Usage rate and Influencing Factor of Internet + Nursing for homebound
older patients with chronic illness
Abstract
Abstract Aims and Objectives :The purpose of this paper is to
investigate the current state of internet+ nursing for homebound older
adults with Chronic illness Background: The prevalence of chronic
disease is high, but the usage rate of internet + nursing for homebound
older patients is suboptimal in China. Internet+ nursing aims to
maximize olders’ quality of life. However, the service quality does not
match this. Design: This is a cross-sectional observational study.
Methods:A general information questionnaire and an Internet + nursing
questionnaire were developed, and 738 older with chronic illness from
six general hospitals in Zhejiang were randomly sampled and
statistically analyzed. This study was conducted according to the STROBE
guideline. Rresults : Overall, 287 people (38.92 %) were aware of
Internet + nursing, with 132 (17.89 percent) having used Internet +
nursing; 286 people (63.42 %) did not use internet + nursing. 63.42%
were unaware of it, and 43.9 % had no idea how to use a smartphone.
There is a high demand for “Internet+” nursing .Some factors, such as
degree of education, Number of hospitalizations, Course of disease,
Income level, contracted family doctor service, training received, and
smartphone use, which have a statistically significant effect on the use
of Internet + nursing. Conclusions: there is a high demand as well as
low usage rate of Internet + nursing for older patients, and a mismatch
between supply and demand. Relevance to Clinical Practice: Regulation
and policy reforms are needed to optimize the discharge planning ,and
develop high-quality “Internet+” continuous care for older adults with
chronic illness. Patient or Public Contribution: Older patients with
chronic diseases and registered nurses participated in the surveys of
this study. Registered nurses facilitated community-based family doctor
contracting by identifying and introducing the study to patients who
were eligible for study participation.