社区老年人对数字健康技术焦虑的现状及护理对策分析

doi:10.3761/j.issn.0254-1769.2023.11.010

摘要/Abstract

摘要：

目的调查老年人对数字健康技术焦虑的现状，并分析其影响因素。方法采用多阶段抽样方法，于2022年7月―8月，采用一般资料调查表、技术焦虑量表、一般自我效能感量表、Lubben社会网络量表，对四川省、重庆市、贵州省的606名老年人进行横断面调查。结果老年人数字健康技术焦虑量表得分为（38.39±10.30）分；多元线性回归显示，年龄、居住地、文化程度、个人月收入、网络使用频率、使用数字健康技术的意愿、自我效能、社会隔离是老年人对数字健康技术焦虑的影响因素（P<0.05），共解释总变异的56.6%。结论老年人数字健康技术焦虑处于中等水平。年龄越大、居住在农村、文化程度越低、个人月收入越低、网络使用频率越低、缺乏使用意愿、自我效能水平越低、社会隔离水平越高的老年人，数字健康技术焦虑水平越高。护理人员应持续关注老年人数字健康技术焦虑状况，并依据影响因素积极制订相关干预措施，以改善其数字健康技术焦虑，提升数字健康服务的有效利用率，进而提高护理服务效率，促进积极老龄化。

关键词: 老年人, 技术焦虑, 自我效能, 社会隔离, 影响因素分析, 护理

Abstract:

Objective To investigate the current status and influencing factors of technophobia among the elderly，and to provide references for promoting the digital adaptation of the elderly. Methods By the multistage sampling method，606 elderly people from Sichuan，Chongqing and Guizhou were selected from July to August 2022. The general information questionnaire，the Technophobia Scale，the General Self-Efficacy Scale，and the Lubben Social Network Scale were used. Results The score of technophobia among the elderly was （38.39±10.30）. Multiple regression results showed that age，degree of education，monthly income，place of residence，frequency of network use，willingness to use digital health technology，self-efficacy and social isolation were the main influencing factors of technophobia（P<0.05），which explained 56.6% of the variance. Conclusion The level of technophobia among the elderly was in medium level. Nursers should continue to pay attention to elderly people’ technophobia level and actively take relevant measures according to influencing factors，in order to reduce the level of technophobia among the elderly and improve the effective utilization of digital health services，and to improve nursing service efficiency and promote active aging.

Key words: Aged, Technophobia, Self-Efficacy, Social Isolation, Root Cause Analysis, Nursing Care

彭燕霞, 高云飞, 雍敬敬, 佘程宏, 王瑜, 鞠梅. 社区老年人对数字健康技术焦虑的现状及护理对策分析[J]. 中华护理杂志, 2023, 58(11): 1345-1350.

PENG Yanxia, GAO Yunfei, YONG Jingjing, SHE Chenghong, WANG Yu, JU Mei. The current status and influencing factors of technophobia among the elderly from the perspective of digital health[J]. Chinese Journal of Nursing, 2023, 58(11): 1345-1350.

图/表 4

表1 老年人数字健康技术焦虑单因素分析结果（n=606）

Table 1 Univariate analysis of technophobia among the elderly（n=606）

表2 老年人数字健康技术焦虑与自我效能、社会隔离的相关性分析（r 值）

Table 2 Correlation analysis of technophobia， social isolation and self-efficacy among the elderly（r value）

表3 自变量赋值方式

Table 3 Assignment of arguments

表4 老年人数字健康技术焦虑多元线性回归分析（n=606）

Table 4 Multiple linear regression analysis of technophobia among the elderly（n=606）

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