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心力衰竭患者照顾者的健康素养:一项多中心横断面调查。

Health literacy among caregivers of patients with heart failure: A multicentre cross-sectional survey.

机构信息

Department of Medicine and Science of Aging, G.d'Annunzio University - Chieti-Pescara, Pescara, Italy.

ASL02Abruzzo - SAPS Chieti, Chieti Scalo, Italy.

出版信息

J Clin Nurs. 2018 Feb;27(3-4):859-865. doi: 10.1111/jocn.14137. Epub 2017 Dec 7.

Abstract

AIMS AND OBJECTIVES

To assess the levels of health literacy of Italian caregivers of patients with heart failure.

BACKGROUND

Health literacy is related to patients' health outcomes. Low health literacy has been found in older people with heart failure, and less is known on the health literacy of caregivers whose patients are suffering from heart failure.

DESIGN

Observational, multicentre, cross-sectional study.

METHODS

From July 2015-May 2016, caregivers were recruited in five hospitals from Central and Southern Italy. To assess health literacy, the Italian version of the Short Test of Functional Health Literacy tool was used.

RESULTS

A total of 173 caregivers participated in the research, the majority being females (60.1%), aged between 46-60 years (52.6%) and 96 (55.5%) were from Central Italy. 33.5% of caregivers were patients' children, and 16.2% were paid caregivers of foreign origins. The average level of health literacy was adequate; however, lower levels were found among patients' spouses and those of older age.

CONCLUSION

Our results, in contrast with previous studies, showed adequate health literacy levels of caregivers. However, caregivers older in age and with a low education level showed the lowest health literacy, emphasising the need for healthcare workers, to check caregivers' health literacy, before entrusting them with the care of patients.

RELEVANCE TO CLINICAL PRACTICE

As this research gives, for the first time, an overview on Italian caregivers' levels of health literacy, its results may be used to improve Italian healthcare professionals' knowledge of caregivers' health literacy, before entrusting them with the care of patients.

摘要

目的和目标

评估意大利心力衰竭患者照顾者的健康素养水平。

背景

健康素养与患者的健康结果有关。在患有心力衰竭的老年人中发现了低健康素养,而对照顾者的健康素养知之甚少,他们的患者患有心力衰竭。

设计

观察性、多中心、横断面研究。

方法

2015 年 7 月至 2016 年 5 月,在意大利中部和南部的五家医院招募了照顾者。为了评估健康素养,使用了意大利版简短功能性健康素养工具。

结果

共有 173 名照顾者参与了研究,其中大多数为女性(60.1%),年龄在 46-60 岁之间(52.6%),96 名(55.5%)来自意大利中部。33.5%的照顾者是患者的子女,16.2%是来自国外的付费照顾者。平均健康素养水平是足够的;然而,在患者的配偶和年龄较大的人群中发现了较低的水平。

结论

与之前的研究相比,我们的结果显示照顾者具有足够的健康素养水平。然而,年龄较大和教育水平较低的照顾者表现出最低的健康素养,这强调了医疗保健工作者在将患者的护理交给他们之前,检查照顾者健康素养的必要性。

临床相关性

由于这项研究首次概述了意大利照顾者的健康素养水平,其结果可用于提高意大利医疗保健专业人员对照顾者健康素养的了解,然后再将患者的护理交给他们。

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