移动医疗APP在妊娠期糖尿病连续健康管理中的应用研究
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摘要
综述妊娠期糖尿病管理模式、妊娠期糖尿病管理类APP类型和功能以及应用中存在的问题及挑战;提出应对妊娠期糖尿病病人提供个性化支持,并验证移动医疗APP在妊娠期糖尿病连续健康管理中的应用效果。
This article reviewed the management mode of gestational diabetes,the types,functions,existing problems and challenges of gestational diabetes management APPs.It proposed that personalized professional support for gestational diabetes patients should be provided,and application effect of mobile medical APPs in continuous health management of gestational diabetes should be verified.
This article reviewed the management mode of gestational diabetes,the types,functions,existing problems and challenges of gestational diabetes management APPs.It proposed that personalized professional support for gestational diabetes patients should be provided,and application effect of mobile medical APPs in continuous health management of gestational diabetes should be verified.
引文
[1]朱远,张爱霞,徐桂华.妊娠合并糖尿病管理模式的研究进展[J].护理研究,2017,31(9):1025-1028.
[2]FARRAR D.Hyperglycemia in pregnancy:prevalence,impact,and management challenges[J].Int J Womens Health,2016,8:519-527.
[3]Galtier F.Definition,epidemiology,risk factors[J].Diabetes Metab,2010,36(6Pt 2):628-651.
[4]RANI P,BEGUM J.Screening and diagnosis of gestational diabetes mellitus,where do we stand[J].J Clin Diagn Res,2016,10(4):QE01-QE04.
[5]METZGER B E,GABBE S G,PERSSON B,et al.The diagnosis of gestational diabetes mellitus:new paradigms or status quo?[J].JMatern Fetal Neonatal Med,2012,25(12):2564-2569.
[6]SCHNEIDER S,HOEFT B,FREERKSEN N,et al.Neonatal complications and risk factors among women with gestational diabetes mellitus[J].Acta Obstet Gynecol Scand,2011,90(3):231-237.
[7]FERRARA A.Increasing prevalence of gestational diabetes mellitus:apublic health perspective[J].Diabetes Care,2007,2:141-146.
[8]KIM C.Gestational diabetes:risks,management,and treatment options[J].International Journal of Women′s Health,2010,2:339-351.
[9]邢冬婕,刘威,郭淑惠,等.妊娠期糖尿病病人自我管理研究进展[J].护理研究,2016,30(7B):2439-2440.
[10]柳胜生,范玉成,杨永辉.基于健康档案的区域慢病协同信息化管理实践与探索[J].中国公共卫生管理,2012,28(5):561.
[11]王秋樵,李凤如,刘建.浅析移动医疗在医疗服务中的应用与发展[J].继续医学教育,2016(3):68-70.
[12]高汉松,肖凌,许德玮,等.基于云计算的医疗大数据挖掘平台[J].医学信息学杂志,2013(5):7-12.
[13]WHO.Mhealth:new horizons for health through mobile technologies:second global survey on eHealth[M].Switzerland:World Health Organization,2011:1.
[14]张利华,周秀梅.妊娠期糖尿病患者自我管理模式的研究进展[J].医学理论与实践,2018,31(17):2567-2569.
[15]王丽芹,滕飞.健康管理在妊娠糖尿病群体中的应用现状[J].实用临床护理学电子杂志,2017,2(35):193-198.
[16]罗高华.家庭医生签约服务模式对妊娠期糖尿病患者的影响[J].数理医药学杂志,2019,32(2):269-271.
[17]程贤鹦,钱林华,李文娟,等.妊娠期糖尿病患者自我管理行为现状的调查与研究[J].中国妇产科临床杂志,2017,18(3):242-243.
[18]姜洁燕,唐芳,张竞怡,等.妊娠期糖尿病患者自我管理行为与自我效能相关性分析[J].齐鲁护理杂志,2018,24(11):10-12.
[19]赖妙云,古美珊.自我管理在妊娠期糖尿病患者中的应用[J].护理实践与研究,2016,13(17):55-56.
[20]ARTIETA-PINEDO I,PAZ-PASCUAL C,GRANDES G,et al.An evaluation of Spanish and English on-line information sources regarding pregnancy,birth and the postnatal period[J].Midwifery,2017,58:19.
[21]NICKLAS J M,ZERA C A,ENGLAND L J,et al.A web-based lifestyle intervention for women with recent gestational diabetes mellitus:a randomized controlled trial[J].Obstetrics&Gynecology,2014,124(3):563-570.
[22]MARRY D A,GRADCERT D,USMAN H M,et al.Considerations for the development of mobile phone apps to support diabetes self-management:systematic review[J].JMIR Mhealth Uhealth,2018,6(6):e10115.
[23]黄静.我国医药电商模式的研究[D].上海:上海交通大学,2014.
[24]王秋樵,李凤如,刘建.浅析移动医疗在医疗服务中的应用与发展[J].继续医学教育,2016,30(3):68-70.
[25]钟小燕,白晶,罗荣.我国“互联网+医疗”服务模式[J].中国卫生事业管理,2019,36(1):20-28.
[26]GARNWEIDNER-HOLME L M,BORGEN I,GARITANO I,et al.Designing and developing a mobile smartphone application for women with gestational diabetes mellitus followed-up at diabetes outpatient clinics in Norway[J].Healthcare,2015,3(2):310-323.
[27]HIRST J E,MACKILLOP L,LOERUP L,et al.Acceptability and user satisfaction of a smartphone-based,interactive blood glucose management system in women with gestational diabetes mellitus[J].J Diabetes Sci Technol,2015,9(1):111-115.
[28]张莉,李娜.基于微信平台的PBL教育模式对妊娠期糖尿病患者自我管理能力及妊娠结局的影响[J].天津护理,2017,25(2):118-120.
[29]张玉凤,秦雅婧.健康教育对妊娠期糖尿病自我管理行为的影响[J].首都食品与医药,2016,23(16):99-100.
[30]MACKILLOP L,HIRST J E,BARTLETT K J,et al.Comparing the efficacy of a mobile phone-based blood glucose management system with standard clinic care in women with gestational diabetes:randomized controlled trial[J].Jmir Mhealth&Uhealth,2018,6(3):e71.
[31]PUSTOZEROV E,POPOVA P,TKACHUK A,et al.Development and evaluation of a mobile personalized blood glucose prediction system for patients with gestational diabetes mellitus[J].Jmir Mhealth&Uhealth,2018,6(1):e6.
[32]叶翠菊,宋传旭,吕瑞雪,等.基于移动互联网的孕期营养门诊新模式探讨[J].医疗卫生装备,2017,38(12):116-118;159.
[33]赵正清,钱进军,莫永珍,等.移动居家护理平台对妊娠糖尿病患者血糖与生活质量的影响[J].护士进修杂志,2018,33(6):490-492;496.
[34]郭红梅,尹卫,夏青,等.居家护理平台在妊娠期糖尿病患者随访管理中的应用[J].中华护理杂志,2018,53(5):517-522.
[35]PLUDVINSKI S,AHMAD F,WAYNE N,et al.Participants′experiences in a smartphone-based health coaching intervention for type 2diabetes:aqualitative inquiry[J].Journal of Telemedicine and Telecare,2015,3:1-17.
[36]MURALIDHARAN S,RANJANI H,ANJANA R M,et al.Mobile health technology in the prevention and management of type2diabetes[J].Indian Journal of Endocrinology and Metabolism,2017,21:334-340.
[37]HOLMEN H,TORBJRNSEN A,WAHL A K,et al.A mobile health intervention for self-management and lifestyle change for persons with type 2diabetes.Part 2:one year results from the Norwegian randomized controlled trial Renewing Health[J].Jounral of Medical Internet Reasearch Mhealthy Uhealth,2014,2:e57.
[38]KNIGHT-AGARWAL C,DAVIS D L,WILLIAMS L,et al.Development and pilot testing of the Eating4Two mobile phone apps to monitor gestational weight gain[J].Journal of Medical Internet Reasearch Mhealth Uhealth,2015,3:e44.
[39]KREUTER M,FARELL D,OLEVITCH L,et al.Tailoring health messages:customizing communication with computer technology[M].New Jersey:Lawrence Erlbaum Associates,2000:1.
[40]ARNHOLD M,QUADE M,KIRCH W.Mobile applications for diabetics:a systematic review and expert-based usability evaluation considering the special requirements of diabetes patients age50years or older[J].J Med Internet Res,2014,16(4):e104.
[41]BOULOS M N K,BREWER A C,KARIMKHANI C,et al.Mobile medical and health apps:state of the art,concerns,regulatory control and certification[J].Online J Public Health Inform,2014,5(3):229.
[42]BEVAN N.International standards for usability should be more widely used[J].Journal of Usability Studies,2009,4(3):106-113.
[43]GOLDBERG L,LIDE B,LOWRY S,et al.Usability and accessibility in consumer health informatics current trends and future challenges[J].Am J Prev Med,2011,40(5Suppl 2):S187-S197.
[44]United SGDOHS.Final Rule,45CFR Parts 160,and 164.Standards for Privacy of Individually Identifiable Health Information[EB/OL].[2019-02-24].https://www.gpo.gov/fdsys/pkg/FR-2000-12-28/pdf/00-32678.pdf.
[45]Australian Government.Federal Register of Legislation.2017.Privacy Amendment(Notifiable Data Breaches)Act 2017No[EB/OL].[2019-02-24].https://www.legislation.gov.au/Details/C2017A00012.
[46]易观.中国医生端移动医疗APP专题研究报告2016[EB/OL].[2019-02-24].https://wenku.baidu.com/view/c49e6030195f312b3069a56c.html.
[47]KUMAR P,LEE H.Security issues in healthcare applications using wireless medical sensor networks:a survey[J].Sensors(Basel),2012,12(1):55-91.
[2]FARRAR D.Hyperglycemia in pregnancy:prevalence,impact,and management challenges[J].Int J Womens Health,2016,8:519-527.
[3]Galtier F.Definition,epidemiology,risk factors[J].Diabetes Metab,2010,36(6Pt 2):628-651.
[4]RANI P,BEGUM J.Screening and diagnosis of gestational diabetes mellitus,where do we stand[J].J Clin Diagn Res,2016,10(4):QE01-QE04.
[5]METZGER B E,GABBE S G,PERSSON B,et al.The diagnosis of gestational diabetes mellitus:new paradigms or status quo?[J].JMatern Fetal Neonatal Med,2012,25(12):2564-2569.
[6]SCHNEIDER S,HOEFT B,FREERKSEN N,et al.Neonatal complications and risk factors among women with gestational diabetes mellitus[J].Acta Obstet Gynecol Scand,2011,90(3):231-237.
[7]FERRARA A.Increasing prevalence of gestational diabetes mellitus:apublic health perspective[J].Diabetes Care,2007,2:141-146.
[8]KIM C.Gestational diabetes:risks,management,and treatment options[J].International Journal of Women′s Health,2010,2:339-351.
[9]邢冬婕,刘威,郭淑惠,等.妊娠期糖尿病病人自我管理研究进展[J].护理研究,2016,30(7B):2439-2440.
[10]柳胜生,范玉成,杨永辉.基于健康档案的区域慢病协同信息化管理实践与探索[J].中国公共卫生管理,2012,28(5):561.
[11]王秋樵,李凤如,刘建.浅析移动医疗在医疗服务中的应用与发展[J].继续医学教育,2016(3):68-70.
[12]高汉松,肖凌,许德玮,等.基于云计算的医疗大数据挖掘平台[J].医学信息学杂志,2013(5):7-12.
[13]WHO.Mhealth:new horizons for health through mobile technologies:second global survey on eHealth[M].Switzerland:World Health Organization,2011:1.
[14]张利华,周秀梅.妊娠期糖尿病患者自我管理模式的研究进展[J].医学理论与实践,2018,31(17):2567-2569.
[15]王丽芹,滕飞.健康管理在妊娠糖尿病群体中的应用现状[J].实用临床护理学电子杂志,2017,2(35):193-198.
[16]罗高华.家庭医生签约服务模式对妊娠期糖尿病患者的影响[J].数理医药学杂志,2019,32(2):269-271.
[17]程贤鹦,钱林华,李文娟,等.妊娠期糖尿病患者自我管理行为现状的调查与研究[J].中国妇产科临床杂志,2017,18(3):242-243.
[18]姜洁燕,唐芳,张竞怡,等.妊娠期糖尿病患者自我管理行为与自我效能相关性分析[J].齐鲁护理杂志,2018,24(11):10-12.
[19]赖妙云,古美珊.自我管理在妊娠期糖尿病患者中的应用[J].护理实践与研究,2016,13(17):55-56.
[20]ARTIETA-PINEDO I,PAZ-PASCUAL C,GRANDES G,et al.An evaluation of Spanish and English on-line information sources regarding pregnancy,birth and the postnatal period[J].Midwifery,2017,58:19.
[21]NICKLAS J M,ZERA C A,ENGLAND L J,et al.A web-based lifestyle intervention for women with recent gestational diabetes mellitus:a randomized controlled trial[J].Obstetrics&Gynecology,2014,124(3):563-570.
[22]MARRY D A,GRADCERT D,USMAN H M,et al.Considerations for the development of mobile phone apps to support diabetes self-management:systematic review[J].JMIR Mhealth Uhealth,2018,6(6):e10115.
[23]黄静.我国医药电商模式的研究[D].上海:上海交通大学,2014.
[24]王秋樵,李凤如,刘建.浅析移动医疗在医疗服务中的应用与发展[J].继续医学教育,2016,30(3):68-70.
[25]钟小燕,白晶,罗荣.我国“互联网+医疗”服务模式[J].中国卫生事业管理,2019,36(1):20-28.
[26]GARNWEIDNER-HOLME L M,BORGEN I,GARITANO I,et al.Designing and developing a mobile smartphone application for women with gestational diabetes mellitus followed-up at diabetes outpatient clinics in Norway[J].Healthcare,2015,3(2):310-323.
[27]HIRST J E,MACKILLOP L,LOERUP L,et al.Acceptability and user satisfaction of a smartphone-based,interactive blood glucose management system in women with gestational diabetes mellitus[J].J Diabetes Sci Technol,2015,9(1):111-115.
[28]张莉,李娜.基于微信平台的PBL教育模式对妊娠期糖尿病患者自我管理能力及妊娠结局的影响[J].天津护理,2017,25(2):118-120.
[29]张玉凤,秦雅婧.健康教育对妊娠期糖尿病自我管理行为的影响[J].首都食品与医药,2016,23(16):99-100.
[30]MACKILLOP L,HIRST J E,BARTLETT K J,et al.Comparing the efficacy of a mobile phone-based blood glucose management system with standard clinic care in women with gestational diabetes:randomized controlled trial[J].Jmir Mhealth&Uhealth,2018,6(3):e71.
[31]PUSTOZEROV E,POPOVA P,TKACHUK A,et al.Development and evaluation of a mobile personalized blood glucose prediction system for patients with gestational diabetes mellitus[J].Jmir Mhealth&Uhealth,2018,6(1):e6.
[32]叶翠菊,宋传旭,吕瑞雪,等.基于移动互联网的孕期营养门诊新模式探讨[J].医疗卫生装备,2017,38(12):116-118;159.
[33]赵正清,钱进军,莫永珍,等.移动居家护理平台对妊娠糖尿病患者血糖与生活质量的影响[J].护士进修杂志,2018,33(6):490-492;496.
[34]郭红梅,尹卫,夏青,等.居家护理平台在妊娠期糖尿病患者随访管理中的应用[J].中华护理杂志,2018,53(5):517-522.
[35]PLUDVINSKI S,AHMAD F,WAYNE N,et al.Participants′experiences in a smartphone-based health coaching intervention for type 2diabetes:aqualitative inquiry[J].Journal of Telemedicine and Telecare,2015,3:1-17.
[36]MURALIDHARAN S,RANJANI H,ANJANA R M,et al.Mobile health technology in the prevention and management of type2diabetes[J].Indian Journal of Endocrinology and Metabolism,2017,21:334-340.
[37]HOLMEN H,TORBJRNSEN A,WAHL A K,et al.A mobile health intervention for self-management and lifestyle change for persons with type 2diabetes.Part 2:one year results from the Norwegian randomized controlled trial Renewing Health[J].Jounral of Medical Internet Reasearch Mhealthy Uhealth,2014,2:e57.
[38]KNIGHT-AGARWAL C,DAVIS D L,WILLIAMS L,et al.Development and pilot testing of the Eating4Two mobile phone apps to monitor gestational weight gain[J].Journal of Medical Internet Reasearch Mhealth Uhealth,2015,3:e44.
[39]KREUTER M,FARELL D,OLEVITCH L,et al.Tailoring health messages:customizing communication with computer technology[M].New Jersey:Lawrence Erlbaum Associates,2000:1.
[40]ARNHOLD M,QUADE M,KIRCH W.Mobile applications for diabetics:a systematic review and expert-based usability evaluation considering the special requirements of diabetes patients age50years or older[J].J Med Internet Res,2014,16(4):e104.
[41]BOULOS M N K,BREWER A C,KARIMKHANI C,et al.Mobile medical and health apps:state of the art,concerns,regulatory control and certification[J].Online J Public Health Inform,2014,5(3):229.
[42]BEVAN N.International standards for usability should be more widely used[J].Journal of Usability Studies,2009,4(3):106-113.
[43]GOLDBERG L,LIDE B,LOWRY S,et al.Usability and accessibility in consumer health informatics current trends and future challenges[J].Am J Prev Med,2011,40(5Suppl 2):S187-S197.
[44]United SGDOHS.Final Rule,45CFR Parts 160,and 164.Standards for Privacy of Individually Identifiable Health Information[EB/OL].[2019-02-24].https://www.gpo.gov/fdsys/pkg/FR-2000-12-28/pdf/00-32678.pdf.
[45]Australian Government.Federal Register of Legislation.2017.Privacy Amendment(Notifiable Data Breaches)Act 2017No[EB/OL].[2019-02-24].https://www.legislation.gov.au/Details/C2017A00012.
[46]易观.中国医生端移动医疗APP专题研究报告2016[EB/OL].[2019-02-24].https://wenku.baidu.com/view/c49e6030195f312b3069a56c.html.
[47]KUMAR P,LEE H.Security issues in healthcare applications using wireless medical sensor networks:a survey[J].Sensors(Basel),2012,12(1):55-91.