Abordagem IoT PD-RPM: Promovendo Aderência à Diálise Peritoneal Considerando o Cenário da Internet das Coisas

Abstract

Societies worldwide are facing the challenge of managing the growing population of patients with end-stage renal disease, driven, among other factors, by population growth, increased longevity, obesity, diabetes, and hypertension. It is estimated that Chronic Kidney Disease will become the 5th leading cause of death by 2040, surpass ing its current position as the 16th . Motivated by this scenario and the Systematic Literature Review conducted, it is understood that the IoT PD-RPM approach primarily contributes by enabling physicians to personalize treatment based on the patient’s contextual history. This is achieved within an architecture that employs middleware for its operation, facilitating compliance with the General Data Protection Law (Lei Geral de Proteção de Dados, LGPD). To this end, the IoT PD-RPM integrates remote monitoring of biometric information for patients undergoing Peritoneal Dialysis (PD), enhancing trust in the patient’s health status throughout the treatment for both the patient and the medical team. Given this context, the general objective of this Thesis is the design of the IoT PD RPM approach, which integrates: (i) a platform for acquiring vital signs of patients undergoing PD; (ii) a contextual processing environment that, through customizable rules, constructs the Situation Awareness of the patients; (iii) a textual and graphical visualization interface for the vital signs, accessible remotely and (iv) the specification of a computational model utilizing Context History analysis focused on the typical mon itoring demands of PD patients; and (v) a Database Security and Audit module, which aims to make the IoT PD-RPM compliant with the LGPD. To ensure the functionalities of the proposed approach, Unit, Integration, and Sys tem Tests were conducted. Additionally, to evaluate the healthcare community’s re ceptiveness, the TAM (Technology Acceptance Model) method was employed, yielding positive feedback regarding usability and perceived usefulness, considering a sample of 16 physicians involved in the study.