评估器官移植患者的健康素养以更好地调整治疗教育内容:一项观察性研究。

IF 1.6 4区 医学 Q3 PHARMACOLOGY & PHARMACY
Clara Lebret, Brendan Le Daré, Florian Laval, Cécile Vigneau, Astrid Bacle
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引用次数: 0

摘要

目标:评估移植患者的健康素养,以便更好地调整继续治疗教育的内容:评估移植患者的健康素养,以便更好地调整持续治疗教育的内容:向移植患者协会发送了一份 20 个项目的调查问卷,问卷分为五个主题(运动/娱乐、饮食措施、卫生措施、识别移植排斥迹象和药物管理)。根据人口统计学特征、移植器官(肾脏、肝脏或心脏)、捐献者类型(活体或死体)、参与治疗性患者教育(TPE)计划的情况、终末期肾病管理(是否进行透析)以及移植日期,对参与者的回答(满分为 20 分)进行了分析:327人完成了问卷调查(平均年龄为63.3±12.7岁,平均移植时间为13.1±12.1年)。与出院时的得分相比,移植后两年内患者的得分明显下降。接受 TPE 治疗的患者得分明显高于未接受 TPE 治疗的患者,但仅限于移植后的前两年。移植器官不同,得分也不同。患者的知识因主题而异;与卫生和饮食规则有关的问题的错误率较高:这些发现强调了临床药剂师在长期维持移植受者健康知识水平以延长移植寿命方面所扮演的重要角色。我们展示了药剂师必须掌握扎实知识才能最好地满足移植患者需求的主题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessing health literacy in transplant patients to better tailor the content of their therapeutic education: an observational study.

Objectives: Evaluate health literacy in transplant patients to better tailor the content of their continuing therapeutic education.

Methods: A 20-item questionnaire divided into five themes (sport/recreation, dietary measures, hygiene measures, recognition of the signs of graft rejection and medication management) was sent to transplant patient associations. Participants' responses (a score out of 20 points), were analysed according to demographic characteristics, transplanted organ (kidney, liver or heart), type of donor (living or deceased), participation in a therapeutic patient education (TPE) programme, management of end-stage renal disease (with or without dialysis) and the date of transplant.

Results: 327 individuals completed the questionnaires (mean age 63.3±12.7 years, mean time post-transplant 13.1±12.1 years). From 2 years after transplantation, the patients' score decreases significantly compared with the score obtained at hospital discharge. Patients who received TPE had significantly higher scores than patients who did not receive it, but only in the first 2 years post-transplant. The scores were different depending on the organs transplanted. Patients' knowledge varied according to the theme; the percentage of errors being higher for questions related to hygienic and dietary rules.

Conclusion: These findings highlight the importance of the role of the clinical pharmacist in maintaining the transplant recipient's health literacy level over time to increase graft life. We show the topics on which pharmacists must acquire solid knowledge to best meet the needs of transplant patients.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
104
审稿时长
6-12 weeks
期刊介绍: European Journal of Hospital Pharmacy (EJHP) offers a high quality, peer-reviewed platform for the publication of practical and innovative research which aims to strengthen the profile and professional status of hospital pharmacists. EJHP is committed to being the leading journal on all aspects of hospital pharmacy, thereby advancing the science, practice and profession of hospital pharmacy. The journal aims to become a major source for education and inspiration to improve practice and the standard of patient care in hospitals and related institutions worldwide. EJHP is the only official journal of the European Association of Hospital Pharmacists.
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