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癌症患者的整体健康信息暴露、障碍及其对医疗态度的影响。日本福岛 2011 年三重灾难的长期后果:单机构横断面研究。

Overall health information exposure, its barriers and impacts on attitude toward healthcare among cancer patients. The long-term aftermath of the 2011 triple disaster in Fukushima, Japan: A single institution cross-sectional study.

机构信息

Minamisoma Municipal General Hospital, Japan.

Jyoban Hospital of Tokiwa Foundation, Japan.

出版信息

Health Informatics J. 2021 Apr-Jun;27(2):1460458221996420. doi: 10.1177/1460458221996420.

Abstract

Disasters can hinder access to health information among cancer patients. However, little is known regarding overall health information exposure (HIE), its barriers and its impacts on attitudes toward healthcare among cancer patients in the long-term aftermath of disasters. The aims of this study were threefold: assess the extent of HIE; identify associations between family composition and a non-engagement with HIE; and examine the effects of HIE on attitudes toward healthcare among local cancer patients-5 years after the 2011 triple disaster (earthquake, tsunami, and nuclear disaster) in Fukushima, Japan. We conducted self-administered surveys with all cancer and non-cancer surgery department outpatients at Minamisoma Municipal General Hospital (MMGH), Minamisoma City, from October 2016 to January 2017. In total, 404 patients (263 cancer patients and 141 non-cancer patients) voluntarily participated in the study. The results revealed that a regular level of HIE occurred among 90.5% of the cancer patients. In cancer patients, family composition was not significantly associated with HIE, and HIE was not associated with attitude toward healthcare. In conclusion, most cancer patients visiting the MMGH surgical department were regularly engaged in HIE.

摘要

灾难可能会阻碍癌症患者获取健康信息。然而,对于灾难发生后很长一段时间内癌症患者的总体健康信息暴露(HIE)、障碍及其对医疗保健态度的影响,人们知之甚少。本研究的目的有三:评估 HIE 的程度;确定家庭构成与不参与 HIE 之间的关联;并在日本福岛 2011 年三重灾难(地震、海啸和核灾难)发生 5 年后,检查 HIE 对当地癌症患者医疗保健态度的影响。我们于 2016 年 10 月至 2017 年 1 月在南相马市 MMGH(南相马市立综合医院)对所有癌症和非癌症外科门诊患者进行了自我管理调查。共有 404 名患者(263 名癌症患者和 141 名非癌症患者)自愿参加了这项研究。结果表明,90.5%的癌症患者定期参与 HIE。在癌症患者中,家庭构成与 HIE 无显著相关性,HIE 与医疗保健态度也无相关性。总之,访问 MMGH 外科部门的大多数癌症患者都定期参与 HIE。

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