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慢性肾脏病患者健康素养的横断面研究:与人口统计学和临床变量的关联。

A cross-sectional study of health literacy in patients with chronic kidney disease: Associations with demographic and clinical variables.

作者信息

Stømer Une Elisabeth, Gøransson Lasse Gunnar, Wahl Astrid Klopstad, Urstad Kristin Hjorthaug

机构信息

Faculty of Health Science University of Stavanger Stavanger Norway.

Department of Nephrology Stavanger University Hospital Stavanger Norway.

出版信息

Nurs Open. 2019 Jul 26;6(4):1481-1490. doi: 10.1002/nop2.350. eCollection 2019 Oct.

Abstract

AIM

The aim of this study was to investigate health literacy in patients with chronic kidney disease in a multidimensional perspective.

DESIGN

A descriptive, cross-sectional study.

METHODS

Patients with chronic kidney disease at stages 3-5 were included in the study between February-August 2017 ( = 187). Health literacy was measured by the Health Literacy Questionnaire (HLQ). Multiple linear regression analysis was performed to identify associations between health literacy and demographic and clinical variables. Hierarchical cluster analysis was performed to identify characteristics of groups with high and low health literacy.

RESULTS

Finding and critical appraise health information were the most challenging dimensions of health literacy. Female gender, lower level of education, greater number of prescribed medications and depressive symptoms were associated with lower health literacy. The group identified with lowest health literacy was further characterized by living alone and presence of comorbidity.

摘要

目的

本研究旨在从多维视角调查慢性肾脏病患者的健康素养。

设计

一项描述性横断面研究。

方法

2017年2月至8月期间纳入3 - 5期慢性肾脏病患者(n = 187)。采用健康素养问卷(HLQ)测量健康素养。进行多元线性回归分析以确定健康素养与人口统计学和临床变量之间的关联。进行分层聚类分析以确定健康素养高和低的群体特征。

结果

获取并批判性评估健康信息是健康素养最具挑战性的维度。女性、教育程度较低、处方药数量较多和抑郁症状与较低的健康素养相关。健康素养最低的群体的进一步特征是独居和存在合并症。

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