肩膀和肘部患者的健康素养有限
Melissa A Wright1,2, Danielle S Shapiro3, Aman Chopra3
1Department of Orthopedic Surgery, MedStar Union Memorial Hospital, Baltimore, MD, USA.
Shoulder & elbow
|January 27, 2025
概括
在14.1%的骨科肩膀和肘部患者中发现了有限的健康素养. 这种情况与患者报告的结果更差有关,突出显示了公平护理的需要.
科学领域:
- 整形外科手术 整形外科手术
- 健康 结果 研究 研究 结果
- 评估健康识字能力的评估
背景情况:
- 健康素养对于患者对医疗保健的理解和参与至关重要.
- 有限的健康素养可能会不成比例地影响患者在骨科护理中报告的结果.
- 评估肩膀和肘部患者的健康素养对于确定差异至关重要.
研究的目的:
- 评估在接受骨科肩膀和肘部评估的成年患者中有限的健康素养的患病率.
- 确定与患者群体中有限的健康素养相关的人口和临床因素.
- 确定健康素养对患者报告结果指标 (PROM) 和疼痛水平的影响.
主要方法:
- 一项回顾性横截面研究对594名新的英语成年患者进行了回顾性横截面研究,这些患者向骨科肩膀和肘部外科医生提出了建议.
- 简要的健康素养查工具 (BRIEF) 用于评估健康素养水平.
- 收集了患者人口统计数据,区域贫困指数,PROMIS分数 (身体和精神健康),以及疼痛视觉模拟量表 (VAS) 分数.
主要成果:
- 14.1%的患者 (594人中84人) 显示出有限的健康素养 (BRIEF评分<17).
- 医疗素养有限的患者年龄大得多,工作不太可能,私人保险不太可能.
- 有限的健康素养与更高的区域剥夺指数百分点和明显更差的PROMIS身体和心理健康得分,以及更高的疼痛VAS得分有关.
结论:
- 有限的健康素养是骨科肩膀和肘部患者群体的一个重要问题.
- 健康素养状况似乎影响了患者报告的结果和疼痛感知.
- 整形外科医生应该了解患者的健康素养水平,以确保提供高质量,公平的护理.
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