基于电子健康记录的糖尿病自我管理支持工具的内容验证,用于2型糖尿病的老年人:定性研究
Ploypun Narindrarangkura1, Siroj Dejhansathit2,3, Uzma Khan2,3
1Phramongkutklao College of Medicine, Bangkok, Thailand.
JMIR diabetes
|February 6, 2026
概括
患有糖尿病的老年人发现,SEE-Diabetes工具对于了解自我护理是明确和相关的. 这种电子健康记录的综合支持增强了患者的参与和沟通,并提出了改善药物细节的建议.
科学领域:
- 数字健康数字健康
- 以患者为中心的护理
- 糖尿病 自主管理 糖尿病 自主管理
背景情况:
- 患有糖尿病的老年人在电子健康记录 (EHR) 中与医学术语作斗争.
- 在临床笔记中存在关于自我护理指令的沟通缺口.
- 支持-参与-授权-糖尿病 (SEE-糖尿病) 工具是为了在电子健康记录中嵌入量身定制的教育声明而开发的.
研究的目的:
- 为了验证SEE-糖尿病内容的清晰度,相关性和一致性.
- 根据糖尿病护理和教育专家协会7个自我护理行为框架来评估内容.
- 收集患有糖尿病的老年人和临床医生的观点.
主要方法:
- 专家评价和对11名老年人和8名临床医生的定性访谈.
- 患者对可读性和相关性的评估.
- 临床医生对清晰度,充分性和临床实用性的评估.
- 采访数据的诱导性主题分析.
主要成果:
- 患者发现SEE-Diabetes声明清晰,相关,并且用普通语言表达.
- 临床医生认为内容简洁,临床上适当,并与自我管理目标保持一致.
- 两组人都看到了增强患者参与和沟通的潜力,建议改善与药物相关的内容.
结论:
- SEE-Diabetes显示内容有效性作为患者为中心的数字健康工具,用于糖尿病自我管理.
- 该工具可以在常规临床实践中加强自我护理沟通.
- 需要改进以增强个性化,特别是药物指导.
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