Securely collecting multidimensional health information from patients with rheumatoid arthritis using smart device technology: Beneficial effect for physicians and patients
Securely collecting multidimensional health information from patients with rheumatoid arthritis using smart device technology: Beneficial effect for physicians and patients
复制标题
DOI：
10.1002/msc.1354
复制
发表时间：
2018-12-01
影响因子：
1.3
通讯作者：
Sekigawa, Iwao
中科院分区：
文献类型：
--
作者：
Ikeda, Keigo;Sekiguchi, Naoya;Sekigawa, Iwao
目的类风湿关节炎（RA）患者的医疗护理面临的挑战是管理从多个来源获得的各种信息，包括用药史和疾病状态，以告知治疗决策。为了解决这一重要的临床问题，我们开发了一个基于智能设备技术的数据管理系统，并评估了这些信息对医疗专家的好处，帮助他们在检查前对患者的健康和疾病以及治疗状态形成印象。方法57例RA患者在计划检查前将其病情相关信息和对自我报告健康评估问卷的反应输入智能设备模板。该系统的有效性评估为每次访视时检查时间的减少，以及自我报告的多维健康评估问卷与28关节疾病活动性评分28关节计数红细胞沉降率（DAS 28-ESR）之间的相关性，并将其作为金标准。结果大部分患者每次就诊检查时间缩短。在研究期间，视力不佳或严重关节病患者使用该系统没有限制。事实上，大多数患者发现智能技术比手写问卷和健康表格更容易使用，无论年龄和疾病活动如何。结论我们的研究结果支持使用智能技术提供准确的患者特定数据，并简化RA患者的医疗护理过程。
Aim A challenge to the medical care of patients with rheumatoid arthritis (RA) is the management of the wide variety of information, including medication history and disease status, obtained from multiple sources to inform treatment decisions. To address this important clinical issue, we developed a data management system, based on smart device technology, and evaluated the benefit of this information to medical experts in helping them to form an impression of patients' health and disease, and treatment status before examination. Methods Fifty-seven patients with RA input relevant information about their condition and responses to a self-report health assessment questionnaire into a smart device template before their scheduled examination. The efficacy of the system was assessed as a decrease in examination time at each visit, and the correlation between the self-reported Multi-Dimensional Health Assessment Questionnaire and the 28-joint Disease Activity Score 28-joint count erythrocyte sedimentation rate (DAS28-ESR), which was used as a gold standard. Results Examination duration was reduced in most patients at each visit. During the study, there were no limitations for patients with poor eyesight or severe arthropathy in using the system. In fact, the majority of patients found the smart technology to be easier to use than hand-written questionnaires and health forms, regardless of age and disease activity. Conclusions Our findings support the use of smart technology to provide accurate patient-specific data and to streamline the process of medical care for patients with RA.