摘要
目的:研究糖尿病患者移动健康服务使用行为的影响因素,为改善糖尿病患者移动健康服务的使用行为提供依据。方法:以健康信念模型为基础,建立糖尿病患者移动健康服务使用行为的理论框架并设计问卷,对南京市医院就诊的367位糖尿病患者开展调查;运用结构方程模型检验使用行为的影响因素。结果:糖尿病患者移动健康服务的使用行为受到自我效能(β=0.264,P<0.001)和使用意愿(β=0.521,P<0.001)的正向影响,使用意愿受到感知有用(β=0.213,P<0.001)和行动线索(β=0.436,P<0.001)的正向影响,自我效能受到电子健康素养(β=0.469,P<0.001)的正向影响。结论:个人信念中的感知有用因素、行动线索中的平台属性以及电子健康素养对糖尿病患者的使用行为具有显著的间接影响,有必要通过针对性的宣传、恰当的服务设计以及公共教育,改善糖尿病患者对移动健康服务的使用率。
Objective:To investigate the influencing factors of the diabetic patients'behavior of mobile health services use,so as to provide the basis for improving the diabetic patients'behavior of mobile health services use.Methods:Based on the health belief model,the theoretical framework of the diabetic patients'behavior of mobile health services use was established,and the questionnaire was designed according to the theoretical framework.The data were collected from 367 diabetic patients who attended the hospitals in Nanjing.The structural equation model was used to test the factors affecting the users'behavior.Results:The diabetic patients'behavior of mobile health services use was positively affected by self-efficacy(β=0.264,P<0.001)and the users'intention(β=0.521,P<0.001).Users intention was positively affected by perceived benefits(β=0.213,P<0.001)and cue to action(β=0.436,P<0.001).Electronic health literacy(β=0.469,P<0.001)had a positive effect on self-efficacy.Conclusion:Perceived benefits of personal belief,platform attributes of cue to action and electronic health literacy had significantly indirect impacts on the behavior of mobile health services use.It is necessary to improve the diabetic patients'behavior of mobile health services use through targeted publicity,proper platform function design and public education.
作者
邓敏
陈娜
吴倩莲
冯倩
金子慧
刘菁
徐雨薇
DENG Min(School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210023,China)
出处
《医学与社会》
北大核心
2023年第7期19-23,56,共6页
Medicine and Society
基金
国家自然科学基金资助项目,编号为71804076
教育部人文社科项目,编号为20YJC840004
江苏高校哲学社会科学研究一般项目,编号为2022SJYB0309
江苏高校哲学社会科学重点研究基地基金资助项目,编号为JKFXFK-003。
关键词
移动健康服务
使用行为
使用意愿
自我效能
电子健康素养
糖尿病患者
南京
NMobile Health Service
Usage Behavior
Usage Intention
Self-efficacy
Electronic Health Literacy
Diabetic Patient
Nanjing