使用患者可访问的电子健康记录门户网站对癌症幸存者健康结果的影响:卡塔尔世界杯8强波胆分析横断调查研究%刘a，李平Piper Liping %赵欣姝，叶佳佳，Francis jzhou %+澳门大学社会科学学院传播系，澳门氹子人文社会科学大楼(E21B) 2051室，853 8822 8837 xszhao@um.edu.mo %K电子健康档案%K以患者为中心的护理%K健康自我效率%K癌症幸存者%K身体健康%K心理健康%D 2022 %7 24.10.2022 %9原文%J J Med Internet Res %G English %X在过去的十年中，患者可访问的电子健康记录(PAEHR)系统已经成为医院和个人健康管理的重要工具。然而，PAEHR门户对慢性疾病(如癌症)患者生存的影响知之甚少。目的:本研究旨在探讨PAEHR门户网站的使用对癌症幸存者健康结局的影响，并通过以患者为中心的沟通(PCC)和健康自我效能感来检验其中介途径。方法:本研究的数据来源于2020年2月至2020年6月收集的健康信息全国趋势调查(HINTS 5, Cycle 4)。这项研究仅涉及报告被诊断患有癌症的受访者(N=626)。进行描述性分析，并使用SPSS宏PROCESS中的模型6对中介模型进行检验。PAEHR门户网站的使用、PCC、健康自我效能感和身心健康之间存在统计学意义的关系。在本研究中，我们将最小-最大归一化产生的回归系数称为百分比系数(bp)。 The 95% bootstrapped CIs were used with 10,000 resamplings. Results: No positive direct associations between PAEHR portal use and cancer survivors’ health outcomes were found. The results supported the indirect relationship between PAEHR portal use and cancer survivors’ psychological health via (1) PCC (bp=0.029; β=.023, 95% CI .009-.054), and (2) PCC and health self-efficacy in sequence (bp=0.006; β=.005, 95% CI .002-.014). Besides, the indirect association between PAEHR portal use and cancer survivors’ physical health (bp=0.006; β=.004, 95% CI .002-.018) via sequential mediators of PCC and health self-efficacy was also statistically acknowledged. Conclusions: This study offers empirical evidence about the significant role of PAEHR portals in delivering PCC, improving health self-efficacy, and ultimately contributing to cancer survivors’ physical and psychological health. %M 36279157 %R 10.2196/39614 %U //www.mybigtv.com/2022/10/e39614 %U https://doi.org/10.2196/39614 %U http://www.ncbi.nlm.nih.gov/pubmed/36279157