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在埃塞俄比亚教学医院的医护人员中,对使用远程监测来支持糖尿病护理的认知和准备情况:一项基于机构的横断面研究。

Awareness and readiness to use telemonitoring to support diabetes care among care providers at teaching hospitals in Ethiopia: an institution-based cross-sectional study.

机构信息

School of Public Health, Dilla University, Dilla, South Nations and Nationality region, Ethiopia

Health Informatics, University of Gondar, Gondar, Amhara, Ethiopia.

出版信息

BMJ Open. 2021 Oct 29;11(10):e050812. doi: 10.1136/bmjopen-2021-050812.

Abstract

OBJECTIVES

This survey aimed to assess the awareness and readiness of healthcare providers to use telemonitoring (TM) technologies for managing diabetes patients as well as to identify associated factors in Ethiopia.

DESIGN

An institution-based cross-sectional quantitative survey was conducted by using a pretested self-administered questionnaire from February to March 2020. Data analysis used a binary logistic regression and partial proportional odds model for factor identification.

PARTICIPANTS

Randomly selected 423 study physicians and nurses.

SETTING

This study was conducted at the University of Gondar and Tibebe Ghion specialised teaching referral hospitals.

OUTCOME MEASURES

Awareness and readiness towards TM in diabetes care.

RESULT

Out of 406 healthcare providers (69.7%, n=283 nurses and 30.3%, n=123 physicians) who completed the survey, 345 (38.7%) heard about TM, when it came to readiness, 321 (25.1%) and 121 (65.5%) of respondents had average and low readiness towards TM, respectively. The result of regression analysis shows that awareness towards TM was higher among respondents who had access to a computer (adjusted OR (AOR): 2.8 (95% CI 1.1 to 7.1)), computer-related training (AOR: 4.6 (95% CI 1.63 to 12.95)) and those who had the experience of supporting patients through digital tools (AOR: 1.7 (95% CI 1.0 to 2.8)). Self-perceived innovators and those who had access to a computer, computer-related training and favourable attitude towards TM had significantly higher readiness to use TM.

CONCLUSION

The findings of this survey revealed low awareness and readiness of participant's towards TM. However, this study suggests the need of improving participant's attitudes, access to smartphones and computers and technical skills to fill this gap.

摘要

目的

本调查旨在评估埃塞俄比亚医护人员对使用远程监测 (TM) 技术管理糖尿病患者的认知和准备情况,并确定相关因素。

设计

本研究于 2020 年 2 月至 3 月采用预测试的自我管理问卷进行了一项基于机构的横断面定量调查。数据分析采用二元逻辑回归和部分比例优势模型进行因素识别。

参与者

随机抽取的 423 名研究医生和护士。

地点

本研究在贡德尔大学和提贝比·盖昂专门教学转诊医院进行。

结局测量

对 TM 在糖尿病护理中的认知和准备情况。

结果

在完成调查的 406 名医护人员(69.7%,n=283 名护士和 30.3%,n=123 名医生)中,有 345 名(38.7%)听说过 TM,在准备情况方面,有 321 名(25.1%)和 121 名(65.5%)的受访者对 TM 的准备程度分别为平均和低。回归分析结果表明,有计算机使用权限的受访者(调整后的比值比 (AOR):2.8(95%置信区间 1.1 至 7.1))、接受过计算机相关培训的受访者(AOR:4.6(95%置信区间 1.63 至 12.95))和支持患者使用数字工具的受访者(AOR:1.7(95%置信区间 1.0 至 2.8))对 TM 的认知度更高。自我认知的创新者以及有计算机使用权限、计算机相关培训和对 TM 持积极态度的受访者对使用 TM 的准备程度显著更高。

结论

本调查结果显示,参与者对 TM 的认知和准备程度较低。然而,本研究表明,需要改善参与者的态度、获得智能手机和计算机的机会以及技术技能,以填补这一空白。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c0c/8559102/7bd16c785681/bmjopen-2021-050812f01.jpg

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