自我效能在中老年患者出院准备度和“互联网+护理服务”采纳意愿间的中介作用分析

Study on mediating effect of self-efficacy between discharge readiness and intention of“Internet+nursing service”in middle aged and elderly patients

目的:探讨中老年出院患者自我效能、出院准备度和“互联网+护理服务”采纳意愿之间的关系及内在作用机制。方法:选取天津市某三级甲等医院即将出院的中老年患者共307例,采用一般资料问卷、出院准备度量表、一般自我效能量表及“互联网+护理服务”采纳意愿问卷开展调查,测量其自我效能水平、出院准备度及“互联网+护理服务”采纳意愿,使用SPSS 21.0和AMOS 21.0对数据进行统计分析。结果:患者出院准备度、自我效能和“互联网+护理服务”采纳意愿之间呈正相关(P<0.001);出院准备度既可直接影响患者对“互联网+护理服务”的采纳意愿,又可以通过自我效能对“互联网+护理服务”采纳意愿起间接作用。结论:自我效能在中老年患者出院准备度与“互联网+护理服务”意愿之间起中介作用,管理者应充分重视提高此类人群的自我效能水平,提升其互联网医疗就诊意愿。

Objective:To explore the relationship and internal mechanism of self-efficacy,readiness for hospital discharge and Internet medical treatment willingness.Methods:A total of 307 patients were selected from a third-class hospital in Tianjin on the day before discharge.Self-efficacy level,readiness for hospital discharge and willingness to adopt“Internet+nursing service”of the patients were investigated by general information questionnaire,readiness for hospital discharge scale,general self-efficacy scale and willingness to adopt“Internet+nursing service”questionnaire.Data were statistically analyzed using SPSS 21.0 and AMOS 21.0.Results:There was a positive correlation between patients’discharge readiness,self-efficacy and willingness to adopt“Internet+nursing service”(P<0.001).Discharge readiness could not only directly affect patients’willingness to adopt“Internet+nursing services”,but also indirectly affect the willingness to adopt“Internet+nursing services”through self-efficacy.Conclusion:Self-efficacy plays an intermediary role between middle-aged and elderly patients’readiness for hospital discharge and willingness to“Internet+nursing service”.Managers should pay full attention to improve the self-efficacy level of such people and enhance their willingness to seek medical treatment on the Internet.