健康素养对城市内医院中接受护理的糖尿病患者自我血糖监测的影响。
The impact of health literacy on self-monitoring of blood glucose in patients with diabetes receiving care in an inner-city hospital.
机构信息
Department of Medicine, Morehouse School of Medicine, 720 Westview Dr SW, Atlanta, GA 30310, USA.
出版信息
J Natl Med Assoc. 2010 Jan;102(1):5-9. doi: 10.1016/s0027-9684(15)30469-7.
BACKGROUND
Self-monitoring of blood glucose (SMBG) is considered to be 1 of the cornerstones of diabetes self-management. It is unclear whether inadequate health literacy affects SMBG.
OBJECTIVE
The objective of this study was to examine the relationship between health literacy and SMBG.
METHODS
This was a cross-sectional survey of 189 patients with diabetes, aged 18 to 65 years, receiving care in a large urban, public health care setting. We measured health literacy using the shortened version of the Test of Functional Health Literacy in Adults. The diabetes care profile was used to determine the use of self-monitoring of blood glucose.
RESULTS
Most (60.9%) of the survey participants were assessed as functionally health literate. The majority (90.9%) of the study participants reported testing their blood sugar at least once daily. Although adequate health literacy was associated with recording of blood sugar testing (p = .049), we found no statistically significant relationship between health literacy and the frequency of SMBG. Persons self-reporting having diabetes for more than 10 years were less likely to self-monitor blood glucose (odds ratio, 0.33; 95% CI, 0.11-0.99).
CONCLUSIONS
SMBG frequency is not independently associated with health literacy, but SMBG result recording is noted among patients with inadequate literacy.
背景
自我血糖监测（SMBG）被认为是糖尿病自我管理的基石之一。目前尚不清楚健康素养不足是否会影响 SMBG。
目的
本研究旨在探讨健康素养与 SMBG 之间的关系。
方法
这是一项在大型城市公共医疗保健环境中接受治疗的 189 名年龄在 18 至 65 岁的糖尿病患者的横断面调查。我们使用成人功能性健康素养测试的简化版来衡量健康素养。使用糖尿病护理概况来确定自我监测血糖的使用情况。
结果
大多数（60.9%）调查参与者被评估为具有功能性健康素养。大多数（90.9%）的研究参与者报告至少每天测试一次血糖。尽管足够的健康素养与血糖测试记录相关（p =.049），但我们没有发现健康素养与 SMBG 频率之间存在统计学上的显著关系。自我报告患有糖尿病超过 10 年的人不太可能自我监测血糖（比值比，0.33；95%CI，0.11-0.99）。
结论
SMBG 频率与健康素养无独立相关性，但在文化程度不足的患者中注意到 SMBG 结果记录。
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