孕妇健康管理类App需求及其影响因素分析

发布时间：2018-08-22 08:45

【摘要】：目的:良好的孕期健康管理是优生优育的关键,对减少孕产妇死亡亦具有重要作用。随着移动医疗的发展,孕妇可通过App获取若干健康管理服务,孕妇健康管理类App逐渐成为促进孕妇健康管理的一种新工具。本研究通过对孕妇健康管理类App相关情况的调查,了解孕妇对健康管理类App的使用、需求情况和对社区健康管理的认知情况并分别探讨三者的主要影响因素,从孕妇、App开发设计、社区、政府等角度提出完善孕妇健康管理服务的建议。方法:采用文献检索法描述国内外基于移动医疗的孕妇健康管理研究进展及关注热点,总结归纳其研究概况及发展方向,为本课题的研究方案设计提供依据;采用分层随机抽样方法对孕妇健康管理类App需求现状进行调查;采用描述性分析、t检验、卡方检验、方差分析、二元logistic回归分析、多重线性回归分析等方法进行统计分析。结果:1.被调查孕妇中,使用健康管理类App 507例,占78.6%,未使用健康管理类App 138例,占21.4%,使用率较高;对孕期社区健康管理认知度调查中,高认知度248例,占38.5%,低认知度397例,占61.6%,认知度普遍不高;对健康管理类App需求情况调查中,需要健康管理类App 557例,占86.4%,不需要健康管理类App 88例,占13.6%,需求率较高。2.在孕妇对健康管理类App使用情况的单因素分析中,不同年龄、胎数、上网时间、社区健康管理认知度、自身健康需求的孕妇对健康管理类App使用情况差异均有统计学意义;3.在孕妇对社区健康管理认知的单因素分析中,不同胎数的孕妇对社区健康管理认知差异具有统计学意义;4.在孕妇对健康管理类App需求情况的单因素分析中,不同户籍、胎数、年龄、文化程度、上网时长、自身健康管理需求、使用情况、使用频率、关注模块的孕妇对健康管理类App需求情况差异均有统计学意义;5.在孕妇对健康管理类App使用情况多因素分析中,年龄、文化程度、胎数、对健康管理类App需求、社区健康管理认知度成为孕妇是否使用健康管理类App的主要影响因素,其中社区健康管理认知度对使用情况的影响最大。6.在孕妇对社区健康管理认知的多因素分析中,仅胎数对认知有影响;7.在孕妇对健康管理类App需求情况的多因素分析中,年龄、胎数、家庭月收入、职业、使用频率、关注模块为孕妇对健康管理类App需求的主要影响因素,其中关注模块对需求的影响最大,其次是年龄、职业、家庭月收入、使用频率和胎数。结论:孕妇对健康管理类App需求较高,年龄、胎数、家庭月收入、职业、使用情况、关注模块对孕妇需求都有影响;影响孕妇使用健康管理类App的因素主要有年龄、胎数、文化程度、孕妇自身健康管理需求及认知,而其中影响认知的因素主要为胎数。因此,为满足孕妇对健康管理类App的需求,孕妇应该提高对社区健康管理的认知,积极参与到自身健康管理中来;设计开发单位要细分App种类,针对孕妇需求开发设计不同功能模块;社区卫生服务机构要积极参与,为App的使用提供专业指导,为孕妇提供即时有效的线上服务;政府部门应制定相关法律法规,将移动医疗App规范化管理。
[Abstract]:OBJECTIVE: Good health management during pregnancy is the key to eugenics and good fertility, and it also plays an important role in reducing maternal mortality. With the development of mobile medicine, pregnant women can get some health management services through App. App for health management of pregnant women has gradually become a new tool to promote health management of pregnant women. To investigate the use, demand and cognition of health management App among pregnant women, and to explore the main influencing factors. Suggestions on improving health management services for pregnant women were put forward from the aspects of pregnant women, App development and design, community and government. The research progress and hot spots of maternal health management based on mobile medical service were summarized, and the general situation and development direction were summarized to provide the basis for the research project design. Results: 1. Among the pregnant women surveyed, 507 cases (78.6%) used App of health management, 138 cases (21.4%) did not use App of health management, and the utilization rate was high. 248 cases (38.5%) had high cognition and 397 cases (39.7%) had low cognition on health management of community during pregnancy. Among them, 557 (86.4%) were in need of health management App, 88 (13.6%) were not in need of health management App, and the demand rate was high. Knowledge, health needs of pregnant women on health management App use were statistically significant differences; 3. In the single factor analysis of pregnant women's awareness of community health management, pregnant women with different number of births on community health management cognitive differences were statistically significant; 4. In the single factor analysis of pregnant women's demand for health management App, There were significant differences in health management App requirements among pregnant women with different household registration, fetal number, age, education level, length of Internet access, their own health management needs, usage, frequency of use, and concern module. 5. Age, education level, fetal number, and health management App were used by pregnant women in multivariate analysis. Needs, community health management awareness of pregnant women whether to use health management App is the main influencing factors, of which community health management awareness of the largest impact on the use of the situation. In multivariate analysis, age, fetus number, family monthly income, occupation, frequency of use and attention module were the main factors affecting the demand of health management App. Among them, attention module had the greatest impact on the demand, followed by age, occupation, family monthly income, frequency of use and number of births. Number of births, family monthly income, occupation, usage, attention module have an impact on pregnant women's needs; the main factors affecting pregnant women's use of health management App are age, number of births, education level, pregnant women's own health management needs and cognition, and the main factors affecting cognition are the number of births. Require that pregnant women should enhance their awareness of community health management and actively participate in their own health management; design and development units should subdivide the types of App, develop and design different functional modules according to pregnant women's needs; community health service agencies should actively participate in providing professional guidance for the use of App, and provide timely and effective online services for pregnant women; The government departments should formulate relevant laws and regulations to standardize the management of mobile medical App.
【学位授予单位】：杭州师范大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R715.3
，

本文编号：2196590