College of Nursing, Korea University, Seoul, South Korea; Institute of Nursing Research, Korea University, Seoul, South Korea; Transdisciplinary Major in Learning Health Systems, Department of Healthcare Sciences, Graduate School, Korea University, South Korea.
School of Nursing, University of Connecticut, Storrs, CT, USA; Center for Advancement in Managing Pain, University of Connecticut, Storrs, CT, USA.
Patient Educ Couns. 2022 Jun;105(6):1427-1440. doi: 10.1016/j.pec.2021.09.037. Epub 2021 Oct 1.
To synthesize the impact of health literacy on pain self-management contexts, processes, and outcomes.
This systematic review employed a narrative synthesis. We used databases, including PubMed and PsycINFO, and handsearching of the reference lists to identify articles published before December 2020. Pain self-management variables were chosen based on the Individual and Family Self-Management Theory. Quality was assessed using the National Institute of Health quality assessment tool for observational and cross-sectional studies.
Twenty studies that included 6173 participants were used. Most studies measured functional domains of the health literacy concept. Twelve studies reported small to large associations between health literacy and pain knowledge, medication regimen adherence, or pain. Thirteen studies considered health literacy clinical risks in tailoring education, while seven viewed it as personal assets developed via education.
Limited information on the contribution of health literacy to pain self-management context factors and processes exists. Current evidence was limited by a lack of temporality, theoretical basis, and a priori sample estimation.
Using brief functional literacy scales in the clinical environment can be more practical. Identifying patients' literacy levels helps clinicians personalize education, which then promotes patients' knowledge of pain, medication regimen adherence, and pain control.
综合健康素养对疼痛自我管理背景、过程和结果的影响。
本系统评价采用叙述性综合方法。我们使用了数据库，包括 PubMed 和 PsycINFO，并通过手动搜索参考文献来确定 2020 年 12 月之前发表的文章。疼痛自我管理变量是基于个体和家庭自我管理理论选择的。使用美国国立卫生研究院针对观察性和横断面研究的质量评估工具进行质量评估。
使用了 20 项研究，共纳入 6173 名参与者。大多数研究测量了健康素养概念的功能领域。12 项研究报告了健康素养与疼痛知识、药物治疗方案依从性或疼痛之间的小到中等关联。13 项研究在制定教育计划时考虑了健康素养的临床风险，而 7 项研究则将其视为通过教育发展起来的个人资产。
关于健康素养对疼痛自我管理背景因素和过程的贡献的信息有限。目前的证据受到缺乏时间性、理论基础和事先样本估计的限制。
在临床环境中使用简短的功能性读写能力量表可能更实际。确定患者的读写水平有助于临床医生个性化教育，从而促进患者对疼痛、药物治疗方案依从性和疼痛控制的了解。
