Biyik Ismail, Usturali Mut Ayse Nur, Albayrak Mustafa, Kucuk Bilgen, Koras Omer, Keskin Fatih, Demirci Hakan
Kütahya Health Sciences University, Department of Obstetrics and Gynecology, Kütahya, Turkey.
Ankara University Medical School, Public Health Department, Division of Epidemiology, Turkey.
J Gynecol Obstet Hum Reprod. 2021 Apr;50(4):101908. doi: 10.1016/j.jogoh.2020.101908. Epub 2020 Sep 11.
OBJECTIVE(S): To compare the health literacy (HL) of the adult females with SUI complaints in terms of their acceptance or non-acceptance of surgery.
In this cohort study, the European Health Literacy Survey Questionnaire (HLS-EU- Q47) scores as a measure of health literacy were compared among the two groups of patients who accepted to undergo surgery for SUI and the ones who did not. Demographic features, weight and BMI values, comorbidity, menopausal status, duration and type of UI, socioeconomic characteristics (marital status, educational level, level of income) and HLS-EU- Q47 survey results of the two groups were compared. We also investigated the reasons regarding the acceptance or refusal of SUI surgery.
Among the patients who were offered surgery 474% accepted to undergo operation. Total HLS-EU-Q47 score was 30.04 in the group of patients who accepted surgery and 23.46 in the group who refused surgery. The patients that refused surgery had more often insufficient health literacy level (p=0.001). An excellent health literacy level was higher for patients who agreed to anti-incontinence surgery (p=0.021).
Health literacy score of patients with urinary incontinence (UI) who refused surgery was lower than those who accepted surgery. Acceptance of surgery may be increased by providing more understandable and clear information, especially for women with lower HL levels.
比较有压力性尿失禁（SUI）症状的成年女性在接受或不接受手术方面的健康素养（HL）。
在这项队列研究中，比较了两组患者的健康素养，其中一组接受SUI手术，另一组不接受。比较了两组患者的人口统计学特征、体重和体重指数值、合并症、绝经状态、尿失禁的持续时间和类型、社会经济特征（婚姻状况、教育水平、收入水平）以及欧洲健康素养调查问卷（HLS-EU-Q47）的调查结果。我们还调查了接受或拒绝SUI手术的原因。
在提供手术的患者中，474%接受了手术。接受手术的患者组HLS-EU-Q47总分为30.04，拒绝手术的患者组为23.46。拒绝手术的患者健康素养水平不足的情况更为常见（p=0.001）。同意接受抗尿失禁手术的患者具有优秀健康素养水平的比例更高（p=0.021）。
拒绝手术的尿失禁（UI）患者的健康素养得分低于接受手术的患者。通过提供更易懂和清晰的信息，尤其是对于健康素养水平较低的女性，可以提高手术接受率。
