探索信息和通信技术在专科中心过敏性鼻炎中的作用：患者对实用性、价值和对医疗保健影响的看法

IF 4.6 2区医学 Q2 ALLERGY

Clinical and Translational Allergy Pub Date : 2024-01-19 DOI:10.1002/clt2.12325

Ivan Cherrez-Ojeda, Jean Bousquet, Zouina Sarfraz, Azza Sarfraz, Monica Rodriguez Gonzales, Anna Bedbrook, Nelson Rosario, Benjamin Zepeda-Ortega, Guillermo Guidos, Ulbio Alcivar Molina, Miguel Felix, Emanuel Vanegas, Karla Robles-Velasco, Luc J. Zimmermann, Antonio W. D. Gavilanes

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引用次数: 0

摘要

导言：信息和通信技术（ICTs）可改善以患者为中心的护理，并已在过敏性鼻炎（AR）中得到常规应用，但患者的偏好和态度尚未得到研究。本研究探讨了过敏性鼻炎患者对与过敏性鼻炎相关的信息的偏好以及对 ICT 的使用情况。方法 2019 年 7 月至 9 月，在厄瓜多尔的七个过敏性疾病参考中心开展了一项基于调查的横断面研究。参与者年满 18 周岁，确诊为 AR 患者，可使用 ICT 和互联网。研究进行了描述性和二项逻辑回归。小于 0.05 的值被视为具有统计学意义。结果共纳入 217 名患者。47%（n = 102）的患者使用信息和通信技术了解 AR，其中 38.2%（n = 83）的患者认为 AR 有用。大多数参与者（75%，n = 164）认为信息和通信技术不会减少他们看医生的需求。生活质量较差的人更有可能利用信息和通信技术联系医生（OR 1.27，95% CI 1.04-1.55），也更有可能对 AR 相关内容感兴趣（OR 1.23，95% CI 1.00-1.52）。长期患有 AR 或其他过敏症的患者不太可能使用信息和通信技术（OR 分别为 0.92 和 OR 0.40）。教育程度较高和生活质量较低的患者可能会更多地采用 AR 应用程序（OR 4.82，95% CI 1.11-21.00）。学业准备可将信息和通信技术的使用率提高五倍（OR 5.29，95% CI 1.18-23.72）。轻度持续性 AR 提高了使用信息和通信技术与其他患者分享经验和交流的概率（OR 12.59，95% CI 1.32-120.35）。结论我们的研究强调了通过考虑生活质量、教育程度和 AR 患者群体中的特定亚群等因素来定制符合患者需求的数字资源的重要性。此外，研究结果表明，虽然信息和通信技术在患者教育和支持方面可以发挥重要作用，但对于许多 AR 患者来说，它们应该是传统医疗护理的补充，而不是替代。

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Exploring the role of information and communication technologies in allergic rhinitis in specialist centers: Patient perspectives on usefulness, value, and impact on healthcare

Introduction

Information and communication technologies (ICTs) improve patient-centered care and are routinely used in Allergic Rhinitis (AR), but patients' preferences and attitudes are unexplored. This study examines AR-related information preferences and ICT use by AR patients.

Methods

A survey-based cross-sectional study was carried out in Ecuador from July to September 2019 in seven centers of reference for allergic disease. Participants were 18 years or older, diagnosed with AR and had access to ICT and the Internet. Descriptive and binomial logistic regressions were performed. A value of less than 0.05 was considered statistically significant.

Results

217 patients were included. 47% (n = 102) used ICTs to learn about AR, of which 38.2% (n = 83) found it useful. Most of participants (75%, n = 164) did not think that ICTs reduce their need to see a doctor. Individuals with poorer quality of life were more likely to utilize ICTs to contact their doctor (OR 1.27, 95% CI 1.04–1.55), and more likely to be interested in AR-related content (OR 1.23, 95% CI 1.00–1.52). Patients with long-term AR or other allergies were less likely to use ICTs (OR 0.92 and OR 0.40 respectively). Higher education and lower quality of life may increase AR apps adoption (OR 4.82, 95% CI 1.11–21.00). Academic preparation five-fold increased ICT use for health provider communication (OR 5.29, 95% CI 1.18–23.72). Mild-persistent AR enhanced the probabilities of using ICTs to share experiences and communicate with other patients (OR 12.59, 95% CI 1.32–120.35).

Conclusions

Our study emphasizes the importance of tailoring digital resources to patient needs by considering factors such as quality of life, education, and specific subgroups within the AR patient population. Additionally, the findings suggest that while ICTs can play a valuable role in patient education and support, they should complement, rather than replace, traditional medical care for many AR patients.

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来源期刊

Clinical and Translational Allergy Immunology and Microbiology-Immunology

CiteScore

7.50

自引率

4.50%

发文量

117

审稿时长

12 weeks

期刊介绍： Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.