College of Nursing, University of Toledo, Toledo, OH, USA.
J Pediatr Nurs. 2011 Dec;26(6):552-8. doi: 10.1016/j.pedn.2010.06.009. Epub 2010 Aug 23.
Asthma care for patients who have limited health literacy is very costly. The resources to help patients who have lower health literacy levels are very few are not well identified. Significant gains in asthma control, self-efficacy in managing asthma, and improvement in overall costs of care for this patient population can be achieved when health literacy challenges are addressed. This research suggests that one-on-one education with an asthma educator that specifically addresses health literacy levels and care designed around the National Asthma Guidelines can produce significant reductions in the cost for asthma care through decreased emergency department visits and hospitalizations, and improved self-management of asthma exacerbations.
哮喘患者的健康素养有限,其护理成本非常高。帮助低健康素养水平患者的资源非常有限,也尚未得到充分明确。当解决健康素养方面的挑战时,可显著改善哮喘控制、管理哮喘的自我效能以及改善该患者群体的整体护理成本。这项研究表明,通过专门针对健康素养水平的哮喘教育者的一对一教育,并围绕国家哮喘指南设计护理,可以通过减少急诊就诊和住院治疗,并改善哮喘恶化的自我管理,从而显著降低哮喘护理成本。