1 Duke University, Durham, NC, USA.
2 Seoul National University, Seoul, Korea.
J Transcult Nurs. 2018 Sep;29(5):429-440. doi: 10.1177/1043659617745136. Epub 2017 Dec 1.
In South Korea, approximately 40% of older adults are reported to have low health literacy. The purpose of this study was to evaluate the relationship between health literacy and patient participation among Korean older adults with heart failure.
This cross-sectional descriptive study involved 145 Korean patients at one prominent medical center in South Korea. The Korean Health Literacy Scale short form and the 13-item Perceived Involvement in Care Scale were administered between June and September, 2016.
Among participants (mean age = 71.30 years; 26.9% female), approximately 30% had poor health literacy. A significant correlation was observed between health literacy and participation scores ( r = .538, p < .01). Health literacy was the most important predictor of patient participation (β = .488, p < .001).
The results imply that effective knowledge acquisition may encourage greater patient participation. By identifying health literacy in Korean older adults, we can provide more culturally congruent health care by improving participation between providers and patients.
在韩国，约有 40%的老年人被报告存在健康素养低下的情况。本研究旨在评估健康素养与韩国心力衰竭老年患者参与度之间的关系。
这是一项在韩国一家知名医学中心进行的横断面描述性研究，共纳入了 145 名韩国患者。在 2016 年 6 月至 9 月期间，使用韩国健康素养量表短版和 13 项患者感知参与护理量表对患者进行评估。
在参与者中（平均年龄=71.30 岁，26.9%为女性），约有 30%的人存在健康素养低下的情况。健康素养与参与度评分之间存在显著相关性（r=.538，p<.01）。健康素养是患者参与度的最重要预测因素（β=.488，p<.001）。
研究结果表明，有效的知识获取可能会鼓励患者更多地参与。通过识别韩国老年患者的健康素养水平，我们可以通过改善提供者与患者之间的参与度，提供更符合文化背景的医疗服务。
