Patient Knowledge About Disease Self-Management in Cirrhosis
Patient Knowledge About Disease Self-Management in Cirrhosis
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DOI：
10.1038/ajg.2012.214
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发表时间：
2013-03-01
影响因子：
9.8
通讯作者：
Fontana, Robert J.
中科院分区：
文献类型：
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作者：
Volk, Michael L.;Fisher, Natalie;Fontana, Robert J.
目的：方法：对150例门诊肝硬化患者进行疾病自我管理知识调查。然后，我们给他们一本简明的教育小册子，3个月后，进行了一次随访调查。我们分析了基线知识的人口统计学和临床相关性，并比较了干预前后的知识得分。结果：在基线调查中，15个问题中只有53%的人回答正确。最常遗漏的项目与饮食有关，如海盐的钠含量，以及药物的安全性，如对乙酰氨基酚和他汀类药物。干预后，77%的患者返回了随访调查。该组的中位数知识得分从53%提高到67%;改善发生在所有领域tested.Conclusions：肝硬化患者缺乏知识，有效地管理他们的疾病。一个简单的教育干预可以提高病人的知识。补充材料链接至该论文的在线版本，网址为：http://www.nature.com/ajg Am J Gastroenterol 2013;108：302-305; doi：10.1038/ajg.2012.214
OBJECTIVES: We aimed to understand and improve patient knowledge about self-management of cirrhosis.METHODS: We gave 150 outpatients with cirrhosis a survey to test disease self-management knowledge. We then gave them a concise educational booklet and, 3 months later, a follow-up survey. We analyzed demographic and clinical correlates of baseline knowledge, and compared knowledge scores before and after the intervention.RESULTS: Only 53% of the 15 questions were answered correctly in the baseline survey. The most commonly missed items related to diet, such as the sodium content of sea salt, as well as the safety of medications, such as acetaminophen and statins. After the intervention, 77% of patients returned the follow-up survey. This group's median knowledge score improved from 53% to 67%; improvement occurred across all domains tested.CONCLUSIONS: Cirrhosis patients lack the knowledge to effectively manage their disease. A simple educational intervention may improve patient knowledge. SUPPLEMENTARY MATERIAL is linked to the online version of the paper at http://www.nature.com/ajg Am J Gastroenterol 2013;108:302-305; doi:10.1038/ajg.2012.214