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The impact of health information needs' satisfaction of hypertensive patients on their clinical outcomes
Aslib Journal of Information Management ( IF 2.6 ) Pub Date : 2020-12-11 , DOI: 10.1108/ajim-03-2020-0082
Petros Kostagiolas , Anastasios Milkas , Panos Kourouthanassis , Kyriakos Dimitriadis , Konstantinos Tsioufis , Dimitrios Tousoulis , Dimitrios Niakas

Purpose

The ultimate aim of this study is to investigate how health information needs’ satisfaction actually makes a difference to the patients' management of a chronic clinical condition. The literature falls short of providing evidence on the interaction between patients' health information seeking behaviour and the successful management of a clinical condition. On the other hand, patient education and good information seeking practices are deemed necessary for hypertension management daily decisions.

Design/methodology/approach

A specially designed questionnaire study was developed: The survey design was informed by the information seeking behaviour model of Wilson for studying hypertension patients' information needs, information resources and obstacles patients face while seeking hypertension-related information. Moreover, clinical information was collected in order to make associations and inference on the impact of information seeking on patients' clinical outcomes.

Findings

The study included 111 patients submitted to the outpatient hypertension clinic of a university hospital in Athens for a 24-h ambulatory blood pressure measurement (ABPM). The analysis showed that those reporting higher satisfaction level of their information needs achieved lower values in ABPM (ABPM<130/80mmHg, p = 0.049). Stepwise the logistic regression analysis revealed three independent factors to predict the possibility of being optimally treated (ABPM<130/80mmHg). Dipping status (OR: 14.052, 95% CI: 4.229–46.688, p = 0.0001) patients with high satisfaction level of their disease (OR: 13.450, 95% CI: 1.364–132.627, p = 0.026) and interpersonal relationships were used as the main source of information (OR: 1.762, 95% CI: 1.024–3.031, p = 0.41).

Originality/value

Hypertensive patients with high satisfaction level of information achieve better disease control. Among different sources of information, interpersonal relationships emerge as the most appropriate factor for patients' disease control.



中文翻译:

高血压患者健康信息需求满意度对其临床结局的影响

目的

这项研究的最终目的是调查健康信息需求的满意度实际上如何改变患者对慢性临床疾病的管理。文献缺乏提供有关患者健康信息寻求行为与临床状况成功管理之间相互作用的证据。另一方面,对高血压管理的日常决策而言,患者教育和良好的信息查找实践被认为是必要的。

设计/方法/方法

进行了专门设计的问卷研究:威尔逊的信息寻求行为模型为调查设计提供了信息,该模型用于研究高血压患者的信息需求,信息资源和患者在寻找与高血压相关的信息时面临的障碍。此外,收集临床信息是为了对信息搜索对患者临床结果的影响进行关联和推断。

发现

该研究包括111名患者,这些患者已提交雅典大学医院的门诊高血压诊所进行24小时动态血压测量(ABPM)。分析表明,那些对信息需求的满意度较高的人的ABPM值较低(ABPM <130 / 80mmHg,p  = 0.049)。Logistic回归分析逐步显示出三个独立因素来预测被最佳治疗的可能性(ABPM <130 / 80mmHg)。浸润状态(OR:14.052,95%CI:4.229–46.688,p  = 0.0001)患者对疾病的满意度较高(OR:13.450,95%CI:1.364–132.627,p  = 0.026),并且人际关系主要信息来源(或:1.762,95%CI:1.024–3.031,p = 0.41)。

创意/价值

信息满意度高的高血压患者可以更好地控制疾病。在不同的信息来源中,人际关系成为控制患者疾病的最适当因素。

更新日期:2021-01-12
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