Digital Health Literacy in Patients With Hypertension: A Cross-Sectional Study.

IF 3.2 3区医学 Q1 NURSING

Journal of Clinical Nursing Pub Date : 2025-05-14 DOI:10.1111/jocn.17811

Melania Totaro, Giancarlo Cicolini, Alessandro Bianconi, Matteo Fiore, Anastasia Angelini, Gloria Ciampechini, Mirko Ferretti, Cesare Luigi Nonnis, Paola Quaranta, Dania Comparcini, Valentina Simonetti

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引用次数: 0

Abstract

Aim: To assess Digital Health Literacy (DHL) levels among hypertensive patients.

Design: Cross-sectional study.

Methods: The study, conducted from March to August 2024 among hypertensive patients using convenience sampling, employed a 35-item questionnaire assessing: (I) sociodemographic; (II) physical activity, dietary habits, antihypertensive pharmacological treatment and medical history; (III) online health-related information knowledge and confidence; (IV) DHL, through the HLS₁₉-DIGI questionnaire with subscales on: (i) dealing with digital health information (HL-DIGI), (ii) interaction with digital resources (HL-DIGI-INT), (iii) frequency of digital device use for health (HL-DIGI-DD).

Results: Among 311 participants (mean age 63.9 years, SD = 14.8), 42.1% completed high school, 25.4% held a bachelor's degree and 22.8% were physically inactive. While 49.8% were aware of online health-related information, 28.9% were uncertain and 47.6% lacked confidence in using it for health decisions. On average, participants showed a problematic level of DHL in HL-DIGI, a sufficient level in HL-DIGI-INT, and used digital health devices just over once a week. Older age emerged as a predictor of higher online health-related knowledge and DHL, while higher education level predicted higher knowledge, confidence and DHL. Physical inactivity was associated with lower online health-related information knowledge and confidence.

Conclusions: These findings point to the need to design proactive strategies and implement targeted training and educational interventions to improve DHL in hypertensive patients.

Implications for the profession and/or patient care: Enhancing DHL levels through targeted interventions in patient care allows patients to effectively benefit from digital healthcare, achieve positive health outcomes and reduce disparities in care pathways.

Reporting method: This study adhered to the STROBE checklist for reporting.

Patient or public contribution: Patients were involved as the study population.

Protocol registration: Local Ethical Committee of the University Hospital Company of the Marche Region, Italy (protocol: 2023/279, date: 28/09/2023).

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高血压患者的数字健康素养：一项横断面研究

目的：了解高血压患者数字健康素养（Digital Health Literacy， DHL）水平。设计：横断面研究。方法：研究于2024年3月至8月在高血压患者中进行，采用方便抽样方法，采用35项问卷进行评估：(1)社会人口学；（二）身体活动、饮食习惯、降压药物治疗和病史；（三）在线健康相关信息知识和信心；（IV） DHL，通过HLS19-DIGI问卷，其子量表包括：(i)处理数字健康信息（HL-DIGI），（ii）与数字资源的互动（HL-DIGI- int），（iii）用于健康的数字设备使用频率（HL-DIGI- dd）。结果：311名参与者（平均年龄63.9岁，SD = 14.8）中，42.1%完成高中学业，25.4%拥有学士学位，22.8%缺乏运动。49.8%的人知道在线健康信息，28.9%的人不确定，47.6%的人对使用这些信息进行健康决策缺乏信心。平均而言，参与者在HL-DIGI中表现出有问题的DHL水平，在HL-DIGI- int中表现出足够的水平，并且每周使用数字健康设备一次以上。年龄越大，在线健康相关知识和DHL越高，教育程度越高，知识、信心和DHL越高。缺乏体育活动与较低的在线健康信息知识和信心有关。结论：这些发现表明，需要设计积极的策略，实施有针对性的培训和教育干预，以改善高血压患者的DHL。对专业和/或患者护理的影响：通过有针对性的患者护理干预措施提高DHL水平，使患者能够有效地从数字医疗保健中受益，实现积极的健康结果，并减少护理途径中的差异。报告方法：本研究遵循STROBE清单进行报告。患者或公众贡献：患者作为研究人群。议定书注册：意大利马尔凯地区大学医院公司当地伦理委员会（议定书：2023/279，日期：2023年9月28日）。

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

Journal of Clinical Nursing 医学-护理

CiteScore

6.40

自引率

2.40%

发文量

审稿时长

2 months

期刊介绍： The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.