以行動技術應用於氣喘預防監控系統

Applying Mobile System for Monitoring Asthma

陳依柔(I-Jou Chen)

指導教授 ： 邱泓文

臺北醫學大學/醫學院/醫學資訊研究所/碩士(2010年)

https://doi.org/10.6831/TMU.2010.00131

摘要

在台灣每年約有150萬人受氣喘所苦，世界衛生組織也預估罹患氣喘人口將逐年增加。近年來慢性下呼吸道疾病其中包括氣喘已成為全國十大死因之一，使得政府和民眾重視氣喘病相關的議題。為了降低氣喘的盛行和突然發作，需做好疾病的管哩和監控，全球氣喘組織Global Initiative for Asthma (GINA) 已針對氣喘病患的診斷和管理制定出氣喘診療指引供世界各地參照。

本研究建置了以行動裝置監控氣喘症狀的系統，幫助使用者計算肺活量值和記錄，經由定期的記錄，使用者出門在外或是不方便使用電腦的時候，可透過行動裝置查看記錄和肺活量的變化趨勢，而系統程式會自動判斷，提醒使用者的肺活量變化是否穩定。
另外本研究根據GINA組織及台灣氣喘衛教學會制定的氣喘各項標準和評估方式，首次將ACT症狀評估以及氣喘過敏指標應用於行動裝置上，使用者可透過行動裝置獲取氣喘過敏指標，行動裝置系統可在氣喘發作前達到預警效果，減緩病患因環境因子而引發的氣喘症狀。

系統建置後，調查30位使用者對此行動裝置系統的接受度，有83%的使用者未來願意使用此系統，假使未來發佈後收取費用，有63%的使用者願意購買使用，而80%的使用者認為現代科技所發展的軟體系統，可以幫助民眾控制疾病，使用者對於行動裝置技術應用在氣喘監控的接受度相當高。

行動裝置技術的運用可以有效的管理使用者的個人健康，本研究建立的行動裝置氣喘監控系統，跳脫以往以紙本記錄的模式，使病患更加了解記錄值以及各種指標所代表的意義。

關鍵字

氣喘 ； 慢性病管理 ； 遠距醫療 ； 行動裝置技術

並列摘要

Asthma is one of the most common chronic diseases. In Taiwan have about 1.5 million people who are plagued by asthma every year. According to the World Health Organization (WHO) estimates asthma people have been increasing over the past decades.

In recent years, chronic lower respiratory diseases including bronchial asthma has become one of the top ten causes of death in Taiwan, it makes the government and people having begun to attach the relative issue.

To reduce the prevalence of asthma, it is necessary to actively promote health education and knowledge of correct drug use. The Global Initiative for Asthma (GINA) have recommended guidelines for asthma diagnosis and patient management.

In this study, we designed an bronchial asthma control system. The user can use smart phone to calculate and record their lung capacity value, by the regularly records, when users are not able to use computer, they can view their lung capacity records and trend by the smart phone, and the system program will automatically give the users suggest , check user's lung capacity in the stability.

Additionally, we according to GINA organizations and Taiwan Association of Asthma Education to develop standards and build ACT assessment of asthma and allergic indicators in smart phone, users can receive daily outdoor asthma induced factor information and warning before the bronchial asthma attack, so that it can reduce the bronchial asthma symtoms caused by environmental factors.

In the system evaluation, we survey acceptance of 30 users on our system, 83% of the users are willing to use this system, 63% of users willing to pay to use the system, 80% of users think that the development of technology software can help people control their disease. The application for smart phone in asthma control have very high in uses acceptance.

The use of mobile technology can effectively manage user's personal health, our study developed an asthma control system, users can more understanding of record value and the meaning of the various indicators.

並列關鍵字

asthma ； chronic disease management ； telecare ； mobile technology

參考文獻

行政院衛生署，《台灣氣喘診療指引》，2006版.

行政院衛生署, 97年度死因統計表，資料來源:

行政院衛生署,全民健康保險醫療統計年報,資料來源:

American Lung Association Epidemiology & Statistics Unit Research And Program Services, Trends In Asthma Morbidity And Mortality May 2005.

British Thoracic Association, Death from asthma in two regions of England. British Medical Journal, Oct 30 1982; v.285(6350).