睡眠远程诊疗在体检人群中的认知调查

Sleep telemedicine for physical examination people:a cognitive investigation

目的探讨睡眠远程诊疗在体检人群中的认知度和影响因素。方法本研究为横断面研究。采用简单随机抽样的方法对2021年9~10月在广东省人民医院体检中心进行体检的单位人员进行面对面问卷调查,内容包括一般人口学资料及睡眠远程诊疗认知相关问题(对远程诊疗的知晓程度、既往参与情况、远程就诊意愿、睡眠远程诊疗未来需求意向)。对基本资料进行描述性统计分析,采用SPSS 20.0统计软件进行卡方检验,多因素logistic回归分析远程诊疗认知度的影响因素。结果共现场调查单位体检人员204名,回收问卷204份,其中4份无效问卷,问卷有效率98%(200/204)。结果显示总体远程诊疗认知情况:25%(50/200)从未听说过,59%(118/200)听说过并不了解,16%(32/200)听说过且了解。仅有9%(18/200)未来愿意选择远程诊疗,22%(44/200)未来愿意继续选择传统诊疗,69%(138/200)未来愿意选择传统和远程二者相结合的诊疗模式。睡眠远程诊疗的就诊意愿调查情况:61.5%(115/187)表示愿意在有睡眠呼吸问题时尝试睡眠远程诊疗,11.8%(22/187)表示不愿意,26.7%(50/187)表示无所谓。不同年龄、文化程度、工作状态对远程诊疗认知度有差别,≥30岁且≤60岁认知度高于30岁以下及60岁以上人群,本科及以上学历认知度高于本科以下人群,在职上班人群认知度高于离退休等其他人群(P值均<0.01)。进一步Logistic回归分析显示,文化程度是远程诊疗认知度的影响因素(P<0.05)。结论远程诊疗在体检人群中的认知度低,大多数人选择传统和远程相结合诊疗模式,未来选择远程诊疗模式的意愿不高,但愿意尝试睡眠远程诊疗的人群占大多数,文化程度是影响远程诊疗认知度的主要因素。

Objective To investigate the cognition and influencing factors of sleep telemedicine in physical examination population.Methods This study is a cross-sectional study.Between September to October 2021 in Physical Examination Center,Guangdong Provincial People′s Hospital,totally 204 unit personnels underwent physical examination were carried out a face-to-face questionnaire investigation by simple random sampling,including general demographic information,sleep telemedicine related to cognitive issues(telemedicine Knowledge,past participation,telemedicine willingness,sleep telemedicine future requirements).Descriptive statistical analysis was conducted on the basic data,chi-square test was performed with SPSS 20.0 statistical software,and influencing factors of telemedicine awareness were analyzed by multivariate Logistic regression.Results Among 204 questionnaires,4 questionnaires were invalid,the effective rate of the questionnaire was 98%(200/204).In term of the overall cognition to telemedicine,25%(50/200)had never heard of it,59%(118/200)had heard of it but did not know about it,and 16%(32/200)had heard and understood it;in the future,only 9%(18/200)were willing to choose telemedicine,22%(44/200)were willing to continue traditional mode,and 69%(138/200)were willing to choose the combination of the above two.In term of the willingness to visit sleep telemedicine,if they had sleep breathing problems,61.5%(115/187)said they were willing to try sleep telemedicine,11.8%(22/187)said they were not willing,and 26.7%(50/187)said they didn′t care.The different cognition to telemedicine were found in various population with different age,education level and working status.The cognition of population with 30-60 years old was higher than that of population with less 30 years old and over 60 years old,the cognition of bachelor′s degree or above was higher than that of population under bachelor′s degree,and the cognition of working population was higher than that of retired pupoplation(all P<0.01).Further Logistic regression analysis showed that education level was the influential factor for the telemedicine awareness(P<0.05).Conclusions The cognition to telemedicine is low in the physical examination population.Although the willingness is not high to choose telemedicine mode,the combination mode of the traditional and telemedicine will be popular in the future,meanwhile,the majority of people are willing to try sleep telemedicine.Education level of people is the main influencing factor of telemedicine cognition.