School of Nursing of Miandoab City, Urmia University of Medical Sciences, Urmia, Iran.
MSc in Nursing Education, Islamic Azad University, Sarab Branch, Sarab, Iran.
Health Qual Life Outcomes. 2020 Nov 4;18(1):357. doi: 10.1186/s12955-020-01613-8.
Regarding the importance of health literacy as a key factor in self-care, appropriate understanding of health information by patients with type 2 diabetes mellitus (T2DM) is fundamental for better management of risk factors, which can also benefit their quality of life. This study aimed to describe the relationship between health literacy (HL), and self-care behaviors with health-related quality of life (HRQL) in patients with T2DM.
A cross-sectional survey was done in Iran in 2019. Patients were recruited randomly from health centers by medical records (n = 192, 55.2% male, mean age 58.12 years). The data collection included demographic form, health literacy questionnaire, diabetes self-care behavior questionnaire, and world health organization's Quality of Life-BREF (WHOQOL-BREF). Analyses were adjusted for confounders using hierarchical regression analysis.
HL as predictor variables explained 47.5% of variance in overall HRQL (p value < 0.001), reading health information was the strongest HL dimension (β = 0.478). Self-care behaviors explained an additional 13.6% of the HRQL variance. In total, 65.5% of the variation in the HRQL is explained by the HL, self-care behavior, and the demographic variables.
We found that more almost two-third of the HRQL explained by the HL and self-care behaviors. Given the importance of health literacy and self-care behaviors in the quality of life in patients with T2DM, adoption of health-promoting behaviors and increasing health literacy can be beneficial for promoting quality of life among these patients.
健康素养作为自我护理的关键因素非常重要，因此 2 型糖尿病（T2DM）患者适当理解健康信息对于更好地管理风险因素至关重要，这也有利于提高他们的生活质量。本研究旨在描述 T2DM 患者的健康素养（HL）、自我护理行为与健康相关生活质量（HRQL）之间的关系。
2019 年在伊朗进行了一项横断面调查。通过病历从医疗中心随机招募患者（n=192，55.2%为男性，平均年龄 58.12 岁）。数据收集包括人口统计学表格、健康素养问卷、糖尿病自我护理行为问卷和世界卫生组织生活质量简表（WHOQOL-BREF）。使用分层回归分析调整混杂因素进行分析。
HL 作为预测变量解释了整体 HRQL 方差的 47.5%（p 值<0.001），阅读健康信息是最强的 HL 维度（β=0.478）。自我护理行为解释了 HRQL 方差的另外 13.6%。总体而言，HL、自我护理行为和人口统计学变量解释了 HRQL 变化的 65.5%。
我们发现，HL 和自我护理行为解释了 HRQL 的近三分之二。鉴于健康素养和自我护理行为对 T2DM 患者生活质量的重要性，采用促进健康的行为和提高健康素养可以有益于提高这些患者的生活质量。
