Barlow J H, Stapley J, Ellard D R, Gilchrist M
Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK.
Haemophilia. 2007 May;13(3):264-70. doi: 10.1111/j.1365-2516.2007.01444.x.
The aim of the study was to conduct a survey of information and self-management needs among members of the UK Haemophilia Society (HS). Of 1082 members mailed, 307 took part in the survey, the mean age was 52.4 years (SD 14.8), 85% were male, 96% white and 66% were living with haemophilia A. 90% felt that there is a lack of understanding amongst the public regarding bleeding disorders, 76% felt that health professionals understood their health and information needs and 32% had experienced problems managing anxiety and or depression. Results suggest that there was a 'stigma' attached to having a bleeding disorder and almost half are very careful about informing others that they have a bleeding disorder. Self-efficacy was relatively high within the sample. Many respondents wanted to be kept informed about current research and the opportunity to participate in research. Women experienced a greater need for more information than men, particularly in the area of the 'medical management' and 'emotional' topics. Men appeared to need more information and or training on 'physical' aspects such as physiotherapy and joint replacement. The study provides an insight into the educational and self-management needs of those affected by bleeding disorders and highlights the importance of providing accessible information.
该研究的目的是对英国血友病协会(HS)成员的信息及自我管理需求进行一项调查。在邮寄问卷的1082名成员中,有307人参与了调查,平均年龄为52.4岁(标准差14.8),85%为男性,96%为白人,66%患有甲型血友病。90%的人认为公众对出血性疾病缺乏了解,76%的人认为医疗专业人员了解他们的健康及信息需求,32%的人曾在管理焦虑和/或抑郁方面遇到问题。结果表明,患有出血性疾病存在一种“污名”,近半数人在告知他人自己患有出血性疾病时非常谨慎。样本中的自我效能感相对较高。许多受访者希望随时了解当前的研究情况并有机会参与研究。女性比男性更需要更多信息,尤其是在“医疗管理”和“情感”主题方面。男性似乎在诸如物理治疗和关节置换等“身体”方面需要更多信息和/或培训。该研究深入了解了出血性疾病患者的教育及自我管理需求,并凸显了提供可获取信息的重要性。