数字素养和心力衰竭老年患者及其护理人员的自我护理:使用演员-合作伙伴相互依赖模型进行二分论分析
Hokon Kim1, Misook L Chung2, Yeon Soo Jang3,4
1College of Nursing, Yonsei University, Yonsei University College of Nursing, 50-1 Yonsei-roSeodaemun-gu, seoul, KR.
JMIR aging
|February 25, 2026
概括
数字素养对心力衰竭 (HF) 的自我护理产生影响,特别是对患者和护理人员的症状感知. 干预措施应针对个人的数字技能,因为在二中没有发现跨合作伙伴效应.
科学领域:
- 老年学是一门学科.
- 数字健康数字健康
- 心血管护理心血管护理
背景情况:
- 老龄化人口面临心力衰竭 (HF) 患病率上升,需要有效的自我护理.
- 家庭护理人员在支持HF自我护理行为方面发挥着至关重要的作用.
- 数字健康工具越来越多地用于高频管理,但老年人面临的采用挑战仍然存在.
研究的目的:
- 在老年心力衰竭患者和他们的护理人员之间比较数字素养.
- 检查数字素养对心力衰竭自我护理行为在患者护理人员双层的影响.
主要方法:
- 对102个心力衰竭患者-护理人员二合体进行横截面研究.
- 使用日常数字素养问卷 (EDLQ) 评估数字素养.
- 用心力衰竭自我护理指数 (SCHFI) 和照顾者对心力衰竭自我护理指数 (CCSCHFI) 的贡献来衡量心力衰竭自我护理.
- 通过Actor-Partner相互依赖模型 (APIM) 分析了双向关联.
主要成果:
- 患者 (平均年龄79.4) 的数字素养低于护理人员 (平均年龄59.0).
- 数字素养显著影响了患者和护理人员的症状感知 (演员效应).
- 数字素养显著影响了患者的自我护理管理 (演员效应);没有观察到重要的合作伙伴效应.
结论:
- 个人数字素养是心力衰竭自我护理的关键,特别是症状感知.
- 数字健康干预措施应针对患者和护理人员的不同数字技能.
- 考虑个体数字素养的DYAD专注策略对于优化老年人HF结果至关重要.
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