三省市中老年慢性肌肉骨骼疼痛患者移动医疗使用情况及影响因素分析  

Analysis of Factors Influencing the Use of Mobile Health for Chronic Musculoskeletal Pain Patients in Three Provinces and Cities

作　　者：朱林 杜成欣 张伟伟[1] 董建群[1] 姜莹莹[1] ZHU Lin;DU Chengxin;ZHANG Weiwei;DONG Jianqun;JIANG Yingying(National Center for Chronic and Noncommunicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京市100050

出　　处：《中国卫生信息管理杂志》2025年第1期121-127,148,共8页Chinese Journal of Health Informatics and Management

基　　金：国家重点研发计划项目“基于患者参与的老年神经病理性疼痛协同照护移动平台建设”(2022YFC3602204)。

摘　　要：目的通过横断面调查了解我国部分省市中老年慢性肌肉骨骼疼痛患者移动医疗使用现状及其影响因素,分析患者对移动医疗的功能需求,以及当前移动医疗可能存在的问题。方法采用多阶段分层抽样方法,抽取我国江西省、北京市、重庆市≥45岁的慢性肌肉骨骼疼痛患者进行问卷调查,采用卡方检验和logistic回归分析影响患者移动医疗使用的因素。结果1370名调查对象中,使用过移动医疗的人数为262人,使用率为19.1%。多因素logistic回归模型分析表明,在三级医院就诊、年龄在45~59岁之间、具有大专/本科及以上学历、家庭年收入较高、疼痛程度较重的患者中,移动医疗的使用率较高。患者对于移动医疗提供医护交流、生活方式指导、临床指导的需求很高,但同时也存在对个人隐私泄露、信息准确性和病情判断准确性的担忧。结论三省市慢性肌肉骨骼疼痛患者移动医疗使用率较低。未来,移动医疗发展中需要加强推广和宣传,并更多关注患者的意见和体验,以改善患者的健康状况和生活质量。Objective Through a cross-sectional investigation,the status quo and influencing factors of mobile health care utilization among middle-aged and elderly patients with chronic musculoskeletal pain in some provinces and cities in China were investigated,and the functional needs of patients for mobile health care were analyzed,as well as the possible problems existing in the current mobile health care.Methods A multi-stage stratified sampling method was employed to survey chronic musculoskeletal pain patients aged≥45 years in Jiangxi Province,Beijing,and Chongqing in China.Chi-square tests and logistic regression analysis were used to identify factors influencing the use of mobile health care among patients.Results Among the 1370 survey participants,262 individuals reported having used mobile healthcare,with a utilization rate of 19.1%.Multivariate logistic regression analysis indicated that patients who sought care in tertiary hospitals,aged between 45 and 59 years,had a college degree or above,had higher household incomes,and experienced severe pain exhibited higher rates of mobile healthcare utilization.Patients expressed high demand for medical and nursing communication,lifestyle guidance,and clinical advice through mobile healthcare platforms.However,concerns about personal privacy leakage,information accuracy,and accuracy of disease diagnosis were also raised.Conclusion The utilization rate of mobile healthcare among patients with chronic musculoskeletal pain in the three provinces and cities surveyed was relatively low.Future development of mobile healthcare should focus on enhancing promotion and publicity efforts,while paying more attention to patient opinions and experiences,to improve the health status and quality of life of patients.

关 键 词：慢性肌肉骨骼疼痛 中老年患者 疼痛管理 移动医疗 影响因素 

分 类 号：R-058[医药卫生] R319