University of Arkansas for Medical Sciences, Center for Health Literacy, Little Rock, AR 72205, USA.
University of Arkansas for Medical Sciences, Department of Orthpaedic Surgery, Little Rock, AR 72205, USA.
Patient Educ Couns. 2018 Oct;101(10):1823-1827. doi: 10.1016/j.pec.2018.05.021. Epub 2018 May 28.
This study assessed patients' health literacy and expectations for total hip (THA) and total knee (TKA) replacement surgery, and compared health literacy levels of patients and their caregivers.
A convenience sample of 200 THA/TKA participants, patients and their caregivers, participated in this study.
Results demonstrated no statistical difference in health literacy between patients and their caregivers. However, patients with lower health literacy had significantly lower expectations for walking after surgery.
Practices should be aware that caregivers may not be any better equipped to consume and use complicated patient education materials than the patient they are assisting. Additionally, lower health literacy, rather than or in addition to race or social factors, may contribute to disparities in opting for THA/TKA because of lower expectations for walking after surgery.
Healthcare practices should develop patient educational materials that are easy for all patients and caregivers to understand, especially those with low health literacy. Additional patient education and counseling may help patients with low health literacy realistically align their expectations and mitigate barriers to consenting to surgery due to low expectations.
本研究评估了患者的健康素养以及对全髋关节置换术（THA）和全膝关节置换术（TKA）的期望，并比较了患者及其照护者的健康素养水平。
本研究采用便利抽样法，选取了 200 名 THA/TKA 参与者，包括患者及其照护者。
结果表明，患者和其照护者的健康素养水平没有统计学差异。然而，健康素养较低的患者术后行走的期望明显较低。
临床实践应注意到，照护者在消费和使用复杂的患者教育材料方面可能并不比他们所帮助的患者更好。此外，较低的健康素养，而不是或除了种族或社会因素之外，可能会导致由于对术后行走的期望较低而选择 THA/TKA 的差异。
医疗保健机构应制定易于所有患者和照护者理解的患者教育材料，特别是那些健康素养较低的患者。对健康素养较低的患者进行额外的患者教育和咨询可能有助于他们更现实地调整期望，并减轻由于期望较低而导致对手术同意的障碍。
