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首页> 外文期刊>JMIR mHealth and uHealth >Feasibility of a Mobile Health Tool for Mothers to Identify Neonatal Illness in Rural Uganda: Acceptability Study
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Feasibility of a Mobile Health Tool for Mothers to Identify Neonatal Illness in Rural Uganda: Acceptability Study

机译：母亲的移动健康工具的可行性，以识别乌干达农村新生病：可接受性研究

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Background A shortage of community health workers to triage sick neonates and poor recognition of neonatal illness by mothers contribute significantly toward neonatal deaths in low- and middle-income countries. Providing low-resource communities with the tools and knowledge to recognize signs of neonatal distress can lead to early care-seeking behavior. To empower and educate mothers to recognize signs of neonatal illness, we developed a neonatal health assessment device consisting of a smartphone app and a wearable sensor (the NeMo system). Objective The aim of this study was to determine if mothers in rural Uganda were willing and able to use the NeMo system during the first week of their infant’s life. We also assessed mothers’ responses to the device’s recommendation to seek care. Methods A total of 20 mothers were enrolled in the study after giving birth in the Iganga District Hospital. Each mother was trained to use the NeMo system to assess her infant for signs of illness before leaving the hospital and was given the NeMo system to use at home for 1 week. Throughout the week, the smartphone tracked the mothers’ usage of NeMo, and the study team visited twice to observe mothers’ ability to use NeMo. Each mother was interviewed at the end of 1 week to gather qualitative feedback on her experience with the NeMo system. Results In total, 18 mothers completed the study; 2 mothers were withdrawn during the week because of extenuating health circumstances. Moreover, 1 day after enrollment and training, 75% (15/20) of mothers used NeMo properly with no mistakes. Three days after enrollment and training, only 1 mother placed the wearable sensor improperly on her infant. On the final study day, only 1 mother connected the device improperly. Mothers used NeMo an average of 11.67 (SD 5.70) times on their own at home during the 5 full study days. Although the frequency of use per day decreased from day 1 to day 5 of the study ( P =.04), 72% (13/18) of mothers used NeMo at least once per day. In total, 64% (9/14) of mothers who received an alert from the NeMo system to seek care for their infants either called the health care professional working with the study team or reused the system immediately and found no danger signs. All 18 mothers agreed or strongly agreed that the NeMo system was easy to use and helped them know when to seek care for their babies. Conclusions NeMo is a feasible and acceptable tool to aid mothers in rural Uganda to assess their infant’s health.
机译：背景，社区卫生工作者对分类的新生儿和母亲对新生病疾病差的缺乏缺乏对中等收入国家的新生儿死亡有显着贡献。提供低资源社区与工具和知识，以识别新生儿窘迫的迹象可能导致早期的追求行为。为了授权和教育母亲识别新生儿疾病的迹象，我们开发了由智能手机应用程序和可穿戴传感器（Nemo系统）组成的新生儿健康评估装置。客观本研究的目的是确定乌干达农村母亲是否愿意，能够在婴儿生命的第一周使用Nemo系统。我们还评估了母亲对该设备寻求护理的建议的回应。方法在伊冈地区医院出生后，共有20名母亲参加了20名母亲。每个母亲都接受培训以使用Nemo系统在离开医院之前评估她的疾病症状，并被赋予Nemo系统在家中使用1周。整个星期，智能手机跟踪了母亲的母线的使用，研究团队访问了两次以观察母亲使用Nemo的能力。每位母亲在1周结束时接受采访，以收集与Nemo系统的经验的定性反馈。结果总计，18名母亲完成了这项研究;这一周是由于大量健康环境而撤回了2名母亲。此外，注册和培训后1天，75％（15/20）母亲使用Nemo，没有错误。注册和培训三天后，只有1名母亲放置在婴儿身上不正确的可穿戴传感器。在最终的学习日，只有1母亲连通设备不正确。母亲在5个完整的研究日内平均使用Nemo平均11.67（SD 5.70）次在家中自行。虽然每天使用的使用频率从研究的第1天减少（p = .04），72％（13/18）母亲每天至少使用一次Nemo。总共有64％（9/14）母亲从Nemo系统收到警报，以寻求他们的婴儿，他们呼叫医疗保健专业人员与学习团队合作或立即重复使用并发现没有危险的迹象。所有18名母亲都同意或强烈同意Nemo系统易于使用，并帮助他们了解何时寻求护理婴儿。结论Nemo是一个可行和可接受的工具，可以帮助乌干达农村母亲评估婴儿的健康。

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