高血压类移动医疗软件与自我管理相关功能的评价研究

Evaluation of Self-management Related Functions in Mobile Health Software for Hypertensive Patients

目的对高血压类移动医疗软件与自我管理相关的功能进行评价。方法于2017年7月以"血压"为检索词,分别在"苹果商店"(App Store)和"百度商店"(百度手机助手)中检索符合标准的高血压类移动医疗软件。统计各软件中与自我管理相关的功能数量;采用自行设计的等级评价标准,评价各软件中与自我管理相关的功能质量。结果最终纳入符合标准的软件24款。与自我管理相关的功能共11项,分别为血压记录、高血压资讯、定时提醒、问诊咨询、健康评估、运动记录、家属管理、用药记录、讨论组、异常提醒、每日自评,具有相应功能的软件数量分别为24款(100.0%)、24款(100.0%)、17款(70.8%)、10款(41.7%)、8款(33.3%)、7款(29.2%)、7款(29.2%)、6款(25.0%)、5款(20.8%)、3款(12.5%)、2款(8.3%)。其中,1款(4.2%)软件具有10项功能,9款(37.5%)软件具有≥6项功能。在等级评价中,在血压专用、数据记录、友好易用、综合评分、资讯质量、在用用户数、下载量、提醒效果、咨询回复方面被评价为A级的软件分别有17款(70.8%)、15款(62.5%)、9款(37.5%)、8款(33.3%)、5款(20.8%)、5款(20.8%)、4款(16.7%)、3款(12.5%)、2款(8.3%)。其中,≥5项指标被评价为A级的软件共4款(16.7%)。结论我国高血压类移动医疗软件已初步具备为患者提供便捷、持续、个性化自我管理服务的功能,在一定程度上有助于提高患者的自我管理能力,但功能齐全、能满足患者健康服务需求的高质量软件较少,实际应用效果还有待进一步评价。

ObjectiveTo evaluate the self-management related functions of mobile health software for hypertensive patients.MethodsIn July 2017,＂blood pressure＂ was used as the search term to search for eligible mobile health software in the ＂App Store＂ and ＂Baidu Mobile Assistant＂ and the number of functions related to self-management of hypertensive patients in each software was counted.The self-designed criteria for grade evaluation were used to evaluate the quality of these functions.ResultsA total of 24 software were included eventually.There were 11 functions related to self-management,including blood pressure record,hypertension information,timed reminder,medical consultation,health assessment,exercise record,family management,medication record,discussion group,abnormal reminder,and daily self-evaluation.The number of software with the corresponding functions was 24（100.0%）,24（100.0%）,17（70.8%）,10（41.7%）,8（33.3%）,7（29.2%）,7（29.2%）,6（25.0%）,5 （20.8%）,3（12.5%） and 2（8.3%）.Among these software,1（4.2%）software had 10 functions and 9（37.5%） software had more than 6 functions.In the grade evaluation,the number of software that were evaluated for A grade in the aspects of blood pressure only,data record,easy to use,comprehensive score,quality of information,number of users,downloads,effect of reminding,and consultation responses was 17（70.8%）,15（62.5%）,9（37.5%）,8（33.3%）,5（20.8%）,5（20.8%）,4（16.7%）,3（12.5%） and 2（8.3%）.There were 4（16.7%） software with 5 or more functionss evaluated for A grade.ConclusionThe mobile health software for hypertensive patients have preliminarily provided convenient,continuous and personalized self-management functions for patients with hypertension in China.To a certain extent,it could help patients improve their self-management abilities,but there are few high-quality software that are fully functional and can meet the needs of hypertensive patients.The actual application effects need to be further evaluated.