Elaboração e desenvolvimento de aplicativo para dispositivos móveis para manejo do paciente portador de coagulopatias hereditárias pelo profissional da atenção primária em saúde

Abstract

Due to the involvement of a significant portion of the Brazilian population, the study of hereditary coagulopathies is of paramount importance. According to data from the Ministry of Health, in 2014, 21,066 patients were diagnosed as having some hereditary coagulopathies, of which 9,616 (45.65%) corresponded to hemophilia A; 1,881 (8.93%), to hemophilia B; And 6,544 (31.06%) to von Willebrand disease. Von Willebrand disease is characterized by a quantitative and / or qualitative deficiency of von Willebrand factor, a plasma glycoprotein, that lines the inner wall of blood vessels. Its symptoms are bleeding, bruising and pain. Hemophilia is a genetic and hereditary disorder that affects blood clotting, low factor VIII activity characterizes hemophilia A, and when the deficiency is in factor IX the individual is a carrier of hemophilia B. The most common symptoms of hemophilia are hemophilia Prolonged bleeding. These bleeds may be external, such as when cuts occur on the skin, or internal bleeding occurs within the joints, inside the muscles, or other internal parts of the body. The increase in the use of mobile devices also affects the health area, taking advantage of this context is increasing the number of applications developed especially to facilitate the healthcare professional in their day to day with the patient. Aiming to provide care support to the patient with hereditary coagulopathy, this study aims to develop and develop an application for mobile devices that allows, besides the support with scientific evidence for evaluation and classification of the patient, the qualification of the professionals in the care, which would allow the Care of these patients in the primary care with quality and safety, avoiding unnecessary displacements by the patient and the overcrowding of the Hemocentros. The application was developed in 2 phases: elaboration of the prototype and pre-test. The software engineering methodology chosen for the elaboration of the application was Agile Methodologies. The application developed for Android platform, using the JAVAScript language with Reactive-Native framework. The application was divided into 2 modules: Hemophilia module and Von Willebrand module. The application was named "HEMOAPP" and 44 screens were created. In the pre-test the ergonomic and usability criteria were evaluated, obtaining a positive result of the evaluators, showing that it is feasible to use this tool in the permanent education and support to the management of the patient with hereditary coagulopathies