A telemedicine wound care model using 4G with smart phones or smart glasses

Ye, Junna; Zuo, Yanhai; Xie, Ting; Wu, Minjie; Ni, Pengwen; Kang, Yutian; Yu, Xiaopeng; Sun, Xiaofang; Huang, Yao; Lu, Shuliang

doi:10.1097/md.0000000000004198

Cited by 24 publications

(33 citation statements)

References 28 publications

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“…It is important to recognize that mHealth apps are different from traditional verbal health education because users can seek and apply targeted text and visual content at their virtual disposal, such as remote wound monitoring using the digital images of a wound to improve learning and stimulate interest (Gunter et al, ). This contributes to users acquiring relevant and accurate wound care knowledge (Ye et al, ). To our awareness, however, there was no mHealth app for patients’ or family caregivers’ health education on wound care before hospital discharge prior to undertaking this study.…”

Section: Introductionmentioning

confidence: 99%

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

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Aims To evaluate the effectiveness of a mobile health (mHealth) application, based on self‐regulation theory, on patients’ knowledge of wound care, skills in changing dressings and anxiety. Design A prospective randomized controlled trial. Methods Seventy patients (or family members) at a 1,500‐bed university hospital in Taiwan were randomized into an experimental (N = 35) or control group (N = 35) from March to December 2016. The experimental group used a mHealth application for wound care; the control group received verbal instructions and a booklet. Instruments to collect data were a wound care knowledge scale, wound care skills scale, State‐Trait Anxiety Inventory, and a digital heart variability device. Data were collected at baseline, after three additional demonstrations and before discharge. The generalized estimating equation was used for statistical analysis. Results The experimental group showed significantly higher levels of wound care knowledge, improved wound care skills, lower levels of state anxiety, and lower heart rate variability than the control group after baseline data collection. Conclusions Results support hat a mHealth application may be effective in health education. Clinicians can use the results to promote patients’ wound care knowledge, enhance their wound care skills, and reduce anxiety related to dressing changes. Impact Lack of wound care knowledge and skills can affect the willingness and ability to perform effective wound dressing changes, producing anxiety and having an impact on a patient's self‐care after hospital discharge. mHealth applications (apps) have the potential to deliver health information in targeted and tailored ways that strengthen the self‐management of diseases. mHealth app can increase wound care knowledge, improve care skills, and reduce anxiety related to wound care. mHealth app effectively supports self‐monitoring of the wound healing process, self‐judgement of the wound condition, and self‐reaction of wound care accuracy. mHealth app provides step‐by‐step visual tutorials on wound care that allow patients and family caregivers to take pictures of the wounds and monitor the wound healing process. mHealth app for wound care knowledge is an effective and individualized method for learning. Clinical Trial: This study was registered by U.S. National Library of Medicine, ClinicalTrials.gov (ID: NCT03683303).

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Section: Introductionmentioning

confidence: 99%

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Chang

Hou

Yeh

et al. 2019

Journal of Advanced Nursing

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“…Por ejemplo, en el seguimiento a distancia de heridas para pacientes con poco acceso a atención médica, asistencia en el control del asma en adolecentes, recordatorios de citas médicas o estimación de los niveles de hemoglobina con la cámara del teléfono móvil, gran parte de ellos con buenos resultados. [15][16][17][18] Frente a eso, durante el año 2018, la OMS publicó una clasificación numérica para las tecnologías digitales y móviles, basada en su usuario primario objetivo. 19 La aplicación presentada en ese estudio es categorizada como 2.3, al ser de apoyo en las decisiones del proveedor de salud.…”

Section: Discussionunclassified

Aplicación móvil en el diagnóstico de dolor de hombro para médicos generales

Marsalli

Sepúlveda

Paz

2020

Revista Chilena de Ortopedia y Traumatología

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Resumen Objetivo Evaluar la concordancia diagnóstica durante la evaluación inicial de pacientes con dolor de hombro entre: (1) Traumatólogos especialistas en hombro realizando una evaluación convencional y (2) un médico general utilizando una nueva aplicación móvil. Materiales y Método Se diseñó una aplicación móvil para asistir a médicos generales a realizar una evaluación del dolor de hombro entregando una hipótesis diagnóstica. Se diseñó un estudio de concordancia diagnóstica. Se evaluó un grupo de 60 pacientes, quienes consultaron por primera vez con un especialista en hombro. Primero, todos fueron evaluados por un médico general utilizando la aplicación. Se registró la hipótesis diagnóstica entregada por la aplicación. Luego, el especialista realizó una evaluación con anamnesis y examen físico, registrando su hipótesis diagnóstica. Se realizó una prueba Kappa para determinar la concordancia entre ambos evaluadores. Resultados La concordancia global entre los especialistas y la aplicación móvil utilizada por el médico general fue sustancial (k = 0,74; p < 0,001). La concordancia fue casi perfecta para el Pinzamiento subacromial, dolor cervical, lesión acromioclavicular, inestabilidad de hombro, y el pinzamiento interno. Conclusión La concordancia diagnóstica durante la evaluación inicial de pacientes con dolor de hombro entre traumatólogos especialistas y un médico general utilizando una aplicación móvil fue sustancial. Nivel de Evidencia Tipo III.

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“…First, it gives the physician the possibility of monitoring patient's healing, second, provides both -the patient and the physician with the visual progress of woundhealing, what is vital from the psychological point of view. 8…”

Section: Discussionmentioning

confidence: 99%

Single-use NPWT device with telemedical wound monitoring in the treatment of acne inversa in apregnant patient – case report

Zastawna

Żalejko-Strychalska

Banasiewicz

2019

NPWTJ

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Acne inversa (AI) is a chronic inflammatory skindisease significantly impacting the patient’s quality of life.Management guidelines for acne inversa during pregnancy donot exist. We decided to use a single-use negative pressurewound therapy (PICO, Smith & Nephew) while managing apregnant patient with AI. Negative pressure wound therapy(NPWT) seemed to improve the patient’s condition, managingthe exudation, reducing edema, and improving local regeneration,as well as epithelialization. The method was also absolutelysafe for the fetus and feasible to conduct in the outpatientdepartment - what was of utmost importance for the patient.The telemedical monitoring of wound healing using mobiletechnologies seems to be gaining importance for patients andmedical practitioners. In the described case, we used the iWound(Polmedi, Poland) application in an outpatient setting.

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A telemedicine wound care model using 4G with smart phones or smart glasses

Cited by 24 publications

References 28 publications

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

The impact of an mHealth app on knowledge, skills and anxiety about dressing changes: A randomized controlled trial

Aplicación móvil en el diagnóstico de dolor de hombro para médicos generales

Single-use NPWT device with telemedical wound monitoring in the treatment of acne inversa in apregnant patient – case report

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