基于社区卫生中心的智能产后护理应用程序的开发，作为指导产后母亲的一种方法：一种混合方法研究。
Development of Smart Postpartum Care Application Based on Community Health Centers, as a Method for Mentoring Postpartum Mothers: A Mixed Method Approach.
作者信息
Sudarmiati Sari, Prakoso Teguh
机构信息
Nursing Department, Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia.
Electrical Engineering Department, Faculty of Engineering, Universitas Diponegoro, Semarang, Indonesia.
出版信息
Iran J Nurs Midwifery Res. 2022 May 23;27(3):188-192. doi: 10.4103/ijnmr.ijnmr_58_21. eCollection 2022 May-Jun.
BACKGROUND
Early detection of postpartum problems can help reduce maternal mortality in Indonesia. Early detection can be achieved by monitoring postpartum mothers using a guidance system. The purpose of this study was to describe the development of a guidance system, namely, Smart Postpartum Care (SMAP CARE) and present its functional and acceptance tests.
MATERIALS AND METHODS
This study was a development study conducted in 2019 using a mixed-method approach. Data were collected through Focus Group Discussions (FGDs) and a literature study. The FGD participants consisted of six doctors, six nurses, and midwives from six community health Public health center in Semarang City, Indonesia. The collected data were analyzed using the Colaizzi method. The content of the postpartum mentoring application was based on input from the experts in health education and health services. Before widely applied, a feasibility study on the application was carried out in community health centers involving postpartum mothers and health care teams.
RESULTS
Five themes were generated from FGDs: (1) postpartum monitoring facilities; (2) monitoring postpartum mothers through visits to health centers and home care; (3) problems with postpartum mothers (including problems with mothers, babies, and the environment); (4) management of high-risk postpartum mothers; and (5) the risk of postpartum mothers, which could cause death. The SMAP CARE provides some features to educate postpartum mothers, for example (a) changes in the physiological aspects of postpartum mothers, (b) breast milk, (c) newborn care, (d) signs of danger in newborns, (e) problems with babies, (f) problems with postpartum mothers, and (g) signs of danger in postpartum mothers.
CONCLUSIONS
The application developed in this research, SMAP CARE, helps to facilitate mentoring for postpartum mothers and can be extended to community health centers in Indonesia.
背景
早期发现产后问题有助于降低印度尼西亚的孕产妇死亡率。通过使用指导系统监测产后母亲可实现早期发现。本研究的目的是描述一种指导系统——智能产后护理（SMAP CARE）的开发过程，并展示其功能测试和可接受性测试结果。
材料与方法
本研究是一项于2019年开展的采用混合方法的开发性研究。数据通过焦点小组讨论（FGD）和文献研究收集。FGD的参与者包括来自印度尼西亚三宝垄市六个社区卫生中心的六名医生、六名护士和助产士。使用Colaizzi方法对收集到的数据进行分析。产后指导应用程序的内容基于健康教育和卫生服务专家的意见。在广泛应用之前，在社区卫生中心对该应用程序进行了可行性研究，涉及产后母亲和医疗团队。
结果
FGD产生了五个主题：（１）产后监测设施；（２）通过到卫生中心就诊和家庭护理监测产后母亲；（３）产后母亲的问题（包括母亲、婴儿和环境方面的问题）；（４）高危产后母亲的管理；（５）可能导致死亡的产后母亲风险。SMAP CARE提供了一些功能来教育产后母亲，例如（ａ）产后母亲生理方面 的变化；（ｂ）母乳；（ｃ）新生儿护理；（ｄ）新生儿的危险信号；（ｅ）婴儿问题；（ｆ）产后母亲问题；（ｇ）产后母亲的危险信号。
结论
本研究开发的应用程序SMAP CARE有助于为产后母亲提供便利的指导，并且可以推广到印度尼西亚的社区卫生中心。
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