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conferenceseries
.com
Volume 8, Issue 4 (Suppl)
J Health Med Inform, an open access journal
ISSN: 2157-7420
Medical Informatics 2017
August 31- 01 September, 2017
August 31- 01 September, 2017 | Prague, Czech Republic
5
th
International Conference on
Medical Informatics & Telemedicine
DEVELOPMENT OFAN E-HEALTH TOOL FOR THE FOLLOW UP OF EARLY DISCHARGE
PREMATURE BABIES: E-PREMATUR
Elisenda Rull Bes
a
, Maria Ferrè
b
, Sagrario Acebedo
b
, Juan Roldán
c
and
Equip e-Prematur
a
a
University Hospital Dexeus - Grupo Quirónsalud, Spain
b
University Rovira i Virgili, Spain
c
University of Barcelona, Spain
Statement of the Problem:
Worldwide, the preterm birth rate is estimated to be about 11 per cent and about 15 million
children are born preterm each year. (1, 2) The early NICU discharge has been advocated for selected preterm infants to
reduce both the adverse environment of prolonged hospital stay and to encourage earlier parental involvement by empowering
parents and reduce the costs of care. (3) But this early discharge need to be complemented with a follow up, in most of the cases
with nurse in-home visits (4). Conventional hospital-based post discharge monitoring could be improved in terms of costs and
clinical effectiveness by using a telemedicine approach (5). Objective: To inform the development of a web-based and mobile
application. We develop a consumer-focused e-health tool, for the follow up of the early discharge of premature babies.
Methodology & Theoretical Orientation:
To ensure a patient-centred e-health tool we made interviews with proposed end-
users. For the clinical issues, we formed a research team with experienced NICU nurses, neonatologists and allied health
professionals. We also count on one IT company for the programing and technical support. This four years’ project involves,
defining the target audience and needs, software development including validation and testing the algorithm, pilot testing and
refinement and end-user testing.
Findings:
We made a large review of the literature about interventions for the follow up of the early discharge of premature
babies. To ensure the needs of the end-user we made thirteen in-depth interviews to parents of premature babies. The analysis
revealed they want to get in touch with an NICU expert, emotional support and an easy use tool. The workshop with nine
multidisciplinary health care professionals check the algorithms and parameterization of the alarm system, work on the
evidence based health care information as well as verify the needed fields for a correct follow up. The first pilot testing was
done by professional’s experts in Neonatology; they check the whole tool functionality. The end-user testing was done by
twenty-four parents.
Conclusion & Significance:
This e-Health program with a patient-centred telematic tool enable the professionals of the
Neonatal Intensive Care to establish a follow up program empowering the parents with the premature baby care, without the
need of costly and time consuming home visits.
Biography
Elisenda Rull Bes did
B.Sc. in Nursing and
M.Sc. in Nursing Sciences. PhD student in Nursing Sciences with the thesis titled: e-Health program for the follow up
of the early discharge premature babies. Neonatal Intensive Care Unit Nurse since 2008 at Hospital Universitari Quirón, Dexeus. Tutor of students doing Nursing
degree at Campus Docent Sant Joan de Déu since 2013. Author of e-Premature and coordinator of the research team.
elisenda.rb@gmail.comElisenda Rull Bes et al., J Health Med Informat 2017, 8:4 (Suppl)
DOI: 10.4172/2157-7420-C1-019