Kassaw Mitiku, Amare Getasew, Shitu Kegnie, Tilahun Binyam, Assaye Bayou Tilahun
Department of Health Informatics, College of Medicine and Health Science, Debre Markos University, Debre Markos, Ethiopia.
Department of Health System and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
Front Digit Health. 2024 Sep 17;6:1437134. doi: 10.3389/fdgth.2024.1437134. eCollection 2024.
Currently, mortality by non-communicable diseases is increasing alarmingly. They account for approximately 35 million deaths each year, of which 14% are due to cardiovascular disease and 9.2% occur in Africa. Patients do not have access to healthcare services outside the healthcare setting, resulting in missed follow-ups and appointments and adverse outcomes. This study aimed to assess the willingness to use remote monitoring among cardiovascular patients in a resource-limited setting in Ethiopia.
An institution-based cross-sectional study was conducted from April to June 2021 among cardiovascular patients at referral hospitals in Ethiopia. A structured interview questionnaire was used to collect the data. A systematic random sampling technique was used to select 397 study participants. Binary and multivariable logistic regression analyses were employed and a 95% confidence level with a -value <0.05 was used to determine the level of association between variables.
In total, 81.61% of the study participants were willing to use remote patient monitoring [95% confidence interval (CI) = 77.4%-85.1%]. Age [adjusted odds ratio (AOR) = 0.94; 95% CI: 0.90-0.98], having a mobile phone (AOR = 5.70; 95% CI: 1.86-17.22), and perceived usefulness (AOR = 1.50; 95% CI: 1.18-1.82) were significantly associated with willingness to use remote patient monitoring among cardiovascular patients.
Cardiovascular patients had a high willingness to use remote patient monitoring. Age, perceived usefulness of remote patient monitoring, and having a mobile phone were significantly associated with a willingness to use remote patient monitoring.
目前，非传染性疾病导致的死亡率正以惊人的速度上升。这些疾病每年造成约3500万人死亡，其中14% 死于心血管疾病，9.2% 的死亡发生在非洲。患者无法在医疗机构之外获得医疗服务，导致随访和预约错过以及不良后果。本研究旨在评估埃塞俄比亚资源有限环境中心血管疾病患者使用远程监测的意愿。
2021年4月至6月在埃塞俄比亚转诊医院对心血管疾病患者进行了一项基于机构的横断面研究。使用结构化访谈问卷收集数据。采用系统随机抽样技术选取397名研究参与者。采用二元和多变量逻辑回归分析，以95% 的置信水平和P值<0.05来确定变量之间的关联程度。
总体而言，81.61% 的研究参与者愿意使用远程患者监测 [95% 置信区间 (CI) = 77.4%-85.1%]。年龄 [调整优势比 (AOR) = 0.94；95% CI：0.90-0.98]、拥有手机 (AOR = 5.70；95% CI：1.86-17.22) 以及感知有用性 (AOR = 1.50；95% CI：1.18-1.82) 与心血管疾病患者使用远程患者监测的意愿显著相关。
心血管疾病患者使用远程患者监测的意愿较高。年龄、远程患者监测的感知有用性以及拥有手机与使用远程患者监测的意愿显著相关。
