健康素养水平与住院患者心力衰竭知识和自我护理信心呈正相关。
Adequate health literacy is associated with higher heart failure knowledge and self-care confidence in hospitalized patients.
机构信息
Johns Hopkins University School of Nursing and School of Medicine, 525 N Wolfe Street, Baltimore, MD 21205, USA.
出版信息
J Cardiovasc Nurs. 2011 Sep-Oct;26(5):359-67. doi: 10.1097/JCN.0b013e3181f16f88.
Heart failure (HF) patients with inadequate health literacy are at increased risk for poor self-care and negative health outcomes such as hospital readmission. The purpose of the present study was to examine the prevalence of inadequate health literacy, the reliability of the Dutch HF Knowledge Scale (DHFKS) and the Self-care of Heart Failure Index (SCHFI), and the differences in HF knowledge, HF self-care, and 30-day readmission rate by health literacy level among patients hospitalized with HF. The convenience sample included adults (n = 95) admitted to a large, urban, teaching hospital whose primary diagnosis was HF. Measures included the Short Test of Functional Health Literacy in Adults, the DHFKS, the SCHFI, and readmission at 30 days after discharge. The sample was 59 ± 14 years in age, 51% male, and 67% African American; 35% had less than a high school education, 35% were employed, 73% lived with someone who helps with their HF care, and 16% were readmitted within 30 days of index admission. Health literacy was inadequate for 42%, marginal for 19%, and adequate for 39%. Reliability of the DHFKS and SCHFI scales was comparable to prior reports. Mean knowledge score was 11.43 ± 2.26; SCHFI subscale scores were 56.82 ± 17.12 for maintenance, 63.64 ± 18.29 for management, and 65.02 ± 16.34 for confidence. Those with adequate health literacy were younger and had higher education level, HF knowledge scores, and HF self-care confidence compared with those with marginal or inadequate health literacy. Self-care maintenance and management scores and 30-day readmission rate did not differ by health literacy level. These findings demonstrate the high prevalence of inadequate and marginal health literacy and that health literacy is an important consideration in promoting HF knowledge and confidence in self-care behaviors, particularly among older adults and those with less than a high school education.
心力衰竭（HF）患者健康素养不足，自我护理不良和负面健康结果（如住院再入院）的风险增加。本研究的目的是检查健康素养不足的患病率，荷兰心力衰竭知识量表（DHFKS）和心力衰竭自我护理指数（SCHFI）的可靠性，以及根据健康素养水平心力衰竭患者住院期间心力衰竭知识，心力衰竭自我护理和 30 天再入院率的差异。便利样本包括因主要诊断为心力衰竭而住院的成年人（n = 95）入住一家大型城市教学医院。测量包括成人简易功能性健康素养测试，DHFKS，SCHFI 和出院后 30 天的再入院率。该样本的年龄为 59 ± 14 岁，51％为男性，67％为非裔美国人；35％的人未接受过高中教育，35％有工作，73％与帮助他们进行心力衰竭护理的人同住，16％在索引入院后 30 天内再次入院。42％的人健康素养不足，19％的人健康素养边缘，39％的人健康素养充足。DHFKS 和 SCHFI 量表的可靠性与先前的报告相当。平均知识得分为 11.43 ± 2.26；SCHFI 分量表得分为维持得分为 56.82 ± 17.12，管理得分为 63.64 ± 18.29，信心得分为 65.02 ± 16.34。与健康素养边缘或不足的人相比，具有足够健康素养的人更年轻，接受过更高水平的教育，具有更高的心力衰竭知识得分和心力衰竭自我护理信心。自我护理维持和管理得分以及 30 天再入院率并未因健康素养水平而有所不同。这些发现表明健康素养不足和边缘的发生率很高，并且健康素养是促进心力衰竭知识和自我护理行为信心的重要考虑因素，尤其是在老年人和接受过高中以下教育的人中。
Zotero 插件