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埃塞俄比亚奥罗米亚州西绍阿公立医院成年住院患者的健康素养水平及相关因素

Level of Patient Health Literacy and Associated Factors Among Adult Admitted Patients at Public Hospitals of West Shoa Oromia, Ethiopia.

作者信息

Gurmu Dugasa Yonas

机构信息

Department of Nursing, College of Medicine & Health Sciences, Ambo University, Ambo, Ethiopia.

出版信息

Patient Prefer Adherence. 2022 Mar 30;16:853-859. doi: 10.2147/PPA.S357741. eCollection 2022.

Abstract

BACKGROUND

Health literacy is a capacity of individual to gain knowledge that helps to use health information in different levels as needed for self-management and to communicate with health providers. Health literacy has a significant impact on patient health outcomes. The aim of this study was to assess level of patient health literacy and associated factors among adult admitted patients at public hospitals of West Shoa zone, Oromia, Ethiopia.

METHODS

A cross-sectional, quantitative study was carried out among adult admitted patients at public hospitals of West Shoa Oromia, Ethiopia. An interviewer-administered Health Literacy Questionnaire (HLQ) instrument tool was used to assess patients' health literacy. All statistical analysis were performed using SPSS for windows program version 21.

RESULTS

A total of 403 patients participated in this study. Majority of the participants were males 235 (58.3%) and aged 40-59 years (n = 164, 40.7%). Overall, 59.1% (n = 238) of the participants have high health literacy. Those respondents who are above grade 12 (tertiary) were 2.45 times more likely to have high health literacy (AOR = 2.45, 95% CI: 1.21, 4.98) compared to those respondents not able to read and write . Participants who had age greater or equal to sixty were 65% less likely to have high health literacy (AOR: 0.35, 95% CI: 0.18, 0.70).

CONCLUSION AND RECOMMENDATION

Forty percent of the participants have low health literacy. Age and education are significant factors in health literacy. Ethiopian ministry of health, Oromia regional health bureau, West shoa zonal office and healthcare professionals have to provide an intervention in enhancing the level of health literacy by mass media and written material.

摘要

背景

健康素养是个人获取知识的能力,有助于根据自我管理的需要在不同层面使用健康信息,并与医疗服务提供者进行沟通。健康素养对患者的健康结果有重大影响。本研究的目的是评估埃塞俄比亚奥罗米亚州西绍阿地区公立医院成年住院患者的健康素养水平及相关因素。

方法

在埃塞俄比亚奥罗米亚州西绍阿地区的公立医院对成年住院患者进行了一项横断面定量研究。使用访谈者实施的健康素养问卷(HLQ)工具来评估患者的健康素养。所有统计分析均使用SPSS for windows程序版本21进行。

结果

共有403名患者参与了本研究。大多数参与者为男性,共235名(58.3%),年龄在40 - 59岁之间(n = 164,40.7%)。总体而言,59.1%(n = 238)的参与者具有较高的健康素养。与不识字的受访者相比,12年级以上(大专及以上)的受访者具有较高健康素养的可能性高出2.45倍(调整后比值比[AOR]=2.45,95%置信区间[CI]:1.21,4.98)。年龄大于或等于60岁的参与者具有较高健康素养的可能性降低65%(AOR:0.35,95% CI:0.18,0.70)。

结论与建议

40%的参与者健康素养较低。年龄和教育是影响健康素养的重要因素。埃塞俄比亚卫生部、奥罗米亚地区卫生局、西绍阿地区办事处和医疗保健专业人员必须通过大众媒体和书面材料进行干预,以提高健康素养水平。

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