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胰岛素APP十年:使用COSMIN的验证及其最初出版以来的临床进展
Marcos Tadashi Kakitani Toyoshima1,2, Julia Mandaro Lavinas-Jones3,4, Alina Coutinho Rodrigues Feitosa3,4
1Department of Endocrinology and Metabolism, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. marcos.tadashi@hc.fm.usp.br.
Diabetology & metabolic syndrome
|May 10, 2025
概括
电子血糖管理系统 (eGMS) InsulinAPP已在10年内被验证用于住院胰岛素治疗. 它证明了科学稳定性和现实世界的适用性,改善了血糖控制和安全性.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
- 糖尿病管理 糖尿病管理
背景情况:
- 胰岛素APP是一种巴西电子血糖管理系统 (eGMS),用于住院胰岛素治疗,协助非专业医生.
- 该系统已经在十年内发展成为一个经过验证的临床决策支持工具,具有经过证明的影响.
- 本稿详细介绍了使用COSMIN框架在五个核心领域进行的InsulinAPP的验证.
研究的目的:
- *使用COSMIN框架对InsulinAPP的验证进行结构化概述.
- * 评估其跨文化适应性,内容有效性,标准有效性,可靠性和构造有效性.
- * 确认该工具的科学可靠性,安全性和实际应用性.
主要方法:
- *使用COSMIN框架在五个核心领域进行验证.
- * 可用性测试,以评估用户接受度.
- * 一个随机试验,比较InsulinAPP引导的护理与内分泌学家领导的护理.
主要成果:
- *高可用性接受度 (平均利克特得分为4.8/5) 和强大的内容有效性 (CVI = 0.95).
- *高可复制性 (ICC = 0.98) 和可比的血糖控制与低低血糖率的专家护理相比.
- *简单性,EHR独立性,以及适应低资源环境的优势.
结论:
- * 胰岛素APP是用于住院患者血糖管理的科学合理和安全工具.
- *其协议与主要内分泌学会的最新指导方针保持一致.
- *建议进行更广泛的实施和多中心研究,以进一步探索其影响.
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