TY -的盟Ritterband李米非盟-球赛,Kaveh盟——桑代克,弗朗西斯P AU -麦基,约书亚C AU -塞勒,K AU -考克斯,Daniel J AU -萨特芬,詹姆斯·L AU - Borowitz Stephen M PY - 2008 DA - 2008/06/30 TI -真实世界使用网络干预的小儿大便失禁乔- J地中海互联网Res SP - e16天六世- 10 - 2 KW -互联网KW -行为干预KW -大便失禁AB -背景:互联网是医疗信息的一个重要来源，现在正被证明是提供各种与健康有关的干预措施的一个重要渠道。目的:本文旨在研究互联网干预在“现实世界”环境中作为标准医疗护理的一部分对儿童包膜炎的效用和影响。方法:给诊断为包膜退缩的患者一个基于网络的信息处方，使用互联网干预小儿包膜退缩。在2004年7月至2006年6月期间，共有22个家庭采用了干预措施。通过图表回顾和电话访谈收集用户特征;排便相关信息，包括大便频率、厕所内排便(BMs)和排便疼痛程度;以及使用电脑/互联网的资料。使用三份问卷来检查互联网干预的效用、影响和依从性。程序利用率是从实时监测使用率的数据跟踪系统中获得的。 Results: Overall, parents rated the Internet intervention as enjoyable, understandable, and easy to use. They indicated that the Internet intervention positively affected their children, decreasing overall accidents and increasing child comfort on the toilet at home. Of the 20 children who initially reported fecal accidents, 19 (95%) experienced at least a 50% improvement, with a reduction of accident frequency from one fecal accident per day to one accident per week. Although it is not clear whether this improvement is directly related to the use of the Internet intervention, patient feedback suggests that the program was an important element, further establishing Internet interventions as a viable and desirable addition to standard medical care for pediatric encopresis. Conclusions: To our knowledge, this is the first time a pediatric Internet intervention has been examined as part of a “real world” setting. This is an important step toward establishing Internet interventions as an adjunctive component to treatment of pediatric patients in a clinical setting, particularly given the positive user feedback, possible cost savings, and significant potential for large-scale dissemination. SN - 1438-8871 UR - //www.mybigtv.com/2008/2/e16/ UR - https://doi.org/10.2196/jmir.1081 UR - http://www.ncbi.nlm.nih.gov/pubmed/18653440 DO - 10.2196/jmir.1081 ID - info:doi/10.2196/jmir.1081 ER -