A Qualitative Study on the Requirements for Smartphone-Based Intelligent Management System Application in Out-of-Hospital Care after Stroke

doi:10.3969/j.issn.1673-5765.2025.08.002

Abstract

Abstract: Objective To understand the functional requirements, usage preferences, and potential barriers of stroke patients regarding the smartphone-based intelligent management system application in out-of-hospital care, thereby providing an evidence base for developing smartphone applications that manage out-of-hospital risk factors.
Methods The functions of the proposed smartphone-based intelligent management system application in out-of-hospital care were described. Semi-structured interviews were conducted with 15 stroke patients and their 15 family members. The phenomenological data analysis approach within qualitative research was used to analyze and interpret the data, identify the needs of patients and their family members, and extract core themes.
Results The needs of the respondents included two core themes, “functional requirements and user experiences” and “data security, privacy protection, and personalized services”. Under the theme of functional requirements and user experiences, the sub-themes included personalized health monitoring guidance, medication reminders, follow-up arrangements, diet management, and rehabilitation exercise management. Under the theme of data security, privacy protection, and personalized services, the sub-themes included interface optimization, online doctor-patient interaction, and family support.
Conclusions The smartphone-based intelligent management system application in out-of-hospital care should be optimized to balance functional practicality, technical compatibility, and data security, thereby establishing a patient-centric digital stroke rehabilitation ecosystem.

Key words: Stroke; Intelligent management system application; Qualitative study

摘要： 目的了解卒中患者对基于智能手机的院外智慧管理系统应用的功能需求、使用偏好及潜在障碍，为卒中患者院外危险因素管理智能手机应用的开发提供数据支撑。
方法描述拟开发的基于智能手机的院外智慧管理系统应用的功能，对15例卒中患者及其对应的15名家属进行半结构化访谈，采用质性研究中的现象学研究资料分析方法对资料进行剖析与解读，以分析患者及其家属的需求，并提炼核心主题。
结果受访者的需求包括“功能需求与使用体验”和“数据安全、隐私保护与个性化服务”2个方面的核心主题。功能需求与使用体验的主题包括个性化健康监测指导、用药提醒、随访安排、饮食管理及康复运动管理；数据安全、隐私保护与个性化服务的主题包括操作界面优化、线上医患互动和家庭支持。
结论应优化基于智能手机的院外智慧管理系统应用，兼顾功能实用性、技术适配性及数据安全性，构建以患者体验为核心的数字卒中康复生态系统。

关键词: 卒中; 智慧管理系统应用; 质性研究

CLC Number:

R74
TP18

MA Ruihua, XIONG Yuting, WANG Chunjuan. A Qualitative Study on the Requirements for Smartphone-Based Intelligent Management System Application in Out-of-Hospital Care after Stroke[J]. Chinese Journal of Stroke, 2025, 20(8): 943-949.

马锐华, 熊俞婷, 王春娟. 基于智能手机的卒中后院外智慧管理系统应用需求的质性研究[J]. 中国卒中杂志, 2025, 20(8): 943-949.

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