关键词: 糖尿病, 移动健康服务, 使用率, 影响因素

Abstract: Objective To investigate the status of diabetes patients applying mobile health services （MHS） and its influencing factors. Methods From June to August 2019, diabetes patients were selected from three Level-3 Class-A hospitals in cities of Guangzhou and Bijie. A self-administered questionnaire was used to investigate demographic characteristics, MHS awareness, awareness way, utilization rate, choice of use channels, reasons for unusing MHS, and demand. Multivariate binary logistic regression was used to analyze the data. Results A total of 258 cases were included. Of the participants, 52. 7% were males, 89. 1% type 2 diabetes, and 71. 7% without complications. The usage rate of MHS was 19. 8%. There were differences in the usage rate of MHS among patients at different ages, education levels, monthly per capita income, type of diabetes, with or without complications, and occupation （all P<0. 01）. Multivariate binary logistic regression analysis showed that age and types of diabetes were influencing factors of applying MHS. The older the patients with diabetes, the lower the usage rate （OR_{51-60 years}=0. 206, OR_{>60 years}= 0. 143, both P<0. 05）. The usage rates of type 2 and gestational diabetes patients were lower than that of patients with type 1 diabetes （OR_{type 2 diabetes}=0. 118, OR_{gestational diabetes}=0. 040, both P<0. 01）. Patients who have used the MHS chose to use the channel mainly recommended by doctors, accounting for 56. 9%. The reasons for knowing but not using MHS were mainly because patients did not know the products （60. 5%） and did not know which one to choose due to too many products on the market （60. 5%）. Conclusion The usage rate of MHS for diabetes patients was low. It is necessary to strengthen publicity and education to improve patient cognition, especially for elderly patients.

Key words: Diabetes, Mobile health services, Usage, Influencing factors