利用爬蟲建立慢性腎病衛教資料庫的成效評估

Evaluating the effectiveness of using web crawlers to establish a chronic kidney disease health education database

透析患者的健康識能有限，可能導致患者的藥物依從性差、住院率及死亡風險增加。本研究利用網路爬蟲技術建立慢性腎病衛教資料庫，並透過通訊應用程式提供個人化衛教對疾病識能的影響。本次研究介入4周，招募19位的血液透析患者，透過填答血液透析病友健康相關知能調查進行前後測評量。研究結果顯示，介入個人化衛教後，患者的問卷分數從平均17.84分進步至19.58分，錯題率從32%下降至25%，透析知能顯著提升，尤其在功能性健康素養方面進步最明顯。此外，即使是數位健康識能較低的患者，也在個人化衛教介入後顯著提升了血液透析相關知能。數位效能和前測分數之間存在顯著相關，但在介入後，數位效能與後測分數之間的相關性則不再顯著。整體而言，本研究強調了個人化衛教的重要性，並提供了有效提升患者健康識能的方法，未來可以進一步探索如何改善個人化衛教策略，以促進患者的健康和福祉。

Patients undergoing hemodialysis frequently exhibit limited health literacy, potentially leading to suboptimal medication adherence, increased hospitalization rates, and elevated mortality risk. This study leveraged web crawlers to curate personalized health education content, which was delivered via a communication application to improve disease literacy among hemodialysis patients. Over a four-week intervention, 19 patients participated, with pre- and post-intervention assessments conducted using a health literacy questionnaire specifically for Taiwanese hemodialysis patients. Results indicated that personalized health education significantly improved patients' questionnaire scores from an average of 17.84 to 19.58 while reducing the error rate from 32% to 25%. Notably, the most substantial gains were observed in Functional Literacy. Furthermore, even patients with lower initial digital health literacy demonstrated marked improvements in hemodialysis-related knowledge postintervention. Initially, there was a significant correlation between digital proficiency and pre-intervention scores; however, this correlation diminished post-intervention. This study highlights the critical role of personalized health education in enhancing hemodialysis patients’health literacy and suggests further research to optimize such interventions for improving patient health and well-being.