RobatSarpooshi Davood, Mahdizadeh Mehrsadat, Alizadeh Siuki Hadi, Haddadi Mohammad, Robatsarpooshi Hamid, Peyman Nooshin
Department of Health Education and Health Promotion, Student Research Committee, Social Determinants of Health Research Center, Faculty of Health, Mashhad University of Medical Sciences, Masshad, Iran.
Department of Health Education and Health Promotion, Social Determinants of Health Research Center, Faculty of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Patient Relat Outcome Meas. 2020 May 5;11:129-135. doi: 10.2147/PROM.S243678. eCollection 2020.
The most important factor in controlling diabetes is self-care behaviors; improving self-care behaviors is the first step in helping patients to better control and manage their diseases and health literacy is recognized as a vital and important indicator of outcomes and costs in healthcare. Therefore, the effectiveness of health-care systems requires that people have the desirable health literacy level. Therefore, this research intended to study the relationship between health literacy levels in patients with diabetes and their self-care behaviors.
This analytical cross-sectional study was conducted during two months on 400 patients with diabetes selected using the census method in diabetes clinics in Mashhad County. Information was collected through a demographic survey questionnaire, the Health Literacy Questionnaire and a self-care behavior questionnaire. Data analysis was performed using SPSS 21 and Spearman correlation coefficient, the independent -test, and ANOVA.
The total mean score for self-care was 33.52 (SD±13.27). There was a significant relationship between self-care and health literacy in this study (P <0.05) so that people with higher levels of self-care literacy had better self-care behaviors. There was also a significant relationship between education level and monthly income and self-care behaviors and health literacy (P <0.001).
Patients received an average score for self-care behaviors. Given the impact of health literacy on patients' self-care behaviors, and considering its inclusion in educational, therapeutic, and caregiver programs, it is possible to reduce complications in patients, and improve their quality of life, by improving their self-care behaviors. Special attention should also be paid to health literacy levels of the audience when designing the related educational programs.
控制糖尿病最重要的因素是自我护理行为；改善自我护理行为是帮助患者更好地控制和管理疾病的第一步，而健康素养被认为是医疗保健结果和成本的重要指标。因此，医疗保健系统的有效性要求人们具备理想的健康素养水平。因此，本研究旨在探讨糖尿病患者的健康素养水平与其自我护理行为之间的关系。
本分析性横断面研究在两个月内对马什哈德县糖尿病诊所采用普查法选取的400例糖尿病患者进行。通过人口统计学调查问卷、健康素养问卷和自我护理行为问卷收集信息。使用SPSS 21进行数据分析，并采用Spearman相关系数、独立样本t检验和方差分析。
自我护理的总平均得分为33.52（标准差±13.27）。本研究中自我护理与健康素养之间存在显著关系（P<0.05），即自我护理素养水平较高的人具有更好的自我护理行为。教育水平和月收入与自我护理行为及健康素养之间也存在显著关系（P<0.001）。
患者自我护理行为的平均得分情况。鉴于健康素养对患者自我护理行为的影响，并考虑将其纳入教育、治疗和护理计划中，通过改善患者的自我护理行为，有可能减少患者的并发症并提高其生活质量。在设计相关教育项目时，也应特别关注受众的健康素养水平。
