TY - JOUR AU - Gunter, Rebecca AU - Fernandes-Taylor, Sara AU - Mahnke, Andrea AU - Awoyinka, Lola AU - Schroeder, Chad AU - Wiseman, Jason AU - Sullivan, Sarah AU - Bennett, Kyla AU - Greenberg, Caprice AU - Kent，K Craig PY - 2016 DA - 2016/09/28 TI -评估基于图像的用于术后伤口监测的移动健康平台的患者可用性JO - JMIR Mhealth Uhealth SP - e113 VL - 4 IS - 3kw -远程医疗KW -智能手机KW -手术部位感染KW -术后伤口感染AB -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，并在出院后与他们的提供者进行沟通。尽管移动医疗受到广泛追捧，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)在血管和普通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名血管和普通外科住院患者对一款内部开发的智能手机应用程序进行了可用性测试，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指南，专注于有效性、效率和用户满意度。附带的训练模块是应用成人学习的原则开发的。会议被录音，智能手机屏幕被镜像到一台研究电脑上。数字图像质量由医生小组评估，以确定临床决策的有用性。结果:平均训练时间为4.7(2.1-12.8)分钟，应用完成时间为5.0(1.4-16.6)分钟。 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. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2016/3/e113/ UR - https://doi.org/10.2196/mhealth.6023 UR - http://www.ncbi.nlm.nih.gov/pubmed/27683059 DO - 10.2196/mhealth.6023 ID - info:doi/10.2196/mhealth.6023 ER -