新加坡慢性病成人的健康素养和患者激活：一项横断面研究。
Health literacy and patient activation among adults with chronic diseases in Singapore: A cross-sectional study.
机构信息
Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore.
Nursing Research Unit, Nursing Service, Tan Tock Seng Hospital, Singapore, Singapore.
出版信息
Nurs Open. 2021 Sep;8(5):2857-2865. doi: 10.1002/nop2.873. Epub 2021 May 4.
AIMS
Increased patient activation levels can improve health outcomes. Hence, this study aims to examine the relationships between sociodemographic variables and domain-specific health literacies with patient activation.
DESIGN
A cross-sectional design.
METHODS
200 outpatient adults with chronic diseases completed a survey that assessed their domain-specific health literacy and patient activation levels. Univariate and multivariate analysis of the variables were conducted on patient activation with 95% confidence interval (CI).
RESULTS
Multiple linear regression analyses observed a positive linear relationship between the following domain-specific health literacy variables-"actively manage my health" (p < .0001, 95% CI: 0.89-2.29), "understanding health information" (p = .008, 95% CI: 0.28-1.85), and "finding good health information" (p = .02, 95% CI 0.13-1.51) with patient activation. The other sociodemographic and clinical variables were not statistically significant. Increased focus from healthcare professionals is needed on helping patients better find and understand health information and encouraging them to actively manage their health; elements which would raise their activation levels.
目的
提高患者的激活水平可以改善健康结果。因此，本研究旨在探讨社会人口统计学变量与特定于健康领域的素养与患者激活之间的关系。
设计
横断面设计。
方法
200 名患有慢性病的门诊成年人完成了一项调查，该调查评估了他们特定于健康领域的健康素养和患者激活水平。使用 95%置信区间 (CI) 对患者激活进行了单变量和多变量分析。
结果
多元线性回归分析观察到以下特定于健康领域的健康素养变量与患者激活之间存在正线性关系：“积极管理我的健康”（p < 0.0001，95%CI：0.89-2.29）、“理解健康信息”（p = 0.008，95%CI：0.28-1.85）和“找到好的健康信息”（p = 0.02，95%CI：0.13-1.51）。其他社会人口统计学和临床变量没有统计学意义。医疗保健专业人员需要更加关注帮助患者更好地查找和理解健康信息，并鼓励他们积极管理自己的健康；这些措施将提高他们的激活水平。
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