Self-Efficacy in Patients With Hypertension and Their Perceived Usage of Patient Portals.

IF 3 Q1 PRIMARY HEALTH CARE
Weai Ling Lim, Yi Ling Eileen Koh, Zhi En Tan, Yu Quan Tan, Ngiap Chuan Tan
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Abstract

Introduction: 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.

Method: 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 P value <.1.

Results: 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, P = .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; P = .002), monthly income >$5000 (AOR = 2.324, 95%CI = 1.104-4.892; P = .026), and post-secondary education level (AOR = 3.128, 95%CI = 1.675-5.839; P < .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).

Conclusions: 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.

高血压患者的自我效能感及其对患者门户网站的认知使用。
简介个人的自我效能可优化其高血压管理。电子患者门户网站被越来越多地用于支持慢性病管理,因为它们提高了患者的健康素养,使他们能够进行自我管理。然而,患者门户网站的使用与高血压管理自我效能之间的关系仍不清楚。本研究旨在确定接受初级医疗管理的高血压患者的自我效能感与他们的人口统计学特征和患者门户网站的使用模式之间的关系:在新加坡市区的一家公立初级保健诊所进行了一项横断面调查。多种族成年高血压患者应邀参加了自填式电子问卷调查。双变量分析采用卡方检验;调整后的逻辑回归模型用于分析P值结果:共有 310 名患者(66.8% 为中国人,55.5% 为男性,平均年龄为 63.1 岁)完成了调查。患者门户网站用户的自我效能感得分高于非用户(平均分=63 vs 60,最高分=80,P=0.011)。与患者门户网站访问量增加相关的因素包括:年龄更小,P = .002)、月收入大于 5000 美元(AOR = 2.324,95%CI = 1.104-4.892;P = .026)和大专以上教育水平(AOR = 3.128,95%CI = 1.675-5.839;P 结论:患者门户网站的使用与患者更高的自我效能相关:患者门户网站的使用与高血压患者较高的自我效能评分有关。与非用户相比,这些用户更年轻、受教育程度更高、收入更多,但只有 1.3% 的用户将其用于记录 HBPM。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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