Ma Guiyuan, Hou Jianmei, Peng Sha, Luo Lingxia, Xu Ran, Liu Yanhui, Fan Yuhua, Shi Zhengkun, Zhang Cailan, Zhang Jinghui
Teaching and Research Section of Clinical Nursing, Xiangya Hospital of Central South University, Changsha, People's Republic of China.
Xiangya School of Nursing, Central South University, Changsha, People's Republic of China.
Risk Manag Healthc Policy. 2022 Jul 22;15:1395-1405. doi: 10.2147/RMHP.S367412. eCollection 2022.
The present study aimed to investigate nurses' willingness and demand for Internet +home care services in different levels of hospitals in China and analyze the influencing factors.
From October 1 to December 31, 2021, 5714 nurses from 15 hospitals in five regions of China were recruited in this cross-sectional study using a two-stage random sampling method. A self-designed questionnaire with good reliability and validity was used to measure nurses' willingness and demand for Internet +home care services. test, Welch -test, and multiple linear regression analyses were used to analyze the data.
Nurses were highly willing to provide Internet +home care services. Statistical differences were found in the willingness to provide Internet +home care services and the preference for service distance, service platform, and single service fee between nurses in different levels of hospitals (both P<0.05). The willingness to provide "catheter maintenance service" and "rehabilitation nursing service" of nurses in different levels of hospitals were statistically significant (both P<0.05). Nurses' demand for Internet +home care services increased with the level of their hospital. Multiple linear regression showed that professional title, educational level, monthly family income, and mortgage or car loan influence nurses' demand for Internet +home care services.
Nurses' willingness and demand for Internet +home care services vary with the level of their hospitals. It is recommended that government and hospitals regulate the service items, the service distance, single service fee, and other contents according to nurses' willingness and demand and establish relevant laws and regulations to ensure the steady and orderly development of the Internet +home care services.
本研究旨在调查中国不同级别医院护士对互联网+居家护理服务的意愿和需求,并分析影响因素。
2021年10月1日至12月31日,采用两阶段随机抽样方法,在中国五个地区的15所医院招募了5714名护士进行这项横断面研究。使用一份自行设计的具有良好信效度的问卷来测量护士对互联网+居家护理服务的意愿和需求。采用t检验、韦尔奇检验和多重线性回归分析对数据进行分析。
护士对提供互联网+居家护理服务的意愿较高。不同级别医院的护士在提供互联网+居家护理服务的意愿以及对服务距离、服务平台和单项服务费的偏好方面存在统计学差异(均P<0.05)。不同级别医院护士提供“导管维护服务”和“康复护理服务”的意愿具有统计学意义(均P<0.05)。护士对互联网+居家护理服务的需求随医院级别升高而增加。多重线性回归显示,职称、学历、家庭月收入以及房贷或车贷影响护士对互联网+居家护理服务的需求。
护士对互联网+居家护理服务的意愿和需求因医院级别而异。建议政府和医院根据护士的意愿和需求规范服务项目、服务距离、单项服务费等内容,并制定相关法律法规,以确保互联网+居家护理服务平稳有序发展。