TY - JOUR AU - Alhodaib, Hala Ibrahim AU - Antza, Christina AU - Chandan, Joht Singh AU - Hanif, Wasim AU - Sankaranarayanan, Sailesh AU - Paul, Sunjay AU - Sutcliffe, Paul AU - Nirantharakumar, Krishnarajah PY - 2020 DA - 20/11/18 TI -英国初级保健机构糖尿病患者肾脏并发症管理的移动临床决策支持系统:混合方法可行性研究JO - JMIR糖尿病SP - e19650 VL - 5 IS - 4kw - eHealth KW -临床决策支持应用KW -糖尿病KW -慢性肾脏疾病KW -可行性研究AB -背景:尝试在糖尿病(DM)管理中使用eHealth已显示出有希望的结果，主要针对患者;然而，为卫生保健提供者设计的解决方案很少。目的:本研究的目的是开展一个可行性项目，开发和评估一个移动临床决策支持系统(CDSS)工具，专门为医疗保健提供者管理糖尿病患者的慢性肾脏疾病(CKD)。方法:设计过程基于以用户为中心的设计框架的3个关键阶段。首先，通过探索性质的研究，收集糖尿病专科护士在临床实践中使用移动应用程序的经验和观点。其次，CDSS工具被开发用于糖尿病和CKD患者的管理。最后，一项随机对照试验检查了该工具的可接受性和影响。结果:我们采访了15名糖尿病专科护士。糖尿病专科护士目前在临床实践中没有使用电子健康解决方案，而大多数护士甚至不知道现有的医疗应用程序。然而，他们很欣赏应用程序可能给他们的临床实践带来的潜在好处。 Taking into consideration the needs and preferences of end users, a new mobile CDSS app, “Diabetes & CKD,” was developed based on guidelines. We recruited 39 junior foundation year 1 doctors (44% male) to evaluate the app. Of them, 44% (17/39) were allocated to the intervention group, and 56% (22/39) were allocated to the control group. There was no significant difference in scores (maximum score=13) assessing the management decisions between the app and paper-based version of the app’s algorithm (intervention group: mean 7.24 points, SD 2.46 points; control group: mean 7.39, SD 2.56; t37=–0.19, P=.85). However, 82% (14/17) of the participants were satisfied with using the app. Conclusions: The findings will guide the design of future CDSS apps for the management of DM, aiming to help health care providers with a personalized approach depending on patients’ comorbidities, specifically CKD, in accordance with guidelines. SN - 2371-4379 UR - https://diabetes.www.mybigtv.com/2020/4/e19650 UR - https://doi.org/10.2196/19650 UR - http://www.ncbi.nlm.nih.gov/pubmed/33206055 DO - 10.2196/19650 ID - info:doi/10.2196/19650 ER -