一个基于移动的气道清除护理系统,使用基于深度学习的视觉技术来支持COAD患者个性化的家庭肺部康复:开发和可用性测试
Jun-Ming Su1, Kuan-Yuan Chen2,3, Sheng-Ming Wu2,4
1Department of Information and Learning Technology, National University of Tainan, Tainan, Taiwan.
Digital health
|October 16, 2023
概括
一个新的移动系统,COAD-MoAcCare,在远程医疗肺部康复期间协助慢性阻塞性气道疾病患者使用气道清除技术. 专家验证证实了其可用性和有效性,为改善患者护理铺平了道路.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 呼吸系统护理技术的技术
- 肺部康复治疗 肺部康复治疗
背景情况:
- 在慢性阻塞性呼吸道疾病 (COAD) 中,过度的粘液分泌需要呼吸道清除技术,如姿势排水和敲击 (PD+P).
- 家庭肺部康复 (H-PR) 提供好处,但缺乏直接监督,影响患者的坚持.
- 目前的远程医疗肺部康复 (TH-PR) 主要使用视频和电话,对PD+P执行的支持有限.
研究的目的:
- 开发和评估基于移动系统 (COAD-MoAcCare) 的可用性,用于COAD患者个性化的TH-PR.
- 评估系统能够远程支持和监控PD+P操作的能力.
- 通过专家评估来验证系统的有效性.
主要方法:
- COAD-MoAcCare系统使用移动设备上的深度学习视觉技术进行PD+P的实时监控,指导和评估.
- 医务人员可以通过系统管理和跟踪个性化PD+P会话和患者状态.
- 呼吸系统治疗师使用基于技术接受模型的问卷,系统可用性量表 (SUS) 和NASA任务负载指数 (NASA-TLX) 来评估系统可用性.
主要成果:
- 呼吸系统治疗师报告高满意度,评分在4.1和4.6之间5.0.
- 该系统获得了良好的可用性评分 (SUS: 74.1/100) 和低任务负载 (NASA-TLX: 30.0/100).
- 该系统在评估PD+P运营时表现出高准确度 (97.5%),专家对比证实了这一点.
结论:
- COAD-MoAcCare系统是第一个基于移动的解决方案,旨在帮助COAD患者在TH-PR期间患有PD+P.
- 专家验证证实了该系统对医疗保健专业人员的可用性.
- 该系统预计将使医疗人员和COAD患者受益,并计划进一步进行临床试验.
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