影响残疾老年人家庭照顾者对远程医疗偏好的因素：一项定性研究。

Factors that influence the preferences for telehealth among family caregivers of disabled elders: a qualitative study.

作者信息

Guan Lina, Zhang Guijuan, Yi Yuyang, Liang Yaqin, Zou Xiaochun, Guan Bingsheng, Chen Yanya, Ming Wai-Kit

机构信息

School of Nursing, Jinan University, Guangzhou, PR China.

Department of Infectious Diseases and Public Health, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, PR China.

出版信息

Int J Nurs Stud Adv. 2025 May 21;8:100351. doi: 10.1016/j.ijnsa.2025.100351. eCollection 2025 Jun.

DOI:10.1016/j.ijnsa.2025.100351

PMID:40510461

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12159952/

Abstract

BACKGROUND

Family caregivers of the disabled elderly lack adequate support in their caregiving process. Telehealth has significantly alleviated the burden on family caregivers, both subjectively and objectively. It is currently utilized in family care settings for various populations, including disabled elderly individuals and children. Nevertheless, the use of telehealth among family caregivers for disabled elderly people is limited, and the factors that affect this phenomenon are not yet fully understood.

OBJECTIVE

The goal of this qualitative research was to explore the factors affecting family caregivers' preferences regarding telehealth services for disabled elderly individuals.

METHODS

This qualitative research employed semi-structured interviews. Four focus group interviews were conducted with 20 family caregivers of disabled older people. Interviews were recorded and transcribed verbatim. The results were analyzed through thematic content analysis.

RESULTS

The study found that there were two main factors influencing preferences: barriers of carergivers' use of telehealth, and facilitators of carergivers' use of telehealth. Barriers of carergivers' use of telehealth included learning capacity, acceptance of telehealth, differences in treatment modalities, health self-management capability, habituation to medical care, job, cost, limitations, operation experience, quality of care in nursing homes, convenience of medical treatment and popularisation. Facilitators of carergivers' use of telehealth included convenience and professionalism and authority of healthcare professionals.

CONCLUSIONS

This study identified a series of factors that appear to influence the preference of family caregivers of elderly individuals with disabilities for telehealth in the context of conducting home care. These factors should be considered when designing and developing telehealth for conducting home care.

摘要

背景

残疾老年人的家庭照顾者在照顾过程中缺乏足够的支持。远程医疗在主观和客观上都显著减轻了家庭照顾者的负担。目前，它被用于包括残疾老年人和儿童在内的各类人群的家庭护理环境中。然而，残疾老年人家庭照顾者对远程医疗的使用有限，影响这一现象的因素尚未完全明确。

目的

本定性研究的目的是探索影响残疾老年人家庭照顾者对远程医疗服务偏好的因素。

方法

本定性研究采用半结构式访谈。对20名残疾老年人的家庭照顾者进行了4次焦点小组访谈。访谈进行了录音，并逐字转录。结果通过主题内容分析进行分析。

结果

研究发现有两个主要因素影响偏好：照顾者使用远程医疗的障碍，以及照顾者使用远程医疗的促进因素。照顾者使用远程医疗的障碍包括学习能力、对远程医疗的接受度、治疗方式差异、健康自我管理能力、就医习惯、工作、成本限制、操作经验、养老院护理质量、就医便利性和普及程度。照顾者使用远程医疗的促进因素包括便利性以及医疗保健专业人员的专业性和权威性。