Health literacy, computer skills and quality of patient-physician communication in Chinese patients with cataract.
Health literacy, computer skills and quality of patient-physician communication in Chinese patients with cataract.
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中国白内障患者的健康素养、计算机技能和医患沟通质量
DOI：
10.1371/journal.pone.0107615
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Lamoureux EL
中科院分区：
文献类型：
--
作者：
Lin X;Wang M;Zuo Y;Li M;Lin X;Zhu S;Zheng Y;Yu M;Lamoureux EL
目的评估中国白内障患者的健康素养和计算机技能水平及其对医患关系的影响。方法对广东省拟行白内障摘除术的白内障患者进行横断面研究。使用3个既定的筛选问题评估一般健康素养。如果患者使用计算机并经常使用互联网上的搜索引擎，则确定其具有足够的计算机技能。社会-人口统计措施（例如，年龄、性别、教育程度）。参与者表示，他们不能理解他们的医生的意思被认为是有穷人的医患沟通。结果在211名被调查者中，92人（43.6%）的健康素养不足，204人（96.7%）的计算机技能不足。在多变量分析中，女性更有可能健康素养不足（比值比= 2.5，95%置信区间[CI]：1.3至4.7）。 健康素养不足的人更有可能有一个穷人的医患沟通（比值比= 3.5，95%CI：1.3至9.0）。 计算机技能不足也有类似的关联。结论中国老年白内障患者的健康素养不足，计算机操作能力有限，容易对自身眼部疾病产生误解和处理不当。在线材料以外的患者教育信息可能会改善这些患者的眼科护理和结果。
Purpose The aim of the study was to assess levels of health literacy and computer skills in Chinese patients with cataract, and their impact on the doctor-patient relationship. Methods We undertook a cross-sectional study of cataract patients scheduled for cataract extraction procedures in Guangdong Province, China. Generic health literacy was assessed using 3 established screening questions. Adequate computer skills was determined if patients had used a computer and routinely used search engines on the Internet. Socio-demographic measures (e.g., age, sex, education) were obtained from a standardized interview. Participants who indicated that they could not understand what their doctors mean were considered to have had poor patient-physician communications. Results Of the 211 participants, 92 (43.6%) had inadequate health literacy and 204 (96.7%) inadequate computer skills. In multivariate analysis, females were more likely to have inadequate health literacy (odds ratio = 2.5, 95% confidence intervals [CI]: 1.3 to 4.7). People with inadequately health literacy were more likely to have a poor patient-physician communication (odds ratio = 3.5, 95% CIs: 1.3 to 9.0). Similar associations were found for inadequate computer skills. Conclusion Chinese elderly patients with cataract have inadequate health literacy and very limited computer skills, which place them at high risk of misunderstanding and mismanaging their ocular conditions. Patient education information other than online materials may improve the eye care and outcomes of these patients.
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影响因子：
4.6
作者：
Eichler, Klaus;Wieser, Simon;Bruegger, Urs
通讯作者：
Bruegger, Urs
影响因子：
1.4
作者：
Swanson, Mark W.
通讯作者：
Swanson, Mark W.
DOI：
10.1001/jama.2011.512
发表时间：
2011-04-27
期刊：
JAMA
影响因子：
--
作者：
Peterson PN;Shetterly SM;Clarke CL;Bekelman DB;Chan PS;Allen LA;Matlock DD;Magid DJ;Masoudi FA
通讯作者：
Masoudi FA
影响因子：
5.7
作者：
PARKER, RM;BAKER, DW;NURSS, JR
通讯作者：
NURSS, JR
影响因子：
120.7
作者：
Powers, Benjamin J.;Trinh, Jane V.;Bosworth, Hayden B.
通讯作者：
Bosworth, Hayden B.