湖南省安宁疗护远程健康照护准备度现状及影响因素研究

Study on the current status and influencing factors of hospice telehealth care readiness in Hunan province

目的了解湖南省安宁疗护远程健康照护准备度现状,并分析其影响因素,为构建安宁疗护远程照护服务体系提供理论依据。方法方便抽取湖南省56家安宁疗护远程多学科协同联盟单位245名医务人员,采用一般资料问卷、远程健康照护准备度量表、创新行为量表、一般自我效能感量表进行调查分析。结果湖南省安宁疗护医护人员远程健康照护准备度总分为68.40±8.90,创新行为总分为84.95±10.03,一般自我效能感总分为27.27±6.67。多元线性回归分析结果显示,职业、是否关注过远程照护相关平台或服务、创新行为、一般自我效能感是影响湖南省安宁疗护医护人员远程健康照护准备度的影响因素(均P<0.05)。结论湖南省安宁疗护医护人员远程健康照护准备度处于中等偏上水平。建议相关管理者针对远程健康照护准备度影响因素采取相应措施,提高医护人员远程健康照护准备度水平,以改善安宁疗护远程服务质量。

Objective To understand the current status of hospice telehealth care readiness in Hunan province,and analyze its influencing factors,so as to provide theoretical basis for the construction of hospice telehealth care service system.Methods A total of 245 medical staff from 56 remote multidisciplinary cooperative alliance units in Hunan province were selected by convenience sampling method,then they were investigated by a general information questionnaire,the Telehealth Readiness Assessment Tools(TRAT),the Innovative Behavior Inventory(IBI)and the General Self-efficacy scale(GSES).Results The participants scored 68.40±8.90 for telehealth care readiness,84.95±10.03 for innovative behavior,and 27.27±6.67 for general self-efficacy.The results of multiple linear regression analysis showed that occupation,whether or not they had paid attention to telecare-related platforms or services,innovative behavior and general self-efficacy were the influential factors on the telehealth readiness of hospice care medical staff in Hunan Province(all P<0.05).Conclusion The telehealth readiness of hospice care medical staff in Hunan province is at a moderate to high level.It is suggested that relevant managers should take corresponding measures according to the influencing factors of telehealth readiness,improve the level of telehealth readiness of medical staff,and improve the quality of hospice telehealth care service.