老年糖尿病患者微信平台需求及使用意愿现况研究  

An investigation into WeChat platform needs and usage intentions of the old with diabetes

作　　者：程康耀 吕伟波[1] 张正旭 胥梓薇 王璐[2] Cheng Kangyao;Lv Weibo;Zhang Zhenxu;Xu Ziwei;Wang Lu(School of Nursing,Shanghai University of Traditional Chinese Medicine,Shanghai,201203;The Tenth People's Hospital of Tongji University,Shanghai,200072,China)

机构地区：[1]上海中医药大学护理学院,上海201203 [2]同济大学附属第十人民医院,上海200072

出　　处：《现代临床护理》2019年第10期12-18,共7页Modern Clinical Nursing

基　　金：上海中医药大学护理学科能力提升项目，项目编号2018HLXK07

摘　　要：目的探讨老年糖尿病患者微信平台的需求和使用意愿状况,以便采取针对性的策略。方法采用方便抽样法,抽取上海市及浙江省4家三级甲等综合医院内分泌科的200例老年患者,采用糖尿病微信平台使用意愿量表、自行设计的需求问卷和微信认知问卷对其进行现状调查。结果老年糖尿病患者微信平台需求排名前3位分别是学习糖尿病相关知识(79.0%)、浏览糖尿病相关资讯(59.5%)和咨询医生(39.5%);有83.0%的老年患者采用微信;超过半数(50.5%)知道可以通过其进行自我管理,但是仅32.5%采用过微信平台,其中以他人分享和医院获得为主。使用意愿条目均分为(3.6±1.1),总分(10.9±3.3),处于中上水平;其他因素中得分较高的是行为评价和感知威胁,最低为感知危险。不同文化程度和糖尿病类型其使用意愿评分比较,差异具有统计学意义(均P<0.05);相关因素中除感知威胁与行为评价外,绩效期望、努力期望、社会影响、感知风险4个维度评分在不同文化程度方面比较,差异具有统计学意义(均P<0.05);此外,相关因素评分在个人月收入、糖尿病类型、病程、家族史、健康教育活动参与情况等方面比较,差异具有统计学意义(均P<0.05)。结论老年糖尿病患者微信平台使用意愿是客观存在,需要引起重视。健康信息仍是老年糖尿病患者的主要需求,而且需求多样化;老年糖尿病患者对于糖尿病微信平台已有所了解,但实践情况不佳,应在考虑其使用意愿基础上给予针对性的干预策略。Objective To explore the old diabetic patients' usage intention and expectations about effects of WeChat platfbrmin order to promote the development of the platfonn for the old and enhance the research team's attention in this field.Methods Convenience sampling method was used.A total of 200 patients diagnosed with diabetes mellitus from the endocrinology departments of four general hospitals in Shanghai and Zhejiang Province were engaged in the investigation using adjusted Diabetes WeChat platform usage intention scale,self-designed needs questionnaire and WeChat cognitive questionnaire.Results The top 3 demands of the elderly patients for WeChat platform were learning knowledge(79.0%),browsing information(59.5%)and consulting doctors(39.5%).83.0%of old patients used WeChat,and more than half(50.5%)of them knew that the in the knowledge on diabetic self-management was available,but only 32.5%used the platfonn,which was mainly shared by others and hospitals.The average of the usage intention(3.6±1.1)and the total score of the dimension(10.9±3.3)were at the upper middle level.Among the other factors,behavioral evaluation and perceived threat were scored the highest,perceived risk the lowest.There were significant difierences in using intention across different educational levels and types of diabetes mellitus(P<0.05).There were significant differences in performance expectation,effort expectation,social influence and perceived risk among different educational levels except perceived threat and behavioral evaluation(P<0.05).In addition,there were significant differences in the scores of related factors such as different personal monthly income,type of diabetes,course of disease,family history and participation in health education activities(P<0.05).Conclusions The use intention of WeChat platform occurring in old patients with diabetes needs to be emphasized.Health information is still the main demand of elderly diabetics,as compared to other demands.Elderly diabetic patients have some acquaintance with the diabe

关 键 词：老年人 糖尿病 微信 现况研究 使用意愿 

分 类 号：R47[医药卫生—护理学]