评估健康素养与远距离半径骨折后患者报告的结果指标之间的关联
Katherine R Miclau1, Jeffrey W Kwong1, Emma Tapp1
1Department of Orthopaedic Surgery, University of California, San Francisco, CA.
The Journal of hand surgery
|May 10, 2025
概括
在考虑了其他因素后,有限的健康素养与患者报告的远距离半径骨折的较差结局得分没有显著联系. 低收入和英语以外的首选语言与较差的结果有关.
科学领域:
- 整形外科 整形外科 整形外科
- 医疗保健服务研究 医疗服务研究
- 卫生识字研究 研究 卫生识字研究
背景情况:
- 患者报告的结果测量 (PROM) 对于评估远半径骨折 (DRF) 治疗有效性至关重要.
- 有限的健康素养是不良健康结果的已知风险因素.
- 有限的健康素养对DRF患者PROM分数的具体影响需要进一步调查.
研究的目的:
- 为了确定有限的健康素养和PROM分数在患有远距离半径骨折的成年患者之间的关联.
- 探索其他健康社会决定因素 (SDOH) 对这种关系的影响.
主要方法:
- 一项涉及成年患者 (≥18岁) 的横截面研究,分离的DRF在两个城市医院接受治疗.
- 数据收集包括人口统计,健康素养查和验证的PROMs (QuickDASH,PROMIS-UE,NRS).
- 使用多变量线性回归和倾向性得分分析来评估SDOH因素 (包括健康素养) 和PROM得分之间的关联.
主要成果:
- 在65名参与者中,26%的健康素养有限,23%的人更喜欢使用除英语以外的语言 (PLOE).
- 最初的分析显示,有限的健康素养和PLOE与更差的PROMIS-UE分数以及低收入与更差的QuickDASH和NRS分数之间存在关联.
- 在倾向分数调整后,有限的健康素养与任何PROM没有显著的关联,而PLOE和低收入仍然与更糟糕的结果有关.
结论:
- 低收入和PLOE,而不是有限的健康素养,是DRF患者PROM分数更差的显著预测因素.
- 这些发现突出了影响患者结果的SDOH因素的复杂相互作用.
- 在解释PROM分数和管理DRF患者时,医疗保健提供者应考虑和解决多个SDOH因素.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.2K
06:28Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation
Published on: December 13, 2024
379
相关概念视频
01:21Health Literacy
3.9K
Health literacy is an individual's or a community's capacity to comprehend, receive, read, and use relevant healthcare information and services. The World Health Organization (WHO, 2018) defines health literacy as the cognitive and social skills that determine the ability of individuals to gain access to, understand, and use information in ways that promote and maintain good health. As a result, the WHO helps individuals manage long-term health concerns, participate in preventative...
3.9K
01:11Guidelines for Writing Outcome
2.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.6K