【摘要】 目的：探讨中老年出院患者自我效能、出院准备度和“互联网+护理服务”采纳意愿之间的关系及内在作用机制。方法：选取天津市某三级甲等医院即将出院的中老年患者共307例，采用一般资料问卷、出院准备度量表、一般自我效能量表及“互联网+护理服务”采纳意愿问卷开展调查，测量其自我效能水平、出院准备度及“互联网+护理服务”采纳意愿，使用SPSS 21.0和AMOS 21.0对数据进行统计分析。结果：患者出院准备度、自我效能和“互联网+护理服务”采纳意愿之间呈正相关（P<0.001）；出院准备度既可直接影响患者对“互联网+护理服务”的采纳意愿，又可以通过自我效能对“互联网+护理服务”采纳意愿起间接作用。结论：自我效能在中老年患者出院准备度与“互联网+护理服务”意愿之间起中介作用，管理者应充分重视提高此类人群的自我效能水平，提升其互联网医疗就诊意愿。更多还原

【Abstract】 Objective : To explore the relationship and internal mechanism of self-efficacy, readiness for hospital discharge and Internet medical treatment willingness. Methods: A total of 307 patients were selected from a third-class hospital in Tianjin on the day before discharge. Self-efficacy level, readiness for hospital discharge and willingness to adopt “Internet + nursing service” of the patients were investigated by general information questionnaire, readiness for hospital discharge scale, general self-efficacy scale and willingness to adopt “Internet + nursing service” questionnaire. Data were statistically analyzed using SPSS 21.0 and AMOS 21.0. Results: There was a positive correlation between patients’ discharge readiness, self-efficacy and willingness to adopt “Internet + nursing service ”(P <0.001). Discharge readiness could not only directly affect patients’ willingness to adopt “Internet + nursing services”, but also indirectly affect the willingness to adopt “Internet + nursing services” through self-efficacy. Conclusion: Self-efficacy plays an intermediary role between middle-aged and elderly patients’ readiness for hospital discharge and willingness to “Internet + nursing service ”. Managers should pay full attention to improve the self-efficacy level of such people and enhance their willingness to seek medical treatment on the Internet.更多还原