移动医疗准备度的概念分析及启示  

Concept analysis and enlightenment of mobile health readiness

作　　者：郭永真 彭若彤 李晓阳 张弛 冯辉[1] GUO Yongzhen;PENG Ruotong;LI Xiao-yang;ZHANG Chi;FENG Hui

机构地区：[1]中南大学湘雅护理学院,长沙市410013

出　　处：《中华护理杂志》2024年第23期2940-2944,F0003,共6页Chinese Journal of Nursing

基　　金：基金资助:国家自然科学基金项目(72374224);国家重点研发计划项目(2022YFC3601603)。

摘　　要：目的分析移动医疗准备度的定义和内涵,为移动医疗准备度的评估和临床实践提供参考。方法系统检索Web of Science、PubMed、Embase、Cochrane Library、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献服务系统中移动医疗准备度的相关文献,检索时限为建库至2024年1月。采用Walker和Avant概念分析法进行分析。结果最终纳入文献38篇。移动医疗准备度包括采纳新技术的意愿、数字健康素养、技术可及性和支持性环境与资源4个定义属性;前因包括数字鸿沟因素、卫生保健服务因素和用户因素;后果包括对用户的影响和对卫生保健系统的影响。目前尚缺乏成熟且广泛应用的移动医疗准备度测量工具。结论该研究通过概念分析明确了移动医疗准备度的概念属性,为社区护理工作者评估用户的移动医疗准备度提供了参考。未来,研究者可结合移动医疗准备度的内涵,开发移动医疗准备度评估工具,针对移动医疗的实施构建干预方案,从而促进国内移动医疗的实践应用,推动智慧护理的发展。Objective To analyze the definition of mobile health readiness,and provide a theoretical basis for assessment and clinical practice.Methods Web of Science,PubMed,Embase,Cochrane Library,CINAHL,CNKI,Wanfang data,VIP,and China Biomedical Literature Service System databases were searched.The search time limit was from the establishment of the database to January 2024.Walker and Avant’s methods were used to perform concept analysis.Results As a result,38 articles were selected for analysis.Mobile health readiness can be classified into 4 defined attributes:willingness to adopt new technologies,digital health literacy,technological accessibility,and supporting environment and resources.Antecedents can be discussed from the aspects of digital gap,health care service,and user factors.Mobile health readiness can impact on users and health care systems.Conclusion The concept attributes of mobile health readiness were identified by concept analysis method,which provides references for community nurses to assess the mobile health readiness of users.In the future,researchers can combine the connotations of mobile health readiness to develop assessment tools,and construct interventions for the implementation of mobile health,thereby promoting the application of mobile health in China and the development of intelligent nursing.

关 键 词：移动医疗准备度 概念分析 卫生保健系统 智慧护理 

分 类 号：R47[医药卫生—护理学]