AI手机应用帮慢性伤口患者居家拍照监测,医生远程介入提升照护效率。
WoundAIssist: A Patient-Centered Mobile App for AI-Assisted Wound Care With Physicians in the Loop
- 患者用手机拍伤口+填问卷,AI本地化分析变化趋势。
- 医护可远程查看数据并视频会诊,减少频繁门诊负担。
- 专为老人设计易用界面,三年研究提炼出远程护理关键设计原则。
慢性伤口在老龄化人群中日益普遍,导致住院时间延长、医疗成本上升及生活质量下降。传统伤口护理依赖频繁线下就诊,对患者和医护人员均造成负担。为此,我们提出WoundAIssist——一款以患者为中心、由AI驱动的移动医疗应用,支持远程伤口管理。患者可通过照片和问卷定期记录伤口情况,医生则通过远程监控与视频会诊持续参与。系统集成轻量级深度学习模型,实现设备端伤口分割,结合患者自报数据,持续追踪愈合进程。应用开发采用迭代式用户中心设计,融合患者与专家意见,特别优化老年人使用体验。一项涵盖患者与皮肤科医生的最终可用性研究显示,该应用具有优异的可用性、良好的质量评分及对AI识别功能的积极评价。本研究主要贡献在于:(I) 实现并评估了这款易用且全面的远程医疗解决方案;(II) 提炼出超过三年跨学科研究所得的设计洞见,可为其他临床领域的远程监测应用提供参考。
原文摘要 · Abstract (English)
The rising prevalence of chronic wounds, especially in aging populations, presents a significant healthcare challenge due to prolonged hospitalizations, elevated costs, and reduced patient quality of life. Traditional wound care is resource-intensive, requiring frequent in-person visits that strain both patients and healthcare professionals (HCPs). Therefore, we present WoundAIssist, a patient-centered, AI-driven mobile application designed to support telemedical wound care. WoundAIssist enables patients to regularly document wounds at home via photographs and questionnaires, while physicians remain actively engaged in the care process through remote monitoring and video consultations. A distinguishing feature is an integrated lightweight deep learning model for on-device wound segmentation, which, combined with patient-reported data, enables continuous monitoring of wound healing progression. Developed through an iterative, user-centered process involving both patients and domain experts, WoundAIssist prioritizes an user-friendly design, particularly for elderly patients. A conclusive usability study with patients and dermatologists reported excellent usability, good app quality, and favorable perceptions of the AI-driven wound recognition. Our main contribution is two-fold: (I) the implementation and (II) evaluation of WoundAIssist, an easy-to-use yet comprehensive telehealth solution designed to bridge the gap between patients and HCPs. Additionally, we synthesize design insights for remote patient monitoring apps, derived from over three years of interdisciplinary research, that may inform the development of similar digital health tools across clinical domains.
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