Rosenbaum Andrew J, Dunkman Andrew, Goldberg Daniel, Uhl Richard L, Mulligan Michael
Albany Medical Center, NY, USA.
Hand (N Y). 2016 Sep;11(3):330-335. doi: 10.1177/1558944715627306. Epub 2016 Feb 17.
Approximately 33% of Americans have inadequate health literacy, which is associated with infrequent use of preventative services, increased hospitalization and use of emergency care, and worse control of chronic diseases. In this study, the Literacy in Musculoskeletal Problems (LiMP) questionnaire was used to evaluate the prevalence of limited musculoskeletal literacy in patients undergoing carpal tunnel release (CTR), as these individuals may be at increased risk of inferior outcomes. This cross-sectional study included individuals older than or equal to 18 years of age who were scheduled for elective CTR. Participants completed a demographic survey and the LiMP questionnaire during their preoperative office visit. The prevalence of limited health literacy was determined, with chi-square analysis used to determine the influence of demographic parameters. The mean LiMP score was 6 ± 1.40. Limited musculoskeletal literacy was seen in 34% of participants (22/65). Analysis identified race (Caucasian), gender (female), higher education levels (≥college), current or prior employment in a health care field, and a prior physician visit for a non-carpal tunnel musculoskeletal complaint as being associated with higher literacy rates. Approximately one-third of patients scheduled for elective CTR have limited musculoskeletal literacy and may lack the necessary skills required for making informed decisions regarding their care. This is concerning, as CTR is performed in the United States on roughly 500 000 individuals annually, at an estimated cost of 2 billion dollars. The identification of those most at risk is thus crucial, and will facilitate the development of education campaigns and interventions geared toward those who are most vulnerable.
约33%的美国人健康素养不足，这与预防服务使用不频繁、住院率增加和急诊护理使用增多以及慢性病控制不佳有关。在本研究中，使用肌肉骨骼问题素养（LiMP）问卷来评估接受腕管松解术（CTR）患者中肌肉骨骼素养有限的患病率，因为这些个体可能出现较差预后的风险增加。这项横断面研究纳入了年龄大于或等于18岁且计划接受择期CTR的个体。参与者在术前门诊就诊时完成了人口统计学调查和LiMP问卷。确定了健康素养有限的患病率，并使用卡方分析来确定人口统计学参数的影响。LiMP平均得分为6±1.40。34%的参与者（22/65）存在有限的肌肉骨骼素养。分析确定种族（白种人）、性别（女性）、高等教育水平（≥大学）、目前或以前在医疗保健领域工作以及之前因非腕管肌肉骨骼疾病就诊与较高的素养率相关。约三分之一计划接受择期CTR的患者存在有限的肌肉骨骼素养，可能缺乏就其治疗做出明智决策所需的必要技能。这令人担忧，因为在美国每年约有50万人接受CTR，估计费用为20亿美元。因此，识别那些风险最高的人至关重要，这将有助于开展针对最弱势群体的教育活动和干预措施。
