以质量求发展，以服务铸品牌

护理学报 ›› 2024, Vol. 31 ›› Issue (9): 72-78.doi: 10.16460/j.issn1008-9969.2024.09.072

• 社区护理 • 上一篇    

基于离散选择实验的“互联网+手法排乳”患者偏好研究

慕晓莹1a, 周芬1a, 樊英怡2, 袁婷1a, 王玉玺1a, 吕云鹏3, 荣红国1b   

  1. 1.北京中医药大学 a.护理学院;b.国际循证中医药研究院,北京 102488;
    2.北京中医药大学第三附属医院 乳腺科,北京 100029;
    3.青岛市市立医院 呼吸与危重症医学科,山东 青岛 266071
  • 收稿日期:2024-01-15 出版日期:2024-05-10 发布日期:2024-06-06
  • 通讯作者: 周芬（1982-）,女,湖北荆门人,博士,副教授,硕士研究生导师,北京中医药大学JBI循证护理合作中心主任。E-mail：zhoufen_bucm@163.com
  • 作者简介:慕晓莹（1998-）,女,河南南阳人,本科学历,硕士研究生在读。
  • 基金资助:
    北京中医药大学2022年度基本科研业务社科培育项目资助（2022-JYB-PY-004）

Patients' preferences for internet-based sharing nursing service of breast massage based on discrete choice experiment

MU Xiao-ying1a, ZHOU Fen1a, FAN Ying-yi2, YUAN Ting1a, WANG Yu-xi1a, LV Yun-peng3, RONG Hong-guo1b   

  1. 1a. School of Nursing; 1b.Center for Evidence-Based Chinese Medicine, Beijing University of Chinese Medicine, Beijing 102488, China;
    2. Dept. of Mastopathy, the Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100029, China;
    3. Dept. of Respiratory and Critical Care Medicine, Qingdao Municipal Hospital, Qingdao 266071, China
  • Received:2024-01-15 Online:2024-05-10 Published:2024-06-06

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摘要： 目的 探究急性乳腺炎及缺乳患者对“互联网+手法排乳”的偏好及需求。方法 采用离散选择实验对急性乳腺炎、缺乳患者进行问卷调查,构建混合Logit模型进行“互联网+手法排乳”偏好、支付意愿及相对重要性分析。结果 97%患者愿意接受“互联网+手法排乳”;患者更偏好费用为200元的服务。对于平台服务评价五星、上门护士工龄>10年、30 min上门、监管力度大、提供健康教育与随访、双人上门的服务,患者愿分别多付288.2元、151.7元、151.7元、125.2元、74.8元、62.6元、36.6元;不同服务属性的相对重要性排序为：服务费用>护士资质>服务评价>上门速度>服务安全保障>医院/第3方监管力度>健康教育与随访。结论 急性乳腺炎及缺乳患者对“互联网+手法排乳”需求高涨,建议优化护理资源配置,推广落实“互联网+手法排乳”,协助广大服务适用群体获取更多健康收益。

关键词: 互联网+护理服务, 急性乳腺炎, 缺乳, 手法排乳, 离散选择实验

Abstract: Objectives To survey the preferences for and demand of Internet-Based Sharing Nursing Service on Breast Massage (IBSNS-BM) in patients with acute mastitis and hypogalactia. Methods A discrete choice experiment was conducted on patients with acute mastitis and hypogalactia, and the mixed-logit model was constructed to elicit patients' preferences, estimate their willingness to pay, and analyze the relative importance of IBSNS-BM. Results Totally 97% of the patients were willing to receive IBSNS-BM. While the patients with acute mastitis and hypogalactia preferred services that cost 200 yuan RMB. For homecare services rated 5-star on the platform, with nurse's working experience >10 years, home visit within 30 minutes, strong regulatory oversight, providing health education and follow-ups, with two nurses visiting together, patients are respectively willing to pay additional 288.2 RMB, 151.7 RMB, 151.7 RMB, 125.2 RMB, 74.8 RMB, 62.6 RMB, 36.6 RMB; the relative importance ranking of different service attributes was: service fee > nurse qualifications > service rating > home visit speed > service safety assurance > hospital/third-party regulatory oversight > health education and follow-up. Conclusion Patients with acute mastitis or hypogalactia are in great need of IBSNS-BM. It is recommended to optimize the allocation of nursing resources, promote the implementation of IBSNS-BM to help more applicable groups gain more health benefits.

Key words: Internet-Based Sharing Nursing Service, mastitis, hypogalactia, breast massage, discrete choice experiment

中图分类号: 

  • R473.71
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