.2014.05.002. Epub 2014 May 14.
8
Antenatal management of at-risk pregnancies from a distance.高危妊娠的远程产前管理。
Aust N Z J Obstet Gynaecol. 2015 Feb;55(1):87-9. doi: 10.1111/ajo.12254. Epub 2014 Oct 29.
9
Development of a real-time smartphone solution for the management of women with or at high risk of gestational diabetes.开发一种用于管理患有妊娠期糖尿病或有妊娠期糖尿病高风险女性的实时智能手机解决方案。
J Diabetes Sci Technol. 2014 Nov;8(6):1105-14. doi: 10.1177/1932296814542271. Epub 2014 Jul 7.
10
Mobile phones improve antenatal care attendance in Zanzibar: a cluster randomized controlled trial.手机改善了桑给巴尔的产前检查出勤率:一项整群随机对照试验。
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用于监测高危妊娠的基于网络和移动设备的技术。

Web and mobile-based technologies for monitoring high-risk pregnancies.

作者信息

Ayatollahi Haleh, Ghalandar Abadi Malihe, Hemmat Morteza

机构信息

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.

出版信息

BMJ Health Care Inform. 2019 Jun;26(1). doi: 10.1136/bmjhci-2019-000025.

DOI:10.1136/bmjhci-2019-000025
PMID:31201201
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7062320/
Abstract

INTRODUCTION

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.

MATERIALS AND METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

引言

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。

材料与方法

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。

结果

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。

结论

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。