Measuring educational needs among patients with rheumatoid arthritis using the Dutch version of the Educational Needs Assessment Tool (DENAT)
Measuring educational needs among patients with rheumatoid arthritis using the Dutch version of the Educational Needs Assessment Tool (DENAT)
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DOI：
10.1007/s10067-009-1190-3
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发表时间：
2009-09-01
影响因子：
3.4
通讯作者：
Ndosi, Mwidimi E.
中科院分区：
文献类型：
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作者：
Meesters, Jorit J. L.;Vlieland, Theodora P. M. Vliet;Ndosi, Mwidimi E.
教育需求评估工具 (ENAT) 是在英国 (UK) 开发的，用于系统评估关节炎患者的教育需求。本研究的目的是通过使用荷兰版 ENAT (DENAT) 来描述荷兰类风湿关节炎 (RA) 患者的教育需求。英国原版 ENAT 包含 7 个领域的 39 个项目，已根据跨文化翻译和改编的国际准则翻译成荷兰语。然后，DENAT 被随机发送给在大学医院门诊登记的 319 名 RA 患者。对于每个领域（分数范围 1-5，等于低到高的教育需求），计算四分位数范围的中位数分数。 Kruskal-Wallis 检验用于确定教育需求与年龄、疾病持续时间、性别和教育背景之间可能的关联。 319 人中有 165 人回复（52%）。 “控制疼痛”的教育需求中位数得分为 2.5，“运动”为 3.0，“感觉”为 2.0，“关节炎过程”为 4.0，“卫生专业人员的治疗”为 4.0，“自助措施”为 3.5，“支持系统”为 2.5。较低的年龄和较短的病程与“支持系统”领域的更多教育需求相关。此外，与老年患者相比，年轻患者在控制疼痛和感受方面有更多的教育需求。性别或教育背景与教育需求之间没有关联。 DENAT 已证明其有能力识别荷兰 RA 患者的个人教育需求。较低的年龄和较短的病程与更多的教育需求相关。 DENAT 的实际适用性需要进一步研究。
The Educational Needs Assessment Tool (ENAT) was developed in the United Kingdom (UK) to systematically assess the educational needs of patients with arthritis. The aim of the present study was to describe the educational needs of Dutch patients with rheumatoid arthritis (RA) by using the Dutch version of the ENAT (DENAT). The original UK version of the ENAT, comprising 39 items grouped into seven domains, was translated into Dutch according to international guidelines for cross-cultural translation and adaptation. The DENAT was then sent to a random sample of 319 RA patients registered at the outpatient clinic of a university hospital. For each domain (score range 1-5, equalling low-high educational needs), a median score with the inter-quartile range was computed. The Kruskal-Wallis test was used to determine possible associations between educational needs and age, disease duration, gender and educational background. The response rate was 165 out of 319 (52%). The median educational needs scores were 2.5 for "managing pain", 3.0 for "movement", 2.0 for "feelings", 4.0 for "arthritis process", 4.0 for "treatments from health professionals", 3.5 for "self-help measures" and 2.5 for "support systems". Lower age and shorter disease duration were associated with more educational needs in the domain "support systems". In addition, younger patients had more educational needs regarding managing pain and feelings than older patients. There were no associations between gender or educational background and educational needs. The DENAT has demonstrated its ability to identify individual educational needs of Dutch patients with RA. The lower age and shorter disease duration were associated with more educational needs. The practical applicability of the DENAT needs further research.