中国住院医师参与互联网+护理服务的意愿与认知：一项荟萃分析。

Residents' willingness and awareness to participate in internet+nursing service in China: A meta-analysis.

作者信息

Xu Xiaotao, Li Nan, Gao Fang, Wen Xianxiu, Zhang Qin, Hu Rong, Wang Yun, Xiao Li

机构信息

Department of Geriatric Respiratory Nursing, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.

School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, China.

出版信息

Medicine (Baltimore). 2025 Jan 10;104(2):e41219. doi: 10.1097/MD.0000000000041219.

DOI:10.1097/MD.0000000000041219

PMID:39792730

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11730112/

Abstract

BACKGROUND

The internet + nursing service is an important initiative for implementing the strategy of healthy China and actively responding to the aging of the population. However, the current literature on residents' awareness and willingness to participate is insufficient and presents large variations and limitations. Therefore, this study aims to systematically evaluate the awareness and willingness of Chinese residents to participate in internet + nursing service to comprehensively understand the level of awareness and acceptance of this emerging service model among Chinese residents and to provide strong support for relevant policy formulation and service optimization.

METHODS

The PubMed, Embase, Cochrane Library, Web of Science, CNKI, WanFang Data, SinoMed, and VIP databases were electronically searched to collect cross-sectional studies related to the awareness and willingness of Chinese residents to participate in internet + nursing service from inception to January 2024. Two reviewers independently screened the literature, extracted the data, and assessed the risk of bias of the included studies.

RESULTS

A total of 27 cross-sectional studies involving 11,761 subjects were included. The results of the meta-analysis showed that the percentage of Chinese residents willing to participate in internet + nursing service was 76.3% (95% CI [71.2%, 81.3%]). The results of the subgroup analysis showed that residents who lived in Western regions (82.1%), had employee medical insurance (85.9%), were suffering from other diseases (89.2%), were under the age of 60 (87.8%), were not married (78.9%), and had an undergraduate degree or above (85.5%) had a relatively high willingness to participate in internet + nursing service. The rate of awareness of internet + nursing service among Chinese residents was 48.6% (95% CI [24.1%, 73.2%]), which shows a downwards trend over time (67.4% in 2019, 56.1% in 2020, and 45.1% in 2021).

CONCLUSION

The willingness to participate in internet + nursing service among Chinese residents is high, but the awareness rate is low. It is necessary to improve the awareness and willingness of Chinese residents to use internet + nursing service through various channels and aspects of publicity and promotion to achieve the goal of innovating the health service model, accurately connecting with the diverse health needs of people, and actively responding to the aging population.

摘要

背景

“互联网 + 护理服务”是实施健康中国战略、积极应对人口老龄化的一项重要举措。然而，目前关于居民认知度和参与意愿的文献不足，且存在较大差异和局限性。因此，本研究旨在系统评价我国居民对“互联网 + 护理服务”的认知度和参与意愿，以全面了解我国居民对这一新兴服务模式的认知水平和接受程度，为相关政策制定和服务优化提供有力支持。

方法

通过电子检索PubMed、Embase、Cochrane图书馆、Web of Science、中国知网、万方数据、中国生物医学文献数据库和维普数据库，收集自起始至2024年1月与我国居民对“互联网 + 护理服务”的认知度和参与意愿相关的横断面研究。两名研究者独立筛选文献、提取数据并评估纳入研究的偏倚风险。

结果

共纳入27项横断面研究，涉及11761名受试者。Meta分析结果显示，我国居民愿意参与“互联网 + 护理服务”的比例为76.3%（95%CI[71.2%，81.3%]）。亚组分析结果显示，居住在西部地区（82.1%）、拥有职工医疗保险（85.9%）、患有其他疾病（89.2%）、年龄在60岁以下（87.8%）、未婚（78.9%）以及本科及以上学历（85.5%）的居民参与“互联网 + 护理服务”的意愿相对较高。我国居民对“互联网 + 护理服务”的知晓率为48.6%（95%CI[24.1%，73.2%]），且呈随时间下降趋势（2019年为67.4%，2020年为56.1%，2021年为45.1%）。