[阿根廷一家大学门诊诊所患者的健康素养与糖尿病控制]

[Health literacy and diabetes control in patients attending a university outpatient clinic in Argentina].

作者信息

Ariza Bolivar Alexander, Lanteri Martín E, Cícero Carla Y, Pérez Adriana, Puchulu Félix M, Mejía Raúl

机构信息

Departamento de Medicina Hospital de Clínicas José de San Martin, Universidad de Buenos Aires, Argentina.

Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 2017;77(3):167-172.

PMID:28643671

Abstract

Health literacy (HL) is a measure of a patient ability to read, understand and to take decisions on medical instructions. Patients with inadequate HL have poorer health outcomes than those with adequate HL. There is little information on HL levels in diabetic patients in Argentina. The aim of this study was to explore the association between HL and glycemic control in diabetic patients from a university hospital in Argentina. HL was assessed with the Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA), glycemic control through glycosylated hemoglobin A1c (HbA1c); 156 patients (58% women) took part in the study. Average SAHLSA score was 35 (range: 11-50). Patients with inadequate values of HL had HbA1c of 8.15% vs. 7.15% among those with adequate HL (p = 0.0001). The multiple linear regression shows that inadequate HL was significantly associated with poorer glycemic control (β = -0.05 IC 95% -0.07; -0.02, p < 0.001). Efforts should focus on developing interventions to improve glycemic control among patients with inadequate HL.

摘要

健康素养（HL）是衡量患者阅读、理解医学指导并据此做出决策能力的指标。健康素养不足的患者比健康素养充足的患者健康状况更差。关于阿根廷糖尿病患者的健康素养水平，相关信息较少。本研究的目的是探讨阿根廷一家大学医院中糖尿病患者的健康素养与血糖控制之间的关联。采用西班牙语成人健康素养简短评估量表（SAHLSA）评估健康素养，通过糖化血红蛋白A1c（HbA1c）评估血糖控制情况；156名患者（58%为女性）参与了该研究。SAHLSA平均得分为35分（范围：11 - 50分）。健康素养水平不足的患者HbA1c为8.15%，而健康素养充足的患者为7.15%（p = 0.0001）。多元线性回归显示，健康素养不足与较差的血糖控制显著相关（β = -0.05，95%置信区间为 -0.07；-0.02，p < 0.001）。应致力于制定干预措施，以改善健康素养不足患者的血糖控制情况。