以伤口治疗师需求为导向的慢性伤口居家护理管理小程序的构建

Construction of the mini program for home care management of chronic wound based on the needs of wound therapists

目的:构建以伤口治疗师需求为导向的慢性伤口居家护理管理小程序,旨在规范慢性伤口居家护理管理的模式,提高治疗师的管理效率,进而提升居家护理质量。方法:采用自制问卷调查伤口治疗师对居家护理管理小程序的需求,确定小程序的模块内容,使用JS、JSON、WXML、WXSS等编程语言设计和开发小程序,经修改和完善后更新上线。选取61名伤口治疗师作为研究对象,使用小程序对病人进行居家护理管理,试用1个月后采用移动医疗应用程序可用性问卷进行效果评价,并对15名治疗师进行半结构化访谈,使用Colaizzi分析法对访谈资料提炼主题。结果:移动医疗应用程序可用性评价总分为(6.10±0.81)分,半结构化访谈资料提炼出3个主题,即提升成本效益和服务效率,促进护患沟通、规范信息来源,加强伤口科普。结论:基于伤口治疗师需求分析构建的居家护理管理小程序内容与功能较完善、针对性强,可以提高治疗师的服务效率,增加护患沟通,加强伤口科普,医护人员应积极参与构建居家护理管理应用程序。

Objective:To construct the mini program for home care management of chronic wound based on the needs of wound therapists,in order to standardize the model of chronic wound home care management,improve the management efficiency of therapists and the quality of home care.Methods:Self⁃made questionnaire was used to investigate the needs of wound therapists for home care management mini program,and the module content of mini program was determined.JS,JSON,WXML,WXSS and other programming languages were used to design and develop the mini program,which was updated and put online after modification and improvement.A total of 61 wound therapists were selected as the research objects,and the mini program was used to conduct home care management for patients.After one month of trial,the mobile medical application usability questionnaire was used to evaluate the effect,and 15 therapists were given semi⁃structured interviews,and the topic of the interview data was extracted by Colaizzi analysis method.Results:The total score of usability evaluation of mobile medical applications was 6.10±0.81.Three themes were extracted from semi⁃structured interview data:improving cost effectiveness and service efficiency,promoting nurse⁃patient communication and standardizing information sources,and enhancing wound science.Conclusions:The content and function of the mini program for home care management of chronic wound based on the needs of wound therapists were relatively complete and strong pertinence,which could effectively improve the service efficiency of therapists,increase nurse-patient communication,and strengthen wound science popularization.Medical staff should be actively involved in the construction of the home care management application.