Department of Pediatric Surgery, Agia Sofia Children's Hospital, Athens, Greece.
Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.
Afr J Paediatr Surg. 2021 Apr-Jun;18(2):85-89. doi: 10.4103/ajps.AJPS_42_20.
There is a paucity of studies concerning health literacy (HL) of parents/guardians of patients in paediatric surgery. The purpose of our study is to measure HL levels of parents/guardians of paediatric surgery patients and to explore the determinants of low HL levels in this population.
We conducted a cross-sectional study from December 2016 to July 2018 through in-person interviews of parents/guardians of paediatric surgical patients. Sociodemographic and clinical data were recorded, and HL levels were calculated using a validated tool (HLS-EU-Q16). In order to examine the impact of various sociodemographic variables and clinical data on HL, a multivariate regression model was run.
A total of 1000 participants were recruited (recruitment rate 93.5%). Slightly less than half (44.2%) presented problematic or inadequate HL levels. The results of the regression analysis showed that nationality other than Greek (β = -2.180, P < 0.001) and lower health insurance status (β = -0.461, P < 0.05) were associated with lower HL levels. HL was found positively associated with the educational level of the parent (β = -0.775, P < 0.001) and being a health professional (β = 1.791, P < 0.001).
The prevalence of low HL levels in the parents/guardians of paediatric surgical patients is high and should not be neglected both in the pre-operative and post-operative setting. Communication should be tailored to the specific needs of each individual to achieve better engagement and quality of care.
针对儿科手术患者的父母/监护人的健康素养（HL），相关研究较为匮乏。本研究旨在测量儿科手术患者父母/监护人的 HL 水平，并探索该人群 HL 水平较低的决定因素。
我们开展了一项横断面研究，于 2016 年 12 月至 2018 年 7 月通过对儿科手术患者的父母/监护人进行面对面访谈进行。记录了社会人口学和临床数据，并使用经过验证的工具（HLS-EU-Q16）计算 HL 水平。为了研究各种社会人口学变量和临床数据对 HL 的影响，我们进行了多元回归模型分析。
共招募了 1000 名参与者（招募率为 93.5%）。略低于一半（44.2%）的人存在有问题或不足的 HL 水平。回归分析的结果表明，除希腊以外的国籍（β=-2.180，P<0.001）和较低的健康保险状况（β=-0.461，P<0.05）与较低的 HL 水平相关。HL 与父母的教育水平呈正相关（β=-0.775，P<0.001），与父母为健康专业人员呈正相关（β=1.791，P<0.001）。
儿科手术患者的父母/监护人中 HL 水平较低的比例较高，在术前和术后阶段都不应忽视。应根据每个人的具体需求调整沟通方式，以实现更好的参与度和护理质量。
