提升慢性腎臟病行動醫療照護「腎好APP」使用率

Project to Increase the Usage Rate of iCKD Application Mobile Healthcare on Chronic Kidney Disease Patients

10.6224/JN.201902_66(1).10

蕭佩妮(Pei-Ni HSIAO)；徐菩(Pu HSU)；蕭仕敏(Shih-Ming HSIAO)；陳慈徽(Tzu-Hui CHEN)；李佳倫(Chia-Lun LEE)

慢性腎臟病 ； 行動醫療照護 ； 行動應用程式 ； chronic kidney disease ； mobile healthcare ； APP

護理雜誌

66卷1期（2019 / 02 / 01）

84 - 92

繁體中文

背景：近年由於行動裝置容量和運算能力提升，行動通訊網路基礎建設的成熟，行動醫療照護已成為新興科技的領域。行動醫療照護可支持疾病自我管理、提升照護品質和減少醫療成本。然而，本院實際將行動醫療照護導入臨床，發現「腎好APP」使用率偏低，引發動機組成專案小組。目的：為了提升「腎好APP」使用率，目標設定現況值由5.8%提升至9.3%。方法：經問卷調查確立造成「腎好APP」使用率低的主因，為病人不覺得使用「腎好APP」對於疾病管理有幫助、病人不會操作智慧型手機、醫師忘記轉介病人及院內網路速度太慢。改善對策包括提供「腎好APP」衛教工具宣導、舉辦「腎好APP一指通」學習課程、制定「行動醫療照護個案轉介單」等。結果：專案介入後「腎好APP」使用率提升至21.3%。結論：本專案小組成功促使更多病人加入行動醫療照護，提高「腎好APP」使用率，進而有效促進病人自我管理行為。

Background & Problems: In recent years, improved mobile capacities and mobile-device computing capabilities as well as a maturing mobile-communications infrastructure have combined to promote the development and widespread use of mobile healthcare applications. Mobile healthcare supports the self-management of chronic diseases, enhances healthcare quality, and reduces medical costs. Due to the low rate of iCKD usage in our hospital, we set up a project team that was tasked to improve the rate of iCKD usage among chronic disease patients. Purpose: To improve the iCKD usage rate from the current 5.8% to 9.3%. Resolutions: Questionnaire-based survey results indicated that the main reasons for the low iCKD usage rate in our hospital were: negative attitudes toward iCKD as a helpful tool in disease management, lack of awareness of the importance of using iCKD, unfamiliarity with how to operate smartphone applications, low numbers of iCKD physician referrals for patients, and slow Internet speeds. The improvement strategy included providing instructions on iCKD use, organizing a practical learning program, designing and printing a mobile healthcare referral form, and holding related events. Result: The rate of iCKD usage increased to 21.3% after the intervention. Conclusion: The project team successfully increased the iCKD usage rate by getting more patients involved in mobile healthcare, which is expected to have a positive impact on the success of patient self-management.

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