Bevan Jennifer L, Pecchioni Loretta L
Department of Communication Studies, Chapman University, One University Drive, Orange, CA 92866, United States.
Patient Educ Couns. 2008 Jun;71(3):356-64. doi: 10.1016/j.pec.2008.02.022. Epub 2008 Mar 26.
Family caregivers play a significant role in the diagnosis, treatment, and recovery of individuals with cancer. This position paper reviews and links the research on family caregiving and health information with the importance of cancer literacy.
Review of literature obtained through searching in Academic Search Premier, EBSCO, Communication and Mass Media Complete, PsychArticles, PsycInfo, and Health Source: Nursing/Academic Edition library databases.
Family members are important sources of health information, informal caregivers who learn and enact medical procedures, and influential aspects of patients' healthcare and treatment decision-making, but are not seriously considered by healthcare practitioners or researchers in terms of assessing and improving health literacy. Further, very few studies have directly examined or acknowledged the potential importance of family caregiver health literacy.
The extent to which family caregivers can comprehend the health information they receive along with the patient is crucial for the patient to achieve the most successful health outcome.
To acknowledge the impact that family caregiver health literacy could have on patient health outcomes, targeted practical recommendations for understanding family caregiver health literacy in the cancer context are proposed: (1) family member health literacy should be assessed; (2) close relational partners should be trained as peer health educators; (3) written cancer information should be provided directly to family caregivers; (4) health interactions between family caregivers and patients should be improved; (5) theoretical perspectives into the understanding of family caregiver health literacy should be integrated into practice; and (6) patient and family caregiver health literacy should be improved.
家庭照顾者在癌症患者的诊断、治疗及康复过程中发挥着重要作用。本立场文件回顾了家庭照顾相关研究及健康信息,并将其与癌症素养的重要性联系起来。
通过检索学术搜索高级版、EBSCO、传播与大众传媒全文数据库、心理学期刊、心理学文摘数据库以及健康源:护理/学术版图书馆数据库获取文献并进行综述。
家庭成员是健康信息的重要来源,是学习并执行医疗程序的非正式照顾者,也是患者医疗保健及治疗决策的影响因素,但在医疗从业者或研究人员评估及提高健康素养方面,他们未得到充分重视。此外,极少有研究直接考察或承认家庭照顾者健康素养的潜在重要性。
家庭照顾者与患者一同理解所获健康信息的程度,对于患者实现最理想的健康结果至关重要。
为认识到家庭照顾者健康素养对患者健康结果可能产生的影响,针对在癌症背景下理解家庭照顾者健康素养提出了有针对性的实用建议:(1)应评估家庭成员的健康素养;(2)亲密关系伙伴应接受培训成为同伴健康教育者;(3)应直接向家庭照顾者提供书面癌症信息;(4)应改善家庭照顾者与患者之间的健康互动;(5)应将理解家庭照顾者健康素养的理论观点融入实践;(6)应提高患者及家庭照顾者的健康素养。