Elderly people's perceptions on the use of mobile phones to support the self-management of long-term illnesses at Kiruddu National Referral Hospital.

Peterson Mulinde
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Abstract

Introduction: The global estimate of the aging population is progressively increasing in low and middle-income countries and this is accompanied by the limitations associated with the need for equitable and efficient healthcare delivery among this dire population. Unfortunately, despite the increasing numbers, the adoption of mobile phones is not balanced in the different populations with research showing young persons' adoption rate is higher than that of elderly persons.

Objective: This current study was conducted to identify elderly people's perceptions of the use of mobile phones to support the self-management of long-term illnesses at Kiruddu National Referral Hospital.

Methods: This descriptive-cross-sectional design study was conducted on a sample population of 30 elderly individuals older than 60 years admitted at the outpatient department of Kiruddu National Referral Hospital, Kampala, Uganda. We conducted face-to-face interviews following an interview guide and one focus group discussion. We later used a feature mobile phone and a tablet mobile phone to assess the individual ease of use of each device. The audio recordings were professionally transcribed and transcripts were coded into NVIVO version 12 analysis software for thematic analysis.

Results: Almost all of the respondents who visited the facility had an ailment that hindered their full utilization of the mobile phone to support their self-care. This together with other factors like financial constraints, lack of support from the health workers on how to use mobile phones to support health, inadequate support from the facility, and cost of mobile data among others.

Background and conclusion: This study provides empirical evidence that there is hardly a known mobile phone adoption model to enable policymakers, systems developers, and health workers to promote the elderly population's use of mobile phones to manage their long-term illnesses in Uganda.

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老年人对基鲁杜国家转诊医院使用手机支持长期疾病自我管理的看法。
导言:据估计,全球中低收入国家的老龄人口数量正在逐步增加,与此同时,在这些严峻的人口中提供公平、高效的医疗保健服务的需求也受到了限制。遗憾的是,尽管人数不断增加,但不同人群采用手机的情况并不平衡,研究显示年轻人的采用率高于老年人:本研究旨在了解基鲁杜国家转诊医院的老年人对使用手机支持长期疾病自我管理的看法:本研究采用描述性横断面设计,以乌干达坎帕拉基鲁杜国家转诊医院门诊部收治的 30 名 60 岁以上老人为样本。我们按照访谈指南进行了面对面访谈,并进行了一次焦点小组讨论。随后,我们使用了功能手机和平板手机,以评估每种设备的个人易用性。我们对录音进行了专业誊写,并将誊写内容编入 NVIVO 第 12 版分析软件进行专题分析:几乎所有到访的受访者都患有某种疾病,这阻碍了他们充分利用手机来支持自我保健。此外,还有其他一些因素,如经济拮据、缺乏医务工作者在如何使用手机支持健康方面的支持、医疗机构提供的支持不足以及移动数据的成本等等:本研究提供的经验证据表明,目前几乎没有一种已知的手机应用模式可以帮助政策制定者、系统开发者和医疗工作者促进乌干达老年人使用手机来管理他们的长期疾病。
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