@Article{信息:doi 10.2196 / /移动医疗。6023，作者=“Gunter, Rebecca和Fernandes-Taylor, Sara和Mahnke, Andrea和Awoyinka, Lola和Schroeder, Chad和Wiseman, Jason和Sullivan, Sarah和Bennett, Kyla和Greenberg, Caprice和Kent, K Craig”，标题=“评估基于图像的术后伤口监测移动健康平台的患者可用性”，期刊=“JMIR移动健康Uhealth”，年=“2016”，月=“Sep”，日=“28”，卷=“4”，数=“3”，页=“e113”，关键词=“远程医疗;智能手机;手术部位感染;背景:手术患者越来越多地使用移动健康(mHealth)平台来监测康复情况，并在出院后与医生沟通。尽管人们对移动医疗有着广泛的热情，但很少有研究评估这些平台的可用性或用户体验。目的:我们的目标是:(1)开发一种新的基于图像的智能手机应用程序，用于出院后手术伤口监测;(2)在血管和普外科患者的代表性人群中进行严格的用户测试。方法:共有9名血管外科和普外科住院患者对内部开发的智能手机应用程序进行可用性测试，该应用程序允许患者拍摄伤口的数字图像并回答有关其恢复情况的调查。我们遵循国际标准化组织(ISO) 9241-11指导方针，关注有效性、效率和用户满意度。根据成人学习的原则，开发了相应的培训模块。 Sessions were audio-recorded, and the smartphone screen was mirrored onto a study computer. Digital image quality was evaluated by a physician panel to determine usefulness for clinical decision making. Results: The mean length of time spent was 4.7 (2.1-12.8) minutes on the training session and 5.0 (1.4-16.6) minutes on app completion. 55.5{\%} (5/9) of patients were able to complete the app independently with the most difficulty experienced in taking digital images of surgical wounds. Novice patients who were older, obese, or had groin wounds had the most difficulty. 81.8{\%} of images were sufficient for diagnostic purposes. User satisfaction was high, with an average usability score of 83.3 out of 100. Conclusion: Surgical patients can learn to use a smartphone app for postoperative wound monitoring with high user satisfaction. We identified design features and training approaches that can facilitate ease of use. This protocol illustrates an important, often overlooked, aspect of mHealth development to improve surgical care. ", issn="2291-5222", doi="10.2196/mhealth.6023", url="http://mhealth.www.mybigtv.com/2016/3/e113/", url="https://doi.org/10.2196/mhealth.6023", url="http://www.ncbi.nlm.nih.gov/pubmed/27683059" }