关键词: Lung neoplasms Qualitative research Technology acceptance model Telemedicine

来  源:   DOI:10.1016/j.soncn.2024.151710

Abstract:
OBJECTIVE: To describe the perceptions of telehealth services among lung cancer patients in rural areas of China, as well as to explore the potential of telemedicine to improve long-term health recovery at home for rural lung cancer patients.
METHODS: A qualitative descriptive study design was used in this study and we conducted semi-structured interviews with 14 rural Chinese lung cancer patients between December 2022 and March 2023. Interview content was analyzed using Nvivo software and a framework analysis was performed using the Technology Acceptance Model to identify meaningful themes.
RESULTS: Participants identified perceptual and technical factors related to perceived ease of use, benefits and drawbacks related to perceived usefulness, and facilitators and barriers related to intention to use. However, regional and disease features including literacy barriers, medical insurance condition, symptom burden, and rural cultural health seeking behavior conduct must be taken into account.
CONCLUSIONS: Lung cancer patients in rural China believe that telehealth services could be an alternative solution for addressing health and care needs, but various aspects, such as user interface design, cost-effectiveness, and technological anxiety, need to be optimized.
CONCLUSIONS: More highly specialized nursing team, friendly telecare lung function modules, and media technology training courses should be developed for rural lung cancer patients to enhance the quality of their home care, meet their information needs and better control their disease progression.
摘要:
目的:描述中国农村肺癌患者对远程医疗服务的看法,以及探索远程医疗改善农村肺癌患者在家中长期健康恢复的潜力。
方法:本研究采用了定性描述性研究设计,我们在2022年12月至2023年3月期间对14名中国农村肺癌患者进行了半结构化访谈。使用Nvivo软件分析访谈内容,并使用技术接受模型进行框架分析以确定有意义的主题。
结果:参与者确定了与感知的易用性有关的感知和技术因素,与感知有用性相关的利弊,以及与使用意图相关的促进者和障碍。然而,区域和疾病特征,包括识字障碍,医疗保险条件,症状负担,必须考虑农村文化健康的行为。
结论:中国农村肺癌患者认为,远程医疗服务可以成为解决健康和护理需求的替代解决方案,但是各个方面,如用户界面设计,成本效益,和技术焦虑,需要优化。
结论:更高度专业化的护理团队,友好的远程护理肺功能模块,应该为农村肺癌患者开发媒体技术培训课程,以提高他们的家庭护理质量,满足他们的信息需求,更好地控制他们的疾病进展。
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