基于干预映射框架的综合老年人护理模型 (SMART系统) 知识库的开发:混合方法研究研究
Rongrong Guo1, Shuqin Xiao1, Fangyu Yang1
1School of Nursing, Capital Medical University, 10 You-An-Men Wai Xi Tou Tiao, Fengtai District, Beijing, 100069, China, 86 13910789837.
JMIR nursing
|August 14, 2025
概括
这项研究开发了SMART系统,这是一个针对老年人的智能移动医疗保健模型. 它通过强大的知识库和触发规则提供全面的个性化支持,解决了当前应用程序的局限性.
科学领域:
- 老年学是指老年学的学科.
- 医疗信息学 医疗信息学
- 数字健康数字健康
背景情况:
- 移动健康 (mHealth) 应用程序和物联网设备对于家庭老年人护理至关重要.
- 当前的移动健康解决方案面临着挑战:缺乏整体支持,理论框架和个性化反.
- SMART系统是为了克服老年人护理中的这些局限性而开发的.
研究的目的:
- 系统地概述SMART系统知识库和触发规则的开发过程.
- 详细介绍创建一个智能和综合老年人护理模式.
- 为开发类似的临床决策支持系统提供框架.
主要方法:
- 一种以用户为中心的方法,整合了护理过程和干预映射 (IM) 框架.
- 通过深入采访识别老年人护理需求.
- 利用世卫组织指导方针和NANDA-I护理诊断来定义护理问题和目标.
- 系统的文献审查,临床指南和专家见解为干预选择提供了信息.
主要成果:
- 确定了5个关键的护理需求,导致138个护理问题与相关的原因和标准.
- 开发了一个知识库,有138个长期和195个短期护理目标.
- 选择了450个基于证据的干预措施,并采用了实际实施方法.
- 创建了个性化,量身定制的护理的诊断和干预触发规则.
结论:
- 该研究成功开发了SMART系统的知识库和触发规则.
- 该方法为类似的临床决策支持系统提供了理论基础.
- 这种方法通过综合和个性化的移动健康解决方案,增强了基于家庭的老年人护理.
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