中国全科医学2017，Vol.20Issue(13)：1619-1625,7.DOI:10.3969/j.issn.1007-9572.2017.13.018
糖尿病患者移动医疗服务的使用意愿及其影响因素调查
Diabetic Patients′ Willingness to Use Mobile Health Services and the Correlation Factors
摘要
Abstract
Objective To investigate the willingness of diabetic patients to use mobile health services and the correlation factors,so as to provide reference for the development of mobile health services for diabetes and chronic disease management.Methods Two hundred and fifty diabetic outpatients and inpatients treated in Department of Endocrinology of a large tertiary grade A general hospital in Guangzhou from June to August 2016 were randomly sampled.A self-developed questionnaire was used to survey the participants,which covered the baseline characteristics,degree of understanding of the mobile health services for diabetes,and Diabetic Patients′ Willingness to Use Mobile Health Services Assessment Scale(performance expectancy,effort expectancy,social influence,perceived threat,health belief,perceived risk and intention to use the mobile health services for diabetes).Two hundred and forty-three(97.2% of the 250 participants) returning responsive questionnaires were selected as the final participants.Results Twenty point six percent of the 243 participants(50/243) had heard of mobile health services for diabetes,16.0%(39/243) knew that diabetes could be managed by mobile health services,only 4.5%(11/243) had used this kind of services.The Cronbach′s α coefficient for the Diabetic Patients′ Willingness to Use Mobile Health Services Assessment Scale was 0.892,and it ranged from 0.868 to 0.980 for factors of the scale.Seven factors with characteristic value>1 were extracted by the principal component analysis,which were right in line with the seven factors of the scale,interpreting 76.178% of the total variance.Among the participants,age,educational attainment and monthly income were closely associated with the differences in effort expectancy scores(P<0.05);educational attainment was remarkably attributed to the differences in social influence scores(P<0.05);gender,educational attainment and monthly income caused the differences in perceived threat scores(P<0.05);educational attainment led to the differences in health belief scores(P<0.05);age was remarkably attributed to the differences in perceived risk scores (P<0.05);educational attainment and monthly income resulted in the differences in scores of intention to use the mobile health services for diabetes(P<0.05);types and duration of diabetes and history of diabetic complications brought about the differences in effort expectancy scores(P<0.05);history of diabetic complications created the differences in social influence scores(P<0.05);types of diabetes contributed to the differences in health belief scores(P<0.05);types of diabetes made the differences in perceived risk scores(P<0.05).Multiple linear regression analysis found that effort expectancy,social influence and perceived risk were the correlation factors affecting the willingness to use mobile health services for diabetes(P<0.05).Conclusion In patients with diabetes,the publicity on mobile health services was unsatisfactory,willingness to use the services varied with each individual,effort expectancy and social influence positively while perceived risk negatively influenced the willingness to use the services.Therefore,improving the degree of understanding of the mobile health services for diabetes by strengthening publicity,and optimizing the services based on the needs of patients will help improve the willingness of diabetic patients to use the services.关键词
糖尿病/移动医疗/使用意愿/影响因素分析Key words
Diabetes mellitus/Mobile health/Willingness to use/Root cause analysis分类
医药卫生引用本文复制引用
王艺蓉,王前,李琳娜,王凯,刘尚琪,何群,张容瑜..糖尿病患者移动医疗服务的使用意愿及其影响因素调查[J].中国全科医学,2017,20(13):1619-1625,7.基金项目
广东省自然科学基金资助项目(2015A030313708) （2015A030313708）
广州市健康医疗协同创新重大专项(201604020016) （201604020016）
广东省医学科学技术研究基金项目(B2016003) （B2016003）
