瑞典慢性阻塞性肺疾病（COPD）患者对信息技术和技术设备的获取、使用、知识和偏好。一项横断面调查研究。

Access to, use, knowledge, and preferences for information technology and technical equipment among people with chronic obstructive pulmonary disease (COPD) in Sweden. A cross-sectional survey study.

机构信息

Department of Neurobiology, Caring Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Huddinge, Sweden.

Women's Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, Stockholm, Sweden.

出版信息

BMC Med Inform Decis Mak. 2021 Jun 10;21(1):185. doi: 10.1186/s12911-021-01544-4.

DOI:10.1186/s12911-021-01544-4

PMID:34112150

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8191435/

Abstract

BACKGROUND

The use of information technology can make pulmonary rehabilitation interventions in people with chronic obstructive pulmonary disease (COPD) more flexible and thereby has the potential to reach a larger proportion of the population. However, the success of using information technology in pulmonary rehabilitation is dependent on the end-user's competence in information technology and access to the Internet. The aim was to describe the access to, and the use, knowledge, and preferences of information technology and technical equipment among people with COPD.

METHODS

Telephone interviews were conducted using a standardised questionnaire on information technology and technical devises addressing the household, access to and usage of the Internet, contact with authorities, e-commerce, security, the workplace, digital competence, and disabilities. Questions were also posed regarding participants' views on a future eHealth tool for COPD, appropriate content, and the potential likelihood for them to use an eHealth tool for exercise training.

RESULTS

In total 137 persons agreed to participate, 17 dropped out resulting in 120 included participants (response rate 88%). The participants (86 women) were aged 51 to 92 years (mean: 72.5), and all severity grades of COPD according to GOLD A-D were represented. Over 90% had access to the Internet. Smartphones were used by 81%, and over 90% used apps. Participants had high knowledge of how to use the Internet, 91% had used the Internet during the last 3 months, 85% almost every day. The most common requests for a future eHealth tool for COPD were evidence-based and trustworthy information on COPD, (including medication, exercise training, inhalation and breathing techniques), communication (chat) with others and with health carers. Access to individually adjusted exercise training, and support, (motivation via prompts, chat rooms, digital information board) was also desired.

CONCLUSIONS

The present study showed that people with COPD in Sweden have high access and ability to use the Internet and information technology. They are frequent users and most of them take part in the digital society, even to a higher extent than the general population. The results show that the use of an eHealth tool could be a suitable strategy for people with COPD.

摘要

背景

信息技术的使用可以使慢性阻塞性肺疾病（COPD）患者的肺康复干预更加灵活，从而有可能覆盖更大比例的人群。然而，信息技术在肺康复中的成功应用取决于终端用户的信息技术能力和互联网接入情况。本研究旨在描述 COPD 患者对信息技术和技术设备的获取、使用、知识和偏好。

方法

采用标准化问卷对家庭中的信息技术和技术设备进行电话访谈，内容涉及互联网的接入和使用、与权威部门的联系、电子商务、安全性、工作场所、数字能力和残疾情况。还询问了参与者对 COPD 未来电子健康工具的看法、适当的内容以及他们使用电子健康工具进行锻炼训练的可能性。

结果

共有 137 人同意参加，17 人退出，最终纳入 120 名参与者（应答率 88%）。参与者（86 名女性）年龄为 51-92 岁（平均：72.5 岁），代表了 GOLD A-D 所有严重程度的 COPD。超过 90%的人可以访问互联网。81%的人使用智能手机，超过 90%的人使用应用程序。参与者对如何使用互联网有很高的了解，91%的人在过去 3 个月内使用过互联网，85%的人几乎每天都使用互联网。对未来 COPD 电子健康工具的最常见要求是基于证据和值得信赖的 COPD 信息（包括药物、锻炼训练、吸入和呼吸技术）、与他人和卫生保健人员的交流（聊天）。他们还希望能够获得个性化的锻炼训练和支持（通过提示、聊天室、数字信息板进行激励）。