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埃塞俄比亚西北部巴赫达尔市公立医院护士和医生使用远程监测进行慢性病管理的意愿及其相关因素:采用改良的UTAUT2模型

Intention to use telemonitoring for chronic illness management and its associated factors among nurses and physicians at public hospitals in Bahir Dar, northwest Ethiopia: using a modified UTAUT2 model.

作者信息

Alameraw Temesgen Ayenew, Asemahagn Mulusew Andualem, Gashu Kassahun Dessie, Walle Agmasie Damtew, Kelkay Jenberu Mekurianew, Mitiku Abebaw Belew, Dube Geleta Nenko, Guadie Habtamu Alganeh

机构信息

Department of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Arba Minch University, Arba Minch, Ethiopia.

Department of Health System Management and Health Economics, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

Front Health Serv. 2025 Mar 6;5:1460077. doi: 10.3389/frhs.2025.1460077. eCollection 2025.

DOI:10.3389/frhs.2025.1460077
PMID:40115328
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11923627/
Abstract

BACKGROUND

Patients with chronic illnesses need to take care of themselves and seek ongoing medical attention. By using technology, telemonitoring can minimize hospitalization and care costs, while increasing professional productivity, providing constant medical attention and enhancing patient self-care management. Despite all these advantages, nothing is known regarding the intentions of Ethiopian professionals and nurses to adopt telemonitoring technologies. Therefore, the purpose of this study is to evaluate the telemonitoring intention of Ethiopian professionals and nurses, as well as the factors related to it.

METHODS

A total of 781 randomly chosen nurses and physicians who worked at public hospitals in Bahir Dar City, northwest Ethiopia, participated in a cross-sectional survey. To give everyone an opportunity, the sample size was distributed equitably among the hospitals and the profession according to staffing numbers. The sample was obtained using a simple random sampling technique. Data were gathered by skilled data collectors utilizing a self-administered questionnaire. For additional cleaning and descriptive statistical analysis, the data were imported into EpiData version 4.6 and exported to Statistical Package for Social Science version 25. Analysis of Moment Structure version 23 structural equation modeling was used to ascertain the degree of the association between the variables.

RESULT

The response rate was 732/781 (93.7%), with 55.7% (408/732) of the participants being men and two-thirds (67.6%, 495/732) being nurses. About 55.9% [95% confidence interval (CI): 52.3-59.6] of respondents intended to use telemonitoring. The desire to employ telemonitoring is positively impacted by performance expectancy ( = 0.375, 95% CI: 0.258-0.494), effort expectancy ( = 0.158, 95% CI: 0.058-0.252), facilitating condition ( = 0.255, 95% CI: 0.144-0.368), and habit ( = 0.147, 95% CI: 0.059-0.233). Age and gender positively affected the link between effort expectancy and intention to employ telemonitoring. It was discovered that being young and male has a beneficial relationship impact. Age positively moderated the association between the intention to use telemonitoring and the facilitating conditions, and adults were strongly linked with the relationship.

CONCLUSION

In Bahir Dar City public hospitals, over half of the doctors and nurses have the intention to use telemonitoring. Predictive indicators of intention to utilize telemonitoring that were statistically significant were performance expectancy, effort expectancy, facilitating condition, and habit.

摘要

背景

慢性病患者需要自我照顾并持续寻求医疗关注。通过使用技术,远程监测可以最大限度地减少住院和护理成本,同时提高专业人员的工作效率,提供持续的医疗关注并加强患者的自我护理管理。尽管有这些优点,但对于埃塞俄比亚专业人员和护士采用远程监测技术的意愿却一无所知。因此,本研究的目的是评估埃塞俄比亚专业人员和护士的远程监测意愿及其相关因素。

方法

共有781名在埃塞俄比亚西北部巴赫达尔市公立医院工作的护士和医生被随机选中参与一项横断面调查。为了给每个人机会,样本量根据人员配备数量在医院和专业之间公平分配。样本采用简单随机抽样技术获得。数据由熟练的数据收集者使用自填式问卷收集。为了进行进一步的清理和描述性统计分析,数据被导入EpiData 4.6版本并导出到社会科学统计软件包25版本。使用结构方程模型分析23版本来确定变量之间的关联程度。

结果

回复率为732/781(93.7%),参与者中55.7%(408/732)为男性,三分之二(67.6%,495/732)为护士。约55.9%[95%置信区间(CI):52.3 - 59.6]的受访者有意使用远程监测。使用远程监测的意愿受到绩效期望(β = 0.375,95% CI:0.258 - 0.494)、努力期望(β = 0.158,95% CI:0.058 - 0.252)、便利条件(β = 0.255,95% CI:0.144 - 0.368)和习惯(β = 0.147,95% CI:0.059 - 0.233)的积极影响。年龄和性别对努力期望与使用远程监测意愿之间的联系有积极影响。发现年轻男性具有有益的关系影响。年龄对使用远程监测意愿与便利条件之间的关联有正向调节作用,成年人与该关系紧密相关。

结论

在巴赫达尔市公立医院,超过一半的医生和护士有意使用远程监测。使用远程监测意愿的具有统计学意义的预测指标是绩效期望、努力期望、便利条件和习惯。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/f92036a91946/frhs-05-1460077-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/c44dc77b0dd9/frhs-05-1460077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/c2ae80193412/frhs-05-1460077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/d304bbfd454b/frhs-05-1460077-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/f92036a91946/frhs-05-1460077-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/c44dc77b0dd9/frhs-05-1460077-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/c2ae80193412/frhs-05-1460077-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/d304bbfd454b/frhs-05-1460077-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd2f/11923627/f92036a91946/frhs-05-1460077-g004.jpg

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