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在埃塞俄比亚西北部,高血压患者使用手机短信提醒药物依从性的意向:一项横断面研究。

Intention to use mobile text message reminders for medication adherence among hypertensive patients in North West Ethiopia: a cross-sectional study.

机构信息

Department of Health Informatics, College of Medicine and Health Sciences, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

出版信息

BMC Health Serv Res. 2024 Nov 22;24(1):1451. doi: 10.1186/s12913-024-11794-3.

Abstract

BACKGROUND

Reminders via digital technology offer a novel and efficient means to address medication forgetfulness, as they are easily accessible and user-friendly for patients. In particular mobile text message reminders are more suitable for chronic patients, as they require few technical skills, can operate without internet connectivity, and are less expensive than other technologies. This study aimed to assess the intention to use mobile text message reminders for medication adherence among hypertensive patients at the Gondar City health facilities.

METHODS

A facility-based cross-sectional study was conducted. A simple random sampling method was used to select 423 hypertensive patients. Data was collected from April 1 to May 15, 2023. Data was collected using Kobo Toolbox, and the collected data was exported to MS Excel. Subsequently, the data was imported and analyzed using the SPSS version 20. Binary and multivariable logistic regression analysis was employed to assess factors associated with the outcome variable.

RESULT

The finding indicates that 64.5% of the patients have an Intention to use mobile text message reminders for medication adherence. Perceived usefulness (AOR = 2.53: 95%CI: 1.41, 4.52), perceived ease of use (AOR = 3.28: 95% CI: 1.81, 5.95), forgetting to take medication (AOR = 2.20: 95%CI: 1.38, 3.50) and patient holds their mobile phone always (AOR = 1.96: 95%CI: 1.04, 3.68) were associated factors with outcome variable.

CONCLUSION

Forget taking medication, the patient holds their mobile phone always, Perceived ease of use and Perceived usefulness were significantly associated with the outcome variable. We recommend designing and implementing user-friendly text message reminder systems and educating hypertensive patients about the system's benefits.

摘要

背景

数字技术提醒为解决药物遗忘问题提供了新颖有效的手段,因为它们对患者来说易于获取且易于使用。特别是移动文本消息提醒更适合慢性患者,因为它们需要的技术技能很少,可以在没有互联网连接的情况下运行,而且比其他技术更便宜。本研究旨在评估高血压患者在贡德尔市医疗机构使用移动文本消息提醒来遵守药物治疗的意愿。

方法

进行了一项基于机构的横断面研究。采用简单随机抽样方法选择了 423 名高血压患者。数据于 2023 年 4 月 1 日至 5 月 15 日收集。使用 Kobo Toolbox 收集数据,收集的数据导出到 MS Excel。随后,使用 SPSS 版本 20 导入和分析数据。采用二元和多变量逻辑回归分析评估与结果变量相关的因素。

结果

研究结果表明,64.5%的患者有使用移动文本消息提醒来遵守药物治疗的意愿。感知有用性(AOR=2.53:95%CI:1.41,4.52)、感知易用性(AOR=3.28:95%CI:1.81,5.95)、忘记服药(AOR=2.20:95%CI:1.38,3.50)和患者总是持有手机(AOR=1.96:95%CI:1.04,3.68)是与结果变量相关的因素。

结论

忘记服药、患者总是持有手机、感知易用性和感知有用性与结果变量显著相关。我们建议设计和实施用户友好的短信提醒系统,并教育高血压患者了解系统的好处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d604/11583659/fc875d31c574/12913_2024_11794_Fig1_HTML.jpg

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