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评估妇女和卫生专业人员对开发孕产期中助产士主导的移动健康应用干预措施的看法:一项描述性定性研究。

Assessing women's and health professionals' views on developing a midwifery-led mobile health app intervention in pregnancy: A descriptive qualitative study.

机构信息

Department of Nursing, Obstetrics and Gynaecology Hospital of Fudan University, Shanghai, China.

School of Nursing, Fudan University, Shanghai, China.

出版信息

J Adv Nurs. 2024 Oct;80(10):4259-4271. doi: 10.1111/jan.16086. Epub 2024 Feb 8.

Abstract

AIMS

To explore women's and health professionals' views on the development of a midwifery-led mHealth app intervention in antenatal care and their demands for app functionality.

DESIGN

Descriptive qualitative research was utilized.

METHODS

In total, 15 pregnant or postpartum women were interviewed via in-depth interviews and 10 health professionals including obstetricians, midwives and obstetric nurses were invited to participate in a focus group discussion (FGD). All interviews and the FGD were analysed using qualitative content analysis.

RESULTS

Four key themes emerged from the data, including (1) limitations of current maternity care services; (2) potential benefits for mHealth app-based midwifery care; (3) possible challenges for providing midwifery care through mHealth apps and (4) suggestions and needs for developing a midwifery-led mHealth app. Participants agreed on the potential need of developing a midwifery-led mHealth app in antenatal care to increase access to midwifery care services and to meet women's diverse needs. Participants preferred to develop professional, reliable, full-featured and interactive mobile applications. The main functions of midwifery-led mHealth apps included personalized assessment and health education, self-monitoring and feedback, data sharing and interactive functions. Women mentioned that online communication and consultation with midwives could help them receive continuous support outside facilities. Health professionals expressed it would be of great convenience and timeliness to send personalized messages to women and to inform them of healthy lifestyles during pregnancy. The challenges included a shortage of human resources, medico-legal risks associated with mHealth and data security risks.

CONCLUSIONS

This study explores the individual views and functional needs of target users and healthcare providers for developing a midwifery-led mHealth app in antenatal care, which will serve as a reference for future application development.

IMPACT

Our study has important and practical implications for guiding the development of future midwifery-led mHealth app interventions.

PATIENT OR PUBLIC CONTRIBUTION

No patient or public contribution.

摘要

目的

探索女性和卫生专业人员对开发基于移动医疗的助产士主导的移动应用程序干预措施在产前保健中的看法,以及他们对应用程序功能的需求。

设计

采用描述性定性研究。

方法

共对 15 名孕妇或产后妇女进行了深入访谈,邀请 10 名卫生专业人员(包括产科医生、助产士和产科护士)参加焦点小组讨论(FGD)。所有访谈和 FGD 均采用定性内容分析进行分析。

结果

从数据中出现了四个关键主题,包括(1)当前产妇保健服务的局限性;(2)基于移动医疗应用的助产士护理的潜在好处;(3)通过移动医疗应用提供助产士护理的可能挑战;(4)开发基于助产士主导的移动医疗应用的建议和需求。参与者一致认为,在产前保健中开发基于助产士主导的移动医疗应用程序有潜在的需求,以增加获得助产士护理服务的机会,并满足女性的多样化需求。参与者更倾向于开发专业、可靠、功能齐全且互动性强的移动应用程序。基于助产士主导的移动医疗应用程序的主要功能包括个性化评估和健康教育、自我监测和反馈、数据共享和互动功能。女性提到,与助产士进行在线沟通和咨询可以帮助她们在设施外获得持续支持。卫生专业人员表示,向女性发送个性化信息并告知她们怀孕期间的健康生活方式将非常方便和及时。挑战包括人力资源短缺、与移动医疗相关的医疗法律风险和数据安全风险。

结论

本研究探讨了目标用户和医疗保健提供者对开发基于移动医疗的助产士主导的移动应用程序在产前保健中的个人看法和功能需求,这将为未来的应用程序开发提供参考。

影响

本研究对指导未来基于助产士主导的移动医疗应用程序干预措施的开发具有重要的实际意义。

患者或公众贡献

无。

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