Desenvolvimento e avaliação de software para monitoramento de pacientes com Covid-19 e outras síndromes respiratórias

Abstract

The COVID-19 pandemic has presented itself as one of the greatest global health challenges of the 21st century. The development of technologies aimed at monitoring patients with COVID-19 is presented as one of the strategies to detect the positive and limiting points of the assistance provided and to point out the possible physical, psychological and economic damages generated by the disease. Thus, the objective was to develop and evaluate software for monitoring patients diagnosed with COVID 19 and other respiratory syndromes. Methodological study, of a software-type tool, carried out in three phases: Phase 1- Elaboration and validation of the software content, carried out by nine specialists in the health area; Phase 2- Software development; Phase 3- Evaluation of the technical quality and functional performance of the software through the analysis of nine health experts and nine computer experts, following the characteristics recommended by ISO / IEC 25010. Data analysis was performed using descriptive statistics, using the values of absolute and relative frequency, with the aid of Microsoft Office Excel® software. Study approved by the Research Ethics Committee, under opinion No. 4,278,495. As a result, the software content was composed of 36 items covering social determinants, divided into topics: patient identification data, clinical conditions prior to COVID-19, clinical data related to COVID-19, data on social health determinants, Questionnaire from the Saint George Hospital on Respiratory Disease and the SF-36 Instrument. The software content validation presented the following CVCT: 0.92 for language clarity; 0.94 for practical relevance and 0.94 for theoretical relevance, confirming valid content by the expert committee. The software was developed according to the principles proposed by Pressman (2011), using the language of the PHP software on the Backend and the Javascript on the Frontend, and the database chosen was MySQL 5. The results achieved in the evaluation of the software revealed that the same proved to be adequate in all evaluated characteristics, obtaining the following averages, among health and computer specialists: functional adequacy (74.1%), reliability (77.8%), usability (73.8%), performance efficiency (92.6%), compatibility (100.0%), security (94.9%), maintainability (91.1%) and portability (100.0%), the latter two being evaluated only by specialist’s computer science. It was concluded that the software developed was considered adequate for monitoring patients with COVID-19 and other respiratory syndromes in all evaluated characteristics. It is hoped that the availability of this technology to the management and scientific community will enable better monitoring of patients with COVID-19 and other respiratory syndromes.