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患者在专家妇科三级中心就诊的健康素养:一项初步研究。

Health literacy of patients consulting in an expert gynecological tertiary center: A pilot study.

机构信息

Department of Gynaecology, Obstetrics and Reproductive Medicine, Versailles Hospital, 177 rue de Versailles, Le Chesnay, France.

Department of Gynaecology, Obstetrics and Reproductive Medicine, Tenon University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, 75020, France.

出版信息

J Gynecol Obstet Hum Reprod. 2024 Nov;53(9):102832. doi: 10.1016/j.jogoh.2024.102832. Epub 2024 Aug 2.

Abstract

BACKGROUND

Previous studies have highlighted patients with chronic conditions seek for medical knowledge and therapeutics on their own. So far, no data exist on the health literacy of patients with gynecological conditions and especially those suffering from endometriosis, whose symptoms' have a major impact on their daily lives.

METHOD

The objective was to evaluate the health literacy of patients consulting in a referral expert center for the management of endometriosis and gynecological cancers. The secondary objective was to compare the health literacy of patients with endometriosis to patients without. We conducted an observational, prospective, monocentric study in the gynecological department of Tenon Hospital (Paris, France) between July 6, 2022 to January 3, 2023. All patients fulfilled the validated French version of HLS-EU-Q16 questionnaire.

RESULTS

One hundred and ten patients were included. The two following questions were identified as the most difficult among patients with endometriosis: "Find information about treatments for their disease" and "know when it would be helpful to have another doctor's opinion". Compared to patients consulting for other conditions, it was more difficult for patients with endometriosis to respectively "find information about treatments for diseases" and "use information given by the doctor to take decisions about the illness" (p = 0.003). Compared to patients consulting for cancer, it was more difficult for patient with endometriosis to "find information about treatments for diseases" (p = 0.02).

CONCLUSION

Progresses in the capacity of the health care to better inform the patients would be highly beneficial, especially for those suffering from endometriosis.

摘要

背景

先前的研究强调了患有慢性病的患者会自行寻求医学知识和治疗方法。迄今为止,尚无关于妇科疾病患者、特别是患有子宫内膜异位症患者健康素养的数据,而他们的症状对日常生活有重大影响。

方法

本研究旨在评估在子宫内膜异位症和妇科癌症管理转诊专家中心就诊的患者的健康素养。次要目标是比较子宫内膜异位症患者和非子宫内膜异位症患者的健康素养。我们在法国巴黎特农医院妇科进行了一项观察性、前瞻性、单中心研究,时间为 2022 年 7 月 6 日至 2023 年 1 月 3 日。所有患者均完成了经过验证的法国版 HLS-EU-Q16 问卷。

结果

共纳入 110 例患者。对于子宫内膜异位症患者来说,以下两个问题被认为是最困难的:“找到有关疾病治疗的信息”和“知道何时需要其他医生的意见”。与因其他疾病就诊的患者相比,子宫内膜异位症患者分别更难以“找到有关疾病治疗的信息”和“使用医生提供的信息来决定疾病的治疗”(p = 0.003)。与因癌症就诊的患者相比,子宫内膜异位症患者更难以“找到有关疾病治疗的信息”(p = 0.02)。

结论

提高医疗保健能力,以便更好地为患者提供信息,将非常有益,特别是对那些患有子宫内膜异位症的患者。

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