肾脏病移动医疗应用软件建设需求分析

Title:

Requirement Analysis on Design of Kidney Disease Mobile Medical APP

作者:

张铖¹; 章红英²; 赵文景^3*; 郭肖瑶²; 周杰²

1.北京中医药大学东直门医院东区，北京101100；2.首都医科大学中医药学院，北京 100069；3.首都医科大学附属北京中医医院，北京 100010

Author(s):

ZHANG Cheng¹;  ZHANG Hong-ying²;  ZHAO Wen-jing^3*;  GUO Xiao-yao²;  ZHOU Jie²

1. Eastern Area of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 101100, China; 2. School of Traditional Chinese Medicine, Capital Medical University, Beijing 100069, China; 3. Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University, Beijing 100010, China

关键词:

移动医疗; 应用程序; 肾脏病; 需求分析

Keywords:

mobile medical;  APP;  kidney disease;  requirement analysis

DOI:

10.3969/j.issn.2095-5707.2015.06.005

文献标志码:

A

摘要:

目的 通过了解慢性肾脏病（CKD）患者对于肾病专科应用软件（APP）的诉求，为肾病专科APP的开发提出建议。方法 对首都医科大学附属北京中医医院肾病科患者进行问卷调查，分析患者下载养生保健类APP、服药、复诊、肾脏病饮食等情况。结果 CKD以＞50岁的患者比例最高（47.55%）；下载过养生保健类APP者以＞40～50岁患者的比例最高（76.4%），＞50岁患者的比例最低（23.5%）；执行低优蛋白饮食的比例以＞30～40岁患者最高（93.8%）；执行低钾饮食以＞50岁患者的比例最高（25.0%）。使用服药提醒功能、复诊提醒功能、肾病饮食提醒功能平均分分别为4.29、4.16、4.36分。在肾脏病各种病因知晓率中，高血压、糖尿病、高尿酸知晓率较高，分别为4.51、4.47、4.15分，服用解热镇痛药知晓率较低，为2.17分。结论 CKD管理重点是老年人，应加强饮食宣教，多数患者希望通过APP协助实现自我管理，肾脏病专科APP在CKD患者群体中有较高需求。

Abstract:

Objective To propose detailed suggestions for development of kidney disease medical APP by knowing CKD patients’ demand for kidney disease medical APP. Methods Survey was conducted among patients in outpatient clinic and ward of kidney disease department of Beijing Hospital of Traditional Chinese Medicine Affiliated to Capital Medical University to analyze their downloads about health-care, medicine taking, visit returning and special diet for kidney disease APP. Results Patients aged over 50 occupied the highest proportion to get kidney disease (47.55%); patients aged between 41 to 50 were more likely to download health-care APP (76.4%), while patients aged over 50 occupied the lowest proportion (23.5%); patients aged between 31 to 40 were more likely to conduct low-protein diet (93.8%); patient aged over 50 were more likely to conduct a low-Kalium diet (25.0%). Average scores for alarm functions of medicine using, visit returning and special diet for kidney disease were 4.29, 4.16, and 4.36 respectively. Among the awareness rates of etiological factors, high uric acid, hypertension and diabetes showed relatively high awareness rates of 4.51, 4.47, 4.15 respectively. Awareness rate of analgesic-antipyretic using was 2.17, which was relatively low. Conclusion The emphasis of CKD management is the elderly, and propaganda and education about diet for kidney disease should be promoted. Most patients expect to assist and realize self-control through mobile APP. Kidney disease medical APP shows relatively high demand in CKD patients.