| 孙燕茹,聂礼贺,陆召军,等.徐州市糖尿病病人对“互联网 +医疗健康”管理模式的接受情况及影响因素的调查[J].安徽医药,2020,24(4):751-755. |
| 徐州市糖尿病病人对“互联网 +医疗健康”管理模式的接受情况及影响因素的调查 |
| Diabetic patients’acceptance of“Internet plus health”management mode in Xuzhou city and its influencing factors |
| |
| DOI：10.3969/j.issn.1009?6469.2020.04.029 |
| 中文关键词: 糖尿病 /预防和控制 社区卫生服务 健康教育 健康促进 健康状况指标 社区健康管理 “互联网 +” 影响因素 |
| 英文关键词: Diabetes/prevention & control Community health services Health education Health promotion Health status indicators Community health management “ Internet+” Influencing factors |
| 基金项目: |
|
| 摘要点击次数: 1856 |
| 全文下载次数: 685 |
| 中文摘要: |
| 目的调查和分析徐州市糖尿病病人参与“互联网 +”时代下糖尿病病人社区健康管理的接受情况，并探讨其影响因素，为进一步提出适用于我国糖尿病病人的社区健康管理提供参考依据。方法采取整群分层随机抽样的方法，通过访谈式问卷调查抽取徐州市市社区高糖尿病病人 1 300例，经核查最终得到有效问卷 1 176份，问卷有效率为 90.0%。采用经专家审核后的调查问卷，了解其一般情况，采用 Epidata 3.1软件建立数据库，录入数据，运用 SPSS22.0软件包，计量资料采用 xˉ± s进行描述，计数资料采用率和构成比等表示，单因素采用 χ2检验、秩和检验，多因素采用 logistic回归模型分析。结果徐州市“互联网+”健康管理接受率为 71.25%，其中 1型糖尿病、病程在 5～10年、有糖尿病家族史及并发脑卒中、心脏病、周围神经病变的病人，互联网 +健康管理接受率较高，分别为 85.6%、77.1%、61.2%、75.7%、75.9%，77.6%；单因素分析结果显示:年龄、婚姻、文化程度、职业、医疗保险类型、居住情况、家族史、糖尿病类型、糖尿病并发脑卒中、并发心脏疾病、并发周围神经病变、并发肾脏病变、健康素养(测量血糖、规律服药)、是否已经参与了社区管理，对糖尿病病人“互联网 +”健康管理接受情况有影响( P＜0.05)；多因素分析显示: 1型糖尿病、病程 ≥1年为病人接受“互联网 +”健康管理的保护因素，而未合并周围神经、心脏病变、健康素养低(不知晓糖尿病诊断标准、监测血糖)未参与社区健康管理为危险因素。结论徐州市糖尿病病人接受“互联网 +”健康管理率较高，为 71.25%；多种因素对“互联网 +”健康管理有影响；政府应加大对公共卫生服务的人力、物力等的投入，普及健康基本知识，覆盖各社区的健康管理面。 |
| 英文摘要: |
| Objective To investigate and analyze the acceptance of diabetes mellitus patients’health management in the era of “Internet plus”，and to explore the influencing factors，so as to provide references for the further development of community health management applicable to diabetic patients in China.Methods Cluster sampling method was adopted in this study.Totally 1 300diabetic patients with hypertension in Xuzhou City were selected for interview questionnaire.A total of 1 176 questionnaires werevalidated and the validity rate of the questionnaires was 90.0%.Questionnaires checked and approved by experts were used to getthe general information and health management status of the patients.Epidata 3.1 software was used to establish the database forthe input of the data.SPSS 22.0 software was used to describe the quantitative data withxˉ± s.Qualitative data were expressed by us? ing rate and constituent ratio.Chi?square test，rank sum test were used for single factor analysis of variance，and unconditional logis? tic regression model was used for multiple factor analysis.Results The acceptance rate of“Internet +”health management was 71.25%.Patients who had type 1 diabetes，5 to 10?year course of disease，a family history of diabetes and concurrent stroke，heart disease，and peripheral neuropathy had higher acceptance rates，which were 85.6%，77.1%，61.2%，75.7%，75.9%，and 77.6%，re? spectively.Single factor analysis results showed that the influencing factors of the acceptance rates were age，marriage，education，oc? cupation，medical insurance type，living condition，family history，type of diabetes，diabetes mellitus complicated with stroke，heart disease，peripheral neuropathy，renal disease，health literacy(measurement of blood glucose，regular drug intake)，and whether to have participated in community management or not(P＜0.05).Multivariate logistic regression analysis results showed that type 1diabetes mellitus and the course of disease was longer than or equal to 1 year were the protective factors，while not complicated with peripheral neuropathy，heart disease，low health literacy(not knowing diagnostic criteria for diabetes，not monitoring blood glu? cose)and not participating in community health management were the risk factors.Conclusions The acceptance rate of“Internet plus”health management for diabetic patients was 71.25%.A variety of factors have an impact on“Internet plus”health manage? ment.The government should increase the input of human and material resources in public health service，popularize the basic knowledge of health，and carry out health management in each community. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
