臨床感染予防におけるmHealthアプリケーションの実施の評価
Robbert Gerard Bentvelsen1,2, Rosalie van der Vaart3,4, Niels H Chavannes5
1LUCID Medical Microbiology and Infection Prevention, Leiden University Medical Centre, Leiden, The Netherlands.
Infection control and hospital epidemiology
|August 25, 2025
まとめ
患者エンゲージメント (PE) のためのスマートフォンアプリは受け入れられたが,採用率は低かった. 障壁には不十分なトレーニングとワークフロー統合の問題があり,カテーテル関連性尿路感染症 (CAUTIs) の予防のためのmHealthの採用に関するさらなる調査の必要性を強調しています.
科学分野:
- 医療情報学
- 感染予防
- 患者との関わり方に関する技術
背景:
- 移動医療 (mHealth) と患者への関与 (PE) の戦略は,カテーテルの使用と関連する尿路感染症 (CAUTIs) を減らすことができます.
- 感染予防プログラムを最適化するために,mHealthの介入に対する患者の受け入れと実施の障壁を理解することは極めて重要です.
研究 の 目的:
- スマートフォンアプリ"Participatient"の受容性と治療品質の評価
- CAUTIsを減らすためのmHealthの介入の障壁とファシリテーターを特定する.
主な方法:
- "参加者"アプリはオランダの4つの病院で導入されました.
- 患者のアンケートでは アプリの受容性と効果を評価した.
- 医療従事者 (HCP) は実施プロセスについてインタビューを受けました.
主要な成果:
- 患者はこのアプリを好意的に受け止めており 治療前の治療と治療後の治療の質も高く評価しています
- インタビューを受けた医療従事者全員が,不十分な訓練,不明確なコミュニケーション,不十分な昇進などの障害を報告した.
- PEに対する医療従事者のポジティブな態度が重要な要素でした.
結論:
- このアプリは受け入れられたが,採用率は低いままだった.
- 医療従事者は 訓練,コミュニケーション,ワークフロー統合の問題が 採用の低い理由だと指摘した.
- CAUTI 予防における PE の mHealth 採用の根本的な障壁を特定するには,さらなる研究が必要です.
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