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脑卒中患者群体对信息通信技术的使用现状、教育需求、移动健康素养及自我护理教育需求

Current Status of Information and Communication Technologies Utilization, Education Needs, Mobile Health Literacy, and Self-Care Education Needs of a Population of Stroke Patients.

作者信息

Cho Mi-Kyoung, Han Aro, Lee Hyunjung, Choi Jiwoo, Lee Hyohjung, Kim Hana

机构信息

Department of Nursing Science, School of Medicine, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju 28644, Republic of Korea.

Department of Nursing Science, College of Life and Health Sciences, Hoseo University, Asan 31499, Republic of Korea.

出版信息

Healthcare (Basel). 2025 May 19;13(10):1183. doi: 10.3390/healthcare13101183.

Abstract

BACKGROUND/OBJECTIVES: With the rising prevalence of chronic diseases and an aging population, the incidence of stroke is continuously increasing, which leads to higher medical costs. Stroke carries a high risk of recurrence, necessitating ongoing self-care and lifestyle changes, for which education is crucial. The aim of this study is to identify the ICT utilization education needs, mobile health literacy, and self-care education needs of stroke patients and confirm the differences in mobile health literacy and self-care education needs according to ICT utilization to establish a basis for self-care intervention.

METHODS

The study included 100 stroke patients diagnosed at three general hospitals or higher in City C, hospitalized or visiting neurology and neurosurgery outpatient clinics. A survey was conducted from 7 July 2023 to 30 May 2024. The survey cites computers, the Internet, live broadcasting technology, recorded broadcasting technology, and telephony as examples of ICTs. The gathered data were analyzed using descriptive statistics, independent -tests, one-way ANOVA, and the Pearson correlation coefficient.

RESULTS

The final analysis included 100 people, with 64 participants being men and an average age of 57.75 ± 12.30 years. Self-care education needs showed no significant differences based on general or disease-related characteristics. Many patients could use smart devices but experienced difficulties in searching for information. The main reasons for using smart devices included acquiring disease-related information and accessing resources without time limitations. The use of ICT services that provide disease-related information was low, 70% of participants were willing to use them in the future. Additionally, they preferred doctor-led education sessions once a month, lasting no longer than 30 min each. Mobile health literacy was significantly higher among those willing to use ICT services.

CONCLUSIONS

Mobile health literacy was significantly higher in the group willing to use ICT services than in the group unwilling. Self-care education needs were both highly important and necessary in the group willing to utilize ICT, but no statistically significant difference was found.

摘要

背景/目的:随着慢性病患病率的上升和人口老龄化,中风的发病率持续增加,这导致了更高的医疗成本。中风具有很高的复发风险,需要持续的自我护理和生活方式改变,而教育对此至关重要。本研究的目的是确定中风患者对信息通信技术(ICT)利用的教育需求、移动健康素养和自我护理教育需求,并根据ICT利用情况确认移动健康素养和自我护理教育需求的差异,为自我护理干预奠定基础。

方法

该研究纳入了在C市三家综合医院或更高等级医院确诊的100名中风患者,这些患者住院或就诊于神经内科和神经外科门诊。研究于2023年7月7日至2024年5月30日进行。该调查列举了计算机、互联网、直播技术、录播技术和电话作为ICT的示例。使用描述性统计、独立样本t检验、单因素方差分析和Pearson相关系数对收集到的数据进行分析。

结果

最终分析纳入100人,其中男性参与者64人,平均年龄为57.75±12.30岁。自我护理教育需求在一般或疾病相关特征方面无显著差异。许多患者能够使用智能设备,但在信息搜索方面存在困难。使用智能设备的主要原因包括获取疾病相关信息和不受时间限制地获取资源。提供疾病相关信息的ICT服务使用率较低,70%的参与者愿意在未来使用这些服务。此外,他们更喜欢每月由医生主导进行一次教育课程,每次课程时长不超过30分钟。愿意使用ICT服务的人群的移动健康素养显著更高。

结论

愿意使用ICT服务的人群的移动健康素养显著高于不愿意使用的人群。在愿意利用ICT的人群中,自我护理教育需求既非常重要又很有必要,但未发现统计学上的显著差异。

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