常见慢性病患者的数字健康素养:系统审查和元分析
Hadeel Zaghloul1, Kareem Fanous1, Lina Ahmed1
1Department of Internal Medicine, Weill Cornell Medicine in Qatar, Al Luqta Street, PO Box 24144, Doha, Qatar, 974 66107560.
Journal of medical Internet research
|August 25, 2025
概括
数字健康素养 (DHL) 对于慢性疾病管理至关重要. 这项审查发现糖尿病,高血压和类风湿性关节炎患者的DHL总体高,尽管根据病情存在差异.
科学领域:
- 数字健康
- 医疗信息学
- 慢性疾病管理
背景情况:
- 数字健康技术对于慢性疾病的自我管理和坚持至关重要.
- 有效使用DHT需要患者具备足够的数字健康素养 (DHL).
- 评估DHL及其影响因素是提高数字卫生资源可访问性和可用性的关键.
研究的目的:
- 使用eHealth识字量表 (eHEALS) 评估糖尿病 (DM),高血压和类风湿性关节炎 (RA) 的患者的DHL.
- 确定DHL的平均分数,并确定影响DHL的人口/社会经济因素.
- 探索DHL对疾病管理的影响,以制定未来的战略.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了7个数据库 (PubMed,SCOPUS,Embase,ERIC,CINAHL,LISTA,Google Scholar) 截至2022年8月,并将在2024年10月进行更新.
- 包括使用eHEALS对患有DM,高血压或RA的成年人进行的8项研究 (2527名参与者);使用纽卡斯尔- 奥塔瓦尺度评估质量.
主要成果:
- 综合平均eHEALS得分为27. 03 (95% CI为25. 08-28. 98),表明整体DHL很高.
- DHL分数因病情而异:DM (27.79),高血压 (28.48) 和RA (24.74).
- 年龄,教育,就业和互联网感知影响了DHL;由于研究有限,元回归是不可行的.
结论:
- 在慢性疾病中,DHL对于明智的决策和有效的健康管理至关重要.
- 只有有限的研究阻碍了对DHL决定因素及其全部影响的全面分析.
- 需要更多的研究来解决DHL的差异,并确保平等地获得数字卫生资源.
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