一个基于本体学的决策支持系统,为慢性阻塞性肺部疾病患者提供量身定制的临床营养建议:发展和可接受性研究
Daniele Spoladore1,2, Vera Colombo1, Alessia Fumagalli3
1Institute of Intelligent Industrial Technologies and Systems for Advanced Manufacturing, National Research Council of Italy, Lecco, Italy.
JMIR medical informatics
|June 26, 2024
概括
一个新的决策支持系统帮助医生将营养与慢性阻塞性肺病 (COPD) 患者的肺康复相结合. 该工具提供量身定制的饮食建议,改善患者护理和疾病管理.
科学领域:
- 肺病学和营养科学 肺病学和营养科学
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
背景情况:
- 慢性阻塞性肺病 (COPD) 显著影响全球健康,营养在控制其炎症过程和并发症方面发挥着关键作用.
- 患有慢性肺炎的患者面临营养不良,肉症和硬血症的风险,需要全面的营养评估和治疗.
- 目前的肺部康复 (PR) 计划往往忽视了营养方面,因为资源有限,肺科医生缺乏专业培训.
研究的目的:
- 引入一种新的基于知识的决策支持系统,旨在帮助肺病学家将营养考虑纳入COPD患者的PR.
- 为临床医生提供基于专家知识的患者特定饮食建议.
主要方法:
- 专家知识和临床文献被正式化为域本体学和规则,使用敏捷的方法.
- 该系统是由意大利专注于COPD康复的临床医生的投入开发的.
- 营养专家验证了建议,肺病学家评估了系统的可接受性.
主要成果:
- 营养学家评价该系统的建议很高 (平均得分为4.23/5),认为它们是有意义的,安全的,并与临床实践保持一致.
- 肺病学家报告了对该系统的有用性和相关性非常积极的反,在感知有用性 (4.86/5) 和使用意图 (4.14/5) 上得分高.
结论:
- 开发的决策支持系统有效地将营养方面纳入COPD肺部康复中.
- 该系统的模块化设计,基于域本体学,允许适应不同的国家临床环境.
- 该系统的实施可以促进更多学科的方法来管理COPD患者.
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