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中低收入国家医生和护士对远程医疗的认知、知识、态度及技能:一项横断面研究

Awareness, Knowledge, Attitude, and Skills of Physicians and Nurses Toward Telemedicine in a Low- and Middle-Income Country: A Cross-Sectional Study.

作者信息

Dahmardeh Kemmak Fatemeh, Marouzi Parviz, Sarbaz Masoumeh, Mousavi Baigi Seyyedeh Fatemeh, Sheykhotayefeh Mostafa, Kimiafar Khalil

机构信息

Department of Health Information Technology, School of Paramedical and Rehabilitation Sciences Mashhad University of Medical Sciences Mashhad Iran.

Student of Research Committee Mashhad University of Medical Sciences Mashhad Iran.

出版信息

Health Sci Rep. 2025 Mar 2;8(3):e70345. doi: 10.1002/hsr2.70345. eCollection 2025 Mar.

DOI:10.1002/hsr2.70345
PMID:40041783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11872803/
Abstract

BACKGROUND AND AIMS

The aim of this research is to examine the awareness, knowledge, attitude, and skills of physicians and nurses concerning telemedicine in hospitals affiliated with Zabol University of Medical Sciences, Iran.

METHODS

This cross-sectional study was carried out in 2023 among nurses and physicians employed in hospitals associated with Zabol University of Medical Sciences, Iran, utilizing a proportional stratified random sampling technique. Data collection involved a predesigned questionnaire evaluating attitudes, knowledge, awareness, and skills in telemedicine (AKAS). The questionnaire's English version underwent translation using the WHO's standard forward and backward method. The questionnaire's validity and reliability were then assessed by a panel of experts (Cronbach's  = 0.76). Descriptive and analytical data analysis was conducted using SPSS software.

RESULTS

Seventy-two nurses, 22 specialist physicians, and six general physicians participated in this research (response rate: 100%). The majority of participants (39%) demonstrated a high level of knowledge about telemedicine, while 44% had low awareness, 48% exhibited a negative attitude, and 45% showed low skills in telemedicine. The findings revealed that educational level significantly predicted participants' knowledge ( < 0.05). Furthermore, participants' awareness levels varied significantly based on educational level, computer literacy, telemedicine training, and willingness to engage in training programs ( < 0.05).

CONCLUSION

The physicians and nurses in this study exhibited a considerable level of knowledge about telemedicine. However, their awareness, attitude, and skills regarding telemedicine were found to be lacking. Accordingly, there is a necessity for educational interventions and support for physicians and nurses who are at the forefront of healthcare delivery, as well as the implementation of governmental programs to ensure adequate healthcare services and support for patients in low- to middle-income countries.

摘要

背景与目的

本研究旨在调查伊朗扎博勒医科大学附属医院的医生和护士对远程医疗的认知、知识、态度和技能。

方法

本横断面研究于2023年在伊朗扎博勒医科大学附属医院的护士和医生中进行,采用比例分层随机抽样技术。数据收集采用预先设计的问卷,评估对远程医疗的态度、知识、认知和技能(AKAS)。问卷的英文版本采用世界卫生组织的标准前后翻译法进行翻译。然后由专家小组评估问卷的效度和信度(克朗巴哈系数=0.76)。使用SPSS软件进行描述性和分析性数据分析。

结果

72名护士、22名专科医生和6名全科医生参与了本研究(回复率:100%)。大多数参与者(39%)对远程医疗表现出较高的知识水平,而44%的人认知度较低,48%的人态度消极,45%的人在远程医疗方面技能较低。研究结果表明,教育水平显著预测了参与者的知识水平(<0.05)。此外,参与者的认知水平因教育水平、计算机素养、远程医疗培训以及参与培训项目的意愿而有显著差异(<0.05)。

结论

本研究中的医生和护士对远程医疗表现出了相当程度的了解。然而,他们在远程医疗方面的认知、态度和技能仍存在不足。因此,有必要对处于医疗服务前沿的医生和护士进行教育干预和支持,并实施政府项目,以确保低收入和中等收入国家的患者能够获得足够的医疗服务和支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80e8/11872803/ef0147358cfa/HSR2-8-e70345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80e8/11872803/ef0147358cfa/HSR2-8-e70345-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80e8/11872803/ef0147358cfa/HSR2-8-e70345-g001.jpg

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Attitude, awareness, and knowledge of telemedicine among medical students: A systematic review of cross-sectional studies.医学生对远程医疗的态度、认知与知识:横断面研究的系统评价
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