癌症患者移动健康信息搜索行为及其影响因素

Mobile-health information searching behaviors and its influencing factors for patients with cancer

目的:探讨癌症患者移动健康信息搜索行为现状并分析其影响因素,为明确患者医疗健康信息支持提供依据。方法:在2017年9月~12月对浙江某肿瘤专科医院的535例癌症患者进行横断面调查,使用一般资料问卷、移动健康信息搜索行为问卷、移动健康信息搜索环境问卷、癌症需求简明问卷和电子健康素养量表进行调查。应用SPSS 26.0进行描述性统计分析、t检验或单因素方差分析、Pearson相关分析、多元逐步线性回归分析。结果:癌症患者移动健康信息搜索行为得分为(60.84±9.60)分,有66.5%的患者"从没有"或"偶尔"搜索移动健康信息。癌症患者信息需求得分为(80.99±27.86)分,电子健康素养得分为(26.54±7.85)分,移动健康信息搜索环境得分为(8.00±2.86)分。癌症患者移动健康信息搜索行为与信息需求(r=0.251,P<0.01)、电子健康素养(r=0.538,P<0.01)、移动健康信息搜索环境(r=0.267,P<0.01)呈正相关。多元逐步线性回归分析结果表明,居住地、工作状态、收入水平、电子健康素养、移动健康信息搜索环境、信息需求是癌症患者移动健康信息搜索行为的影响因素,共同解释移动健康信息搜索行为总变异的39.3%(F=12.151,P<0.01)。相比中心城市,中小城市(β=0.092,P=0.031)癌症患者其搜索行为得分更高;相比正常工作的癌症患者,有病假(β=0.156,P=0.017)和减少工作时间(β=0.138,P=0.002)癌症患者其搜索行为得分更高;相比1000~3000元/月(β=-0.194,P=0.002)的癌症患者,小于1000元/月的癌症患者其搜索行为得分更高。电子健康素养(β=0.425,P=0.000)、移动健康信息搜索环境(β=0.179,P=0.000)和信息需求(β=0.091,P=0.027)为移动健康信息搜索行为的正向影响因素。结论:癌症患者移动健康信息搜索行为较少,居住地、工作状态、收入水平、电子健康素养、移动健康信息搜索环境、信息需求是癌症患者移动健康信息搜索行为的影响因素。

Objective To explore the behavior and influencing factors of mobile health(m-Health)information searching among patients with cancer,aiming to provide evidence for the provision of medical health information.Methods A cross-sectional survey was conducted.A total of 535 patients with cancer were recruited from a cancer hospital in Zhejiang Province from September to December 2017.Measurement tools included the demographic information questionnaire,mobile health information search behavior questionnaire,mobile health information search environment questionnaire,cancer needs questionnaires-short form and ehealth literacy scale.SPSS 26.0 was used for descriptive statistical analysis,one-way analysis of variance,Pearson correlation analysis and multiple linear regression analysis.Results The total score of mobile health information search behavior of cancer patients was(60.84±9.60),and 66.5%of participants reported that they"never"or"occasionally"searched health information via mobile.The total score of information needs was(80.99±27.86),electronic health literacy was(26.54±7.85),mobile health information search environment was(8.00±2.86).m-Health information search behavior was positively correlated with information needs(r=0.251,P<0.01),ehealth literacy(r=0.538,P<0.01),and m-Health information search environment(r=0.267,P<0.01).The stepwise regression analysis revealed that the place of residence,working status,income level,ehealth literacy,mobile health information search environment and information needs were statistically significant associated with the m-Health information searching behavior among cancer patients,which accounted for 39.3%of the total variance(F=12.151,P<0.01).Compared with patients living in the central cities,those living in the small and medium-sized cities(β=0.092,P=0.031)had higher score in m-Health information behavior.Compared with patients working on normal schedule,those took sick days(β=0.156,P=0.017)and working fewer hours(β=0.138,P=0.002)had higher score m-Health information behavior.Compared with patients with monthly income of 1000-3000 yuan(β=-0.194,P=0.002),those with monthly income less than 1000 yuan had higher score in m-Health information behavior.The ehealth literacy(β=0.425,P=0.000),mobile health information search environment(β=0.179,P=0.000)and information needs(β=0.091,P=0.027)were positive influencing factors of m-Health information search behavior.Conclusion Patients with cancer did not report high m-Health information search behavior.Place of residence,working status,income level,ehealth literacy,m-Health information search environment and information demand were the influencing factors of m-Health information search behavior among patients with cancer.