Department of Rheumatology and Immunology, The First Affiliated Hospital of Chengdu Medical College, Chengdu, China.
Department of Nursing, The Third People's Hospital of Chengdu & The Affiliated Hospital of Southwest Jiaotong University, Chengdu, China.
J Clin Nurs. 2023 Oct;32(19-20):7298-7309. doi: 10.1111/jocn.16805. Epub 2023 Jun 19.
This study aimed to determine the relationship between the demand for telenursing and the chronic illness resources available to patients with type 2 diabetes mellitus (T2DM), as well as the factors that affect this requirement.
Cross-sectional.
This study included 586 participants with T2DM. A telenursing needs questionnaire developed by the research team was used to assess the telenursing needs of patients with T2DM, and the Chinese version of the Chronic Illness Resources Survey was used to assess the participants' community chronic disease resources. A one-way ANOVA and multiple regression analysis were used to determine the factors influencing the demand for telenursing and to estimate the relationship between chronic illness resources and the need for telenursing. The STROBE checklist was followed.
The patients' telenursing needs, ranked from high to low, are as follows: individualized skills and safety; basic disease care; psychological and spiritual needs; respect and social support; and high-level health management. The chronic disease resource score was 3.47 ± .02, which suggested that patients with T2DM have relatively rich disease resources. Multiple regression analyses showed that resources for chronic diseases, the course of diabetes and complications, family income and other chronic diseases accounted for 79.6% of the variance in T2DM patients' telenursing needs.
The telenursing needs of patients with T2DM are prominent, and primarily focus on basic nursing needs for the disease. To some extent, chronic disease resources affect the telenursing needs of patients with T2DM.
It is crucial to pay attention to research on telenursing for T2DM patients from the patients' perspective. Enhancing resources for chronic diseases may help meet the telenursing needs of T2DM patients.
Parents and diabetes management specialists participated in designing the telenursing needs questionnaire.
本研究旨在确定 2 型糖尿病（T2DM）患者的远程护理需求与慢性病资源之间的关系，以及影响这种需求的因素。
横断面研究。
本研究纳入了 586 名 T2DM 患者。使用研究团队开发的远程护理需求问卷评估 T2DM 患者的远程护理需求，使用慢性病资源调查中文版评估参与者的社区慢性病资源。采用单因素方差分析和多元回归分析确定影响远程护理需求的因素，并估计慢性病资源与远程护理需求之间的关系。本研究遵循 STROBE 清单。
患者的远程护理需求从高到低依次为：个性化技能和安全；基础疾病护理；心理和精神需求；尊重和社会支持；以及高水平的健康管理。慢性病资源评分得分为 3.47±.02，这表明 T2DM 患者的疾病资源相对丰富。多元回归分析显示，慢性病资源、糖尿病病程及并发症、家庭收入及其他慢性病占 T2DM 患者远程护理需求的 79.6%。
T2DM 患者的远程护理需求突出，主要集中在疾病的基本护理需求上。在一定程度上，慢性病资源影响 T2DM 患者的远程护理需求。
关注从患者角度出发的 T2DM 患者远程护理研究至关重要。增强慢性病资源可能有助于满足 T2DM 患者的远程护理需求。
家长和糖尿病管理专家参与了远程护理需求问卷的设计。
