我国护士从事“互联网+护理服务”意愿率及影响因素的Meta分析
发布人：yaot 发布时间：2023/5/8 16:27:13 浏览次数：679次
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】——杨雨菡 许思怡 詹立睿 蔡文妍 蒙小琴 张紫薇 曾冬阳
【摘要】目的 了解我国护士从事“互联网+护理服务”意愿率及影响因素，为“互联网+护理服务”开展提供参考。方法 计算机检索PubMed、the Cochrane Library、Web of Science、EMbase、CBM、中国知网、万方和维普等数据库建库至2022年5月我国护士从事“互联网+护理服务”意愿率及影响因素的横断面研究。由两名成员独立筛选文献，提取资料，评价文献质量。采用RevMan 5.4及Stata 16.0软件进行Meta分析。结果 纳入16篇文献，涉及40 017名护士。Meta分析结果显示，我国护士从事“互联网+护理服务”意愿率为61%［95%CI（0.50～0.72）］。增加工作灵活性和自主性、实现自我价值、子女、收入、性别、人身纠纷、基础认知、年龄、职称、工作年限、专科护士证书持有情况、帮助更多患者、本职工作繁重是影响护士从事“互联网+护理服务”意愿的影响因素。结论 我国护士从事“互联网+护理服务”意愿率仍有提升空间且影响因素较多，应制定针对性改进措施，以推动“互联网＋护理服务”发展。
【关键词】“互联网+护理服务”；护士；意愿；影响因素； Meta分析
中图分类号：R47文献标识码：A
Meta-Analysis of Willingness Rate of Chinese Nurses to Engage in "Internet + Nursing Service" and Its Influencing Factors/YANG Yuhan,XU Siyi,ZHAN Lirui,et al.//Chinese Health Quality Management，2023,30(4):52-56
Abstract Objective To investigate the willingness rate and influence factors of nurses engaged in "Internet + nursing services", and provide reference for the development of "Internet + nursing services".Methods A cross-sectional study on the willingness rate of Chinese nurses to engage in "Internet + nursing service" and its influencing factors was conducted by searching PubMed, the Cochrane Library, Web of Science, EMbase, CBM, CNKI, Wanfang and VIP databases until May 2022. Two researchers independently screened the literature, extracted the data and evaluated the quality of the literature. Meta-analysis was performed using RevMan 5.4 and Stata 16.0 software.Results Sixteen literatures were included, involving 40 017 nurses. The results showed that the willingness rate of Chinese nurses to engage in "Internet + nursing services" was 61% ［95%CI (0.50~0.72)］. Increasing work flexibility and autonomy, realizing self-worth, children, income, gender, personal disputes, basic cognition, age, professional title, years of work, holding of specialist nurse certificate, helping more patients, and heavy work were the factors affecting nurses' willingness to engage in "Internet + nursing services".Conclusion The willingness rate of nurses engaged in "Internet + nursing services" in our country still has room to be improved and there are many influencing factors. Targeted improvement measures should be formulated to promote the development of "Internet + nursing services".
Key words "Internet + Nursing Service"; Nurses; Willingness; Influencing Factors; Meta-Analysis
Firstauthor's address Hainan Medical College, Haikou,Hainan,571199,China
“互联网+护理服务”是指医院利用在该机构注册的护士，依托互联网等信息技术，以“线上申请、线下服务”为主要模式，为出院患者或罹患疾病且行动不便的特殊人群提供的护理服务［1］。该模式打破了传统护理服务在空间及时间上的限制，有利于优化护理人力资源配置，扩大服务供给［1］。了解护士从事“互联网+护理服务”的意愿及影响因素，对进一步推动“互联网+护理服务”发展具有重要意义。已有较多研究［2-4］探讨护士从事“互联网+护理服务”意愿及影响因素，但结果差异较大。本研究对我国护士从事“互联网+护理服务”意愿率及影响因素进行Meta分析，以期为“互联网+护理服务”发展提供参考。
1资料与方法
1.1检索策略
课题组成员检索PubMed、the Cochrane Library、Web of Science、EMbase、中国生物医学文献数据库（CBM）、中国知网期刊数据库(CNKI)、万方数据库（Wanfang Data）和维普中文科技期刊数据库（VIP）中关于我国护士从事“互联网+护理服务”意愿及影响因素的研究，并补充检索相关研究的参考文献。检索时间为建库至2022年5月，检索语言为中文和英文,检索式采用主题词与自由词相结合方式，中文检索词包括“互联网+护理” “网约护理” “上门护理服务” “共享护理” “影响因素”“相关因素” “横断面研究”等，英文检索词包括 “home health nursing” “home health” “home health care nursing” “relative risk” “cross-sectional studies”等。
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