Desenvolvimento e avaliação de um software de controle de atendimentos e apoio à decisão, para diagnóstico diferencial de disfunções do trato urinário inferior, baseado em lógica fuzzy / Development and evaluation of a software control and decision support calls for differential diagnosis lower urinary tract dysfunction, based on fuzzy logic

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

01/07/2011

RESUMO

Introduction: The use of informatics tools is seen as a facilitator of the process of compiling, recording and analyzing data. Competence of nurses, the Nursing Process helps provide individualized care to the patient. In addition, the use of expert systems, decision support can help general practitioners or without experience in the area to determine the differential diagnosis in more specific terms such as the changes in urine output. Objectives: To develop a decision support software based on fuzzy logic for the differential diagnosis of lower urinary tract dysfunctions, using the consensus of the ICS terminology, as part of a computerized system of care that includes the nursing process, and questionnaires for assessing the quality of life. Had as objectives: to review the literature on the computerization of the nursing process and acceptance of professional, develop and validate the contents, instruments for assessing quality internal and external use, developing a software support decision based on fuzzy logic for diagnosis of disorders of the lower urinary tract, using the terminology of consensus of ICS; test the software using clinical cases; computerize the nursing process and questionnaires on quality of life: SF-36, King s Health Questionnaire and SF-ICQ. Methods: We performed an integrative literature review to analyze the bibliographic production on the current computerization of the Nursing Process in Brazil, using the databases LILACS and BDEnf. Then, a methodological study was conducted in order to develop and evaluate a decision support software based on fuzzy logic for diagnosis of lower urinary tract dysfunctions. The evaluation questionnaires were developed according to the quality specifications of ISO / IEC 9126-1 and forwarded for consideration of five judges, computer experts, who rated them as the relevance, clarity, scope and general appearance. The system was developed based on the model proposed by Lopes et al. (2010), basing on the concept of the life cycle of prototyping, and was composed of two phases: system modeling and coding. Conclusion: We identified a very limited number of articles concerning the computerization of the Nursing Process in Brazil. Questionnaires developed to assess decision support software, and the quality internal and external use. The software prototype has met the initial requirements, however, there is a need to assess their usability

ASSUNTO(S)

lógica fuzzy sistemas especialistas (computação) diagnostico diferencial sistema urinario programas de computador - validação fuzzy logic expert systems diagnosis differential urinary tract software validation

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