School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China.
Front Public Health. 2024 Aug 13;12:1399867. doi: 10.3389/fpubh.2024.1399867. eCollection 2024.
To meet the growing health needs of older people, the Chinese government has introduced internet-based home care services. However, most rural older people have not yet benefited from such services, and the willingness to use these services and the factors influencing them remain unclear.
We aim to investigate the current willingness of rural older people to use internet-based home care services and analyze the factors.
We conducted a cross-sectional study across multiple centers using general information and self-developed questionnaires. Qualitative interviews, a literature review and the Delphi method were employed to develop the questionnaire. A total score of the questionnaire above 78 or higher indicates a high willingness to use internet-based home care services. Descriptive statistics, -tests, one-way ANOVA, and multiple linear regression were used to explore the factors that influence the willingness of rural older people to use internet-based home care services.
We surveyed 349 rural older people. The total score of rural older people's willingness to use internet-based home care services was 84.49 ± 10.88, indicating high willingness, with the highest score for the dimension of perceived usefulness and lower scores for the dimension of perceived ease of use. Multiple linear regression analysis revealed that gender, education level, residence status, number of chronic diseases, and knowledge of internet-based home care services were the most important factors for rural older people (all < 0.05).
The willingness of rural older people to use internet-based home care services is high. Thus, it is recommended that county hospitals increase public awareness of such services, optimize the design of their interfaces, and support family and social resources from relevant departments that can maximize access, so as to provide a reference for later relevant departments to enhance willingness.
为满足老年人不断增长的健康需求，中国政府推出了基于互联网的家庭护理服务。然而，大多数农村老年人尚未从中受益，他们对这些服务的使用意愿及其影响因素尚不清楚。
本研究旨在调查农村老年人目前对基于互联网的家庭护理服务的使用意愿，并分析其影响因素。
我们采用多中心横断面研究，使用一般信息和自行设计的问卷进行调查。采用定性访谈、文献回顾和德尔菲法制定问卷。问卷总分高于 78 分或以上表示对基于互联网的家庭护理服务具有较高的使用意愿。采用描述性统计分析、t 检验、单因素方差分析和多元线性回归分析来探讨影响农村老年人使用基于互联网的家庭护理服务意愿的因素。
我们共调查了 349 名农村老年人。农村老年人使用基于互联网的家庭护理服务的总意愿评分为 84.49±10.88，表明意愿较高，其中感知有用性维度得分最高，感知易用性维度得分较低。多元线性回归分析显示，性别、受教育程度、居住状况、慢性病数量和对基于互联网的家庭护理服务的了解程度是农村老年人使用意愿的最重要因素（均 P<0.05）。
农村老年人对基于互联网的家庭护理服务的使用意愿较高。因此，建议县级医院加大对此类服务的宣传力度，优化界面设计，并得到相关部门家庭和社会资源的支持，以最大限度地提高服务的可及性，为后续相关部门增强意愿提供参考。
