Jiang Yun, Sereika Susan M, Lingler Jennifer H, Tamres Lisa K, Erlen Judith A
University of Michigan School of Nursing, Ann Arbor, MI, USA.
University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.
Geriatr Nurs. 2018 May-Jun;39(3):285-291. doi: 10.1016/j.gerinurse.2017.10.008. Epub 2017 Nov 10.
This secondary analysis examined health literacy among informal caregivers of community-dwelling older adults with memory loss and assessed correlates of caregiver health literacy using the Abilities, Skills and Knowledge Model. Caregiver health literacy (n = 91) was assessed by the Newest Vital Sign. Limited health literacy presented in 38.5% caregivers, with significantly low document literacy. Health literacy was associated bivariately with age, education, global cognitive function, executive function, and working memory (all ps < 0.001), as well as medication knowledge (p = 0.015). Hierarchical regression analyses revealed that older age (p = 0.017), and lower global cognitive function (p < 0.001), working memory (p = 0.001), and academic skills (years of education) (p = 0.004), independently predicted lower health literacy (R = 0.54). Medication knowledge, however, was not found to be an independent predictor in the model. Findings suggest limited health literacy is a potential issue among informal caregivers of adults with memory loss. Appropriate assessment and personalized support are needed for informal caregivers who are at high risk for poor health literacy.
这项二次分析研究了社区居住的患有记忆丧失的老年人的非正式照料者的健康素养，并使用能力、技能和知识模型评估了照料者健康素养的相关因素。通过最新生命体征评估照料者的健康素养（n = 91）。38.5%的照料者存在健康素养有限的情况，其中文档素养显著较低。健康素养与年龄、教育程度、整体认知功能、执行功能和工作记忆（所有p值<0.001）以及用药知识（p = 0.015）呈双变量相关。分层回归分析显示，年龄较大（p = 0.017）、整体认知功能较低（p < 0.001）、工作记忆较低（p = 0.001）以及学术技能（受教育年限）较低（p = 0.004）独立预测较低的健康素养（R = 0.54）。然而，用药知识在该模型中未被发现是一个独立预测因素。研究结果表明，健康素养有限是患有记忆丧失的成年人的非正式照料者中的一个潜在问题。对于健康素养较差风险较高的非正式照料者，需要进行适当的评估和个性化支持。
