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
[1] 国家卫生健康委办公厅.关于开展“互联网+护理服务”试点工作的通知[EB/OL].(2019-02-12).http://www.nhc.gov.cn/yzygj/s7657g/201902/bf0b25379ddb48949e7e21edae2a02da.shtml.
[2] 谢婉阳,刘宁宁,肖云霞,等.“互联网+母婴居家护理”服务模式的构建与初步应用[J].护理学杂志,2023,38(14):5-8. DOI:10.3870/j.issn.1001-4152.2023.14.005.
[3] 黄珍月,王思婷,莫莹莹,等.南宁社区居民对“网约护士”的认知与需求调查[J].现代医院,2022, 22(2):279-282. DOI:10.3969/j.issn.1671-332X.2022.02.036.
[4] 张莉黎,罗丹,何梦薇,等.产妇对互联网+产科护士上门服务的认知及需求调查[J].护理实践与研究, 2021, 18(19):2875-2879. DOI:10.3969/j.issn.1672-9676.2021.19.008.
[5] 周芸,杨丽,覃桂荣,等.“互联网+母乳喂养指导”护士上门服务体验的民族志研究[J].护士进修杂志, 2022, 37(21):1996-2003. DOI:10.16821/j.cnki.hsjx.2022.21.016.
[6] 徐程,卿涛,蔡枫瑜,等.健康经济学评价中的产出结果及其社会价值研究:文献综述[J]. 中国药物经济学,2017,12(12):154-161.DOI:10.12010/j.issn.1673-5846.2017.12.056.
[7] Wang Y, Wang Z, Wang Z, et al.Application of discrete choice experiment in health care: a bibliometric analysis[J]. Front Public Health,2021(9):673698.DOI:10.3389/fpubh.2021.673698.
[8] 何馨,郑力仁.患者自述偏好研究方法分析[J].中国药物经济学,2013(5):9-11;15.
[9] 王颀,宁平,马祥君.中国哺乳期乳腺炎诊治指南[J/OL].中华乳腺病杂志(电子版),2020,14(1):10-14. DOI:10.3877/cma.j.issn.1674-0807.2020.01.005.
[10] 国家中医药管理局.中医病证诊断疗效标准[M]. 北京:中国医药科技出版社, 2012:93-94.
[11] 陈渝,蔡鸿宇.互联网医院建设影响因素与扩散路径探究——基于TOE框架的模糊集定性比较分析[J].华南理工大学学报(社会科学版),2022,24(5):114-124. DOI:10.19366/j.cnki.1009-055X.2022.05.012.
[12] Peters MDJ, Godfrey C, McInerney P, et al. Chapter 11: scoping reviews(2020 version)[DB/OL].(2023-11-08)[2024-1-15]. https://doi.org/10.46658/JBIMES-20-12.
[13] 张娇. 供需视角下家庭医生签约服务偏好研究[D].济南:山东大学,2021.
[14] Reed Johnson F, Lancsar E, Marshall D, et al.Constructing experimental designs for discrete-choice experiments: report of the ISPOR Conjoint analysis experimental design good research practices task force[J]. Value Health,2013,16(1):3-13. DOI:10.1016/j.jval.2012.08.2223.
[15] Orme B.Getting started with conjoint analysis: strategies for product design and pricing research[M]. Madison, Wis: Research Publishers LLC,2009:57-65.
[16] 刘志刚,刘世蒙,郑吕云,等.2型糖尿病患者二线用药偏好研究:基于离散选择实验[J].中国全科医学,2024,27(1):67-73. DOI:10.12114/j.issn.1007-9572.2023.0142.
[17] Liu Y, Kong Q, Wang S, et al.The impact of hospital attributes on patient choice for first visit: evidence from a discrete choice experiment in Shanghai, China[J]. Health Policy and Planning, 2020, 35(3):267-278. DOI:10.1093/heapol/czz159.
[18] 黄仁东. 民众对“网约护士”服务的态度[D].济南:山东大学,2021.
[19] 房姝余,梁秀兰,李华,等.居家老人对“互联网+护理服务”的需求与影响因素研究[J].当代护士(下旬刊),2023,30(2):148-152. DOI:10.19793/j.cnki.1006-6411.2023.06.040.
[20] Zhao B, Zhang X, Huang R, et al.Barriers to accessing internet-based home care for older patients: a qualitative study[J]. BMC geriatrics,2021,21(1):565. DOI:10.1186/s12877-021-02474-6.
[21] Bu W, Xing L, Xiao M, et al.A survey on the willingness of Ganzhou residents to participate in “Internet + Nursing Services” and associated factors[J]. J Multidiscip Healthc,2022(15):897-906. DOI:10.2147/JMDH.S351071.eCollection 2022.
[22] 马慧敏,熊巨洋,唐尚锋,等.终末期肾病患者血液透析服务选择偏好研究——基于离散选择实验[J].卫生经济研究,2023,40(9):49-53. DOI:1004-7778(2023)09-0049-05.
[23] 琚亚亚. COPD行家庭无创通气患者“互联网+护理服务”意愿调查及影响因素分析[D].湖州:湖州师范学院,2021.
[24] 谭玉玲,黄美玲,邬敏志,等.“互联网+母婴护理”精准服务模式的构建与实践[J].护理学报,2021,28(23):25-27. DOI:10.16460/j.issn.1008-9969.2021.23.025.
[25] 白洁,卓学慧,赵晓蕊,等.“互联网+母婴延续性护理服务”平台的搭建与实施[J].全科护理,2022,20(12):1691-1695. DOI:10.12104/j.issn.1674-4748.2022.12.032.
[26] 谭小雪,徐敏,王燕.浙江省公立中医医疗机构中医护理门诊开展情况的调查研究[J].中华护理杂志,2022,57(3):312-317. DOI:10.3761/j.issn.0254-1769.2022.03.010.
[27] 王晓颜,隋伟巍,范新春,等.PICC居家患者选择“互联网+护理”意愿及影响因素分析[J].齐鲁护理杂志,2022,28(11):9-12. DOI:10.3969/j.issn.1006-7256.2022.11.003.
[28] 易海青,林海波,余伯亮,等.基于CNKI的近十年推拿手法治疗产后缺乳文献计量分析[J].国际中医中药杂志,2019,41(6):631-634. DOI:10.3760/cma.j.issn.1673-4246.2019.06.018.
[29] 王姝媛,马影蕊,汪柏宇,等.穴位按摩促进产妇乳汁分泌的证据总结[J].护理学杂志,2023,38(21):11-15. DOI:10.3870/j.issn.1001-4152.2023.21.011.
[30] 吕云鹏,樊英怡,袁婷,等.多视角下哺乳期乳腺炎护理结局:一项用于构建护理核心结局集的质性研究[J].护理管理杂志,2023,23(4):261-265. DOI:10.3969/j.issn.1671-315x.2023.04.007.
[31] 章娟,裴素云,程晓芸,等.孕产妇获取母婴保健信息的行为偏好研究[J].中国全科医学,2020,23(10):1310-1313. DOI:10.12114/j.issn.1007-9572.2020.00.077.
[32] 秦毅,沈红五,徐秀群,等.综合三级甲等医院“互联网+护理”服务风险前馈机制研究[J].护理研究,2020,34(24):4447-4451. DOI:10.12102/j.issn.1009-6493.2020.24.027.
[33] 赵缨,赵琦.基于NVivo分析改进上海市“互联网+护理服务”的对策建议[J].护理研究,2024,38(1):1-7. DOI:10.12102/j.issn.1009-6493.2024.01.001.
[34] Bridges JF, Hauber AB, Marshall D, et al.Conjoint analysis applications in health--a checklist: a report of the ISPOR Good Research Practices for Conjoint Analysis Task Force[J]. Value in Health,2011,14(4):403-413. DOI:10.1016/j.jval.2010.11.013.
[35] 吕云鹏,樊英怡,徐杨,等. 哺乳期乳腺炎患者自我管理的质性研究[J]. 中日友好医院学报, 2024, 38(1):60-62.
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