患者和医疗保健提供者对老年慢性阻塞性肺疾病患者慢性病管理中远程医疗和在线健康信息使用的看法和体验：一项定性研究。
Patients' and healthcare providers' perceptions and experiences of telehealth use and online health information use in chronic disease management for older patients with chronic obstructive pulmonary disease: a qualitative study.
机构信息
Research office of chronic disease management and rehabilitation, Wuxi School of Medicine, Jiangnan University, No. 1800 Lihu Avenue, Wuxi, 214122, Jiangsu Province, China.
Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, 214122, Jiangsu Province, China.
出版信息
BMC Geriatr. 2022 Jan 3;22(1):9. doi: 10.1186/s12877-021-02702-z.
BACKGROUND
Telehealth and online health information provide patients with increased access to healthcare services and health information in chronic disease management of older patients with chronic diseases, addressing the challenge of inadequate health resources and promoting active and informed participation of older patients in chronic disease management. There are few qualitative studies on the application of telehealth and online health information to chronic disease management in older patients. Chronic obstructive pulmonary disease is one of the most common chronic diseases in older adults. Telehealth is widely used in the management of chronic obstructive pulmonary disease. The purpose of this study was to explore the perceptions and experiences of older patients and healthcare providers in the application of telehealth and online health information to chronic disease management of chronic obstructive pulmonary disease.
METHODS
A qualitative descriptive study with data generated from 52 individual semi-structured interviews with 29 patients [Law of the People's Republic of China on the protection of the rights and interests of older people (2018 Revised Version) = >60 years old] with chronic obstructive pulmonary disease and 23 healthcare providers. The inductive thematic analysis method was used for data analysis.
RESULTS
Four themes and 16 sub-themes were identified in this study. Four themes included: faced with a vast amount of online health information, essential competencies and personality traits ensuring older patients' participation and sustained use, user experience with the use of technology, being in a complex social context.
CONCLUSION
The ability of patients to understand health information should be fully considered while facilitating access to online health information for older patients. The role of health responsibility and user experience in older patients' participation and sustained use of telehealth and online health information needs to be emphasised. In addition, the complex social context is a determining factor to be considered, particularly the complex impact of a reliance on offspring and social prejudice on the behaviour of older adults using telehealth and online health information.
背景
远程医疗和在线健康信息为慢性病管理中的老年慢性病患者提供了更多获取医疗服务和健康信息的机会，解决了卫生资源不足的问题，促进了老年患者积极、知情地参与慢性病管理。关于远程医疗和在线健康信息在老年慢性病患者慢性病管理中的应用，定性研究较少。慢性阻塞性肺疾病是老年人最常见的慢性病之一。远程医疗在慢性阻塞性肺疾病的管理中得到了广泛的应用。本研究旨在探讨老年患者和医疗保健提供者对远程医疗和在线健康信息在慢性阻塞性肺疾病慢性病管理中的应用的看法和经验。
方法
采用定性描述性研究方法，对 29 名患有慢性阻塞性肺疾病的老年患者（《中华人民共和国老年人权益保障法（2018 年修订版）》 = >60 岁）和 23 名医疗保健提供者进行了 52 次个体半结构化访谈，生成数据。采用归纳主题分析方法进行数据分析。
结果
本研究确定了四个主题和 16 个子主题。四个主题包括：面对大量的在线健康信息，确保老年患者参与和持续使用的基本能力和个性特征、患者使用技术的用户体验、处于复杂的社会环境中。
结论
在为老年患者提供在线健康信息时，应充分考虑患者理解健康信息的能力。需要强调健康责任和用户体验在老年患者参与和持续使用远程医疗和在线健康信息中的作用。此外，复杂的社会环境是一个需要考虑的决定因素，特别是对老年人使用远程医疗和在线健康信息的行为产生复杂影响的子女依赖和社会偏见。
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