Skeens Kristen, Logsdon M Cynthia, Stikes Reetta, Ryan Lesa, Sparks Kathryn, Hayes Pauline, Myers John, Davis Deborah Winders
Center for Women & Infants (Mss Skeens and Hayes) and James Graham Brown Cancer Center (Ms Sparks and Dr Logsdon), University of Louisville Hospital (Ms Stikes), Louisville, Kentucky; and School of Nursing (Dr Logsdon), and Department of Pediatrics, School of Medicine (Ms Ryan and Drs Myers and Davis), University of Louisville, Louisville, Kentucky.
Adv Neonatal Care. 2016 Aug;16(4):308-14. doi: 10.1097/ANC.0000000000000280.
Parents of infants hospitalized in the neonatal intensive care unit (NICU) frequently need guidance to prepare them for the care and health promotion of their child after hospital discharge. The health literacy of the parents should be considered so that education can be tailored to meet their needs. It is also important to understand the parents' preferences for how, and from whom, they receive education.
The purpose of this study was to identify health literacy levels of parents of infants in an NICU and preferences for who they want to provide them with education.
An exploratory, descriptive design was used to assess participant health literacy and preferences for obtaining child health information. Only mothers (no fathers) with babies in the NICU were available to complete the survey. Mean participant age was 26.4 years (SD = 6.7).
Participants had a mean Rapid Estimate of Adult Literacy in Medicine, Revised, score of 5.64 (SD = 2.4), indicating a low level of health literacy. Questions regarding when to administer medication were correctly answered by 69% of participants. Proper medication dosage was understood by 92% of participants; however, only 30% were able to correctly convert measurements. One-on-one discussions with a physician were the preferred source of health information for 80% of participants.
IMPLICATIONS FOR PRACTICE/RESEARCH: The current exploratory study provides new information that will help inform the development of future studies and increase awareness of nurses regarding health literacy and the specific types of skills for which parents need the most help.
在新生儿重症监护病房（NICU）住院的婴儿的父母经常需要指导，以便为孩子出院后的护理和健康促进做好准备。应考虑父母的健康素养，以便使教育能够根据他们的需求进行调整。了解父母对于接受教育的方式以及教育提供者的偏好也很重要。
本研究的目的是确定新生儿重症监护病房中婴儿父母的健康素养水平以及他们希望由谁为其提供教育的偏好。
采用探索性描述性设计来评估参与者的健康素养以及获取儿童健康信息的偏好。只有在新生儿重症监护病房有婴儿的母亲（没有父亲）可以完成调查。参与者的平均年龄为26.4岁（标准差=6.7）。
参与者的医学成人识字快速评估修订版平均得分为5.64（标准差=2.4），表明健康素养水平较低。69%的参与者正确回答了关于何时给药的问题。92%的参与者理解了正确的药物剂量；然而，只有30%的人能够正确进行计量单位换算。80%的参与者首选与医生进行一对一讨论作为健康信息来源。
对实践/研究的启示：当前的探索性研究提供了新信息，将有助于为未来研究提供参考，并提高护士对健康素养以及父母最需要帮助的特定技能类型的认识。
