Wang Ruey-Hsia, Hsu Hui-Chun, Lee Yau-Jiunn, Shin Shyi-Jang, Lin Kun-Der, An Ling-Wang
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan; Lee's Endocrinology Clinic, Pingtung, Taiwan.
Patient Educ Couns. 2016 Oct;99(10):1626-31. doi: 10.1016/j.pec.2016.04.001. Epub 2016 Apr 4.
To examine association of interactions between patient empowerment (PE) and health literacy with 1-year-later self-management behaviors in patients with type 2 diabetes (T2DM).
A prospective design was employed in this study. Overall, 395 patients with T2DM completed self-reported questionnaires at baseline and 1year later. A hierarchical multiple regression was used to identify the association of interactions between PE and health literacy at baseline with the 1-year-later self-management behaviors.
Interactions between PE and communicative and critical health literacy (CCHL) at baseline significantly associated with the 1-year-later global self-management behaviors in patients with T2DM. Among the participants who exhibited high PE at baseline, the scores of 1-year-later global self-management behaviors of the participants with a high CCHL at baseline were significantly higher than those with a low CCHL at baseline. Nevertheless, among the participants who exhibited low PE at baseline, no significant differences were identified in the 1-year-later global self-management behaviors between the participants with high vs. low CCHL at baseline.
PE may improve self-management behaviors in patients with high CCHL, but may prove useless in patients with low CCHL.
Healthcare providers should ensure that patients with T2DM have adequate CCHL prior to empowering them.
探讨2型糖尿病(T2DM)患者的患者赋权(PE)与健康素养之间的相互作用与1年后自我管理行为的关联。
本研究采用前瞻性设计。共有395例T2DM患者在基线和1年后完成了自我报告问卷。采用分层多元回归分析来确定基线时PE与健康素养之间的相互作用与1年后自我管理行为的关联。
基线时PE与沟通及批判性健康素养(CCHL)之间的相互作用与T2DM患者1年后的整体自我管理行为显著相关。在基线时表现出高PE的参与者中,基线时CCHL高的参与者1年后整体自我管理行为得分显著高于基线时CCHL低的参与者。然而,在基线时表现出低PE的参与者中,基线时CCHL高与低的参与者在1年后的整体自我管理行为上未发现显著差异。
PE可能改善CCHL高的患者的自我管理行为,但对CCHL低的患者可能无效。
医疗保健提供者应确保T2DM患者在获得赋权之前具备足够的CCHL。