探索姑息治疗专科护士的远程医疗准备情况及其相关因素：中国的一项横断面研究。
Exploring the telehealth readiness and its related factors among palliative care specialist nurses: a cross-sectional study in China.
机构信息
Department of Palliative care, Hunan Cancer Hospital, No.283, Tongzipo Road, Yuelu District, Changsha, 410006, Hunan, China.
School of Nursing, University of South China, No.28, Changsheng West Road, Hengyang, 421001, Hunan, China.
出版信息
BMC Palliat Care. 2023 Jun 28;22(1):82. doi: 10.1186/s12904-023-01209-1.
BACKGROUNDS
The majority of Chinese people who are nearing the end of their lives prefer to receive home-based palliative care. Telehealth, as a new service model, has the potential to meet the increasing demand for this service, especially in remote areas with limited resources. However, nurse-led telehealth-based palliative care services are still in the pilot implementation phase. Assessing the telehealth readiness among palliative care specialist nurses and identifying associated factors is crucial to facilitate the successful implementation of telehealth services. Therefore, this study aimed to examine TH readiness and its related factors among Chinese palliative care specialist nurses.
METHODS
Four hundred nine Chinese palliative care specialist nurses from 28 provinces or municipalities participated in this study between July and August 2022. The Chinese version of Telehealth Readiness Assessment Tools (TRAT-C), and Innovative Self-Efficacy Scale (ISES-C) were used to assess the degree of TH readiness and the levels of innovative self-efficacy.
RESULTS
The total score of the TRAT-C was 65.31 ± 9.09, and the total score of ISES was 29.27 ± 5.78. The statistically significant factors that influenced telehealth readiness were the experience of using telehealth platforms or services, the willingness to provide telehealth to patients, and the level of nurses' innovative self-efficacy. The innovative self-efficacy is positively correlated to telehealth readiness (r = 0.482, P < 0.01). These related factors could explain 27.3% of the difference in telehealth readiness.
CONCLUSION
The telehealth readiness of Chinese palliative care specialist nurses are at a moderate level. Measures such as providing incentives to promote nurses' innovation self-efficacy by nurse managers, and establishing a comprehensive telehealth training system for palliative care specialist nurses should be taken to facilitate the implementation of telehealth services in the field of palliative care.
背景
大多数生命末期的中国人更愿意接受家庭为基础的姑息治疗。远程医疗作为一种新的服务模式，有潜力满足这种服务不断增长的需求，尤其是在资源有限的偏远地区。然而，护士主导的远程医疗姑息治疗服务仍处于试点实施阶段。评估姑息治疗专科护士的远程医疗准备情况并确定相关因素对于促进远程医疗服务的成功实施至关重要。因此，本研究旨在调查中国姑息治疗专科护士的远程医疗准备情况及其相关因素。
方法
2022 年 7 月至 8 月，来自中国 28 个省或直辖市的 409 名姑息治疗专科护士参加了这项研究。使用远程医疗准备评估工具（TRAT-C）的中文版本和创新自我效能量表（ISES-C）评估远程医疗准备程度和创新自我效能水平。
结果
TRAT-C 的总分为 65.31±9.09，ISES 的总分为 29.27±5.78。影响远程医疗准备程度的统计学显著因素包括使用远程医疗平台或服务的经验、向患者提供远程医疗的意愿以及护士创新自我效能的水平。创新自我效能与远程医疗准备程度呈正相关（r=0.482，P<0.01）。这些相关因素可以解释远程医疗准备程度差异的 27.3%。
结论
中国姑息治疗专科护士的远程医疗准备程度处于中等水平。应该采取措施，如护士管理者通过激励措施促进护士的创新自我效能，为姑息治疗专科护士建立全面的远程医疗培训体系，以促进远程医疗服务在姑息治疗领域的实施。
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