Hæsum L K E, Ehlers L H, Hejlesen O K
Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Denmark.
Danish Center for Healthcare Improvements, Faculty of Social Sciences and Faculty of Health Sciences, Aalborg University, Denmark.
Public Health. 2017 Sep;150:43-50. doi: 10.1016/j.puhe.2017.05.002. Epub 2017 Jun 14.
The association between the use of telehomecare technology and functional health literacy is rather unexplored in the current literature. This relationship could prove important in the future management of chronic diseases, as technology has become a more integrated part of modern healthcare systems. Therefore, the purpose of this study was to explore how the use of telehomecare technology affects the level of functional health literacy over a period of 10 months.
Randomized controlled trial.
Our sample comprised 116 patients diagnosed with chronic obstructive pulmonary disease. A face-to-face interview and an objective test of functional health literacy were conducted with each patient at baseline and again at follow-up after 10 months. Twenty-six patients were lost to follow-up and thus, providing a total of 47 chronic obstructive pulmonary disease patients in the intervention group and 43 in the control group for this follow-up study. The level of functional health literacy was assessed with the Danish Test of Functional Health Literacy in Adults. The difference from baseline to follow-up, in both the functional health literacy score and the mean response time to the entire Danish Test of Functional Health Literacy in Adults (TOFHLA), was tested for statistical significance between the intervention group and the control group.
A significant increase in functional health literacy is observed in both the groups from baseline to follow-up, but there is no statistical difference between groups (P-value = 0.62).
A significant increase in the functional health literacy score was observed in both groups, but the findings of this present study provide no information on what causes the increase, so further research is needed to explore the increase in functional health literacy score more thoroughly and establish if the use of telehomecare technology is a part of the explanation.
目前文献中对远程家庭护理技术的使用与功能性健康素养之间的关联研究较少。随着技术已成为现代医疗系统中更不可或缺的一部分，这种关系在未来慢性病管理中可能具有重要意义。因此，本研究旨在探讨远程家庭护理技术的使用在10个月期间如何影响功能性健康素养水平。
随机对照试验。
我们的样本包括116名被诊断患有慢性阻塞性肺疾病的患者。在基线时对每位患者进行面对面访谈和功能性健康素养客观测试，10个月后的随访时再次进行。26名患者失访，因此，本随访研究中干预组共有47名慢性阻塞性肺疾病患者，对照组有43名。使用丹麦成人功能性健康素养测试评估功能性健康素养水平。对干预组和对照组在功能性健康素养得分以及整个丹麦成人功能性健康素养测试（TOFHLA）的平均反应时间从基线到随访的差异进行统计学显著性检验。
从基线到随访，两组的功能性健康素养均显著提高，但组间无统计学差异（P值 = 0.62）。
两组的功能性健康素养得分均显著提高，但本研究结果未提供关于导致这种提高的原因的信息，因此需要进一步研究以更全面地探索功能性健康素养得分的提高情况，并确定远程家庭护理技术的使用是否是其中一部分原因。
