眼科患者“互联网+护理服务”平台问诊现况及影响因素分析

Online consultation by ophthalmic patients via Internet Plus care service platform and the influencing factors

目的 调查眼科患者“互联网+护理服务”平台问诊现况,分析其影响因素,为优化护理服务提供参考。方法 采用自制一般资料调查表及眼科患者“互联网+护理服务”平台问诊现况调查表对使用“互联网医院”行“互联网+护理服务”线上问诊的781例眼科患者进行调查。结果 781例问诊患者中主动问诊330例(42.3%),重复问诊117例(15.0%),家属代问诊169例(21.6%)。logistic回归分析显示,年龄、文化程度、问诊人员、疾病类型、问诊用药、复查时间及生活运动方式是主动问诊的主要影响因素(均P<0.05)。结论 眼科患者主动问诊率低、较少重复问诊;医护人员应根据影响因素进行针对性干预与平台优化,从而提高患者线上问诊意愿。

Objective To investigate the current state of ophthalmic patients′consultations on the"Internet Plus Care Service"platform and analyze its influencing factors,in order to provide reference for optimizing nursing services.Methods A total of 781 ophthalmic patients were surveyed in terms of their use of online consultations for"Internet Plus Care Service"via"Internet Hospital".Results Of the 781 patients who asked for consultation,330(42.3%)were active,117(15.0%)were repeated,and 169(21.6%)were asked on behalf of family members.Logistic regression analysis indicated that age,education level,person asking for consultation,type of disease,and concerns of the consultation(medication use,time to recheck and life style and physical activity)were the main influencing factors of active consultations(all P<0.05).Conclusion The rate of active consultations among ophthalmic patients is low,with relatively few repeat consultations.Healthcare professionals should conduct targeted interventions and optimize the platform based on the influencing factors to enhance patients′willingness to engage in online consultations.