University of Arkansas for Medical Sciences, Little Rock, AR, USA.
University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Int Urogynecol J. 2021 Dec;32(12):3209-3215. doi: 10.1007/s00192-020-04643-4. Epub 2021 Jan 13.
Our objectives were to describe the health literacy (HL) of urogynecology patients, characterize women with and without adequate HL, and compare errors made on the PFDI-20 and PFIQ-7.
English-speaking women presenting to an academic urogynecology clinic in June-July 2018 were invited to complete questionnaires including the Newest Vital Sign™ (NVS), the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20), and the Pelvic Floor Impact Questionnaire-Short Form 7 (PFIQ-7). An NVS score > 4 indicated adequate HL. Descriptive analyses compared women with and without adequate HL and the rates and types of errors made on the PFDI-20 and PFIQ-7.
The mean age of participants (N = 115) was 65 + 15 years; 87% were white/Caucasian; 62% were college-educated. NVS scores indicated likely adequate HL in 61%. Participants at risk for limited HL (39%) were older, less educated, more likely to live alone, and more likely to require assistance to manage their healthcare (all p < 0.05). Those requesting help to complete the questionnaires (29%) had lower HL. Errors occurred more often on the PFDI-20 (44%) than PFIQ-7 (5%) regardless of HL status. Those who received help were less likely to make errors on the PFDI-20 (p < 0.05).
Overall 39% of patients were at risk for limited HL. Older age, living alone, less education, and requiring assistance to manage healthcare increased risk of limited HL. Errors were more common on the PFDI-20 than PFIQ-7 regardless of HL status and occurred even when participants received help completing the questionnaires, though less frequently.
我们的目的是描述尿失禁患者的健康素养（HL），描述有和没有足够 HL 的女性，并比较 PFDI-20 和 PFIQ-7 上的错误。
2018 年 6 月至 7 月，邀请在学术泌尿科诊所就诊的讲英语的女性完成包括最新生命体征（NVS）、盆腔窘迫量表-20 项简表（PFDI-20）和盆腔器官脱垂/尿失禁性功能问卷-7 项简表（PFIQ-7）在内的问卷。NVS 评分>4 表示 HL 充足。描述性分析比较了有和没有足够 HL 的女性，以及在 PFDI-20 和 PFIQ-7 上的错误率和类型。
参与者（N=115）的平均年龄为 65±15 岁；87%为白种人/高加索人；62%受过大学教育。NVS 评分表明可能有足够的 HL 占 61%。有 HL 受限风险的参与者（39%）年龄较大，受教育程度较低，独居的可能性较大，并且更有可能需要帮助来管理他们的医疗保健（所有 p<0.05）。那些请求帮助完成问卷的人（29%）HL 较低。无论 HL 状况如何，PFDI-20 上的错误发生率（44%）均高于 PFIQ-7（5%）。那些得到帮助的人在 PFDI-20 上出错的可能性较小（p<0.05）。
总体而言，39%的患者有 HL 受限的风险。年龄较大、独居、受教育程度较低以及需要帮助管理医疗保健会增加 HL 受限的风险。无论 HL 状况如何，PFDI-20 上的错误比 PFIQ-7 更常见，尽管参与者在填写问卷时得到帮助，但错误发生率较低。
