【摘要】：目的了解糖尿病患者對移動醫(yī)療服務的使用意愿及其影響因素,為糖尿病乃至慢性病管理類移動醫(yī)療行業(yè)發(fā)展提供參考依據。方法選取2016年6—8月在廣州市某大型三級甲等綜合醫(yī)院內分泌科門診就診及住院的糖尿病患者250例。采用自行設計問卷進行調查,問卷內容包括糖尿病患者的基本情況、糖尿病移動醫(yī)療認知情況、糖尿病移動醫(yī)療使用意愿評價量表(包括績效期望、努力期望、社會影響、感知威脅、健康信念、感知風險、使用意愿7個因素)。共發(fā)放問卷250份,回收有效問卷243份,問卷有效回收率為97.2%。結果 243例患者中,僅50例(20.6%)聽說過糖尿病移動醫(yī)療;39例(16.0%)了解可以通過移動醫(yī)療管理糖尿病;11例(4.5%)使用過糖尿病移動醫(yī)療服務。糖尿病移動醫(yī)療使用意愿評價量表的Cronbach'sα系數為0.892,各因素的Cronbach'sα系數為0.868~0.980。主成分分析提取特征值1的因子數為7,與量表設計的7個因素完全吻合,累計方差貢獻率達76.178%。不同年齡、學歷、月收入患者努力期望得分比較,差異有統(tǒng)計學意義(P0.05)。不同學歷患者社會影響得分比較,差異有統(tǒng)計學意義(P0.05)。不同性別、學歷、月收入患者感知威脅得分比較,差異有統(tǒng)計學意義(P0.05)。不同學歷患者健康信念得分比較,差異有統(tǒng)計學意義(P0.05)。不同年齡患者感知風險得分比較,差異有統(tǒng)計學意義(P0.05)。不同學歷、月收入患者使用意愿得分比較,差異有統(tǒng)計學意義(P0.05)。不同糖尿病類型、糖尿病病程及是否合并糖尿病并發(fā)癥患者努力期望得分比較,差異有統(tǒng)計學意義(P0.05)。是否合并糖尿病并發(fā)癥患者社會影響得分比較,差異有統(tǒng)計學意義(P0.05)。不同糖尿病類型患者健康信念得分比較,差異有統(tǒng)計學意義(P0.05)。不同糖尿病類型患者感知風險得分比較,差異有統(tǒng)計學意義(P0.05)。多元線性回歸分析結果顯示,努力期望、社會影響、感知風險是患者使用意愿的影響因素(P0.05)。結論糖尿病患者對移動醫(yī)療服務的認知程度較低,使用意愿存在個體差異;努力期望、社會影響正向影響使用意愿,感知風險負向影響使用意愿。加強宣傳,提高患者認知水平;優(yōu)化設計,兼顧患者不同需求將有助于提高糖尿病患者對移動醫(yī)療服務的使用意愿。
[Abstract]:Objective to understand the willingness of diabetes patients to use mobile medical service and its influencing factors, so as to provide a reference for the development of diabetes mellitus and chronic disease management mobile medical industry. Methods 250 cases of diabetes mellitus were selected from June to August 2016 in Department of Endocrinology, Department of Endocrinology, Guangzhou Grade 3A General Hospital. The self-designed questionnaire was used to investigate the basic situation of diabetic patients, the cognition of diabetes mobile medical treatment, the evaluation scale of willingness to use diabetes mobile medical treatment (including performance expectation, effort expectation, social impact, etc.) Perceived threats, health beliefs, perceived risks, and use intention were seven factors. A total of 250 questionnaires were sent out, 243 valid questionnaires were collected, and the effective recovery rate was 97.2%. Results of 243 patients, only 50 (20.6%) had heard of mobile diabetic medical treatment. 39 cases (16.0%) knew that 11 patients (4.5%) could manage diabetes mellitus by mobile medical treatment. The Cronbach's 偽 coefficient and Cronbach's 偽 coefficient of diabetes mobile medical willingness evaluation scale were 0.892and 0.868 鹵0.980, respectively. The factor number of characteristic value 1 extracted by principal component analysis was 7, which coincided with the 7 factors designed by the scale, and the cumulative contribution rate of variance was 76.178%. Different age, educational background, monthly income patients effort expectation score comparison, the difference was statistically significant (P0.05). Social impact scores of patients with different educational background were compared, the difference was statistically significant (P0.05). The perceived threat scores of patients with different gender, academic background and monthly income were significantly different (P0.05). The scores of health belief of patients with different educational background were significantly different (P0.05). The perceived risk scores of patients with different ages were significantly different (P0.05). Different educational background, monthly income patients use intention score comparison, the difference was statistically significant (P0.05). There were significant differences in the score of effort expectation between the patients with different types of diabetes, the course of diabetes and whether they were complicated with diabetic complications (P0.05). There was significant difference in social impact scores of patients with diabetic complications (P0.05). The scores of health belief in patients with different type of diabetes were significantly different (P0.05). The scores of perceived risk in patients with different types of diabetes were significantly different (P0.05). Multiple linear regression analysis showed that effort expectation, social impact and perceived risk were the influencing factors of patients' willingness to use (P0.05). Conclusion Diabetic patients have low cognition of mobile medical service and individual differences in their willingness to use, and strive to expect that social influence positively affects use intention and perceived risk negatively affects use intention. [WT5HZ] [WT5 "HZ] [WT5" BZ] [WT5 "BZ] Strengthening publicity, improving patients' cognitive level, optimizing design and taking account of patients' different needs will help to improve the willingness of patients with diabetes to use mobile medical services.
【作者單位】： 南方醫(yī)科大學珠江醫(yī)院;南方醫(yī)科大學南方醫(yī)院;南方醫(yī)科大學公共衛(wèi)生與熱帶醫(yī)學學院;廣東省疾病預防控制中心
【基金】：廣東省自然科學基金資助項目(2015A030313708) 廣州市健康醫(yī)療協(xié)同創(chuàng)新重大專項(201604020016) 廣東省醫(yī)學科學技術研究基金項目(B2016003)
【分類號】：R587.1

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