挪威髋关节和膝关节置换术患者的数字健康知识:一项横断面研究的标准数据。

IF 2.5 2区 医学 Q1 ORTHOPEDICS Acta Orthopaedica Pub Date : 2024-11-25 DOI:10.2340/17453674.2024.42304
Turid Rognsvåg, Ingrid K Nordmo, Ingvild B Bergvad, Anne M Fenstad, Ove Furnes, Anners Lerdal, Maren F Lindberg, Søren T Skou, Mona Badawy
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引用次数: 0

摘要

背景和目的:随着数字医疗服务在骨关节炎治疗中变得越来越重要,了解患者(包括接受全髋关节和膝关节置换术(THA/TKA)的患者)的数字医疗素养(eHL)至关重要。我们的主要目的是提供一组具有代表性的挪威患者的数字健康素养标准,其次是研究数字健康素养与健康相关生活质量(QoL)之间的关系: 我们邀请从挪威关节置换登记处随机抽取的800名THA/TKA患者填写一份纸质问卷,其中包括社会人口学变量:使用技术、理解、参与、控制、动机、访问和需求,从 1 分(非常不同意)到 4 分(非常同意)不等。EuroQol EQ-5D-5L 测量与健康相关的 QoL。我们使用多变量回归法来研究 eHL 领域与健康相关 QoL 之间的关系,并对社会人口学变量进行了控制: 受访者(N = 383,48%)的平均年龄为 70 岁(SD 9.0),其中女性 246 人(64%)。平均 eHLQ 和低 eHL(≤ 2.5)患者的比例分别为:技术 2.7(34%)、理解 3.0(14%)、参与 2.7(28%)、控制 3.2(7.7%)、动机 2.8(35%)、获取 2.8(33%)和需求 2.6(46%)。eHL 低与年龄大和教育程度低有关,但与性别或手术类型无关。回归分析表明,在对社会人口学因素进行调整后,技术、参与、控制、获取和需求领域的低分与较差的 QoL 有关: 结论:大约三分之一的 THA/TKA 患者 eHL 较低,而 eHL 较低与 QoL 较差有关。
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Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study.

Background and purpose:  As digital health services become increasingly important in osteoarthritis treatment, understanding patients' digital health literacy (eHL) is crucial, including those undergoing total hip and knee arthroplasty (THA/TKA). We primarily aimed to provide eHL norms in a representative group of Norwegian patients, and secondarily to examine the relationships between eHL and health-related quality of life (QoL).

Methods:  We invited 800 randomly selected THA/TKA patients from the Norwegian Arthroplasty Register to complete a paper-based questionnaire, which included sociodemographic variables. eHL was measured using the eHealth Literacy Questionnaire (eHLQ) with 7 domains: Using technology, Understand, Engage, Control, Motivation, Access, and Needs, scored from 1 (strongly disagree) to 4 (strongly agree). The EuroQol EQ-5D-5L measured health-related QoL. We used multivariable regression to examine relationships between eHL domains and health-related QoL controlling for sociodemographic variables.

Results:  Respondents' (N = 383, 48%) mean age was 70 years (SD 9.0) and 246 (64%) were female. Mean eHLQ and the proportion of patients with low eHL (≤ 2.5) were Technology 2.7 (34%), Understanding 3.0 (14%), Engage 2.7 (28%), Control 3.2 (7.7%), Motivation 2.8 (35%), Access 2.8 (33%), and Needs 2.6 (46%). Low eHL correlated with older age and low education, but not with sex or type of surgery. Regression analyses showed that lower scores on the domains Technology, Engage, Control, Access, and Needs were associated with poorer QoL after adjusting for sociodemographic factors.

Conclusion:  About one-third of THA/TKA patients have low eHL, and low eHL was associated with poor QoL.

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来源期刊
Acta Orthopaedica
Acta Orthopaedica 医学-整形外科
CiteScore
6.40
自引率
8.10%
发文量
105
审稿时长
4-8 weeks
期刊介绍: Acta Orthopaedica (previously Acta Orthopaedica Scandinavica) presents original articles of basic research interest, as well as clinical studies in the field of orthopedics and related sub disciplines. Ever since the journal was founded in 1930, by a group of Scandinavian orthopedic surgeons, the journal has been published for an international audience. Acta Orthopaedica is owned by the Nordic Orthopaedic Federation and is the official publication of this federation.
期刊最新文献
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