Schaefer Cynthia T
Department of Nursing, University of Evansville, Evansville, IN, USA.
Orthop Nurs. 2008 Sep-Oct;27(5):302-17. doi: 10.1097/01.NOR.0000337283.55670.75.
Health literacy involves reading, numeracy, comprehension, and the ability to make appropriate decisions about healthcare. The nurse needs to understand the impact health literacy has on patient education. Sixteen research articles that used an experimental design were reviewed in this integrated review to examine the effectiveness of intervention strategies related to health literacy. The studies found that the use of low literacy interventions was focused on making health education material easier to understand with the expectation that patients would be able to better self-manage their disease or condition. Further research is needed to evaluate the effectiveness of recommended low health literacy strategies, identify best practices, and determine how these practices can be used to benefit the widest range of patients. Nurses need to be involved in the development of evidenced-based interventions that meet the needs of patients with low health literacy in the least threatening manner.
健康素养包括阅读、算术、理解能力以及对医疗保健做出适当决策的能力。护士需要了解健康素养对患者教育的影响。在本次综合综述中，对16篇采用实验设计的研究文章进行了回顾，以检验与健康素养相关的干预策略的有效性。研究发现，低素养干预措施的使用侧重于使健康教育材料更易于理解，期望患者能够更好地自我管理其疾病或状况。需要进一步研究以评估推荐的低健康素养策略的有效性，确定最佳实践，并确定如何利用这些实践使最广泛的患者受益。护士需要参与制定以最不具威胁性的方式满足低健康素养患者需求的循证干预措施。
