Eyüboğlu Ezgi, Schulz Peter J
Public Relations and Publicity Department, Maltepe University, Marmara Eğitim Köyü, Istanbul, Turkey.
Institute of Communication and Health, Universita' della Svizzera Italiana, Lugano, Switzerland.
BMJ Open. 2016 Mar 14;6(3):e010186. doi: 10.1136/bmjopen-2015-010186.
This study aimed to assess the impact of health literacy and patient empowerment on diabetes self-care behaviour in patients in metropolitan Turkish diabetes centres. The conceptual background is provided by the psychological health empowerment model, which holds that health literacy without patient empowerment comes down to wasting health resources, while empowerment without health literacy can lead to dangerous or suboptimal health behaviour.
DESIGN, SETTING AND PARTICIPANTS: A cross-sectional study was conducted with 167 patients over the age of 18 from one of two diabetes clinics in a major Turkish City. Self-administered questionnaires were distributed to eligible outpatients who had an appointment in one of the clinics. Health literacy was measured by a newly translated Turkish version of the Short Test of Functional Health Literacy in Adults (S-TOFHLA) and the Chew self-report scale. Patient empowerment was measured by a 12-item scale based on Spreitzer's conceptualisation of psychological empowerment in the workplace. Self-care behaviour was measured by the Self-care behaviours were measured by the Summary of Diabetes Self-Care Activities Measure (SDSCA). Level of diabetes knowledge was measured by Diabetes Knowledge Test.
Two subscales of empowerment, impact and self-determination, predicted self-reported frequency of self-care behaviours. Neither health literacy nor diabetes knowledge had an effect on self-care behaviours.
Health literacy might be more effective in clinical decisions while empowerment might exert a stronger influence on habitual health behaviours.
本研究旨在评估健康素养和患者赋权对土耳其大都市糖尿病中心患者糖尿病自我护理行为的影响。心理健康赋权模型提供了概念背景，该模型认为，没有患者赋权的健康素养等同于浪费健康资源，而没有健康素养的赋权可能导致危险或次优的健康行为。
设计、背景和参与者：对土耳其一个主要城市两家糖尿病诊所之一的167名18岁以上患者进行了横断面研究。向在其中一家诊所预约的符合条件的门诊患者发放了自填式问卷。健康素养通过新翻译的土耳其语版成人功能性健康素养简短测试（S-TOFHLA）和咀嚼自我报告量表进行测量。患者赋权通过基于斯普雷itzer对工作场所心理赋权概念化的12项量表进行测量。自我护理行为通过糖尿病自我护理活动总结测量（SDSCA）进行测量。糖尿病知识水平通过糖尿病知识测试进行测量。
赋权的两个子量表，即影响和自我决定，预测了自我报告的自我护理行为频率。健康素养和糖尿病知识对自我护理行为均无影响。
健康素养在临床决策中可能更有效，而赋权可能对习惯性健康行为产生更强的影响。
