ارائه سامانه پرونده سلامت فردی برای بیماران مبتلا به کم کاری تیروئید Providing a Personal Health Record System for Patients with Hypothyroid Disease 1 1 مقدمه: کم کاری تیروئید بیماری مزمنی است که بیماران مبتلا به آن به مرور زمان نسبت به بیماری خود بی‌توجه می‌شوند. مهارت‌های مدیریتی بیمار باید ارتقا یابد تا خطر عوارض این بیماری به حداقل برسد. هدف این مطالعه ارائه سامانه پرونده سلامت فردی برای بیماران مبتلا به کم کاری تیروئید بود. روش: این پژوهش از نوع توسعه‌ای- کاربردی بود که در دو مرحله انجام شد. مرحله اول نیازسنجی بود که با مشارکت 10 متخصص غدد انجام شد. سپس نمونه اولیه سامانه پرونده سلامت فردی، با زبان ASP.NET در محیط Visual Studio طراحی شد. در مرحله دوم ارزیابی کاربردپذیری سامانه توسط 52 بیمار انجام شد. تحلیل داده‌ها در محیط نرم‌افزار SPSS انجام گردید و میانگین امتیازات ارزیابی در سه سطح «ضعیف» (3-0)، «متوسط»(6-3/1) و «خوب» (9-6/1) طبقه ‌بندی شد. نتایج: یافته‌های مرحله اول نشان داد که عناصر داده در شش محور اصلی شامل داده‌های دموگرافیک، تاریخچه، معاینات کلی، نتایج آزمایشگاهی، طرح درمانی و اطلاعات تشخیصی و 64 عنصر داده از نظر پزشکان متخصص غدد ضروری تشخیص داده شد. میانگین و انحراف معیار ارزیابی کاربردپذیری سامانه بر اساس نظر کاربران در شاخص های مختلف بدین شرح گزارش شد: در استفاده از سامانه (0/81±7/89)، صفحه نمایش (1/55±7/43)، اصطلاحات و اطلاعات (1/20±7/51)، قابلیت یادگیری سامانه (0/79±8/25) و قابلیت‌های کلی سامانه (0/70±8/14) بود. کاربرد پذیری سامانه در سطح «خوب» ارزیابی شد. نتیجه‌گیری: حاصل پژوهش طراحی سامانه پرونده سلامت فردی بیماران کم کاری تیروئید بود. این سامانه در ارائه برنامه‌های مراقبتی برای بیماران، جمع آوری اطلاعات دقیق از بیماران، بهبود مشارکت بیمار در درمان، ارتقای کیفیت زندگی و کاهش هزینه‌های بیماران می تواند برای پزشکان و بیماران مفید باشد. 2 Introduction: Hypothyroidism is a chronic disease in which patients become inattentive to their disease over time. Patients' management skills should be improved to minimize the risk of complications of this disease. This study aimed to provide a personal health record system for patients with hypothyroidism. Method: This developmental-applied research has been conducted in two phases. The first phase was the needs assessment, which was done with the participation of 10 endocrinologists. Then the prototype of the personal health record system was designed using ESP.NET in the Visual Studio software. In the second phase, system usability evaluation was performed by 52 patients. Data were analyzed using SPSS software, and the mean scores were classified into three levels as follows: "poor" (0-3), "moderate" (3.1-6), and "good" (6.1-9). Results: The findings of the first phase showed that data elements were recognized in six main groups, including demographic data, health history, general body examinations, laboratory results, treatment plan, and diagnostic information, and also 64 data elements approved by endocrinologists. Mean and standard deviation of usability evaluation according to users' point of view were reported in different indicators as follows: system usage (7.89±0.81), screen design (7.43±1.55), terminology and information (7.51±1.20), system learning capability (8.25±0.79) and overall system capabilities (8.14 ± 0.70). The usability of the system was evaluated as "good". Conclusion: The output of this study was designing a personal health records system for hypothyroid patients. This system could be helpful for physicians and patients in terms of providing care plans for patients, collecting accurate information from patients, improving patient participation in treatment, enhancing life quality, and reducing costs. 50 57 2022/05/10 1401/2/20 2022/08/30 1401/6/8 بنفشه مقصودی Banafsheh Maghsoudi کارشناس ارشد انفورماتیک پزشکی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران ایران maghsoudi.banafshe@gmail.com مصطفی لنگری زاده Mostafa Langarizadeh دکتری انفورماتیک پزشکی، دانشیار، گروه مدیریت اطلاعات سلامت، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران ایران langarizadeh.m@iums.ac.ir روح پرور اسماعیلی Rouhparvar Esmaeili کارشناس ارشد فناوری اطلاعات سلامت، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران ایران rohparvaresmaili@gmail.com مرضیه موحدی راد Marzieh Movahedi Rad متخصص غدد درون ریز و متابولیسم، استادیار، مرکز تحقیقات دیابت، غدد درون‌ریز، دانشگاه علوم پزشکی مازندران، ساری، ایران ایران marziehmovahedi@yahoo.com Thyroid Disease Hypothyroid Personal Health Record Web-based System بیماری تیروئید کم کاری تیروئید پرونده سلامت فردی سامانه تحت وب 1. 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ارزیابی کیفیت محتوا و میزان تکمیل خلاصه پرونده‌ها از دیدگاه پزشکان Evaluating the Quality of Content and Degree of Completeness of Discharge Summaries from the Physicians' Perspective 1 1 مقدمه: خلاصه پرونده یکی از مهم‌ترین ابزارها برای انتقال اطلاعات می‌‌باشد و نقش مهمی در تداوم مراقبت از بیماران دارد. کیفیت پایین و عدم درج اطلاعات از مشکلات اصلی خلاصه پرونده‌ها می‌باشد و ارزیابی کیفیت آن‌ها از دیدگاه پزشکان در ایران به ندرت انجام شده است؛ لذا هدف از انجام این پژوهش ارزیابی کیفیت محتوا و میزان تکمیل خلاصه پرونده‌ها بود. روش: این مطالعه توصیفی- مقطعی، بر روی خلاصه پرونده‌های بیمارستان شفا در شهر کرمان انجام شد. برای بررسی دیدگاه پزشکان از یک پرسشنامه محقق ساخته روا و پایا (0/97=α) دارای سه بخش شامل سؤالات مربوط به اطلاعات جمعیت‌شناسی، ارزیابی کیفیت خلاصه پرونده‌ها (8 سؤال) و میزان تکمیل خلاصه پرونده‌ها (8 سؤال) استفاده شد. نتایج: از مجموع110 پزشک، 98 نفر (89%) پرسشنامه‌ها را تکمیل کردند. میزان تکمیل، آگاهی، تداوم مراقبت از بیمار، خوانایی، مرتبط بودن، حجم اطلاعات، سازگاری، سازماندهی و رضایت از کیفیت خلاصه پرونده‌ها کمتر از متوسط (50 درصد) در کل بیمارستان بود. بیشترین میزان رضایت پزشکان از کیفیت محتوا (79/27 درصد) و تکمیل بودن (77/73 درصد) خلاصه پرونده‌ها در بخش مغز و اعصاب بود. از دیدگاه پزشکان فرم‌های الکترونیکی کیفیت و میزان تکمیل بالاتری نسبت به کاغذی‌ها داشتند. سازماندهی، خوانایی و سازگاری به ترتیب اهمیت به عنوان بهترین پیش‌بینی کننده‌های رضایت کلی پزشکان از کیفیت محتوای خلاصه پرونده‌ها شناسایی شدند. نتیجه‌گیری: سیاستگذاران باید با ایجاد دستورالعمل‌های جامع، برگزاری دوره‌های مداوم آموزش مستندسازی کامل خلاصه پرونده‌‌ها، افزایش نظارت پزشکان ارشد بر خلاصه‌نویسی کارورزان و دستیاران و در نهایت الکترونیکی و خودکارسازی خلاصه پرونده‌ها، کیفیت این فرم‌ها را افزایش دهند. 2 Introduction: Discharge summaries (DSs) are among the most important tools for transferring information from hospital physicians to other physicians and play an important role in the continuity of care. Low quality and lack of information are the main problems of DSs, and evaluation of their quality from the physicians' perspective in Iran has rarely been done. This study aimed to evaluate the DSs' quality of content and completeness. Method: This descriptive cross-sectional study was performed on the DSs of Shafa Hospital in Kerman. A valid and reliable researcher-made questionnaire (α=0.97) was used. This questionnaire had three sections, including questions related to demographic information, evaluation of the quality of DSs (8 questions), and the degree of completeness of the DSs (8 questions). Results: Out of 110 physicians, 98 (89%) filled out questionnaires. Completeness, awareness, continuity of care, legibility, relevancy, length, consistency, organization, and physicians’ satisfaction were below the average (50%) throughout the hospital. The highest level of physicians' satisfaction with the quality of the content (79.27%) and completeness (77.73%) was attributed to electronic discharge summaries of the neurology department. Organization, legibility, and consistency, respectively, were identified as the best predictors of physicians' satisfaction with the quality of the DSs’ content. Conclusion: Policymakers should increase the quality of DSs by creating instructions, holding documentation training courses, increasing the supervision of senior physicians on interns and residents, and finally developing electronic automated DSs. 58 71 2022/05/102022/07/20 1401/4/29 2022/08/302022/09/26 1401/7/4 فرزاد سلمانی زاده Farzad Salmanizadeh دانشجوی دکتری انفورماتیک پزشکی، کمیته تحقیقات دانشجویی، دانشکده مدیریت و اطلاعات رسانی پزشکی، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران salmanifarzad@gmail.com افشین صرافی نژاد Afshin Sarafi Nejad دکتری انفورماتیک پزشکی، استادیار، آزمایشگاه تحقیق و توسعه انفورماتیک بالینی، واحد توسعه تحقیقات بالینی شفا، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران a.sarafi@gmail.com عباس اطمینان Abbas Etminan دکترای فوق تخصصی بالینی بیماری‌های کلیه، استادیار، مرکز تحقیقات غدد درونریز و متابولیسم، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران etminan@kmu.ac.ir لیلا احمدیان Leila Ahmadian دکتری انفورماتیک پزشکی، استاد، گروه علوم اطلاعات سلامت، دانشکده مدیریت و اطلاع رسانی پزشکی، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران ahmadianle@yahoo.com Patient Discharge Summaries Documentation Physicians Medical Records Hospital خلاصه پرونده بیماران مستندسازی پرونده پزشکی بیمارستان 1. 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شناسایی و تعیین الزامات طراحی و توسعه یک برنامه‎ کاربردی خودمراقبتی مبتنی بر تلفن همراه برای کنترل و کاهش استرس و اضطراب دانشجویان Identifying and Determining the Requirements for Designing and Developing a Mobile-Based Self-Care Application to Control and Reduce Students' Stress and Anxiety 1 1 مقدمه: افزایش استرس و اضطراب دانشجویان تأثیری منفی بر سلامت جسمی ‎و روانی آنان داشته و می‎تواند مانع از عملکرد تحصیلی کارآمد آنها شود. برنامه‎های‌کاربردی خودمراقبتی می‌توانند به کنترل و کاهش اثرات اضطراب و افسردگی دانشجویان کمک کنند. هدف از این مطالعه تعیین الزامات لازم برای طراحی و توسعه یک برنامه‎های کاربردی خودمراقبتی جهت کنترل و کاهش استرس و اضطراب دانشجویان است. روش: پژوهش حاضر یک مطالعه کاربردی است که با روش کمی-توصیفی در سال 1401 انجام شد. برای انجام این مطالعه، برای 73 نفر از دانشجویان مرکز آموزش عالی علوم پزشکی وارستگان (استان خراسان رضوی، شهر مشهد) دعوت‌نامه برای همکاری ارسال شد. در نهایت 38 نفر از دانشجویان بر اساس معیارهای ورود به مطالعه وارد شدند و به سوالات پرسشنامه پاسخ دادند. داده‌ها با آمار توصیفی (میانگین، انحراف معیار، درصد، فراوانی) با استفاده از نرم‌افزار SPSS 24 مورد تجزیه و تحلیل قرار گرفت. نتایج: بر اساس نظرات دانشجویان از مجموع 91 نیاز اطلاعاتی-آموزشی و قابلیت، 67 مورد نیاز اطلاعاتی-آموزشی و 25 مورد قابلیت با کسب میانگینی بزرگ‌تر و مساوی (75%)3/75 برای طراحی برنامه ‌کاربردی ضروری تلقی شدند. نیاز اطلاعاتی- آموزشی و قابلیت‌ها در هشت محور پروفایل کاربر، سوابق بالینی، سبک زندگی، مدیریت و کنترل بیماری، دستورالعمل آرام‎سازی، هشدارها و یادآورها، گزارش‎گیری و قابلیت‎های برنامه کاربردی دسته بندی شدند. نتیجه‌گیری: شناسایی و تعیین الزامات مربوط به طراحی یک برنامه ‌کاربردی خودمراقبتی از اصول اساسی توسعه یک برنامه ‌کاربردی است که به واسطه دخالت دادن کاربران و کسب نظر آن‌ها می‌تواند در میزان و تداوم استفاده این افراد از این قبیل برنامه‌های‌ کاربردی نقش بسزایی داشته باشد. بنابراین، طراحان برنامه‌های‌کاربردی با استفاده از نیازها و قابلیت‎های موجود در مطالعه حاضر می‎توانند یک برنامه ‌کاربردی خودمراقبتی سازمان‌یافته‌ را برای کنترل و مدیریت استرس و اضطراب دانشجویان را طراحی کنند. 2 Introduction: The increase in stress and anxiety among students has a negative effect on their physical and mental health and can prevent their efficient academic performance. Self-care applications can help control and reduce students' anxiety and depression. The aim of this study was to determine the necessary requirements related to the design and development of a mobile-based self-care application to control and reduce stress and anxiety in students. Method: This research is a cross-sectional study that was conducted in 2022. To conduct this study, 38 students of Varastegan Institute for Medical Sciences (Razavi Khorasan province, Mashhad city) were included in the study based on the inclusion criteria and answered the questions of the questionnaire. Data were analyzed using descriptive statistics and SPSS version 25. Results: Out of 91 informational-educational needs and capabilities, 67 items with a mean score of ≥3.75 were considered essential for application design. Information-educational needs and capabilities were categorized into eight axes: user profile, clinical records, lifestyle, disease management and control, sedation instructions, warnings and reminders, reporting and application capabilities. Conclusion: Identifying and determining the requirements related to the design of an application based on a mobile phone is one of the basic principles of developing an application that by involving users and obtaining their opinions can have an important role in their continue use of these applications. Therefore, application designers can design and develop an organized mobile-based self-care application to control and manage students' stress and anxiety by using the information-educational needs and capabilities presented in the present study. 72 83 2022/05/102022/07/202022/08/1 1401/5/10 2022/08/302022/09/262022/09/21 1401/6/30 فاطمه دیناری Fatemeh Dinari کارشناس ارشد فناوری اطلاعات سلامت، مرکز تحقیقات انفورماتیک پزشکی، پژوهشکده آینده‎پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران fatemehdinari67@yahoo.com محمدمهدی قائمی Mohammad Mehdi Ghaemi دکترای تخصصی انفورماتیک پزشکی، مرکز تحقیقات انفورماتیک پزشکی، پژوهشکده آینده‎پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران dr.mghaemi@gmail.com عصمت مشعوف Esmat Mashoof کارشناس ارشد فناوری اطلاعات سلامت، گروه فناوری اطلاعات سلامت، دانشگاه علوم پزشکی وارستگان، مشهد، ایران ایران esmatmashoof@yahoo.com خدیجه مولایی Khadijeh Moulaei دانشجوی دکتری انفورماتیک پزشکی، مرکز تحقیقات انفورماتیک پزشکی، پژوهشکده آینده‎پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران moulaei.kh91@gmail.com Application Self-Care Students Stress Anxiety برنامه ‎های کاربردی خودمراقبتی دانشجویان استرس اضطراب 1. 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J Med Internet Res 2019;21(6):e12556. doi: 10.2196/12556.##45. Sheikhtaheri A, Pilevari S, Sangestani S. Requirements of Self-care Applications for Patients with Polycystic Ovary Syndrome. Journal of Health and Biomedical Informatics 2022;8(4):398-408. [In Persian]##46. Good DJ, Lyddy CJ, Glomb TM, Bono JE, Brown KW, Duffy MK, et al. Contemplating mindfulness at work: An integrative review. Journal of Management 2016;42(1):114-42. https://doi.org/10.1177/014920631561700##47. Afonso RF, Kraft I, Aratanha MA, Kozasa EH. Neural correlates of meditation: a review of structural and functional MRI studies. Front Biosci (Schol Ed) 2020;12(1):92-115. doi: 10.2741/S542.##48. Zollars I, Poirier TI, Pailden J. Effects of mindfulness meditation on mindfulness, mental well-being, and perceived stress. Curr Pharm Teach Learn 2019;11(10):1022-8. doi: 10.1016/j.cptl.2019.06.005.##49. Hwang WJ, Jo HH. 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طراحی و ارزیابی برنامه کاربردی آموزشی مبتنی بر تلفن همراه هوشمند برای زنان در معرض خطر اندومتریوز Developing a Smartphone-Based Educational Application for Women at Risk of Endometriosis 1 1 مقدمه: از آنجا که اندومتریوز یک بیماری مزمن است و نیاز به مراقبت طولانی مدت دارد افزایش آگاهی و آموزش به زنان ضروری به نظر می‌رسد. با توجه به پیشرفت‌های فناوری و راه‌های جدید ارتباطی، ارائه راهکاری جدید از ترکیب آموزش و فناوری، در پیشگیری و مدیریت این بیماری بسیار مهم است؛ لذا این پژوهش با هدف طراحی و ارزیابی یک برنامه کاربردی آموزشی برای زنان در معرض خطر اندومتریوز انجام شد. روش: پژوهش حاضر از نوع توسعه‌ای-کاربردی بود و در دو مرحله اجرا گردید. در مرحله اول محتوای آموزشی مستخرج از متون توسط 11 نفر از متخصصین زنان و زایمان و بهداشت باروری از نظر میزان ضرورت و اثربخشی تأیید شد. سپس برنامه طراحی و در اختیار 40 نفر از زنان در سن باروری قرار گرفت و کاربردپذیری برنامه ارزیابی شد. تحلیل داده‌ها با آمار توصیفی شامل میانگین و انحراف معیار در محیط نرم‌افزار SPSS نسخه 22 انجام شد. نتایج: محتوای آموزشی موردنیاز برنامه کاربردی آموزشی در پنج گروه ارائه و مورد تأیید متخصصین قرار گرفت. میانگین سنی زنان شرکت کننده در مطالعه حاضر (11/70 ± 32/35) بود. میانگین نمره کاربردپذیری برنامه 8/34 از مجموع 9 امتیاز بود که نشان دهنده رضایت کاربران از برنامه در سطح «خوب» بود. نتیجه‌گیری: آموزش زنان از طریق ابزارهای جدید رایج مانند تلفن همراه، می‌تواند نقش مهمی در افزایش آگاهی و تأثیر درمان آن‌ها داشته باشد. بنابراین طراحی برنامه آموزشی مبتنی بر تلفن همراه در زمینه آموزش و آگاهی بخشی برای زنان در معرض خطر اندومتریوز می‌تواند مفید باشد. 2 Introduction: Since endometriosis is a chronic disease and requires long-term care, it can have a devastating effect on life quality. For this reason, it is necessary to increase awareness and educate women about endometriosis. In this regard, a mobile phone-based endometriosis training program was designed. Method: The present paper is a development-applied study and was conducted in two stages. In the first stage, to determine the educational content, after reviewing previous studies, the questions obtained were given to eleven gynecologists and reproductive health doctors to measure the necessity and effectiveness of each question. After being designed, the program was provided to 40 women of reproductive age, and the usability of the program was assessed. Data analysis was performed using SPSS 22 software. Results: The required educational content of the application was presented in five groups and confirmed by specialists. The mean age of women who participated in this study was 32.35 ± 11.70 years. The average score of usability of the program was 8.34 out of 9 points which indicates a "good" level of satisfaction. Conclusion: Educating women through new popular tools such as mobile phones can play an important role in raising awareness and influencing their treatment. Therefore, designing a mobile phone-based training program in the field of education and awareness for women at risk of endometriosis can be advantageous. 84 91 2022/05/102022/07/202022/08/12022/06/6 1401/3/16 2022/08/302022/09/262022/09/212022/08/30 1401/6/8 مصطفی لنگری زاده Mostafa Langarizadeh دکترای انفورماتیک پزشکی، دانشیار، گروه مدیریت اطلاعات بهداشتی و درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران ایران langarizadeh2001@yahoo.com هدا زاهدی Hoda Zahedi دانشجوی کارشناسی ارشد انفورماتیک پزشکی، گروه مدیریت اطلاعات بهداشتی و درمانی، دانشکده مدیریت و اطلاع‌رسانی پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران ایران hodaz138@gmail.com لیلا اله قلی Leila Allahquli دکترای بهداشت باروری، اداره مامایی، وزارت بهداشت، درمان و آموزش پزشکی، تهران، ایران ایران lallahqoli@gmail.com Endometriosis Education Mobile Health Usability اندومتریوز آموزش سلامت همراه کاربردپذیری 1. Simoens S, Dunselman G, Dirksen C, Hummelshoj L, Bokor A, Brandes I, et al. The burden of endometriosis: costs and quality of life of women with endometriosis and treated in referral centres. Human Reproduction 2012;27(5):1292-9. https://doi.org/10.1093/humrep/des073##2. Naji Omidi F, Abolghasemi J, Chaichian S, Rimaz S, Najmi Z, Mehdizadehkashi A. Evaluation of the factors influencing endometriosis in reproductive age women. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch 2016;26(3):188-94. [In Persian]##3. Perkins A. The “silent” pain of endometriosis. Nursing made incredibly Easy 2019;17(3):26-33. ##4. Jones G, Jenkinson C, Taylor N, Mills A, Kennedy S. Measuring quality of life in women with endometriosis: tests of data quality, score reliability, response rate and scaling assumptions of the Endometriosis Health Profile Questionnaire. Human Reproduction 2006;21(10):2686-93. https://doi.org/10.1093/humrep/del231##5. Canis M, Donnez JG, Guzick DS, Halme JK, Rock JA, Schenken RS, Vernon MW. Revised american society for reproductive medicine classification of endometriosis: 1996. Fertility and Sterility 1997;67(5):817-21. https://doi.org/10.1016/S0015-0282(97)81391-X##6. Burton C, Iversen L, Bhattacharya S, Ayansina D, Saraswat L, Sleeman D. Pointers to earlier diagnosis of endometriosis: a nested case-control study using primary care electronic health records. British Journal of General Practice 2017;67(665):e816-23.##7. O’Hara R, Rowe H, Fisher J. Self-management in condition-specific health: a systematic review of the evidence among women diagnosed with endometriosis. BMC Women's Health 2019;19(1):1-9.##8. Gorgin A. Symptoms of endometriosis [cited 2022 May 15]. Available from: http://www.isna.ir/news/98081810766/.##9. Mohamed W, Hassan H. Effect of instructional supportive guideline for improving women's awareness towards endometriosis. American Journal of Nursing Research 2020;8(1):38-47. doi: 10.12691/ajnr-8-1-5##10. Barlow J, Bayer S, Castleton B, Curry R. Meeting government objectives for telecare in moving from local implementation to mainstream services. J Telemed Telecare 2005;11 Suppl 1:49-51. doi: 10.1258/1357633054461723.##11. Steinhubl SR, Muse ED, Topol EJ. The emerging field of mobile health. Sci Transl Med 2015;7(283):283rv3. doi:10.1126/scitranslmed.aaa3487.##12. Harrison V, Proudfoot J, Wee PP, Parker G, Pavlovic DH, Manicavasagar V. Mobile mental health: review of the emerging field and proof of concept study. J Ment Health 2011;20(6):509-24. doi: 10.3109/09638237.2011.608746.##13. Pai RR, Alathur S. Assessing awareness and use of mobile phone technology for health and wellness: Insights from India. Health Policy and Technology 2019;8(3):221-7.##14. Gkrozou F, Waters N. A Preliminary Review of the mHealth Apps Focused in Endometriosis and Chronic Pelvic Pain. Health Sci J 2019;13(3):656. doi: 10.36648/1791-809X.1000656##15. Molaei K, Ahmadi M. The role of mobile health apps to facilitate self-care. Journal of Modern Medical Information Sciences 2017;3(1):44-55.##16. Debon R, Coleone JD, Bellei EA, De Marchi AC. Mobile health applications for chronic diseases: A systematic review of features for lifestyle improvement. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 2019;13(4):2507-12.##17. Dunselman GA, Vermeulen N, Becker C, Calhaz-Jorge C, D'Hooghe T, De Bie B, et al. ESHRE guideline: management of women with endometriosis. Human Reproduction 2014;29(3):400-12. https://doi.org/10.1093/humrep/det457##18. Guideline on the management of women with endometriosis; 2013 [cited 2022 Apr 18]. 2013 Available from: https://www.eshre.eu/Guidelines-and-Legal/Guidelines/Endometriosis-guideline.##19. Mehdizadeh H. Establish a system for the diagnosis and treatment of remote skin diseases at the nursing home [dissertation]. Tehran: Iran University of Medical Science; 2012.##20. McKillop M, Voigt N, Schnall R, Elhadad N. Exploring self-tracking as a participatory research activity among women with endometriosis. J Participat Med 2016;8:e17.##21. Brancozzi A. Mobile cross-platform gesture-guided visual pain tracking for endometriosis. Stockholm: Inom Examensarbete Datateknik,Grundnivå; 2021.##22. Moradi M, Parker M, Sneddon A, Lopez V, Ellwood D. Impact of endometriosis on women’s lives: a qualitative study. BMC Women's Health 2014;14(1):1-2.##23. Bush D, Brick E, East MC, Johnson N. Endometriosis education in schools: A New Zealand model examining the impact of an education program in schools on early recognition of symptoms suggesting endometriosis. Australian and New Zealand Journal of Obstetrics and Gynaecology 2017;57(4):452-7.## ##

ارائه معماری یکپارچه سیستم‌های اطلاعات بیمارستانی مبتنی بر مدل قابلیت‌همکاری: سیستم‌های اطلاعات بالینی Presenting an Integrated Architecture of Hospital Information Systems Based on Interoperability Model: Clinical Information Systems 1 1 مقدمه: سیستم‌ اطلاعات بیمارستانی (Hospital Information System) ‌HIS نوعی سیسـتم نرم‌افزاری جامع به منظور انجام عملیات روزمره، برنامه‌ریزی، مراقبت و درمان بیمار است. به دلیل ورود ‌‌سیستم‌ها‌‌ی اطلاعاتی مراقبت بهداشتی متنوع و ناهمگون در حوزه سلامت الکترونیک، سیستم‌ اطلاعات بیمارستانی با مشکلات قابلیت ‌همکاری مواجه شده است. در همین راستا، این پژوهش سعی دارد معماری یکپارچه HIS را براساس مدل قابلیت ‌همکاری ارائه کند. روش: این پژوهش یک مطالعه راهبردی-کاربردی جهت رسیدن به معماری یکپارچه HIS با تمرکز بر سیستم‌های اطلاعات بالینی (Clinical Information Systems) CIS است. ابتدا نیازمندی‌ سیستم‌های اطلاعات بالینی از طریق مطالعات کتابخانه‌ای، بررسی دفتر آمار وزارت بهداشت، درمان و آموزش پزشکی انجام و همچنین توسط متخصصین فناوری اطلاعات مورد بررسی و تأیید واقع شد. سپس چارچوب‌های مختلف قابلیت‌ همکاری و مدل‌های معماری HIS بررسی شد و در نهایت مدل معماری یکپارچه HIS براساس مدل قابلیت ‌همکاری پیشنهادی ارائه گردید. نتایج: معماری یکپارچه HIS براساس مدل قابلیت‌ همکاری شامل سه مدل معماری مرجع، نرم‌افزار و اطلاعات است. معماری مرجع برای کل HIS و به صورت سفارشی‌سازی شده برای CIS؛ معماری نرم‌افزار برای پیاده‌سازی انواع سیستم‌های اطلاعاتی بیمارستان، و معماری اطلاعات نیز برای تبیین نحوه ذخیره‌سازی، پردازش و انتقال اطلاعات است. نتیجه‌گیری: با توجه به ضرورت یکپارچگی در نظام سلامت، این مطالعه با به کارگیری دستورالعمل‌های یکپارچگی در معماری امکان تعامل‌پذیری و یکپارچگی را بین سیستم‌های HIS ایجاد می‌کند که موجب کاهش هزینه، بهبود کیفیت و تصمیم‌گیری به‌موقع می‌شود. 2 Introduction: Hospital information system (HIS) as an integrated information system is used for daily operations, planning, care, and treatment of patients. Due to the existence of various and heterogeneous healthcare information systems, HIS encounters interoperability problems. In this regard, this study aimed to propose an integrated architecture for HIS based on the interoperability model. Method: This research is a strategic-applied study for achieving an integrated HIS architecture, focusing on clinical information systems (CIS). First, the requirements of clinical information systems were carried out through library studies, the review of the statistics office of the Ministry of Health, Treatment and Medical Education, and it was also reviewed and confirmed by information technology experts. Then, different interoperability frameworks and HIS architecture models were studied. Finally, the integrated HIS architecture model was proposed based on the interoperability model. Results: The integrated HIS architecture based on the interoperability model includes three architecture models as follows: references, software, and information. Reference architecture is proposed generally for the HIS and customized for CIS. For implementing various HISs, software architecture is proposed. And information architecture is used for storing, processing, and transmitting the information. Conclusion: Considering the necessity of integration in the health system, this study creates the possibility of interoperability and integration between HIS systems by applying the guidelines of integration in the architecture, which leads to cost reduction, quality improvement, and timely decision-making. 92 103 2022/05/102022/07/202022/08/12022/06/62022/06/21 1401/3/31 2022/08/302022/09/262022/09/212022/08/302022/08/30 1401/6/8 فاطمه مشیری Fatemeh Moshiri دانشجوی کارشناسی ارشد انفورماتیک پزشکی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران ایران moshirifateme68@gmail.com عباس آسوشه Abbas Asosheh دکترای مهندسی کامپیوتر و مخابرات (انتقال صوت)، استادیار گروه انفورماتیک پزشکی، دانشکده علوم پزشکی، دانشگاه تربیت مدرس، تهران، ایران ایران asosheh@modares.ac.ir Reference Architecture Hospital Information System Service Orientation Interoperability معماری مرجع سیستم اطلاعات بیمارستانی سرویس‌گرایی قابلیت ‌همکاری 1. Ebnehoseini Z, Tabesh H, Deldar K, Mostafavi SM, Tara M. 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کاربرد بازی های دیجیتال در حوزه سلامت Application of Digital Games in the Field of Health 1 1 مقاله از نوع نامه به سردبیر است لذا فاقد چکیده می باشد. 2 The article is a letter to the editor, so it has no abstract. 104 105 2022/05/102022/07/202022/08/12022/06/62022/06/212022/08/29 1401/6/7 2022/08/302022/09/262022/09/212022/08/302022/08/302022/10/2 1401/7/10 صدریه حاج اسمعیل گوهری Sadrieh Hajesmaeel-Gohari دکترای مدیریت اطلاعات سلامت، استادیار، مرکز تحقیقات انفورماتیک پزشکی، پژوهشکده آینده پژوهی در سلامت، دانشگاه علوم پزشکی کرمان، کرمان، ایران ایران sadriehhajesmaili@yahoo.com 1. IGI Global. What is Digital Games [cited 2022 Aug 27]. Available from:https://www.igi-global.com/dictionary/digital-entertainment-culture-and-generation-y/43973.##2. Deckert R, Heymann F, Metz M. Game-based Learning as Education Method in the Digital Age: Experiences at the Highest Military Education Institution in Germany with Online and Offline Game Formats Related to Developing Competencies. Hamburg: The Military Education Institution of the study is Führungsakademie der Bundeswehr; 2018. p. 185-204. https://doi.org/10.1108/978-1-78754-325-620181011##3. Peirce N. Digital game-based learning for early childhood. A state of the art report. Learnovate Centre; 2013. doi:10.13140/RG.2.2.25305.42087##4. Wu WL, Huang YL, Liang JM, Chen CH, Wang CC, Ho WH. Interactive Digital Game for Improving Visual–Perceptual Defects in Children With a Developmental Disability: Randomized Controlled Trial. JMIR Serious Games 2022;10(2):e34756. doi: 10.2196/34756.##5. Chiniara G. Clinical Simulation: Education, Operations and Engineering. Amsterdam: Academic Press; 2019. ##6. Ma M, Zheng H. Virtual Reality and Serious Games in Healthcare. In Advanced Computational Intelligence Paradigms in Healthcare 6. Virtual Reality in Psychotherapy, Rehabilitation, and Assessment. Berlin, Heidelberg: Springer; 2011. p. 169-92.##7. Seaborn K, Fels DI. Gamification in theory and action: A survey. International Journal of Human-Computer Studies 2015;74:14-31. https://doi.org/10.1016/j.ijhcs.2014.09.006##8. Al-Rayes S, Al Yaqoub FA, Alfayez A, Alsalman D, Alanezi F, Alyousef S, et al. Gaming elements, applications, and challenges of gamification in healthcare. Informatics in Medicine Unlocked 2022:100974. https://doi.org/10.1016/j.imu.2022.100974##9. Olgers TJ, van Os JM, Bouma HR, Ter Maaten JC. The validation of a serious game for teaching ultrasound skills. Ultrasound J 2022; 14: 29. doi: 10.1186/s13089-022-00280-8##10. Krishnamurthy K, Selvaraj N, Gupta P, Cyriac B, Dhurairaj P, Abdullah A, et al. Benefits of gamification in medical education. Clinical Anatomy 2022;35(6):795-807. https://doi.org/10.1002/ca.23916## ##