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功能性健康素养与远程家庭护理之间的相互作用:一项随机试验的短期效果

Interaction between functional health literacy and telehomecare: Short-term effects from a randomized trial.

作者信息

Korsbakke Emtekaer Haesum Lisa, Ehlers Lars, Hejlesen Ole K

机构信息

Department of Health Science and Technology, Aalborg, Denmark.

Danish Center for Healthcare Improvements, Aalborg University, Aalborg, Denmark.

出版信息

Nurs Health Sci. 2016 Sep;18(3):328-33. doi: 10.1111/nhs.12272. Epub 2016 Feb 8.

DOI:10.1111/nhs.12272
PMID:26856258
Abstract

This study was conducted as part of a randomized, controlled trial, and explored whether the introduction of a Danish telehomecare intervention, referred to as 'the Telekit', and its associated educational components affect functional health literacy. The study sample consisted of 60 chronic obstructive pulmonary disease patients in the intervention group who received the Telekit, and 56 in the control group; all participants were collected from the large-scale, randomized TeleCare North trial by consecutive sampling. To avoid recall bias, the design did not include a baseline measurement, comparing instead the post-intervention measurements between the intervention and control groups. First, the comparability of the two groups was determined, and statistically significant differences in their functional health literacy scores were examined using an independent t-test. Furthermore, the associations between functional health literacy and both groups were tested using multiple regression analysis. No statistically significant difference was observed between the intervention and control groups, suggesting that the introduction of the Telekit and its associated educational components has no effect on functional health literacy. However, further research should be conducted using a larger sample.

摘要

本研究作为一项随机对照试验的一部分开展,探讨引入一种名为“远程护理套件”(Telekit)的丹麦远程居家护理干预措施及其相关教育内容是否会影响功能性健康素养。研究样本包括干预组中60名接受远程护理套件的慢性阻塞性肺疾病患者和对照组中的56名患者;所有参与者均通过连续抽样从大规模随机化的“北方远程护理”(TeleCare North)试验中选取。为避免回忆偏倚,该设计未纳入基线测量,而是比较干预组和对照组的干预后测量结果。首先,确定两组的可比性,并使用独立t检验检查其功能性健康素养得分的统计学显著差异。此外,使用多元回归分析检验功能性健康素养与两组之间的关联。干预组和对照组之间未观察到统计学显著差异,这表明引入远程护理套件及其相关教育内容对功能性健康素养没有影响。然而,应使用更大的样本进行进一步研究。

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