Department of Economics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
J Child Health Care. 2020 Jun;24(2):246-259. doi: 10.1177/1367493519831493. Epub 2019 Mar 13.
This study evaluates the associations of nutrition knowledge and health literacy with health care transition (HCT) readiness and self-management in adolescents and young adults (AYAs) with chronic kidney disease (CKD) or hypertension. Chronically ill AYAs with poor HCT or self-management skills are less likely to achieve favorable health outcomes as they enter adulthood. Health literacy and nutrition knowledge, which are identified as important contributors to health outcomes, may suggest important points of interventions to improve self-management skills. For the study, we enrolled 59 consecutive patients ages 12-29, with a diagnosis of CKD or hypertension at pediatric- and adult-focused clinics in the United States. Participants completed measures of nutrition knowledge, health literacy, and the elf-management and ransition to dulthood with = treatment (STAR) questionnaire. Correlation tests and multivariate regressions were employed for data analysis. The findings show that health literacy was positively associated with self-management skills ( = .050), communication with providers ( = .002) and overall HCT ( = .001) after adjusting for key variables. Disease-specific nutrition knowledge positively predicted communication with providers ( = .002) and overall HCT ( < .001) after adjusting for key variables. Therefore, health literacy and nutrition knowledge predicted self-management and transition readiness. Testing for these skills should be considered in clinics and HCT preparation for AYAs with chronic conditions.
本研究评估了营养知识和健康素养与青少年和年轻成人（AYAs）慢性病（CKD）或高血压患者的医疗过渡（HCT）准备和自我管理的相关性。由于进入成年期，慢性病 AYAs 的 HCT 或自我管理技能较差，因此不太可能获得良好的健康结果。健康素养和营养知识被认为是健康结果的重要影响因素，可能提示了改善自我管理技能的重要干预点。在这项研究中，我们招募了 59 名连续患者，年龄在 12 至 29 岁之间，在美国儿科和成人专科诊所诊断为 CKD 或高血压。参与者完成了营养知识、健康素养以及自我管理和成年过渡（STAR）问卷的评估。采用相关测试和多元回归进行数据分析。研究结果表明，在调整关键变量后，健康素养与自我管理技能呈正相关（ =.050），与提供者的沟通呈正相关（ =.002），与整体 HCT 呈正相关（ =.001）。特定疾病的营养知识可正向预测与提供者的沟通（ =.002）和整体 HCT（<.001），在调整关键变量后。因此，健康素养和营养知识可以预测自我管理和过渡准备。在诊所和慢性病 AYAs 的 HCT 准备中，应考虑这些技能的测试。
