慢性肺部疾病患者及其家属在进入肺康复时的健康素养。
Health Literacy Among Patients With Chronic Lung Disease Entering Pulmonary Rehabilitation and Their Resident Loved Ones.
机构信息
Departments of Research and Development (Ms Coenjaerds and Drs Spruit, Franssen, Wouters, and Janssen) and Psychology (Dr Cleutjens), CIRO, Horn, the Netherlands; Department of Respiratory Medicine, Maastricht University Medical Centre, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht, the Netherlands (Ms Coenjaerds and Drs Spruit and Franssen); Reval Rehabilitation Research, Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium (Dr Spruit); Department of Medical Psychology, Maastricht UMC+, School for Mental Health and Neurosciences (MHeNS), Maastricht, the Netherlands (Dr Ponds); Department of Respiratory Medicine, Maastricht UMC+, Maastricht, the Netherlands, and Ludwig Boltzmann Institute for Lung Health, Vienna, Austria (Dr Wouters); and Department of Health Services Research, Care and Public Health Research Institute, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands (Dr Janssen).
出版信息
J Cardiopulm Rehabil Prev. 2021 Sep 1;41(5):336-340. doi: 10.1097/HCR.0000000000000596.
PURPOSE
The objective of this study was determine the prevalence of low health literacy (HL) and low reading ability among patients with chronic lung disease referred for pulmonary rehabilitation (PR) in the Netherlands and their loved ones; and to understand whether low HL or low reading ability influence PR outcomes.
METHODS
Health literacy was measured using the Health Literacy Survey-Europe Q16 (HLS-EU-Q16). Reading ability and cognitive functioning were measured using the Rapid Estimate of Adult Literacy in Medicine-Dutch (REALM-D) and the Montreal Cognitive Assessment. Exercise capacity, health status, and symptoms of anxiety and depression were assessed.
RESULTS
Patients (n = 120) entering PR and loved ones (n = 41) participated. Of all patients, 51% had low HL and 29% had low reading ability. Also, 39% of all loved ones had low HL. PR outcomes were comparable between patients with low or adequate HL. Patients with adequate reading ability showed greater improvement in symptoms of depression than patients with low reading ability (P = .047).
CONCLUSION
Low HL and low reading ability are common among patients entering PR and their loved ones. For patients with low or adequate HL, PR is an effective treatment. Whether considering low HL and low reading ability by offering tailored education during treatment could augment the benefits of PR warrants further study.
目的
本研究旨在确定荷兰慢性肺病患者及其家属在接受肺康复（PR）治疗时健康素养（HL）和阅读能力低的患病率；并了解 HL 低或阅读能力低是否会影响 PR 结果。
方法
使用欧洲健康素养调查-16 项（HLS-EU-Q16）测量 HL。使用医学用简易读写能力评估量表-荷兰语版（REALM-D）和蒙特利尔认知评估测量阅读能力和认知功能。评估运动能力、健康状况以及焦虑和抑郁症状。
结果
共纳入 120 名接受 PR 治疗的患者和 41 名患者家属。所有患者中，51%存在 HL 低，29%存在阅读能力低。此外，所有家属中，39%存在 HL 低。HL 低或足够的患者的 PR 结果与 HL 足够的患者相似。阅读能力足够的患者在抑郁症状方面的改善大于阅读能力低的患者（P =.047）。
结论
接受 PR 治疗的患者及其家属中普遍存在 HL 低和阅读能力低的情况。对于 HL 低或足够的患者，PR 是一种有效的治疗方法。在治疗过程中通过提供针对性的教育来考虑 HL 低和阅读能力低是否可以增加 PR 的益处，这值得进一步研究。
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