探索周围神经损伤患者的健康和财务素养：手术治疗患者的横断面分析

Q3 Medicine

Journal of Hand Surgery Global Online Pub Date : 2025-07-14 DOI:10.1016/j.jhsg.2025.100787

Jake H. Goldfarb BS , Zachary D. Randall BS , David M. Brogan MD, MSc , Christopher J. Dy MD, MPH

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引用次数: 0

摘要

目的健康素养影响肌肉骨骼疾病患者的预后和康复。尽管骨科损伤后的财务困难很常见，但财务知识在这些患者中的作用尚不清楚。我们的目的是评估从周围神经损伤（PNI）恢复的患者的健康和金融素养。方法在获得机构审查委员会批准后，本横断面研究通过电话调查了21例PNI或臂丛损伤患者。使用了两种经过验证的工具：健康素养问卷，包括9个独立领域的44个项目，以及23个项目的金融素养问卷，评估一系列金融素养概念。描述性统计总结了两项调查的得分。结果参与者平均年龄52.3±15.8岁；38%是女性。健康素养问卷调查结果显示，所有领域的健康素养都一致较高，在与卫生保健提供者积极接触、理解健康信息和社会支持相关的领域中，得分最高。相比之下，金融知识，通过在金融知识问卷中正确回答的总体百分比来衡量，平均为70%±20%（范围：21.7%至91.3%），表明中度金融知识具有很大的患者间差异。结论PNI康复患者在9个不同领域具有较高的健康素养水平，与慢性疾病（如牛皮癣、心力衰竭和透析患者）的人群相当。然而，适度和可变的财务知识表明，尽管有效的医疗保健系统导航，许多患者可能不太装备与他们的伤害相关的财务挑战。这些发现强调了将有针对性的财务教育纳入PNI患者围手术期管理的潜在益处。研究类型/证据水平治疗性IV。

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Exploring Health and Financial Literacy in Patients With Peripheral Nerve Injury: A Cross-Sectional Analysis of Patients Treated Surgically

Purpose

Health literacy influences patient outcomes and recovery in musculoskeletal conditions. Although financial distress is common after orthopedic injuries, the role of financial literacy in these patients is unknown. We aimed to evaluate health and financial literacy in patients recovering from peripheral nerve injuries (PNI).

Methods

After obtaining institutional review board approval, this cross-sectional study surveyed 21 patients with either PNI or brachial plexus injuries via phone. Two validated instruments were administered: the Health Literacy Questionnaire, comprising 44 items across nine independent domains, and a 23-item Financial Literacy Questionnaire assessing a range of financial literacy concepts. Descriptive statistics summarized scores on both surveys.

Results

Participants had a mean age of 52.3 ± 15.8 years; 38% were women. The Health Literacy Questionnaire results demonstrated uniformly high health literacy across all domains, with the highest scores observed in domains related to active engagement with health care providers, understanding health information, and social support. In contrast, financial literacy, measured by the overall percentage of correct responses on the Financial Literacy Questionnaire, averaged 70% ± 20% (range: 21.7% to 91.3%), indicating moderate financial literacy with substantial interpatient variability.

Conclusions

Patients recovering from PNI possess high levels of health literacy across nine different domains, comparable with populations with chronic conditions such as psoriasis, heart failure, and those undergoing dialysis. However, moderate and variable financial literacy suggests that despite effective health care system navigation, many patients may be less equipped for the financial challenges associated with their injury. These findings highlight the potential benefit of integrating targeted financial education into the perioperative management of PNI patients.