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健康素养在卵巢肿瘤女性患者感知信息提供与满意度中的作用:一项基于人群的PROFILES注册研究

The role of health literacy in perceived information provision and satisfaction among women with ovarian tumors: a study from the population-based PROFILES registry.

作者信息

Verkissen Mariëtte N, Ezendam Nicole P M, Fransen Mirjam P, Essink-Bot Marie-Louise, Aarts Mieke J, Nicolaije Kim A H, Vos M Caroline, Husson Olga

机构信息

CoRPS - Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, The Netherlands; Eindhoven Cancer Registry, Comprehensive Cancer Center South (CCCS), Eindhoven Cancer Registry, The Netherlands.

CoRPS - Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, The Netherlands; Eindhoven Cancer Registry, Comprehensive Cancer Center South (CCCS), Eindhoven Cancer Registry, The Netherlands.

出版信息

Patient Educ Couns. 2014 Jun;95(3):421-8. doi: 10.1016/j.pec.2014.03.008. Epub 2014 Mar 20.

Abstract

OBJECTIVE

To assess the association of subjective health literacy (HL) and education with perceived information provision and satisfaction.

METHODS

Women (N=548) diagnosed with an ovarian or borderline ovarian tumor between 2000 and 2010, registered in the Eindhoven Cancer Registry, received a questionnaire including subjective HL, educational level, perceived information provision, and satisfaction with the information received. Multiple linear and logistic regression analyses were performed, controlled for potential confounders.

RESULTS

Fifty percent of the women responded (N=275). Thirteen percent had low and 41% had medium subjective HL. Women with low HL reported less perceived information provision about medical tests, and were less satisfied with the information received compared to women with high HL. Low educated women reported that they received more information about their disease compared to highly educated women.

CONCLUSION

Low subjective HL among women with ovarian tumors is associated with less perceived information provision about medical tests and lower information satisfaction, whereas low education is associated with more perceived information provision about the disease.

PRACTICE IMPLICATIONS

HL should not be overlooked as a contributing factor to patients' perceived information provision and satisfaction. Health care providers may need training about recognizing low HL.

摘要

目的

评估主观健康素养(HL)和教育程度与感知信息提供及满意度之间的关联。

方法

2000年至2010年间在埃因霍温癌症登记处登记的、被诊断患有卵巢或卵巢交界性肿瘤的女性(N = 548)收到一份问卷,内容包括主观HL、教育水平、感知信息提供以及对所获信息的满意度。进行了多元线性和逻辑回归分析,并对潜在混杂因素进行了控制。

结果

50%的女性做出了回应(N = 275)。13%的女性主观HL较低,41%的女性主观HL中等。与主观HL高的女性相比,主观HL低的女性报告称关于医学检查的感知信息提供较少,且对所获信息的满意度较低。与高学历女性相比,低学历女性报告称她们收到了更多关于其疾病的信息。

结论

卵巢肿瘤女性的主观HL低与医学检查的感知信息提供较少及信息满意度较低相关,而低教育程度与疾病的感知信息提供较多相关。

实践意义

HL作为影响患者感知信息提供和满意度的一个因素不应被忽视。医疗保健提供者可能需要接受关于识别低HL的培训。

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