移动医疗程序在老年乳腺癌患者健康管理中的适老化分析

doi:10.3761/j.issn.1672-9234.2022.12.002

摘要/Abstract

摘要：

目的调查上海市某移动医疗程序在老年乳腺癌患者中的使用现状，并对其进行适老化评价，为开发符合老年患者特征的适老化移动医疗程序提供参考。方法采用混合研究方法，调查乳腺外科236例老年乳腺癌患者对某移动程序的使用情况，并采用系统可用性量表对老年乳腺癌患者进行问卷调查；对13例使用移动医疗程序的老年乳腺癌患者进行半结构式访谈。结果 122例（51.69%）患者未使用过该移动医疗应用程序，64例（27.12%）患者是由家属协助使用，仅50例（21.19%）患者表示使用过该程序。不使用的原因主要是不知晓移动医疗应用程序（88例）、不会使用（76例）等。Logistic回归分析显示，文化程度、照顾者类型、治疗阶段是老年乳腺癌患者使用移动医疗性程序的独立影响因素（P<0.05）。该应用程序系统可用性量表总分为（58.05±13.97）分。通过对13例老年乳腺癌患者质性访谈得出2个主题5个亚主题：应用程序使用的有益体验（平台功能全面，方便实用；科普内容针对性强，可信度高）；应用程序存在的不足及改进意见（操作方式需改进，增加交互性设计；程序界面需适老化改进；情感关联一体化）。结论老年乳腺癌患者对现有应用程序的关注度不高，移动医疗程序在老年乳腺癌患者中系统可用性较低，程序的操作、界面等的适老化水平较低，需根据老年特点对该应用程序进行适老化改进。

关键词: 老年人, 乳腺肿瘤, 软件, 横断面研究, 定性研究, 适老化

Abstract:

Objective To investigate the current status and to evaluate the usability of the ehealth applications in older patients with breast cancer. Methods A mixed method was used in the study. We investigated the usage of mobile programs among 236 older patients with breast cancer and the System Usability Scale was further used. In addition，semi-structured interviews were conducted with 13 older patients with breast cancer who used mobile medical programs. Results A total of 122 patients（51.69%） did not use the ehealth application，64 patients（27.12%） were assisted by family members，and only 50 patients（21.19%） reported that they used it. The reasons that older adults did not use mobile programs included having no knowledge of these medical programs applications （n=88） and being not able to use（n=76）. Logistic regression analysis showed that the education level，type of caregiver，and stage of treatment were independent factors of the use of the ehealth applications in older patients with breast cancer（P<0.05）. The total score of the App System Usability Scale was（58.05±13.97）. Two themes and five sub-themes emerged from the interview data：positive experience of App use（comprehensive platform functions，convenience and practicality，targeted and credible scientific contents）；limitations of the App and suggestions for improvement（operation methods need to be improved，more interactive design，the program interface needs to be improved for aging，and the integration of emotional support）. Conclusion Older patients with breast cancer do not pay much attention to the existing applications，and the system usability of the mobile medical application among them is low. The operation level and interface of the applications are low. The application needs to be improved according to the characteristics of the older adults.

Key words: Aged, Breast Neoplasms, Software, Cross-Sectional Studies, Qualitative Research, Usabitity in older patients

王苏醒, 张恩铭, 崔佳嵩, 戴正悦, 沈逸潇, 方琼. 移动医疗程序在老年乳腺癌患者健康管理中的适老化分析[J]. 中华护理教育, 2022, 19(12): 1067-1072.

WANG Suxing, ZHANG Enming, CUI Jiasong, DAI Zhengyue, SHEN Yixiao, FANG Qiong. The current status and usability evaluation of the ehealth applications in older patients with breast cancer[J]. Chinese Journal of Nursing Education, 2022, 19(12): 1067-1072.

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