骨科康复患者对数字疗法应用的知晓度和需求度:一项基于928份问卷调查结果分析  

Awareness and demand for application of digital therapeutics among orthopedic rehabilitation patients:an analysis of results based on 928 questionnaires

作　　者：刘芳明 石秀秀[1,2] 唐冲 张克石[3] 徐影 王桂杉 关振鹏 李晓 Liu Fangming;Shi Xiuxiu;Tang Chong;Zhang Keshi;Xu Ying;Wang Guishan;Guan Zhenpeng;Li Xiao(Department of Rehabilitation,Senior Department of Orthopedics,the Fourth Medical Center of PLA General Hospital,Beijing 100048,China;National Clinical Research Center for Orthopedics,Sports Medicine&Rehabilitation,Beijing 100048,China;Department of Osteology,Peking University Shougang Hospital,Beijing 100144,China)

机构地区：[1]解放军总医院第四医学中心骨科医学部康复医学科,北京100048 [2]国家骨科与运动康复临床医学研究中心,北京100048 [3]北京大学首钢医院骨科,北京100144

出　　处：《中华临床医师杂志(电子版)》2024年第7期654-661,共8页Chinese Journal of Clinicians(Electronic Edition)

基　　金：国家重点研发计划(课题编号:2023YFC3604905)

摘　　要：目的深入洞悉骨科康复患者对数字疗法(DTx)的知晓度、需求度、使用意向及偏好,以便未来更好地推进数字疗法在骨科康复中的应用。方法采用观察性横断面研究,对北京地区包括三甲医院康复医学科、康复专科医院、社区康复中心在内的四家公立医疗机构的门诊及住院骨科康复患者,发放自行设计的电子问卷进行数字疗法知晓度、需求度、使用意向及偏好调查,对问卷结果进行统计分析。结果共获得有效问卷928份,对数字疗法的了解程度:“不了解”的患者占比80.28%,其中50岁以上人群“完全不了解”显著高于其他年龄段(P=0.036);但硕士及以上学历人群了解程度显著高于其他学历人群(P=0.011)。693例从未使用数字疗法的患者中有75.61%愿意尝试使用数字疗法管理自身健康问题,且若与医务人员共同使用,愿意使用患者数增加至86.00%。曾使用与未曾使用数字疗法患者相比,每天愿意花费1 h以上进行康复训练的患者占比显著增加(P<0.001),接受一周大于2次去医院康复治疗的占比明显更高(P<0.001);然而,曾使用数字疗法的患者更担心个人隐私或其他安全问题(P=0.003)以及会弱化与医务人员之间的人际关系(P<0.001)。结论虽然目前骨科康复患者对数字疗法的知晓度尚待提升,但对传统康复方式之外的数字疗法新模式抱有很高的信心和更多的期待,后期应不断加大对骨科康复数字疗法的科普宣教力度,从产品设计、性能模块、使用方式、安全保障等多维度进行完善,并通过积极推广使广大患者真正受益。Objective To investigate the awareness,demand,intention,and preference for digital therapeutics(DTx)in orthopedic rehabilitation patients,so as to better promote the application of DTx in orthopedic rehabilitation in the future.Methods An observational cross-sectional study was conducted to investigate the awareness,demand,intention,and preference for DTx among orthopedic rehabilitation outpatients and inpatients in four public medical institutions in Beijing,including rehabilitation medicine department in GradeⅢLevel A hospital,rehabilitation specialist hospital,and community rehabilitation center.A self-designed electronic questionnaire was used for survery,and the results were statistically analyzed.Results A total of 928 valid questionnaires were obtained.Statistical analysis of the degree of awareness of DTx showed that 80.28%of patients“did not know”;the proportion of patients with“no awareness at all”in people over 50 years old was significantly higher than that of other age groups(P=0.036),but the degree of understanding of DTx among people with master’s degree or above was significantly higher than that of other education groups(P=0.011).Of the 693 patients who had never used DTx,75.61%were willing to try to use DTx to manage their own health problems,and if used together with medical staff,the percentage of patients willing to use DTx increased to 86.00%.Compared with patients who had not used DTx,the proportion of patients who were willing to spend more than one hour per day on orthopedic rehabilitation training and the proportion of patients who were willing to attend the hospital more than twice a week for rehabilitation treatment were significantly higher in those who had used DTx(P<0.001).However,patients who had used DTx were more worried about personal privacy or other security issues(P=0.003)and believed that DTx would weaken their interpersonal relationships with medical staff(P<0.001).Conclusion Although the awareness of DTx in orthopedic rehabilitation patients needs to be improve

关 键 词：骨科康复 数字疗法 问卷调查 

分 类 号：R493[医药卫生—康复医学]