肠造口患者互联网诊疗服务使用意愿的影响因素研究

doi:10.3761/j.issn.0254-1769.2022.16.004

摘要/Abstract

摘要： 目的以整合型技术接受模型和双因素模型为理论框架，探究肠造口患者互联网诊疗服务使用意愿的影响因素。方法采用便利抽样法，选取2021年3月—9月于合肥市3所三级甲等医院就医的310例肠造口患者作为调查对象，使用一般资料调查问卷、电子健康素养量表、肠造口患者互联网诊疗服务使用意愿问卷进行调查，构建结构方程模型，并分析影响因素。结果肠造口患者互联网诊疗服务使用意愿问卷各维度得分分别为绩效期望（4.08±0.76）分、努力期望（3.11±1.33）分、社会影响（3.66±1.02）分、促成条件（3.80±1.06）分、信任（4.06±0.58）分、抵制变化（3.07±1.29）分、使用意愿（3.37±1.31）分，电子健康素养量表得分为（2.53±1.07）分。结构方程模型分析结果表明，社会影响、努力期望、电子健康素养对使用意愿有正向影响，效应值分别为0.251、0.230、0.082;抵制变化对使用意愿有负向影响，效应值为-0.506，差异均具有统计学意义（均P<0.05）。结论肠造口患者的互联网诊疗服务使用意愿水平处于中等偏上，其中，抵制变化、社会影响、努力期望和电子健康素养是影响肠造口患者使用意愿的关键因素。

关键词: 互联网诊疗, 整合型技术接受模型, 使用意愿, 肠造口, 影响因素, 护理

Abstract:

Objective To investigate the influencing factors of enterostomy patients’ usage intention of Internet diagnosis and treatment services within the theoretical framework of Unified Theory of Acceptance and Use of Technology and Dual-Factor Model. Methods Using a convenience sampling method，310 enterostomy patients were recruited from 3 tertiary hospitals in Hefei city from March to September 2021. The general data questionnaire，m-eHEALS Scale and the questionnaire on the usage intention of the Internet diagnosis and treatment services of enterostomy patients were used for investigation. Structural equation model was constructed to analyze the influencing factors. Results The score for usage intention was（3.37±1.31），with the performance expectation of （4.08±0.76），effort expectation of （3.11±1.33），social influence of （3.66±1.02），facilitating conditions of （3.80±1.06），trust of（4.06±0.58），resistance to change of（3.07±1.29），and ehealth literacy of（2.53±1.07）. The results of the structural equation model show that social impact，effort expectation，and ehealth literacy have positive effects on the usage intention，with effect values of 0.251，0.230 and 0.082，respectively. Resistance to changes negatively affects the usage intention，and the effect value was -0.506（P<0.05）. Conclusion The level of usage intention of Internet diagnosis and treatment service of enterostomy patients is in the middle of the upper. Resistance to changes，social influences，effort expectations，and ehealth literacy are the key factors affecting usage intention of enterostomy patients. To enhance patients’ usage intention of Internet diagnosis and treatment.

Key words: Internet Diagnosis and Treatment, Unified Theory of Acceptance and Use of Technology, Usage Intention, Enterostomy, Influencing Factors, Nursing Care

高雨濛, 赵红, 李星, 王蕾, 谢伦芳. 肠造口患者互联网诊疗服务使用意愿的影响因素研究[J]. 中华护理杂志, 2022, 57(16): 1942-1947.

GAO Yumeng, ZHAO Hong, LI Xing, WANG Lei, XIE Lunfang. Research on influencing factors of usage intention toward internet diagnosis and treatment services among enterostomy patients[J]. Chinese Journal of Nursing, 2022, 57(16): 1942-1947.

图/表 5

表1 肠造口患者的一般资料及互联网诊疗服务使用意愿得分比较（n=295）

Table 1 Comparison of willingness to use Internet diagnosis and treatment services in patients with enterostomy（n=295）

表2 肠造口患者互联网诊疗服务使用意愿模型的信度和聚合效度

Table 2 Reliability and convergent validity of measurement models

表3 肠造口患者互联网诊疗服务使用意愿模型的区分效度

Table 3 Discriminant validity of the measurement model

表4 肠造口患者互联网诊疗服务使用意愿模型适配度指标标准及拟合结果

Table 4 Model fit index criteria and fitting results

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