Department of Nursing, West China Hospital, Sichuan University/ West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Department of Nursing, West China Hospital, Sichuan University/ West China School of Nursing, Sichuan University, Chengdu, Sichuan, China; Tianfu Jincheng Laboratory, City of Future Medicine, Chengdu, Sichuan, China.
Semin Oncol Nurs. 2024 Oct;40(5):151710. doi: 10.1016/j.soncn.2024.151710. Epub 2024 Aug 8.
To describe the perceptions of telehealth services among lung cancer patients in rural areas of China, as well as to explore the potential of telemedicine to improve long-term health recovery at home for rural lung cancer patients.
A qualitative descriptive study design was used in this study and we conducted semi-structured interviews with 14 rural Chinese lung cancer patients between December 2022 and March 2023. Interview content was analyzed using Nvivo software and a framework analysis was performed using the Technology Acceptance Model to identify meaningful themes.
Participants identified perceptual and technical factors related to perceived ease of use, benefits and drawbacks related to perceived usefulness, and facilitators and barriers related to intention to use. However, regional and disease features including literacy barriers, medical insurance condition, symptom burden, and rural cultural health seeking behavior conduct must be taken into account.
Lung cancer patients in rural China believe that telehealth services could be an alternative solution for addressing health and care needs, but various aspects, such as user interface design, cost-effectiveness, and technological anxiety, need to be optimized.
More highly specialized nursing team, friendly telecare lung function modules, and media technology training courses should be developed for rural lung cancer patients to enhance the quality of their home care, meet their information needs and better control their disease progression.
描述中国农村地区肺癌患者对远程医疗服务的认知，探索远程医疗改善农村肺癌患者居家长期康复的潜力。
本研究采用定性描述性研究设计，于 2022 年 12 月至 2023 年 3 月对 14 名中国农村肺癌患者进行半结构式访谈。使用 Nvivo 软件对访谈内容进行分析，并采用技术接受模型进行框架分析，以确定有意义的主题。
参与者确定了与感知易用性相关的感知和技术因素、与感知有用性相关的优缺点，以及与使用意向相关的促进因素和障碍。但是，必须考虑到区域和疾病特征，包括文化程度障碍、医疗保险状况、症状负担和农村文化卫生寻求行为。
中国农村地区的肺癌患者认为远程医疗服务可能是解决健康和护理需求的替代方案，但需要优化用户界面设计、成本效益和技术焦虑等各个方面。
应为农村肺癌患者开发更专业的护理团队、友好的远程护理肺功能模块和媒体技术培训课程，以提高他们居家护理的质量，满足他们的信息需求，更好地控制疾病进展。
