Tang James, Howell Martin, Lee Vincent W, Guha Chandana, Dominello Amanda, Roger Simon, Keung Karen, Teixeira-Pinto Armando, Tong Allison, Wong Germaine
Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Centre for Kidney Research, The Children's Hospital at Westmead, Westmead, New South Wales, Australia.
Kidney Int Rep. 2023 Jan 20;8(4):727-736. doi: 10.1016/j.ekir.2023.01.007. eCollection 2023 Apr.
eHealth supports the delivery of relevant health information and management of chronic disease. However, little is known about patients' perspectives and the determinants of eHealth use among kidney transplant recipients.
Kidney transplant recipients aged 18 years and older from 3 transplant units in Australia and the Better Evidence and Translation in Chronic Kidney Disease consumer network completed a survey with free-text responses relating to eHealth uptake. Multivariable regression modeling was used to determine the factors associated with eHealth use. Free-text responses were thematically analyzed.
Of the 117 participants who were invited in person and who responded to the email, 91 completed the survey. Sixty-three participants (69%) were current eHealth users (active use of eHealth tools), and 91% had access to eHealth devices, including smartphones (81%) and computers (59%). Most (98%) reported that eHealth improves posttransplant care. Factors associated with increased eHealth use (odds ratio [95% confidence interval]) were higher eHealth literacy scale (eHEALS) score (1.21 [1.06-1.38]) and tertiary education (7.78 [2.19-27.7]). We identified the following 3 themes on eHealth determinants: (i) empowering self-management, (ii) enhancing health services, and (iii) technology burden.
Transplant recipients believe that eHealth interventions have the potential to improve their posttransplant care. eHealth interventions should meet the needs of all transplant recipients and be accessible to those with lower educational attainment.
电子健康有助于提供相关健康信息和慢性病管理。然而，对于肾移植受者对电子健康的看法以及使用电子健康的决定因素知之甚少。
来自澳大利亚3个移植单位以及慢性肾脏病更好证据与转化消费者网络的18岁及以上肾移植受者完成了一项调查，其中包含与采用电子健康相关的自由文本回复。采用多变量回归模型来确定与使用电子健康相关的因素。对自由文本回复进行了主题分析。
在亲自受邀并回复电子邮件的117名参与者中，91人完成了调查。63名参与者（69%）是当前电子健康用户（积极使用电子健康工具），91%的人可以使用电子健康设备，包括智能手机（81%）和电脑（59%）。大多数人（98%）报告称电子健康改善了移植后护理。与电子健康使用增加相关的因素（优势比[95%置信区间]）包括较高的电子健康素养量表（eHEALS）得分（1.21[1.06 - 1.38]）和高等教育（7.78[2.19 - 27.7]）。我们确定了关于电子健康决定因素的以下3个主题：（i）增强自我管理能力，（ii）改善健康服务，以及（iii）技术负担。
移植受者认为电子健康干预措施有潜力改善他们的移植后护理。电子健康干预措施应满足所有移植受者的需求，并让教育程度较低的人也能使用。
