Wang Ming-Jye, Lo Yi-Ting
Department of Secretariat, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan.
Department of Healthcare Management, Yuanpei University of Medical Technology, Hsinchu, Taiwan.
Risk Manag Healthc Policy. 2021 Oct 28;14:4415-4424. doi: 10.2147/RMHP.S332220. eCollection 2021.
The health literacy of hospital patients has become a very important issue, especially in the face of emerging infectious diseases. The design of and measures used by hospitals, however, have not yet taken into account whether patients can develop their health literacy through the process of medical treatment. Hospitals should take on this role as part of health education programs.
A cross-sectional survey was conducted at pre-admission testing center patients waiting to be hospitalized in a regional teaching hospital. A purposive sampling method was used to recruit 406 patients via self-administered questionnaires.
Among the 406 participants, 36.1% had adequate health literacy. There were significant differences in age, education attainment, and history of chronic diseases for health literacy. The ability to find and judge information on health was lower. Watching health-related TV programs was positively correlated with health literacy. Health literacy, health promotion literacy, and understanding information on health were positively correlated to self-care and management. 65.8% of patients did not understand the treatment for which they were being admitted. Health literacy, healthcare health literacy, the ability to judge health information were positively related to understanding the treatment.
Health literacy is a critical facilitating factor in improving self-care and management and understanding treatment on admission. Health education programs cannot, however, be one-size-fits-all. To help patients change their behavior, the change must be made easy. To this end, health information in the form of entertainment programs and simplified materials may be useful and even necessary.
医院患者的健康素养已成为一个非常重要的问题，尤其是面对新出现的传染病时。然而，医院的设计和所采用的措施尚未考虑到患者是否能够通过治疗过程提高其健康素养。医院应承担起这一角色，将其作为健康教育项目的一部分。
在一家地区教学医院的入院前检测中心对等待住院的患者进行了横断面调查。采用立意抽样法，通过自填问卷招募了406名患者。
在406名参与者中，36.1%具备足够的健康素养。健康素养在年龄、教育程度和慢性病病史方面存在显著差异。查找和判断健康信息的能力较低。观看与健康相关的电视节目与健康素养呈正相关。健康素养、健康促进素养以及对健康信息的理解与自我护理和管理呈正相关。65.8%的患者不了解他们正在接受的治疗。健康素养、医疗健康素养、判断健康信息的能力与对治疗的理解呈正相关。
健康素养是提高自我护理和管理能力以及理解入院治疗的关键促进因素。然而，健康教育项目不能一刀切。为了帮助患者改变行为，必须使其改变变得容易。为此，以娱乐节目和简化材料形式呈现的健康信息可能是有用的，甚至是必要的。
