شناسایی ابعاد و مولفه‌های اطلاع‌رسانی خودمراقبتی به بیماران در نظام اطلاع‌رسانی پزشکی کشور با رویکرد دلفی فازی
محورهای موضوعی : -مدارک پزشکی
زهرا خواجه علی جهانتیغی
1
(دانشجوی دکتری علم اطلاعات و دانش‌شناسی، دانشگاه آزاد اسلامی، واحد تهران شمال، تهران، ایران)
زهرا اباذری
2
(دانشیار، گروه علم اطلاعات و دانش‌شناسی، دانشگاه آزاد اسلامی، واحد تهران شمال، تهران، ایران)
زهره میرحسینی
3
(دانشیار، گروه علم اطلاعات و دانش‌شناسی، دانشگاه آزاد اسلامی، واحد تهران شمال، تهران، ایران)
فهیمه باب الحوائجی
4
(دانشیار، گروه علم اطلاعات و دانش‌شناسی، دانشگاه آزاد اسلامی، واحد تهران شمال، تهران، ایران)
کلید واژه: رفتارهای خودمراقبتی, نظام اطلاع‌رسانی پزشکی, اطلاع‌رسانی, خودمراقبتی,
چکیده مقاله :
مقدمه: با توجه به اهمیت خودمراقبتی، مطالعه حاضر به شناسایی ابعاد و مولفه‌های اطلاع‌رسانی خودمراقبتی به بیماران در نظام اطلاع‌رسانی پزشکی کشور می‌پردازد . روش پژوهش: روش این مطالعه با توجه به گزاره‌های تحقیق، از نوع توصیفی و کیفی است که در دو مرحله کتابخانه‌ای و اجرای روش دلفی فازی با مراجعه به10 نفر از خبرگان، پژوهشگران و صاحب‌نظران حوزه پزشکی و بهداشت در دانشگاه انجام شده است. یافته‌ها: پژوهشگر داده‌های به دست آمده را تحلیل و نتایج نهایی پژوهش خود را در قالب یک مدل اولیه ارائه نموده است و با توجه تحلیلی که از روش دلفی جهت تعیین ابعاد و مولفه‌ها برای اطلاع‌رسانی خودمراقبتی به بیماران در نظام اطلاع‌رسانی پزشکی کشور به اجرا در آمده ، از 112 شاخص اولیه 92 شاخص و از مولفه‌ها، تمامی مولفه‌های شناسایی شده در مرحله دلفی تایید گردید و در مجموع دو بعد اطلاع‌رسانی و مراقبان سلامت که بعد اطلاع‌رسانی شامل 4 مولفه و بعد مراقبان سلامت شامل 10 مولفه بود، مشخص گردید. نتیجه‌گیری: با توجه به ابعاد و مولفه‌های بدست آمده با رویکرد دلفی فازی، این ابعاد و مولفه‌ها می‌تواند راهگشای متولیان و مسئولین حوزه سلامت کشور در راستای افزایش اطلاع‌رسانی خودمراقبتی به بیماران در نظام اطلاع‌رسانی پزشکی کشور باشد.
Introduction: Considering the importance of self-care the present study identifies the dimensions and components of self-care informing of patients in the medical information system of Iran. Methods: The method of this study is descriptive and qualitative according to propositions of the research, which was done in two phases of library and fuzzy Delphi methods by referring 10 researchers and medical experts and health in university. Results: final research results are presented in a model and considering that in this analysis, Delphi method for dimension determination and the components of self-care informing of patients in the medical information system of the country have been used, all the components identified in Delphi have been confirmed and. In total 2 aspects of informing (4 components) and health care providers (10 components), and 92 indicators from 112 initial indicators have been identified Conclusion: Considering the dimensions and components obtained from fuzzy Delphi method in this study, these dimensions and components can pave the way for health authorities to increase self-care informing of patients in the medical information system of the country.
1- Jabari beirami H, mousazadeh Y, janati A. Hospitals Downsizing via Outsourcing and Integration Mechanisms (A Qualitative Study of the Views of experts and Managers in Tabriz University of Medical Sciences). J Mil Med, 2013; 15 (2): 133-142. ]In Persian]
2- Fatemi, S., vahdat, S., hesam, S. Designing a Performance Evaluation Model for Outsourcing Services of Shahid Dr. Labafinejad Hospital Using BSC. Journal of healthcare management, 2019; 10(1): 7-17. ]In Persian]
3- woods S, Froelicher E, Motzer S, Bridges E. Cardiac Nursing. 6th ed. Philadelphia,PA: Williams & Wilkins; 2010. 5,.55-69. ]In Persian]
4- Abutalebi Adriari, Q, Vosoughi Krekslow, N, Mohammadnejad, I, Nemadi Vosoughi, M, Akbari Kaji, M. Evaluation of Self-Care Capacity of Patients with Heart Failure, Journal of Critical Care Nursing, Winter, 2012; 4(4): 203 -208. ]In Persian]
5- Bonow R, Mann D, Zipes D, Libby P. Braunwald’s Heart disease. A Textbook of Cardiovascular medicine. 9th ed. Philadelphia,PA: Saunders Co; 2016. 487-578 p.
6- Zeinab gholipour; Mahmood Mahmoodi Majd Abadi Farahani; Leila gholipour; kamran hajnabi. "The Role of Psychological Empowerment in the Prediction of Psychological Well - Being in Health Care Workers ran". Journal of healthcare management, 2019; 10(2): 61-72. ]In Persian]
7- Miri, A, Ghanbari, M A, Najafi, A. The Relationship between Health Information Literacy and Speed of Improvement in Cardiovascular Patients after Bypass Surgery, Journal of Health Literature, 2016; 2. ]In Persian]
8- Firooz, M, Hosseini, S J, Mazloom, S R, Hassanzadeh, F, Kimiaei, S A. Self Care of Patients with Type 2 Diabetes, Journal of Sabzevar University of Medical Sciences, 2015; 22(6): 1025-1018. ]In Persian]
9- Seyed al-Shohadaei, M, Barasteh, S, Jalalinia, S F, Eghbali, M, Nezami Ghaleei, M. The Relationship between Health Literacy and Self-Care Behaviors in Patients with Type 2 Diabetes. Journal of Nursing Research, 2015; 10 (4): 43-5. ]In Persian]
10- Zinali, V, Riahinia, N, Javadi Parvaneh, V, Asadi, S. The effect of prescribing health information on self-care ability of patient caregivers. Human Interaction and Information, 2017; 4(1). ]In Persian]
11- Peyman, N, Abdollahi, M, Ahmadzadeh, and Z. Factors associated with self-care and self-efficacy in patients with heart failure. Journal of Torbat Heydariyeh University of Medical Sciences, 2018; 6(1): 55-6. ]In Persian]
12- Liotta G, Canhao H, Cenko F, Cutini R, Vellone E, and Illario M, et al. Active Ageing in Europe: Adding Healthy Life to Years. Front Med (Lausanne) [Internet]. 2018; 5: [123 p.]. Available from:http://europepmc.org/abstract/MED/29780804.http://europepmc.org/articles/PMC5946166?pdf=render.http://europepmc.org/articles/PMC5946166.https://doi.org/10.3389/fmed.2018.00123.
13- Ghorbani, M. Investigating the Impact of Education on Users' Use of Hospital Information System Reports at Abu Dharr Medical Center, First Conference on Information Technology and Health Promotion; 2018: 1-12. ]In Persian]
14- Fuster V, Walsh R, Harrington R. Hurst’s The Heart. 13th ed. Newyork: The MC Graw-Hill Co; 2015: 717-65.
15- Sazlina S. Health screening for older people—what are the current recommendations? Malaysian family physician: the official journal of the Academy of Family Physicians of Malaysia, 2015; 10(1): 2.
16- Kuo, YF & Chen, PC. Constructing performance appraisal indicators for mobility of the service industries using fuzzy Delphi method. Expert Systems with Applications, 2008:35: 1930-1939.
17- Sarmad, Z, Bazargan, A, Hejazi, E. Research Methods in Behavioral Sciences, Ag Publishing, 2018, ISBN: 964-329-051-4. ]In Persian]
18- Cheng, Ching-Hsue & Lin, Yin. "Evaluating the best mail battle tank using fuzzy decision theory with linguistic criteria evaluation”, European Journal of Operational Research, 2002; 142: 147.
19- Heo S, Moser D, Lennie T, Riegel B, Chung M. Gender differences in and factors related to self-care behaviors: A cross-sectional, correlational study of patients with heart failure. Int J Nurs Stud, 2015; 45: 12-1807-15.
20- Baqaei P, Zandi M, Vares Z, Masoudi Alavi N, Adib Haj Bagheri M. Self-Care Status of Diabetic Patients of Kashan Diabetes Center in 84, Feyz Scientific Journal, 2008; 12(1). ]In Persian]
21- Gholami, M, Fallahi Khashknab, M, Maddah Sadat, S B, Ahmadi, F, Khanke, H R, Naderi, N. Information Needs of Cardiovascular Patients During the Health Information Searching Process: A Qualitative Study, Journal of Education, 2014; 2(4): 49. ]In Persian]
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1- Jabari beirami H, mousazadeh Y, janati A. Hospitals Downsizing via Outsourcing and Integration Mechanisms (A Qualitative Study of the Views of experts and Managers in Tabriz University of Medical Sciences). J Mil Med, 2013; 15 (2): 133-142. ]In Persian]
2- Fatemi, S., vahdat, S., hesam, S. Designing a Performance Evaluation Model for Outsourcing Services of Shahid Dr. Labafinejad Hospital Using BSC. Journal of healthcare management, 2019; 10(1): 7-17. ]In Persian]
3- woods S, Froelicher E, Motzer S, Bridges E. Cardiac Nursing. 6th ed. Philadelphia,PA: Williams & Wilkins; 2010. 5,.55-69. ]In Persian]
4- Abutalebi Adriari, Q, Vosoughi Krekslow, N, Mohammadnejad, I, Nemadi Vosoughi, M, Akbari Kaji, M. Evaluation of Self-Care Capacity of Patients with Heart Failure, Journal of Critical Care Nursing, Winter, 2012; 4(4): 203 -208. ]In Persian]
5- Bonow R, Mann D, Zipes D, Libby P. Braunwald’s Heart disease. A Textbook of Cardiovascular medicine. 9th ed. Philadelphia,PA: Saunders Co; 2016. 487-578 p.
6- Zeinab gholipour; Mahmood Mahmoodi Majd Abadi Farahani; Leila gholipour; kamran hajnabi. "The Role of Psychological Empowerment in the Prediction of Psychological Well - Being in Health Care Workers ran". Journal of healthcare management, 2019; 10(2): 61-72. ]In Persian]
7- Miri, A, Ghanbari, M A, Najafi, A. The Relationship between Health Information Literacy and Speed of Improvement in Cardiovascular Patients after Bypass Surgery, Journal of Health Literature, 2016; 2. ]In Persian]
8- Firooz, M, Hosseini, S J, Mazloom, S R, Hassanzadeh, F, Kimiaei, S A. Self Care of Patients with Type 2 Diabetes, Journal of Sabzevar University of Medical Sciences, 2015; 22(6): 1025-1018. ]In Persian]
9- Seyed al-Shohadaei, M, Barasteh, S, Jalalinia, S F, Eghbali, M, Nezami Ghaleei, M. The Relationship between Health Literacy and Self-Care Behaviors in Patients with Type 2 Diabetes. Journal of Nursing Research, 2015; 10 (4): 43-5. ]In Persian]
10- Zinali, V, Riahinia, N, Javadi Parvaneh, V, Asadi, S. The effect of prescribing health information on self-care ability of patient caregivers. Human Interaction and Information, 2017; 4(1). ]In Persian]
11- Peyman, N, Abdollahi, M, Ahmadzadeh, and Z. Factors associated with self-care and self-efficacy in patients with heart failure. Journal of Torbat Heydariyeh University of Medical Sciences, 2018; 6(1): 55-6. ]In Persian]
12- Liotta G, Canhao H, Cenko F, Cutini R, Vellone E, and Illario M, et al. Active Ageing in Europe: Adding Healthy Life to Years. Front Med (Lausanne) [Internet]. 2018; 5: [123 p.]. Available from:http://europepmc.org/abstract/MED/29780804.http://europepmc.org/articles/PMC5946166?pdf=render.http://europepmc.org/articles/PMC5946166.https://doi.org/10.3389/fmed.2018.00123.
13- Ghorbani, M. Investigating the Impact of Education on Users' Use of Hospital Information System Reports at Abu Dharr Medical Center, First Conference on Information Technology and Health Promotion; 2018: 1-12. ]In Persian]
14- Fuster V, Walsh R, Harrington R. Hurst’s The Heart. 13th ed. Newyork: The MC Graw-Hill Co; 2015: 717-65.
15- Sazlina S. Health screening for older people—what are the current recommendations? Malaysian family physician: the official journal of the Academy of Family Physicians of Malaysia, 2015; 10(1): 2.
16- Kuo, YF & Chen, PC. Constructing performance appraisal indicators for mobility of the service industries using fuzzy Delphi method. Expert Systems with Applications, 2008:35: 1930-1939.
17- Sarmad, Z, Bazargan, A, Hejazi, E. Research Methods in Behavioral Sciences, Ag Publishing, 2018, ISBN: 964-329-051-4. ]In Persian]
18- Cheng, Ching-Hsue & Lin, Yin. "Evaluating the best mail battle tank using fuzzy decision theory with linguistic criteria evaluation”, European Journal of Operational Research, 2002; 142: 147.
19- Heo S, Moser D, Lennie T, Riegel B, Chung M. Gender differences in and factors related to self-care behaviors: A cross-sectional, correlational study of patients with heart failure. Int J Nurs Stud, 2015; 45: 12-1807-15.
20- Baqaei P, Zandi M, Vares Z, Masoudi Alavi N, Adib Haj Bagheri M. Self-Care Status of Diabetic Patients of Kashan Diabetes Center in 84, Feyz Scientific Journal, 2008; 12(1). ]In Persian]
21- Gholami, M, Fallahi Khashknab, M, Maddah Sadat, S B, Ahmadi, F, Khanke, H R, Naderi, N. Information Needs of Cardiovascular Patients During the Health Information Searching Process: A Qualitative Study, Journal of Education, 2014; 2(4): 49. ]In Persian]