作　　者： ; ;

机构地区： 深圳市福田区慢性病防治院

出　　处： 《中国公共卫生》 2020年第5期710-712,共3页

摘　　要： 目的了解社区糖尿病患者对“互联网+”健康管理的参与意向影响因素,为糖尿病“互联网+”健康管理的实施提供参考依据。方法于2018年8月采用整群抽样方法在广东省深圳市福田区下属76家社区健康服务中心抽取908例糖尿病患者进行问卷调查。结果福田区社区健康服务中心调查的908例糖尿病患者对“互联网+”健康管理的参与意向总分为(24.29±2.61)分,其中绩效期望、努力期望、社会影响、感知威胁、感知风险、健康信念和使用态度得分分别为(3.47±0.34)、(3.42±0.32)、(3.33±0.28)、(3.54±0.37)、(3.61±0.41)、(3.38±0.31)和(3.54±0.58)分;多元线性回归分析结果显示,患者年龄>45岁(β=0.631)、文化程度较高(β=1.743)、有公费医保(β=2.468)和手机APP使用频率较高(β=1.869)的社区糖尿病患者对“互联网+”健康管理的参与意向较强。结论年龄、文化程度、医保类型和手机APP使用频率是社区糖尿病患者对“互联网+”健康管理参与意向的主要影响因素。 Objective To examine the intention of participating in"Internet+"health management and its influencing factors among community diabetes patients and to provide evidences for the implementation of"Internet+"diabetes management.Methods Using cluster sampling and self-designed questionnaires during August 2018,we conducted a faceto-face survey on intention of participating in"Internet+"health management among 18–70 years old diabetes patients(n=968)recruited at 76 community health centers in Futian district of Shenzhen city,Guangdong province.Results For the 908 patients with valid data,the mean overall score of intension of participating in"Internet+"health management was 24.29±2.61;the scores indicating the participation intention-related cognitions or attitudes were 3.47±0.34 for benefit expectation,3.42±0.32 for endeavor expectation,3.33±0.28 for social impact,3.54±0.37 for perceived threat,3.61±0.41 for perceived risk,3.38±0.31 for health concept,and 3.54±0.58 for utilization attitude,respectively.Multivariate linear regression analysis revealed that the patients aged>45 years(β=0.631),with higher education(β=1.743),with public medical insurance(β=2.468)and using mobile applications frequently(β=1.869)were more likely to have a strong intention to participate in“Internet+”health management.Conclusion Age,education,type of medical insurance and frequency of mobile application use are main influencing factors of intention of participation in“Internet+”health management among community diabetes patients.

关 键 词： 互联网 健康管理 参与意向 影响因素 糖尿病患者 社区

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