Hussein Wael F, Bennett Paul N, Sun Sumi J, Reiterman Marc, Watson Emily, Farwell Ian M, Schiller Brigitte
Satellite Healthcare, San Jose, CA, USA.
Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA, USA.
J Patient Exp. 2022 Jul 24;9:23743735221112220. doi: 10.1177/23743735221112220. eCollection 2022.
Patient activation is the product of knowledge, skills, and confidence that enables a person to manage their own healthcare. It is associated with healthy behaviors and improved patient outcomes. We surveyed prevalent hemodialysis (HD) patients at 10 centers using the Patient Activation Measure 13-item instrument (PAM-13). Activation was reported as scores (0-100) and corresponding levels (1-4). Of 1149 eligible patients, surveys were completed by 925 patients (92% response rate). Mean age was 62 ± 14 years, 40% were female, median vintage was 41 (IQR 19-77) months, and 66% had diabetes. Mean PAM score was 56 ± 13, with 14%, 50%, 25%, and 10% in levels 1 to 4, respectively. In adjusted analysis, older age and having diabetes were associated with lower activation, whereas higher educational levels and female gender were associated with higher scores. Significant variation in activation was observed among participants from different centers even after adjustment for other variables. In conclusion, low activation is common among prevalent HD patients.
患者激活是知识、技能和信心的产物，它使一个人能够管理自己的医疗保健。它与健康行为和改善患者预后相关。我们使用患者激活量表13项工具（PAM-13）对10个中心的维持性血液透析（HD）患者进行了调查。激活情况以分数（0-100）和相应水平（1-4）报告。在1149名符合条件的患者中，925名患者完成了调查（应答率92%）。平均年龄为62±14岁，40%为女性，透析中位时间为41（四分位间距19-77）个月，66%患有糖尿病。PAM平均得分为56±13，分别有14%、50%、25%和10%处于1至4级。在多因素分析中，年龄较大和患有糖尿病与较低的激活水平相关，而较高的教育水平和女性性别与较高得分相关。即使在对其他变量进行调整后，不同中心的参与者之间仍观察到激活水平存在显著差异。总之，低激活水平在维持性HD患者中很常见。
