开发移动应用程序以支持艾滋病毒患者的临床管理:一项观察性研究
Annalisa Roveta1,2, Massimo Canonico2,3, Alessia Francese1,2
1Research Laboratories, Research and Innovation Department (DAIRI), Azienda Ospedaliero-Universitaria SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Applied clinical informatics
|June 18, 2025
概括
AURORA应用程序改善了艾滋病毒感染者 (PLWH) 的与健康相关的生活质量和治疗坚持. 患者反突出了自我护理监测和临床医生沟通的好处,指导了未来应用程序的改进,以更好地管理艾滋病毒.
科学领域:
- 传染性疾病 传染性疾病
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 人类免疫缺陷病毒 (HIV) 是一个重大的全球卫生挑战,特别是在欧洲.
- 抗逆转录病毒疗法 (ART) 将艾滋病毒转化为可管理的慢性疾病,强调了与健康相关的生活质量 (HRQoL) 对治疗坚持的重要性.
- 自我监测工具可能有助于改善治疗艾滋病毒等慢性疾病.
研究的目的:
- 评估AURORA自我监测系统对艾滋病毒+患者的生活质量和医疗管理的影响.
- 评估应用程序对睡眠质量,抑郁,焦虑和患者对ART的满意度的影响.
- 测量应用程序对抗逆转录病毒治疗的坚持的影响.
主要方法:
- 招募了50名接受稳定的ART治疗的HIV+患者,并指示他们使用AURORA健康监测应用程序.
- 通过患者自我报告收集了有关ART坚持,HRQoL,睡眠质量,抑郁和焦虑的数据.
- 通过反来评估患者对应用程序及其功能的满意度.
主要成果:
- 使用AURORA应用程序的合规患者证明了对ART的最佳坚持.
- 很大一部分用户 (26.2%) 发现该应用程序非常有益,很少有人报告没有好处.
- 该研究发现睡眠障碍,焦虑和抑郁症之间存在显著的相关性,患者赞赏日常自我护理评估和隐私.
结论:
- 在艾滋病毒感染者 (PLWH) 中,AURORA应用程序有望改善HRQoL和治疗坚持.
- 患者的反对于应用程序开发至关重要,建议增强功能,如电话通话集成和电子学习.
- 未来的研究应该包括一个对照组,以确定应用程序在促进治疗合规性的有效性.
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