Sampaio Helena Alves de Carvalho, Carioca Antônio Augusto Ferreira, Sabry Maria Olganê Dantas, Dos Santos Patrícia Mariano, Coelho Maria Auristela Magalhães, Passamai Maria da Penha Baião
Universidade Estadual do Ceará, Fortaleza, CE, Brasil,
Faculdade de Saúde Pública, Universidade de São Paulo.
Cien Saude Colet. 2015 Mar;20(3):865-74. doi: 10.1590/1413-81232015203.12392014.
Diabetes mellitus patients must concentrate on self-care, with complex treatments and adequate health behavior in which such habits are a key factor. Due to the complexity of this issue, the importance of literacy in health arises. The goal of the study was to analyze factors associated with literacy in health and its relation with glycemic control in diabetic patients. It involved a study with 82 type 2 diabetic patients of both sexes and aged between 19 and 59 attended in the outpatient endocrinology ward of a public hospital, who filled out an abbreviated and translated version of the Test of Functional Health Literacy in Adults (b-TOFHLA). Fasting glycaemia values and glycated hemoglobin were collected from the clinical history of the participants. Correlations, mean comparisons and linear regression models were tested. Inadequate literacy in health was encountered in 65.9% of the patients. The issues involved factors associated with the b-TOFHLA point scores were age and years of schooling. Global literacy did not explain the glycemic control, but the level of numeracy presented an association with this control. The results point to the need to improve the numeracy in health of the patients to obtain enhanced glycemic control, mainly in those with more advanced age and less years of schooling.
糖尿病患者必须专注于自我护理，采用复杂的治疗方法并保持适当的健康行为，其中这些习惯是关键因素。由于这个问题的复杂性，健康素养的重要性凸显出来。该研究的目的是分析与健康素养相关的因素及其与糖尿病患者血糖控制的关系。研究涉及一家公立医院门诊内分泌科病房收治的82名年龄在19至59岁之间的2型糖尿病患者，他们填写了成人功能性健康素养测试（b-TOFHLA）的缩写和翻译版本。从参与者的临床病史中收集空腹血糖值和糖化血红蛋白。对相关性、均值比较和线性回归模型进行了测试。65.9%的患者存在健康素养不足的情况。与b-TOFHLA分数相关的因素包括年龄和受教育年限。整体健康素养并不能解释血糖控制情况，但算术能力水平与血糖控制存在关联。结果表明，需要提高患者的健康算术能力以实现更好的血糖控制，主要针对年龄较大且受教育年限较少的患者。
