探索实施医生智能手机应用程序的障碍和促进因素,以改善急性心肌梗塞的管理:多中心,混合方法,观察性研究
Katelyn J Cullen1,2, Hassan Mir3,4, Madhu K Natarajan1,2,5
1Department of Medicine, McMaster University, Hamilton, ON, Canada.
JMIR mHealth and uHealth
|July 8, 2025
概括
在紧急护理提供者之间共享心电图 (ECG) 的新应用程序被发现是干预心脏病学家,紧急医疗医生和护理人员所需要的. 实施前的调查发现了技术和隐私方面的问题,这些问题得到了解决,以促进应用程序的推出,以获得更好的STEMI护理.
科学领域:
- 心脏病学 心脏病学
- 医疗信息学 医疗信息学
- 紧急医疗 紧急医疗
背景情况:
- 及时治疗ST升高心肌梗塞 (STEMI) 非常重要.
- 紧急医疗 (EM) 医生,紧急医疗服务 (EMS) 护理人员和干预心脏病学家 (IC) 之间的有效沟通对于迅速的STEMI治疗至关重要.
- 目前用于共享心电图 (ECG) 的传真和短信等方法在速度和安全性方面存在局限性.
研究的目的:
- 评估SmartAMI-ACS应用程序用于传输ECG图像的可接受性和普及性.
- 在IC,EM医生和EMS护理人员中识别应用程序实施的障碍和推动者.
- 根据实施前调查结果,根据实施策略量身定制实施战略.
主要方法:
- 在加拿大安大略省,与IC,EM医生和EMS护理人员进行了有针对性的预实施调查.
- 利用基于实施研究综合框架,试点研究结果和专家指导的问题.
- 使用感应主题分析分析了定量 (利克尔特尺度) 和定性 (开放式) 数据.
主要成果:
- 高的调查响应率表明可以接受的吸收率.
- 所有小组都同意需要智能手机应用程序来传输ECG,认识到当前方法的局限性.
- 确定的主要障碍包括技术挑战,隐私问题和不可靠的手机接收.
结论:
- 预实施调查为应用程序推广提供了量身定制的战略.
- 解决与技术,隐私和Wi-Fi接入相关的已识别的障碍对于成功的应用程序实施至关重要.
- 调查结果和正在进行的评估支持将应用程序干预扩展到更广泛的医疗机构.
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