發(fā)布時(shí)間：2018-06-18 01:26

  本文選題：高血壓 + 慢病管理��； 參考：《浙江大學(xué)》2017年碩士論文

【摘要】：如何提高患者依從度是慢病管理面臨的主要問(wèn)題。應(yīng)用移動(dòng)醫(yī)療技術(shù)能提高患者依從度,在慢病管理中越來(lái)越受到重視。但在實(shí)際應(yīng)用中,移動(dòng)醫(yī)療軟件往往由于其功能設(shè)計(jì)未能滿(mǎn)足用戶(hù)需求,使得患者依從度的增強(qiáng)達(dá)不到預(yù)期目標(biāo)。目標(biāo)導(dǎo)向設(shè)計(jì)方法是一種以有效識(shí)別用戶(hù)需求為核心的軟件設(shè)計(jì)方法,在移動(dòng)醫(yī)療軟件設(shè)計(jì)中引入該方法有望提高功能設(shè)計(jì)的有效性,從而提高患者依從度。因此,本論文對(duì)目標(biāo)導(dǎo)向設(shè)計(jì)方法在移動(dòng)醫(yī)療領(lǐng)域的應(yīng)用進(jìn)行探索,提出一種面向患者依從度增強(qiáng)的移動(dòng)醫(yī)療軟件設(shè)計(jì)方法,以高血壓慢病管理軟件的設(shè)計(jì)為例,論述該方法的實(shí)踐過(guò)程,通過(guò)試用評(píng)估證明該方法的有效性。本論文具體內(nèi)容包括:(1)移動(dòng)醫(yī)療軟件設(shè)計(jì)方法研究。通過(guò)對(duì)現(xiàn)有設(shè)計(jì)方法的比較和剖析,發(fā)現(xiàn)目標(biāo)導(dǎo)向設(shè)計(jì)方法具有潛在優(yōu)勢(shì),用戶(hù)模型的建立能夠有效識(shí)別不同用戶(hù)需求,從而提高患者依從度。然而已有的用戶(hù)模型過(guò)于抽象化,不足以支持移動(dòng)醫(yī)療軟件的設(shè)計(jì),因此本論文提出了面向患者依從度增強(qiáng)的目標(biāo)導(dǎo)向設(shè)計(jì)方法,重點(diǎn)對(duì)用戶(hù)建模內(nèi)容進(jìn)行完善,加入了影響患者依從度的特征因素,并明確了建立用戶(hù)模型的具體流程。(2)高血壓慢病管理軟件用戶(hù)模型建立及需求分析。根據(jù)定量和定性研究結(jié)果將高血壓患者分為三組,形成能夠準(zhǔn)確描述患者特征及使用目標(biāo)的用戶(hù)模型。該模型明確了高血壓患者在疾病認(rèn)知程度、自我管理經(jīng)驗(yàn)、智能手機(jī)使用經(jīng)驗(yàn)等方面存在的差異,總結(jié)了不同患者對(duì)慢病管理軟件的功能性期望和可用性期望。進(jìn)一步總結(jié)提煉,分析出三組用戶(hù)的核心需求分別為提高自我管理能力,增強(qiáng)自我管理動(dòng)力,獲取自我管理支持。將用戶(hù)需求與具體功能對(duì)應(yīng),形成了高血壓慢病管理軟件的五個(gè)功能模塊。(3)高血壓慢病管理軟件框架定義及原型設(shè)計(jì)。根據(jù)用戶(hù)建模結(jié)果確定使用不同功能模塊的主要用戶(hù),結(jié)合患者特征進(jìn)行針對(duì)性設(shè)計(jì):針對(duì)缺乏智能手機(jī)使用經(jīng)驗(yàn)的第一類(lèi)用戶(hù),通過(guò)可用性測(cè)試提高管理計(jì)劃功能模塊的可用性;針對(duì)高血壓重視程度較低的第二類(lèi)用戶(hù),應(yīng)用計(jì)算機(jī)勸導(dǎo)技術(shù)加強(qiáng)健康分析報(bào)告內(nèi)容的勸說(shuō)效果;針對(duì)希望得到及時(shí)干預(yù)的第三類(lèi)用戶(hù),從高血壓臨床指南中提取相關(guān)知識(shí)完成血壓異常預(yù)警服務(wù)的設(shè)計(jì)。(4)高血壓慢病管理軟件使用效果評(píng)估。根據(jù)用戶(hù)建模結(jié)果對(duì)143名患者進(jìn)行分組,對(duì)不同版本的高血壓慢病管理軟件進(jìn)行試用。試用結(jié)果表明患者依從度隨軟件功能的增加逐漸提高,最終維持在較高水平(0.73);訪(fǎng)談結(jié)果證明軟件的功能設(shè)計(jì)能夠滿(mǎn)足不同分組用戶(hù)的使用需求,是患者依從度提高的主要原因。本論文提出了面向患者依從度增強(qiáng)的目標(biāo)導(dǎo)向設(shè)計(jì)方法,通過(guò)對(duì)高血壓慢病管理軟件的設(shè)計(jì)實(shí)踐,證明該方法能夠有效指導(dǎo)移動(dòng)醫(yī)療軟件的設(shè)計(jì),提高患者依從度。本論文研究結(jié)果及實(shí)踐過(guò)程能夠?yàn)槠渌苿?dòng)醫(yī)療軟件的設(shè)計(jì)提供參考和借鑒。
[Abstract]:How to improve patient compliance is the main problem in the management of chronic disease. The application of mobile medical technology can improve patient compliance and more and more attention in the management of slow disease. However, in practical application, mobile medical software often fails to meet the needs of the user because of its functional design, so that the enhancement of patient compliance can not reach the expected goal. The objective oriented design method is a software design method based on the effective identification of user requirements. The introduction of this method in mobile medical software design is expected to improve the effectiveness of functional design and improve patient compliance. Therefore, this paper explores the application of the objective oriented design method in mobile medical field, and proposes a kind of application of the target oriented design method in the mobile medical field. The design method of mobile medical software for patient compliance enhanced, taking the design of hypertension slow disease management software as an example, the practical process of this method was discussed. The effectiveness of the method was proved through trial evaluation. The specific contents of this paper include: (1) research on the design method of mobile medical software. By comparing and analyzing the existing design methods, It is found that the target oriented design method has the potential advantage. The establishment of user model can effectively identify different user needs and improve patient compliance. However, the existing user model is too abstract to support the design of mobile medical software. Therefore, the objective oriented design method for patient compliance enhancement is proposed in this paper. To improve the content of user modeling, add the characteristic factors that affect patient compliance, and define the specific process of establishing the user model. (2) the establishment and requirement analysis of the user model of the management software for the hypertension slow disease. According to the quantitative and qualitative results, the hypertensive patients are divided into three groups, forming the accurate description of the patient's characteristics. The model identifies the differences in the degree of cognition, self management experience, and the experience of smart phone use in patients with hypertension, and summarizes the functional expectations and availability expectations of different patients for the management software of the chronic disease. Further summarize and analyze the core requirements of the three groups of users. In order to improve self management ability, enhance self management motivation and obtain self-management support, five functional modules of hypertension slow disease management software are formed by corresponding user needs and specific functions. (3) definition and prototype design of hypertension slow disease management software framework. The main use of different functional modules is determined according to the user modeling results. Targeted design in combination with patient characteristics: to improve the availability of management plan functional modules through usability testing for the first type of users who lack the experience of smart phones; apply the persuasion effect of computer persuasion technology to strengthen the content of health analysis report by using the second types of users with low emphasis on high blood pressure; Third types of users who were expected to intervene in time were expected to design the abnormity warning service of blood pressure from the clinical guidelines of hypertension. (4) the effectiveness evaluation of the management software for the hypertension of the chronic hypertension. 143 patients were grouped according to the results of the user modeling, and the different versions of the high blood pressure and slow disease management software were tried out. The compliance of the patient with the software function increased gradually and finally maintained at a higher level (0.73). The interview results showed that the function design of the software could meet the needs of different groups of users, and the main reason for the improvement of patient compliance. The design practice of the management software of blood pressure slow disease proves that the method can effectively guide the design of mobile medical software and improve patient compliance. The results and practice of this paper can provide reference and reference for the design of other mobile medical software.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：TP311.52;R-05

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