Currently, more than half of the adults worldwide have at least one chronic condition; however, poor medication adherence and self-management are observed. Tools, such as mHealth apps, may play a crucial role for millions of people in increasing the patients’ involvement in the treatment process. The purpose of this study is to evaluate the characteristics and quality of the existing mHealth apps for patients with various chronic conditions. The study was conducted from February 1 to March 31, 2022. The mHealth applications’ search was performed on the iOS platform, and 29 apps were included in the final analysis. The quality of apps was evaluated using Mobile App Rating Scale. The majority of the apps had symptom and medication tracking functionality. The mean score of apps’ overall quality was 3.45 (SD = 0.61) out of five, ranging from 2.04 to 4.50. The highest-rated category was the functionality of the app—3.75 (0.61); followed by aesthetics—3.67 (0.62); subjective quality—3.47 (0.88); engagement—3.33 (0.78); and information—3.04 (0.61). The study revealed that only a few high-quality apps for chronic condition management exist, and there is still some space for improvements.
Darbo tikslas. Išanalizuoti veiksnius, darančius įtaką slėgio opų išsivystymui. Tyrimo medžiaga ir metodai. Tyrimas vyko vienoje Vilniaus miesto universiteto ligoninėje. Slėgio opų atsiradimo rizikos vertinimui naudota modifikuota Nortono skalė. Analizuoti 655 pacientų slėgio opų atsiradimo atvejai. Statistinė duomenų analizė atlikta naudojant IBM SPSS Statistics 19,0 ir Microsoft Office Excel 2016 programas. Taikyti aprašomosios statistikos metodai. Ryšio stiprumo laipsnis įvertintas apskaičiuojant šansų santykį OR ir jo atitinkamą pasikliautinąjį intervalą (PI 95 %). Statistinio patikimumo rodiklis vertintas, kai p reikšmė ne didesnė kaip 0,05 (p≤0,05), ir daroma išvada, kad skirtumai yra statistiškai reikšmingi. Darbo rezultatai ir išvados. Mažiau nei pusė pacientų (41,5 proc.), dažniau 55-74 metų, atvykimo gydytis metu turėjo slėgio opų. Odos ir audinių vientisumo pažeidimų daugiau nei pusę atvejų (83,4 proc.) pastebėjo ir įvertino slaugos personalas, dažniau pacientams iki 80 metų, atvykusiems planine tvarka. Labai didelę tikimybę atsirasti slėgio opoms turėjo atvykusieji skubos tvarka, kurių odos būklė įvertinta 6-10 taškų (2,6 proc.). Ketvirtadalio (25,0 proc.) atvykusiųjų planine tvarka odos būklė buvo įvertinta 5 taškais. Moterys ir vyrai turi vienodas slėgio opų išsivystymo galimybes (p=0,001). Odos ir audinių vientisumo pažeidimo rizikos veiksniai: šlapinimosi problemos (69,6 proc.), psichologinė būklė (13,4 proc.), odos būklė (4,9 proc.). Atvykimo metu ir odos pažeidimų gydymo stacionare laikotarpiu, II stadijos slėgio opų dažnis buvo vienodas (55,6 proc.). Daugiau nei pusės pacientų (60,0 proc.) slėgio opos vieta buvo nugaros srityje, rečiau – kūno šonuose (1,2 proc.) ir pilvo srityje (1,7 proc.) (p=0,0001). Besigydantiems ir turintiems slėgio opų pacientams (41,8 proc.) taikytos profilaktinės ir slaugos pagalbinės priemonės. Tiriamiesiems, kurių odos būklė įvertinta mažiau nei 14 taškų ir turintiems slėgio opų, taikytos profilaktinės ir slaugos pagalbinės priemonės slėgio opų prevencijai.
Epilepsy is a many-sided disease that manifests itself as seizures of various kinds and origin, which can start at any age, often in childhood. The nursing, training and treatment of a sick child have serious implications for the whole family. The most significant factor becomes the ability of a nurse to impart existing professional knowledge to a patient and his or her family and to teach about disease control measures. More informed patients and their families feel more in control of their illness than less informed patients and their relatives. People with epilepsy and the general public lack general information about the condition, knowledge about care and how to deliver it, and access to services. Educating loved ones is a key tool in disease control and prevention.The research was conducted in October and November of 2019 in one of the city hospitals in Vilnius. The analysis of questionnaire data before the training revealed that parents whose children suffer from epilepsy have lack of information about the disease. The questionnaire data after the training showed that parents acquired more knowledge and the results improved. The majority of parents whose children suffer from epilepsy is well informed about the disease. However, they have a lack of knowledge in relation to the factors provoking epileptic seizures. Besides, they are not aware when it is necessary to call the ambulance and when to use first aid medicines. The parents are interested in innovations related to epilepsy, treatment and care of a sick child. All the parents have a need to gain knowledge about the disease. The comparison of parents’ awareness of the disease before and after the training showed that parents had learnt to provide aid correctly during seizures. The training was effective.
Abstract. The article analyses the supervision of vascular catheters, as well as the factors influencing the complications that occur. The method of observation was applied to assess the supervision of catheters, sample size target. The patients were assessed by gender, age, changes in their state of health, the type of vascular catheters and the assessment of dressing. It was established that the following physical (the condition of skin and the dressing, place and duration of the insertion of a catheter) and mechanical (catheter displacement of vascular injection local tissue stretching for biological fluids stay) factors were of great significant.
Abstract. The article deals with the external and internal factors influencing development of pressure ulcers and the effectiveness of their care. The patients were assessed according to their age, gender and changes in their condition. The modified Norton Scale was used to assess the effectiveness of pressure ulcer care. It has been established that internal factors increase the risk of developing pressure ulcers. The effectiveness of pressure ulcer care is promoted by pressure ulcers preventative measures, medicines and skin hygiene.
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