老年乳腺癌术后患者数字健康技术焦虑潜在剖面分析与网约护理服务需求关系研究 [中文引用][英文引用]

目的  比较不同数字健康技术焦虑潜在剖面老年乳腺癌患者网约护理服务需求。方法  采用便利抽样法，于2022 年 6 月— 2023 年 6 月，选取石家庄市 3 所三级甲等综合医院普外科 350 例老年原发性乳腺癌术后患者为研究对象，采用基本情况调查问卷、技术焦虑量表（technophobia scale，TPS）和居家老年人网约护理服务需求量表（demand scale for onlineappointment nursing services，DS-OANS）进行调查。老年乳腺癌患者数字健康技术焦虑采用潜在剖面分析，不同剖面数字健康技术焦虑影响因素分析选择多分类 Logistic 回归，不同剖面数字健康技术焦虑老年乳腺癌患者的网约护理服务需求采用方差分析。结果  348 例患者完成研究。老年乳腺癌患者数字健康技术焦虑可分为 4 个潜在剖面：低技术焦虑型（65 例，18.68%）、高技术紧张害怕中隐私安全担忧型（96 例，27.59%）、中技术紧张害怕高隐私安全担忧型（85 例，24.42%）和高技术焦虑型（102例，29.31%）。4 个潜在剖面老年乳腺癌患者的网约护理服务需求总分比较，差异具有统计学意义（F=446.149，P<0.05）。结论  老年乳腺癌患者数字健康技术焦虑分为 4 个潜在剖面，不同剖面网约护理服务需求存在差异，临床护理人员可针对老年乳腺癌患者数字健康技术焦虑特征，采取相应干预满足其网约护理服务需求。

Objective To identify latent profiles of digital health technophobia among elderly patients with breast cancer and to examine differences in demand for on-line nursing care services. Methods Convenient sampling was used in this cross-sectional study. A total of 350 consecutive perioperative elderly patients with primary breast cancer were recruited from the Departments of General Surgery，affiliated to three Tier-IIIA hospitals in Shijiazhuang from June 2022 to June 2023. Data were collected with a generalinformation questionnaire，technophobia scale，and demand scale for online appointment nursing service. Results All 348 patients completed the survey. Digital health technophobia in elderly patients with primary breast cancer were categorised into four latent profiles： low technophobia（n=65，18.68%），high technophobia with moderate privacy-security concern（n=96，27.59%），moderate technophobia with high privacy security concern（n=85，24.43%），and high technophobia（n=102，29.31%）. There was significant difference in demand for online nursing care services regarding the four latent profiles（F=446.149，P<0.05）. Conclusion Elderly patients with breast cancer exhibit four profiles regarding digital health technophobia. It is found that each profile associates with specific demands of online nursing care services. Nursing staff should take tailored interventions to target specific digital health technophobia profiles to meet the demands of online nursing care services among the elderly patients with breast cancer.