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慢性病患者家庭照顾者的信息寻求行为和感知健康素养。以瑞士脊髓损伤为例。

Information seeking behavior and perceived health literacy of family caregivers of persons living with a chronic condition. The case of spinal cord injury in Switzerland.

机构信息

Department of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Lucerne, Switzerland; Swiss Paraplegic Research, Guido A. Zäch Strasse 4, 6207 Nottwil, Switzerland.

Department of Health Sciences and Medicine, University of Lucerne, Frohburgstrasse 3, 6002 Lucerne, Switzerland; Swiss Paraplegic Research, Guido A. Zäch Strasse 4, 6207 Nottwil, Switzerland.

出版信息

Patient Educ Couns. 2020 Aug;103(8):1531-1537. doi: 10.1016/j.pec.2020.02.024. Epub 2020 Feb 17.

DOI:10.1016/j.pec.2020.02.024
PMID:32098740
Abstract

OBJECTIVE

To examine the information seeking behavior and health literacy of caregivers of individuals living with spinal cord injury in Switzerland and their impact on the caregiving experience.

METHODS

Nationwide survey of family caregivers of people with spinal cord injury (N = 717). Caregivers aged 18+ who assisted with activities of daily living were included. Self-reported information seeking behavior, including topics, preferred sources, and health literacy were assessed and analyzed.

RESULTS

Health professionals were the most trusted source of information. Among information-seekers, higher health literacy levels were shown to be associated with lower subjective caregiver burden and, in turn, with higher caregivers' satisfaction with own health.

CONCLUSION

Caregivers use information on different topics and coming from different sources. In order for information to improve the caregiving experience, however, caregivers need health literacy skills to make sense of it.

PRACTICE IMPLICATIONS

Building health literacy is a promising approach to support caregivers in their activities, reduce their subjective burden, and even to improve their health. Interventions should consider involving health professionals, as the most trusted source of information, and address both health-related and more practical issues.

摘要

目的

研究瑞士脊髓损伤患者照顾者的信息寻求行为和健康素养及其对照顾体验的影响。

方法

对瑞士脊髓损伤患者(N=717)的家庭照顾者进行全国性调查。纳入年龄在 18 岁及以上、协助日常生活活动的照顾者。评估并分析了自我报告的信息寻求行为,包括主题、首选来源和健康素养。

结果

卫生专业人员是最受信任的信息来源。在信息寻求者中,较高的健康素养水平与较低的主观照顾者负担相关,进而与照顾者对自身健康的满意度较高相关。

结论

照顾者会针对不同主题和来源获取信息。然而,为了让信息改善照顾体验,照顾者需要具备健康素养技能来理解信息。

实践意义

提高健康素养是支持照顾者开展活动、减轻其主观负担甚至改善其健康的有前途的方法。干预措施应考虑让最受信任的信息来源——卫生专业人员参与其中,并解决与健康相关和更实际的问题。

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