健康應用程式在慢性疾病自我管理的應用

The Utilization of Health-Related Applications in Chronic Disease Self-Management

10.6224/JN.000050

高啟雯(Chi-Wen Kao)；莊蕙婉(Hui-Wan Chuang)；陳亭余(Ting-Yu Chen)

健康應用程式 ； 慢性疾病 ； 自我管理 ； health applications ； chronic disease ； self-management

護理雜誌

64卷4期（2017 / 08 / 01）

19 - 25

繁體中文

近年來，隨著智慧手機使用的普及、大量健康應用程式的設計產出、以及慢性疾病自我管理的需求增加，運用智慧手機的健康應用程式進行慢性疾病自我管理已成為趨勢。本文將介紹健康應用程式的定義、內容與類型、健康應用程式在慢性疾病自我管理的應用及其成效，以及健康應用程式的評值工具。期能讓健康照護專業人員和期望做好自我疾病管理的病人，對健康應用程式在慢性疾病自我管理的運用，有概略性的瞭解。

The dramatic increase in smartphone usage has spurred the development of many health-related mobile applications (apps). On the other hand, population aging and the associated rise in the incidence of chronic disease is increasing the demand for long-term care. Effective chronic disease self-management has been shown to help patients improve their health condition. Numerous smartphone applications currently support patient self-management of chronic disease, facilitating health management and health promotion. The purpose of the present article was to introduce the definition, contents, and types of health-related apps; to discuss the effectiveness of self-management health-related apps in promoting chronic disease management; and to assess and evaluate these apps. We hope that the present article helps give to healthcare professionals and patients who are willing to manage their diseases a general understanding of health-related apps and their potential to facilitate the self-management of chronic diseases.

1. Mackay, M. (2014). Australian mobile phone lifestyle index. Retrieved from http://www.aimia.com.au/enews/2013/Events/AMPLI%202013/Ampli%202013%20Report_Final_October%2024.pdf
2. 林淑綿（2017，1月11日）．從2016 HIMSS 亞太年會看智慧健康醫療發展趨勢．取自https://www.moea.gov.tw/MNS/doit/industrytech/IndustryTech.aspx?menu_id=13545&it_id=78 [Lin, S. M. (2017, January 11). Perspectives on smart health and medical development trends from the 2016 HIMSS Asia-Pacific Annual Conference. Retrived from https://www.moea.gov.tw/MNS/doit/industrytech/IndustryTech.aspx?menu_id=13545&it_id=78
3. 國家發展委員會（2016，8月22日）．中華民國人口推估（105 至150年）． 取自http://www.ndc.gov.tw/Content_List.aspx?n=84223C65B6F94D72 [National Development Council. (2016, August 22). Population estimates for the Republic of China (2016-2061). Retrieved from http://www.ndc.gov.tw/Content_List.aspx?n=84223C65B6F94D72]
4. International Telecommunication Union. (2011). The world in 2011-ICT facts and figures. Retrieved from http://www.itu.int/ITU-D/ict/facts/2011/material/ICTFactsFigures2011.pdf
5. IMS Institute for Healthcare Informatics. (2013). Patient Apps for improved healthcare: From novelty to mainstream. Retrieved from http://obroncology.com/imshealth/content/IIHI%20Apps%20report%20231013F_interactive.pdf
6. Arthur, C. (2012). The history of smartphones: Timeline. Retrieved from http://www.theguardian.com/technology/2012/jan/24/smartphones-timeline
7. World Health Organization. (2010). Telemedicine: Opportunities and developments in member states: Report on the second global survey on eHealth 2009 (Global observatory for eHealth series, Volume 2). Retrieved from http://www.who.int/goe/ publications/goe_telemedicine_2010.pdf
8. Montgomery, J. (2012, November). Infographic: Mobile healthcare faces the future. Retrieved from http://mhealthwatch.com/infographic-mobile-healthcare-faces-the-future-19218/
9. Anderson, K.,Burford, O.,Emmerton, L.(2016).Mobile health apps to facilitate self-care: A qualitative study of user experiences.PLoS ONE,11(5),e0156164.
10. Athilingam, P.,Labrador, M. A.,Remo, E. F. J.,Mack, L.,San Juan, A. B.,Elliott, A. F.(2016).Features and usability assessment of a patient-centered mobile application (HeartMapp) for self-management of heart failure.Applied Nursing Research,32,156-163.
11. BinDhim, N. F.,Naicker, S.,Freeman, B.,McGeechan, K.,Trevena, L.(2014).Apps promoting illicit drugs-A need for tighter regulation?.Journal of Consumer Health on the Internet,18(1),31-43.
12. Bonoto, B. C.,de Araújo, V. E.,Godói, I. P.,de Lemos, L. L. P.,Godman, B.,Bennie, M.,Junior, A. A. G.(2017).Efficacy of mobile apps to support the care of patients with diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials.JMIR mHealth and uHealth,5(3),e4.
13. Bower, P.,Cartwright, M.,Hirani, S. P.,Barlow, J.,Hendy, J.,Knapp, M.,Newman, S.(2011).A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: Protocol for the whole systems demonstrator cluster randomised trial.BMC Health Services Research,11(1),184-195.
14. Cho, J.,Park, D.,Lee, H. E.(2014).Cognitive factors of using health apps: Systematic analysis of relationships among health consciousness, health information orientation, eHealth literacy, and health app use efficacy.Journal of Medical Internet Research,16(5),e125.
15. Demidowich, A. P.,Lu, K.,Tamler, R.,Bloomgarden, Z.(2012).An evaluation of diabetes self-management applications for Android smartphones.Journal of Telemedicine and Telecare,18(4),235-238.
16. Jin, M.,Kim, J.(2015).Development and evaluation of an evaluation tool for healthcare smartphone applications.Telemedicine and e-Health,21(10),831-837.
17. Kelli, H. M.,Witbrodt, B.,Shah, A.(2017).The future of mobile health applications and devices in cardiovascular health.European Medical Journal Innovations,2017(1),92-97.
18. Masterson Creber, R. M.,Maurer, M. S.,Reading, M.,Hiraldo, G.,Hickey, K. T.,Iribarren, S.(2016).Review and analysis of existing mobile phone apps to support heart failure symptom monitoring and self-care management using the mobile application rating scale (MARS).JMIR mHealth and uHealth,4(2),e74.
19. Nes, A. A. G.,van Dulmen, S.,Eide, E.,Finset, A.,Kristjánsdóttir, Ó. B.,Steen, I. S.,Eide, H.(2012).The development and feasibility of a web-based intervention with diaries and situational feedback via smartphone to support self-management in patients with diabetes type 2.Diabetes Research and Clinical Practice,97(3),385-393.
20. Park, H. S.,Cho, H.,Kim, H. S.(2016).Development of a multi-agent m-health application based on various protocols for chronic disease self-management.Journal of Medical Systems,40(1),36.
21. Powell, A. C.,Landman, A. B.,Bates, D. W.(2014).In search of a few good apps.JAMA,311(18),1851-1852.
22. Sobnath, D. D.,Philip, N.,Kayyali, R.,Nabhani-Gebara, S.,Pierscionek, B.,Vaes, A. W.,Kaimakamis, E.(2017).Features of a mobile support app for patients with chronic obstructive pulmonary disease: Literature review and current applications.JMIR mHealth and uHealth,5(2),e17.
23. Stoyanov, S. R.,Hides, L.,Kavanagh, D. J.,Zelenko, O.,Tjondronegoro, D.,Mani, M.(2015).Mobile app rating scale: A new tool for assessing the quality of health mobile apps.JMIR mHealth and uHealth,3(1),e27.
24. Whitehead, L.,Seaton, P.(2016).The effectiveness of self-management mobile phone and tablet apps in long-term condition management: A systematic review.Journal of Medical Internet Research,18(5),e97.
25. Widmer, R. J.,Allison, T.,Lerman, L.,Lerman, A.(2014).The augmentation of usual cardiac rehabilitation with an online and smartphone-based program improves cardiovascular risk factors and reduces rehospitalizations.Journal of the American College of Cardiology,63(12),A1296.
26. Wu, Y.,Yao, X.,Vespasiani, G.,Nicolucci, A.,Dong, Y.,Kwong, J.,Li, S.(2017).Mobile app-based interventions to support diabetes self-management: A systematic review of randomized controlled trials to identify functions associated with glycemic efficacy.JMIR mHealth and uHealth,5(3),e35.
27. 李孟芬、潘立傑(2012)。淺談行動健康服務的應用。長期照護雜誌，16(3)，237-250。
28. 郭嘉琪、王秀紅(2012)。系統性文獻回顧自我管理在國內慢性病介入研究之應用。護理暨健康照護研究，8(1)，50-60。

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