Heinrich Carol
School of Nursing, University of North Carolina Wilmington, Wilmington, NC 28403-5995, USA.
J Am Acad Nurse Pract. 2012 Apr;24(4):218-23. doi: 10.1111/j.1745-7599.2012.00698.x.
The purpose of this project was to describe the concept of health literacy, and to assess health literacy levels in diabetic patients receiving care in primary care settings.
Health literacy was measured by the Newest Vital Sign (NVS), an assessment tool that was developed for use in primary care settings. The sample consisted of 54 participants of whom 22% were Caucasian, 43% Black, and 35% Latino/Latina. Health literacy scores ranged from 0-6, with a mean of 2.87. Nearly 2/3 of the participants obtained scores of 3 or less, indicating a strong possibility of limited literacy. Significant correlations were obtained between health literacy and educational level, and between health literacy and ethnicity/race.
Limited health literacy is so common that health literacy assessment needs to be considered in all clinical practice settings. Health literacy is considered the sixth vital sign--along with temperature, pulse, respiration, blood pressure, and pain level.
The NVS takes about three minutes to administer and the assessment is easily accomplished during the initial visit for each patient. Healthcare providers will then be aware of the health literacy level of each patient and base their communication appropriately.
本项目的目的是描述健康素养的概念，并评估在初级保健机构接受护理的糖尿病患者的健康素养水平。
健康素养通过最新生命体征（NVS）进行测量，这是一种为在初级保健机构使用而开发的评估工具。样本包括54名参与者，其中22%为白种人，43%为黑人，35%为拉丁裔。健康素养得分范围为0至6，平均分为2.87。近三分之二的参与者得分在3分及以下，表明识字能力有限的可能性很大。健康素养与教育水平之间以及健康素养与种族之间存在显著相关性。
有限的健康素养非常普遍，因此在所有临床实践环境中都需要考虑进行健康素养评估。健康素养被视为第六项生命体征——与体温、脉搏、呼吸、血压和疼痛程度并列。
NVS评估大约需要三分钟，并且在每位患者的初次就诊期间很容易完成。医疗保健提供者随后将了解每位患者的健康素养水平，并据此进行适当的沟通。
