Department of Telecare, Mennonite Christian Hospital, Hualien City 970, Taiwan.
Department of Marketing and Distribution, Tzu Chi University of Science and Technology, Hualien City 970, Taiwan.
Int J Environ Res Public Health. 2017 Dec 9;14(12):1544. doi: 10.3390/ijerph14121544.
Telecare is defined as care practiced at a distance. It is an effective strategy for improving the self-health care management of home-patients with chronic diseases. The purpose of this study was to explore the intent to use of telehealth patients. The correlation between the self-care behaviors, the intent to use of telehealth, and the effects on physiological indicators of patients with chronic disease at home were studied. A cross-sectional study design employing purposive sampling was selected. The structured questionnaire 'Telecare Usage Intention Scale and Self-Care Behavior Scale' were used, 'HbA1c, glucose levels and monthly blood pressure measurements' were analyzed in this thirteen month study. The self-care behaviors of the participants were positively correlated with their intent to use telehealth ( < 0.01). The results also indicated that HbA1c, glucose levels and frequency BP measurement of the participants improved significantly after using telecare ( < 0.005). The results indicated a strong intent to use telehealth and positive perception of telecare services by in-home patients with a chronic disease. Telehealth improves the self-care behavior of in-home chronic disease patients and enhances medical professionals' ability to deliver quality and effective healthcare.
远程医疗定义为远程提供的医疗服务。它是一种提高慢性病患者居家自我健康管理的有效策略。本研究旨在探讨远程医疗患者的使用意向。研究了慢性病患者居家自我护理行为、使用远程医疗的意向与对生理指标影响之间的相关性。采用方便抽样选择了横断面研究设计。使用了结构化问卷“远程医疗使用意向量表和自我护理行为量表”，在这项为期 13 个月的研究中分析了“HbA1c、血糖水平和每月血压测量”。参与者的自我护理行为与使用远程医疗的意向呈正相关（<0.01）。结果还表明，使用远程医疗后，参与者的 HbA1c、血糖水平和血压测量频率均有显著改善（<0.005）。结果表明，慢性病患者居家使用远程医疗的意向强烈，对远程医疗服务的认可度高。远程医疗提高了慢性病患者居家的自我护理行为，增强了医疗专业人员提供优质、有效的医疗保健的能力。
