Discipline of Psychology, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa; Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe-Campus, Volta Region, Ghana.
Discipline of Psychology, School of Applied Human Sciences, University of KwaZulu-Natal, Durban, South Africa.
Patient Educ Couns. 2019 Jul;102(7):1357-1363. doi: 10.1016/j.pec.2019.02.014. Epub 2019 Feb 11.
This study examined the direct and indirect influences of health literacy and access to health information on the quality of life among 205 women living with breast cancer in Ghana.
A cross-sectional survey design was employed. The interviewer-administered instrument included the health literacy scale, questions on access and satisfaction with healthcare information, depression and anxiety scale, and the Functional Assessment of Cancer Therapy-Breast Cancer.
Access to health information and health literacy had significant indirect effects on quality of life through depression and anxiety. Whereas health literacy had direct influence on quality of life after controlling for other factors, access to information had no direct influence on quality of life.
Health literacy and access to health information improve quality of life in women living with breast cancer by reducing the levels of depression and anxiety. Depression and anxiety serve as possible mechanisms for the positive impacts of access to health information and health literacy on improved quality of life among breast cancer patients.
Health care providers need to ensure that the information needs of patients are met in oncology practice to reduce their negative emotional states which would lead to improved health and wellbeing.
本研究考察了健康素养和获取健康信息对加纳 205 名乳腺癌女性生活质量的直接和间接影响。
采用横断面调查设计。由访谈员管理的工具包括健康素养量表、医疗信息获取和满意度问题、抑郁和焦虑量表以及癌症治疗功能评估-乳腺癌。
获取健康信息和健康素养通过抑郁和焦虑对生活质量有显著的间接影响。虽然健康素养在控制其他因素后对生活质量有直接影响，但获取信息对生活质量没有直接影响。
健康素养和获取健康信息通过降低抑郁和焦虑水平来提高乳腺癌女性的生活质量。抑郁和焦虑可能是获取健康信息和健康素养对改善乳腺癌患者生活质量的积极影响的潜在机制。
医疗保健提供者需要确保在肿瘤学实践中满足患者的信息需求，以减轻他们的负面情绪状态，从而改善健康和幸福感。
