SingHealth Polyclinics, Singapore, Singapore.
SingHealth-Duke NUS Family Medicine Academic Clinical Programme, Singapore, Singapore.
J Prim Care Community Health. 2024 Jan-Dec;15:21501319231224253. doi: 10.1177/21501319231224253.
Self-efficacy in individuals optimizes their hypertension management. Electronic patient portals are being increasingly used to support chronic disease management, as they raise the health literacy of patients and enable them in self-management. However, the association between the use of patient portals and self-efficacy in hypertension management remains unclear. The study aimed to determine the association between self-efficacy among patients with hypertension who are managed in primary care and their demographic characteristics and usage patterns of patient portals.
A cross-sectional survey was conducted at a public primary care clinic in urban Singapore. Multi-ethnic adult patients with hypertension were invited to participate in a self-administered electronic questionnaire. Chi-square test was performed for bivariate analysis; adjusted logistic regression models were used for factors with value <.1.
A total of 310 patients (66.8% Chinese, 55.5% males, mean age of 63.1 years) completed the survey. Patient portal users had higher self-efficacy scores than non-users (mean score=63 vs 60, maximum = 80, = .011). The factors associated with increased patient portal access included younger age <65 years (absolute odds ratio [AOR] = 2.634, 95%CI = 1.432-4.847; = .002), monthly income >$5000 (AOR = 2.324, 95%CI = 1.104-4.892; = .026), and post-secondary education level (AOR = 3.128, 95%CI = 1.675-5.839; < .001). Most patients (93.1%) used the portal to check medical appointments but only1.3% of them used it to record home blood pressure measurements (HBPM).
Patient portal usage was associated with higher self-efficacy scores in patients with hypertension. These users were younger, more educated, and earned more than the non-users, but only 1.3% of them used it for HBPM documentation.
个体的自我效能感能优化其高血压管理。电子患者门户正越来越多地被用于支持慢性病管理，因为它们提高了患者的健康素养，并使他们能够进行自我管理。然而，高血压管理中患者使用患者门户与自我效能感之间的关联尚不清楚。本研究旨在确定在初级保健中管理的高血压患者的自我效能感与其人口统计学特征和患者门户使用模式之间的关联。
在新加坡市区的一家公立初级保健诊所进行了横断面调查。邀请患有高血压的多民族成年患者参加自我管理的电子问卷调查。采用卡方检验进行双变量分析；对 值 <.1 的因素采用调整后的逻辑回归模型。
共有 310 名患者（66.8%为华人，55.5%为男性，平均年龄为 63.1 岁）完成了调查。患者门户使用者的自我效能感评分高于非使用者（平均得分=63 分，最高=80 分， =.011）。与增加患者门户访问相关的因素包括年龄<65 岁（绝对优势比 [AOR] = 2.634，95%CI = 1.432-4.847； =.002）、月收入>$5000（AOR = 2.324，95%CI = 1.104-4.892； =.026）和中学后教育水平（AOR = 3.128，95%CI = 1.675-5.839； <.001）。大多数患者（93.1%）使用门户查看医疗预约，但只有 1.3%的患者使用该门户记录家庭血压测量值（HBPM）。
患者门户的使用与高血压患者的自我效能感评分较高相关。这些使用者更年轻、受教育程度更高、收入高于非使用者，但只有 1.3%的人将其用于 HBPM 记录。
