College of Nursing, Chonnam National University, Gwangju, Republic of Korea.
College of Nursing, Keimyung University, Daegu, Republic of Korea.
Eur J Oncol Nurs. 2024 Jun;70:102581. doi: 10.1016/j.ejon.2024.102581. Epub 2024 Apr 1.
PURPOSE: Digital health is an indispensable tool, but its use depends on the eHealth literacy (eHL) of end-users. This study aimed to understand the need for digital health and eHL among cancer patients, caregivers, and healthcare providers and to identify differences in digital health needs related to the eHL of cancer patients. METHODS: A multicenter, descriptive correlational study was conducted and included a total of 209 patients, 150 caregivers and 150 healthcare providers. Digital health needs were identified, and eHL was measured using the Korean version of the eHealth Literacy Scale. Differences in digital health needs in relation to the eHL of patients were analyzed. RESULTS: The most necessary digital health functions among cancer patients and caregivers were 'information and education on symptom management after cancer treatment' and 'education on coping methods for each type of cancer' (87.1-94.0%). Healthcare providers reported the need for a digital health function for 'medication information' and assisting in 'medical appointments' (96.7-98.0%). The preferred types of digital health were telemonitoring, mobile services, and telemedicine by telephone (81.3-90.5%). The mean eHL score of the cancer patients was 28.84 ± 6.75. Differences existed in the need for digital health functions and preferences for digital health types between cancer patients with high and low eHL. CONCLUSIONS: Cancer patients and caregivers expressed strong needs for digital health that provide information and education about symptom management and coping with cancer. Digital health interventions for cancer care need to be developed to reflect the identified needs and preferences and eHL of end-users.
目的:数字健康是一种不可或缺的工具,但它的使用取决于最终用户的电子健康素养(eHL)。本研究旨在了解癌症患者、护理人员和医疗保健提供者对数字健康的需求和 eHL,并确定与癌症患者 eHL 相关的数字健康需求的差异。
方法:进行了一项多中心描述性相关性研究,共纳入 209 名患者、150 名护理人员和 150 名医疗保健提供者。确定了数字健康需求,并使用电子健康素养量表的韩语版本测量了 eHL。分析了与患者 eHL 相关的数字健康需求差异。
结果:癌症患者和护理人员最需要的数字健康功能是“癌症治疗后症状管理的信息和教育”和“针对每种类型癌症的应对方法教育”(87.1-94.0%)。医疗保健提供者报告需要数字健康功能来提供“药物信息”并协助“预约医疗”(96.7-98.0%)。首选的数字健康类型是远程监测、移动服务和电话远程医疗(81.3-90.5%)。癌症患者的平均 eHL 得分为 28.84±6.75。高 eHL 和低 eHL 的癌症患者在数字健康功能需求和数字健康类型偏好方面存在差异。
结论:癌症患者和护理人员对提供有关症状管理和应对癌症的信息和教育的数字健康有着强烈的需求。需要为癌症护理开发数字健康干预措施,以反映确定的需求和偏好以及最终用户的 eHL。
Nurs Health Sci. 2020-9
Int J Environ Res Public Health. 2021-11-16