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目的调查血液透析患者的互联网使用和流行情况,分析其影响因素,以期为互联网+医疗技术在透析患者中的运用提供参考。方法选取符合要求的血液透析患者,进行一对一互联网使用情况问卷调查,对调查结果进行统计学分析。结果共355人参与调查,平均年龄(49.5±15.4)岁;文化水平高中及以下(93.8%),无固定职业者331人,占93.2%,74.6%的患者家庭年收入≤5万元。将透析患者分为上网组与非上网组,上网组213人(60.0%),非上网组142人(40.0%)。两组在年龄(t=12.830,P<0.001)、教育程度(t=5.440,P<0.001)、家庭年收入(t=7.276,P<0.001)有统计学差异,而性别(t=0.119,P=0.906)、婚姻状况(t=-0.545,P=0.586)、工作岗位(t=-1.298,P=0.052)的差异无统计学意义。进一步多因素分析显示,年龄(OR=-0.078,95%CI 0.907~0.945,P<0.001)、教育程度(OR=0.194,95%CI 1.030~1.425,P=0.019)、家庭年收入(OR=1.331,95%CI 2.015~6.921,P<0.001)是血液透析患者是否使用互联网的独立影响因素。结论血液透析患者网络使用比例还有一定的提升空间。年龄、教育程度、家庭年收入是透析患者是否上网的独立影响因素。目前使用互联网技术造福血液透析患者尚需要更多的探索和社会支持。
Objective To investigate the Internet use and prevalence of hemodialysis patients and to analyze the influencing factors so as to provide a reference for the use of internet + medical technology in dialysis patients. Methods Satisfied with the requirements of hemodialysis patients, a one-on-one questionnaire survey of Internet use, the results of a statistical analysis. Results A total of 355 people participated in the survey, with an average age of 49.5 ± 15.4 years. There were 93.8% of the students with high school education and below (93.2%) without fixed occupations, accounting for 93.2% of the total. 74.6% of the families had annual family income less than or equal to 50,000 yuan. Dialysis patients were divided into online group and non-Internet group, 213 (60.0%) in the internet group and 142 (40.0%) in the non-internet group. There was significant difference between the two groups in age (t = 12.830, P <0.001), education level (t = 5.440, P <0.001) and annual family income (t = 7.276, P = 0.906). The marital status (t = -0.545, P = 0.586), job post (t = -1.298, P = 0.052) showed no significant difference. Further multivariate analysis showed that age (OR = -0.078, 95% CI 0.907-0.945, P <0.001), education level (OR = 0.194, 95% CI 1.030-1.425, P = 0.019) 1.331, 95% CI 2.015 ~ 6.921, P <0.001) were independent factors affecting the use of internet in hemodialysis patients. Conclusion There is still room for improvement in the proportion of patients using hemodialysis. Age, education level and family annual income are the independent influencing factors of dialysis patients accessing the Internet. The current use of Internet technology for the benefit of hemodialysis patients still need more exploration and social support.