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甲型血友病:患者的治疗知识水平及治疗相关信息来源

Haemophilia A: patients' knowledge level of treatment and sources of treatment-related information.

作者信息

Miller K L, Guelcher C, Taylor A

机构信息

Children's Medical Center, Dallas, TX, USA.

出版信息

Haemophilia. 2009 Jan;15(1):73-7. doi: 10.1111/j.1365-2516.2008.01875.x. Epub 2008 Sep 8.

Abstract

There are minimal or no data regarding the extent of patient and/or parent/legal guardian/caregiver knowledge about haemophilia A and its treatment, their sources for this information, or their preferred methods of communication. A pilot study using a survey instrument developed by haemophilia nurse coordinators was conducted at a national meeting to obtain information on these topics. A total of 187 surveys were completed. More than 80% of respondents reported high and high-medium knowledge levels about how haemophilia A is inherited, types of bleeding, identifying and treating bleeding emergencies, prophylaxis and on-demand treatment, travel and vacation planning and guidelines for exercise and sports activities. However, a lower proportion of respondents (<65%) reported high and high-medium knowledge levels for drug-related topics. The majority of respondents (>55%) consistently ranked healthcare providers as the most useful source of information for most topics related to haemophilia A. This pilot survey of well-informed respondents identified deficits in knowledge regarding factor concentrates for the treatment of haemophilia A and highlights the need for healthcare providers to provide more information about factor concentrates, insurance coverage for treatments, and community and educational resources. Additional study is necessary to determine the extent of knowledge deficits and how best to address them in the haemophilia A population as a whole. Other areas of study needed are whether information deficits and delivery of information vary by age or by other factors.

摘要

关于患者和/或父母/法定监护人/护理人员对甲型血友病及其治疗的了解程度、获取这些信息的来源以及他们偏爱的沟通方式,相关数据极少或几乎没有。在一次全国性会议上开展了一项先导研究,使用血友病护士协调员开发的调查问卷来获取有关这些主题的信息。总共完成了187份调查问卷。超过80%的受访者表示,他们对甲型血友病的遗传方式、出血类型、识别和治疗出血紧急情况、预防和按需治疗、旅行和假期规划以及运动和体育活动指南等方面具有较高及中高水平的了解。然而,对于与药物相关的主题,报告具有较高及中高水平了解程度的受访者比例较低(<65%)。大多数受访者(>55%)始终将医疗保健提供者列为与甲型血友病相关的大多数主题最有用的信息来源。这项针对消息灵通的受访者的先导调查发现,在甲型血友病治疗用凝血因子浓缩剂方面存在知识欠缺,并突出表明医疗保健提供者需要提供更多关于凝血因子浓缩剂、治疗保险覆盖范围以及社区和教育资源的信息。有必要进行更多研究,以确定知识欠缺程度以及如何最好地在整个甲型血友病患者群体中解决这些问题。其他需要研究的领域包括信息欠缺以及信息传递是否因年龄或其他因素而有所不同。

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