Meesters Jorit J L, Vliet Vlieland Theodora P M, Hill Jackie, Ndosi Mwidimi E
Department of Rheumatology, Leiden University Medical Center, Leiden, the Netherlands.
Clin Rheumatol. 2009 Sep;28(9):1073-7. doi: 10.1007/s10067-009-1190-3. Epub 2009 May 16.
The Educational Needs Assessment Tool (ENAT) was developed in the United Kingdom (UK) to systematically assess the educational needs of patients with arthritis. The aim of the present study was to describe the educational needs of Dutch patients with rheumatoid arthritis (RA) by using the Dutch version of the ENAT (DENAT). The original UK version of the ENAT, comprising 39 items grouped into seven domains, was translated into Dutch according to international guidelines for cross-cultural translation and adaptation. The DENAT was then sent to a random sample of 319 RA patients registered at the outpatient clinic of a university hospital. For each domain (score range 1-5, equalling low-high educational needs), a median score with the inter-quartile range was computed. The Kruskal-Wallis test was used to determine possible associations between educational needs and age, disease duration, gender and educational background. The response rate was 165 out of 319 (52%). The median educational needs scores were 2.5 for "managing pain", 3.0 for "movement", 2.0 for "feelings", 4.0 for "arthritis process", 4.0 for "treatments from health professionals", 3.5 for "self-help measures" and 2.5 for "support systems". Lower age and longer [corrected] disease duration were associated with more educational needs in the domain "support systems". In addition, younger patients had more educational needs regarding managing pain and feelings than older patients. There were no associations between gender or educational background and educational needs. The DENAT has demonstrated its ability to identify individual educational needs of Dutch patients with RA. The lower age and shorter disease duration were associated with more educational needs. The practical applicability of the DENAT needs further research.
教育需求评估工具（ENAT）是在英国开发的，用于系统评估关节炎患者的教育需求。本研究的目的是通过使用ENAT的荷兰语版本（DENAT）来描述荷兰类风湿性关节炎（RA）患者的教育需求。ENAT的原始英国版本包括39个项目，分为七个领域，根据跨文化翻译和改编的国际指南被翻译成荷兰语。然后，DENAT被发送给在一家大学医院门诊登记的319名RA患者的随机样本。对于每个领域（分数范围为1 - 5，分别代表低 - 高教育需求），计算了四分位间距内的中位数分数。使用Kruskal - Wallis检验来确定教育需求与年龄、病程、性别和教育背景之间可能存在的关联。回复率为319人中的165人（52%）。“疼痛管理”领域的教育需求中位数分数为2.5，“运动”为3.0，“情绪”为2.0，“关节炎进程”为4.0，“医疗专业人员的治疗”为4.0，“自助措施”为3.5，“支持系统”为2.5。年龄较小和病程较长[校正后]与“支持系统”领域更多的教育需求相关。此外，年轻患者在疼痛管理和情绪方面的教育需求比老年患者更多。性别或教育背景与教育需求之间没有关联。DENAT已证明其能够识别荷兰RA患者的个体教育需求。年龄较小和病程较短与更多的教育需求相关。DENAT的实际适用性需要进一步研究。
