背景:恶性热疗(MH)是一种罕见的危及生命的麻醉急症。关于高死亡率,难以早期识别,以及缺乏疾病特异性药物(即,丹曲林)在中国,需要更多的努力来加强MH紧急情况的早期诊断和有效治疗。如今,移动健康(mHealth)应用程序正在改变医疗实践的方式;它们可以作为一种可访问的工具来帮助麻醉师处理MH危机。然而,目前没有相关的基于mHealth的紧急系统可用。
目的:本研究的目的是概述开发用于设计中国恶性高热国家远程应急系统(MH-NRES)的微信小程序的协议,以及用于评估用户体验和感知系统的协议。
方法:系统采用客户端-服务器架构,自定义用户界面作为客户端运行,后端系统作为服务器运行。客户端软件是使用Vue的uni-app技术开发的。基于js的框架,由6个模块组成:快速诊断,丹曲林动员,丹曲林使用说明,MH治疗,恢复期处理,DNA检测和活检.后端系统是基于Spring框架开发的。将通过管理移动应用程序评级量表的修改后的用户版本来对系统进行评估。将在四川省进行试点测试,中国,并计划在全国范围内进行后续评估。
结果:该系统的理论框架设计已于2021年8月完成。该系统的开发已于2022年2月完成,目前正在进行完善。该系统在四川省实施后的试点测试计划需要2个月的时间,随后在全国范围内进行的评估计划需要2个月。
结论:我们已经描述了一种使用微信小程序来开发MH-NRES的新方法。当前研究中可用性测试过程的发现可能会导致改进,并有望表明该系统既可行又受到麻醉医师的欢迎。根据研究资金的可用性,这个系统将在全国范围内推广。
■PRR1-10.2196/37084。
BACKGROUND: Malignant hyperthermia (MH) is a rare life-threatening anesthetic emergency. With respect to the high fatality rate, difficulty in early recognition, and the lack of disease-specific drug (ie, dantrolene) in China, more effort is needed to strengthen early diagnosis and effective treatment of MH emergencies. Nowadays, mobile health (mHealth) apps are changing the way of medical practice; they can serve as an accessible tool to help anesthesiologists deal with MH crises. However, no related mHealth-based emergency system is available currently.
OBJECTIVE: The aim of this study is to outline the protocol for the development of a WeChat
applet used to design a National Remote Emergency System for Malignant Hyperthermia (MH-NRES) in China, as well as the protocol for the evaluation of the user experience and perception of the system.
METHODS: The system adopts the client-server architecture, with a custom user interface operating as clients and the back-end system operating as the server. The client-side software was developed using uni-app technology with Vue.js-based framework, which consists of 6 modules: Quick Diagnosis, Dantrolene Mobilization, Instruction on Dantrolene Use, MH Treatment, Recovery Period Treatment, and DNA Test and Biopsy. The back-end system was developed based on the Spring framework. The system will be evaluated by administrating a modified user version of the Mobile App Rating Scale. Pilot testing will be conducted in Sichuan Province, China, and a subsequent evaluation on a national scale is planned.
RESULTS: The theoretical framework design of this system was completed in August 2021. The development of the system was completed in February 2022, and the refinement is currently ongoing. Pilot testing after the implementation of the system in Sichuan Province is planned to take 2 months, and the subsequent evaluation on a national scale is planned to take 2 months.
CONCLUSIONS: We have described a novel approach using the WeChat
applet to develop the MH-NRES. Findings from the usability testing process in the current study may lead to refinements and is expected to suggest that this system is both feasible and welcomed by anesthesiologists. Depending on the availability of research funding, this system will be extended nationally across China.
UNASSIGNED: PRR1-10.2196/37084.