Cherrez-Ojeda Ivan, Felix Miguel, Mata Valeria L, Vanegas Emanuel, Gavilanes Antonio W D, Chedraui Peter, Simancas-Racines Daniel, Calderon Juan Carlos, Ortiz Fabian, Blum Guillermina, Plua Angela, Gonzalez Gino, Moscoso Grace, Morquecho Walter
Universidad Espíritu Santo, Samborondón, Ecuador.
Respiralab Research Group, Guayaquil, Ecuador.
Healthc Inform Res. 2018 Oct;24(4):292-299. doi: 10.4258/hir.2018.24.4.292. Epub 2018 Oct 31.
OBJECTIVES: The aim of the present study was to assess the frequency of use, and preferences regarding information and communication technologies (ICTs) among Ecuadorian patients with chronic kidney disease (CKD) undergoing hemodialysis. METHODS: We conducted an anonymous cross-sectional survey-based study from January 2016 to April 2017, involving 393 patients with end-stage renal disease from 9 hemodialysis centers, in which they rated their use and preferences of various ICTs through a modified version of the Michigan Questionnaire. The questionnaire collected information regarding demographics, patients' interest in obtaining health-related information through ICTs, and interest in using ICTs as a potential way to communicate with their healthcare providers. A chi-square test for association and adjusted regression analyses were performed. RESULTS: Among all patients who participated, 64.3% reported owning a cellphone, with less than a third reporting active Internet connection. The most used ICT for obtaining information about CKD and/or hemodialysis was web-based Internet, followed by YouTube. SMS was rated the highest to receive and seek health-related information, followed by Facebook. Younger age and higher levels of education were associated with a higher overall usage of ICTs. Finally, more than half of the patients reported interest in using WhatsApp for communicating with their healthcare providers. CONCLUSIONS: Understanding the preferences of ICTs among patients with CKD undergoing hemodialysis could help to improve their outcomes through the potential uses and benefits of ICTs. Further research is needed to assess their role in improving the care of patients with chronic diseases.
目的:本研究旨在评估厄瓜多尔接受血液透析的慢性肾脏病(CKD)患者对信息通信技术(ICTs)的使用频率以及对其的偏好。 方法:我们在2016年1月至2017年4月期间开展了一项基于匿名横断面调查的研究,纳入了来自9个血液透析中心的393例终末期肾病患者,他们通过一份修改后的密歇根问卷对各种ICTs的使用情况和偏好进行评分。该问卷收集了有关人口统计学、患者通过ICTs获取健康相关信息的兴趣以及将ICTs作为与医疗服务提供者沟通潜在方式的兴趣等信息。进行了关联的卡方检验和校正回归分析。 结果:在所有参与的患者中,64.3%报告拥有手机,不到三分之一的患者报告有活跃的互联网连接。用于获取CKD和/或血液透析信息的最常用ICT是基于网络的互联网,其次是YouTube。短信在接收和寻求健康相关信息方面的评分最高,其次是Facebook。年龄较小和教育水平较高与ICTs的总体使用量较高相关。最后,超过一半的患者报告有兴趣使用WhatsApp与他们的医疗服务提供者沟通。 结论:了解接受血液透析的CKD患者对ICTs的偏好,有助于通过ICTs的潜在用途和益处改善他们的治疗效果。需要进一步研究来评估它们在改善慢性病患者护理方面的作用。
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