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评估iPosyandu应用程序在提高助产士早期妊娠检测服务能力方面的应用:混合方法研究。

Evaluation of The Utilization of The iPosyandu Application in Enhancing Midwives' Competence in Early Pregnancy Detection Services: Mixed Methods Study.

作者信息

Susanti Ari Indra, Nuraini Annisa, Rinawan Fedri Ruluwedrata, Adnani Qorinah Estiningtyas Sakilah, Wirakusumah Firman Fuad

机构信息

Center for Health System Study and Health Workforce Education Innovation, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

School of Vocational Studies, Universitas Padjadjaran, Sumedang, Indonesia.

出版信息

Int J Womens Health. 2025 Jul 9;17:1955-1969. doi: 10.2147/IJWH.S508967. eCollection 2025.


DOI:10.2147/IJWH.S508967
PMID:40657428
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12256050/
Abstract

INTRODUCTION: Health programs in Indonesia are expanding annually, thereby augmenting the workload of midwive's. Consequently, mobile health (mHealth) solutions, such as the iPosyandu application, are essential to assist midwive's in delivering maternal and child health services and enhancing their competence for early detection in pregnant women. PURPOSE: This study seeks to examine the evaluation of the iPosyandu application on midwive's proficiency in early pregnancy identification. PATIENTS AND METHODS: The research employed a convergent mixed-method approach, incorporating quantitative analysis involving 120 village midwives in Purwakarta Regency, divided into intervention (n = 60) and control (n = 60) groups. Questionnaires on early pregnancy detection were administered, and the data were analyzed using STATA software version 16.0, while the results of the mHealth App Usability Questionnaire (MAUQ) were processed with Winstep. Qualitative research employed interview protocols for in-depth interviews (n = 8), and the results were analyzed using NVivo software version 1.6.1. RESULTS: The quantitative research findings indicated that the utilization of the iPosyandu application significantly impacted midwive's competence in the early detection of pregnancy care (p-value <0.05). The usability of the iPosyandu program among midwive's is considered satisfactory, with average scores of 48.65 for ease of use and satisfaction, 36.02 for information system settings, and 41.78 for utility. Qualitative research results indicate that the iPosyandu application is user-friendly for midwive's, hence enhancing their competency in early pregnancy identification. CONCLUSION: This study finds that the iPosyandu application for midwives demonstrates a high usage level, hence enhancing midwive's inclination to utilize the application to augment their competence and deliver optimal midwifery care.

摘要

引言:印度尼西亚的卫生项目每年都在扩大,这增加了助产士的工作量。因此,移动健康(mHealth)解决方案,如iPosyandu应用程序,对于协助助产士提供母婴健康服务以及提高她们对孕妇早期检测的能力至关重要。 目的:本研究旨在考察iPosyandu应用程序对助产士早期妊娠识别能力的评估。 患者与方法:本研究采用了收敛性混合方法,包括对Purwakarta摄政区120名乡村助产士进行定量分析,分为干预组(n = 60)和对照组(n = 60)。发放了关于早期妊娠检测的问卷,并使用STATA软件16.0版对数据进行分析,而移动健康应用程序可用性问卷(MAUQ)的结果则用Winstep进行处理。定性研究采用访谈协议进行深入访谈(n = 8),并使用NVivo软件1.6.1版对结果进行分析。 结果:定量研究结果表明,iPosyandu应用程序的使用对助产士在妊娠护理早期检测方面的能力有显著影响(p值<0.05)。iPosyandu程序在助产士中的可用性被认为是令人满意的,易用性和满意度平均得分为48.65,信息系统设置平均得分为36.02,实用性平均得分为41.78。定性研究结果表明,iPosyandu应用程序对助产士来说用户友好,从而提高了她们在早期妊娠识别方面的能力。 结论:本研究发现,面向助产士的iPosyandu应用程序使用率很高,因此增强了助产士使用该应用程序以提高其能力并提供最佳助产护理的意愿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/8446256f6412/IJWH-17-1955-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/99870135ef41/IJWH-17-1955-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/d08a41eb7901/IJWH-17-1955-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/3b7935f922d3/IJWH-17-1955-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/8446256f6412/IJWH-17-1955-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/99870135ef41/IJWH-17-1955-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/d08a41eb7901/IJWH-17-1955-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/3b7935f922d3/IJWH-17-1955-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c77e/12256050/8446256f6412/IJWH-17-1955-g0004.jpg

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本文引用的文献

[1]
Midwife-Led Mobile Antenatal Clinic: An Innovative Approach to Improve Utilization of Services in Pwani, Tanzania.

Int J Environ Res Public Health. 2024-10-30

[2]
Usability and Quality Evaluation of the "E- Midwife" Mobile Application for Nurse-Midwives in Obstetric Complications: A Randomized Controlled Trial.

Int J Community Based Nurs Midwifery. 2023-10

[3]
Adoption of mHealth Technologies by Community Health Workers to Improve the Use of Maternal Health Services in Sub-Saharan Africa: Protocol for a Mixed Method Systematic Review.

JMIR Res Protoc. 2023-5-4

[4]
Development and pilot test of a smartphone app for midwifery care in Tanzania: A comparative cross-sectional study.

PLoS One. 2023

[5]
Use of a mHealth System to Improve Antenatal Care in Low and Lower-Middle Income Countries: Report on Patients and Healthcare Workers' Acceptability in Tanzania.

Int J Environ Res Public Health. 2022-11-20

[6]
Midwifery Continuity of Care in Indonesia: Initiation of Mobile Health Development Integrating Midwives' Competency and Service Needs.

Int J Environ Res Public Health. 2022-10-26

[7]
Digital healthcare: the future.

Future Healthc J. 2022-7

[8]
A mixed-method study exploring experiences, perceptions, and acceptability of using a safe delivery mHealth application in two district hospitals in Rwanda.

BMC Nurs. 2022-7-4

[9]
The Impact of Mobile Health Interventions on Antenatal and Postnatal Care Utilization in Low- and Middle-Income Countries: A Meta-Analysis.

Cureus. 2022-1-14

[10]
A digital health registry with clinical decision support for improving quality of antenatal care in Palestine (eRegQual): a pragmatic, cluster-randomised, controlled, superiority trial.

Lancet Digit Health. 2022-2

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