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牙买加西部一家五级健康中心糖尿病患者的健康素养水平对健康结局的影响。

The effect of health literacy level on health outcomes in patients with diabetes at a type v health centre in Western Jamaica.

作者信息

Gordon Singh Sherryon, Aiken Joyette

机构信息

The University of the West Indies, Mona - Western Jamaica Campus, 10 Queens Drive, White Sands P.O. Montego Bay, St. James, Jamaica.

出版信息

Int J Nurs Sci. 2017 Jun 20;4(3):266-270. doi: 10.1016/j.ijnss.2017.06.004. eCollection 2017 Jul 10.

Abstract

OBJECTIVE

To identify the effects of health literacy levels on health outcomes in patients with diabetes in a type V health center in Western Jamaica.

METHOD

A correlational survey design with a random sampling technique was used. An 18-item questionnaire and the Newest Vital Sign tool were administered to 88 consenting adults with diabetes to assess their health literacy levels. Their health outcomes were evaluated with docket review. Data were analyzed using SPSS version 18.

RESULTS

The participants were predominantly female (77.3%), aged 51-70 years, married (44%), employed (46%), and diagnosed with diabetes > 10 years (42%). Only 13.6% of the study population was adequately health literate. The health literacy scores for gender were not significant ( = 0.84). The health literacy scores of the patients with different ages and educational levels were significant ( < 0.001). Pearson's correlations revealed no linear relationship between health literacy scores and health outcome ( = 0.185,  = 0.084).

CONCLUSION

Limited health literacy and high likelihood of limited health literacy are predominant in the study population. Age and educational level are significantly associated with health literacy levels. However, these findings suggest no association between health literacy level and diabetic health outcomes.

摘要

目的

确定牙买加西部一个V型健康中心中糖尿病患者的健康素养水平对健康结局的影响。

方法

采用随机抽样技术的相关性调查设计。对88名同意参与的成年糖尿病患者发放一份包含18个条目的问卷和最新生命体征工具,以评估他们的健康素养水平。通过病历审查评估他们的健康结局。使用SPSS 18版软件进行数据分析。

结果

参与者主要为女性(77.3%),年龄在51 - 70岁之间,已婚(44%),有工作(46%),且糖尿病诊断时间超过10年(42%)。研究人群中只有13.6%具备足够的健康素养。性别之间的健康素养得分无显著差异(P = 0.84)。不同年龄和教育水平患者的健康素养得分存在显著差异(P < 0.001)。皮尔逊相关性分析显示健康素养得分与健康结局之间无线性关系(r = 0.185,P = 0.084)。

结论

研究人群中健康素养有限以及健康素养有限的可能性很高。年龄和教育水平与健康素养水平显著相关。然而,这些研究结果表明健康素养水平与糖尿病健康结局之间无关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71f1/6626165/b1dba8b2f42b/gr1.jpg

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