一种针对甲状腺功能减退孕妇自我护理的新方法:基于移动应用的开发与见解。
A Novel Approach for Self-Care in Pregnant Women With Hypothyroidism: Mobile-Based Development and Insights.
作者信息
Mahdavi Narges, Safdari Reza, Behforouz Athena, Ramezanghorbani Nahid
机构信息
School of Allied Medical Sciences Tehran University of Medical Sciences Tehran Iran.
Department of Health Information Management, School of Allied Medical Sciences Tehran University of Medical Sciences Tehran Iran.
出版信息
Health Sci Rep. 2025 Jun 18;8(6):e70679. doi: 10.1002/hsr2.70679. eCollection 2025 Jun.
BACKGROUND AND AIM
Hypothyroidism affects 2-3% of pregnant women. This study aims to develop a mobile self-care program to enhance self-management and health outcomes for these women.
METHODS
The present study is a developmental and applied research that was conducted in three stages at the Yas Hospital's Women's Clinic and Pregnancy Care Center affiliated with Tehran University of Medical Sciences in 2023. In the first stage, the informative elements of the program were determined through a review of previous studies and a survey of 20 obstetricians and endocrinologists. In the second stage, a prototype of the mobile-based application was developed. In the third stage, the designed application was evaluated by 10 medical informatics and technology specialists using Nielsen's standard usability questionnaire. The questionnaire results were analyzed using descriptive statistics and SPSS 16 software.
RESULTS
In the first stage, 58 informative elements and 9 vital capabilities were identified for the self-care application, and then the application was designed using Java programming language in two sections: user registration and main page, which includes medical information, medical records, tests, and reminders (doctor's appointments, medication and supplement intake, and laboratory tests). Overall, the usability test results of the self-care application by experts showed that the usability of this application for pregnant women with hypothyroidism was evaluated at an acceptable level.
CONCLUSIONS
Mobile applications enhance awareness, improve health, and provide essential tools for disease management in pregnant women, reducing complications and benefiting the health of mothers and newborns.
背景与目的
甲状腺功能减退症影响2%至3%的孕妇。本研究旨在开发一个移动自我护理项目,以加强这些女性的自我管理并改善健康结果。
方法
本研究是一项发展性应用研究,于2023年在德黑兰医科大学附属亚斯医院的妇女诊所和孕期护理中心分三个阶段进行。在第一阶段,通过回顾以往研究以及对20名产科医生和内分泌科医生进行调查,确定了该项目的信息要素。在第二阶段,开发了基于移动应用的原型。在第三阶段,由10名医学信息学和技术专家使用尼尔森标准可用性问卷对设计好的应用进行评估。问卷结果采用描述性统计和SPSS 16软件进行分析。
结果
在第一阶段,为自我护理应用确定了58个信息要素和9项重要功能,然后使用Java编程语言分两个部分设计了该应用:用户注册和主页,主页包括医疗信息、病历、检查以及提醒(医生预约、药物和补充剂服用以及实验室检查)。总体而言,专家对自我护理应用的可用性测试结果表明,该应用对甲状腺功能减退症孕妇的可用性处于可接受水平。
结论
移动应用提高了孕妇的认识,改善了健康状况,并为疾病管理提供了重要工具,减少了并发症,有利于母亲和新生儿的健康。