From the Department of Community and Mental Health Nursing, Nursing Collage, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Saudi Med J. 2022 May;43(5):465-472. doi: 10.15537/smj.2022.43.5.20210917.
To examine the pathway in which health literacy affects diabetic patients' quality of life (QoL) with self-care management skills and glycemic control levels (hemoglobin A1c [HbA1c]) mediating the relationship.
A cross-sectional study carried out between April 2019 and September 2019. A convenience sample of participants with type 2 diabetes mellitus were recruited from 3 primary healthcare centers, Al Ahsa, Saudi Arabia. Data were collected using structured interviews and HbA1c levels were collected from medical files. Structural equation modeling was also used.
Among the 256 participants, 27.3% had a marginal level of health literacy and 35.5% had an inadequate level of health literacy. Health literacy positively affects self-care management, glycemic control (HbA1c), and QoL directly and indirectly. Self-care management partially mediates this relationship.
Healthcare providers need to assess health literacy and develop interventions that enhance diabetic patients' health literacy because it influences self-care management skills, glycemic control, and patients' QoL. Health literacy should be considered as a key for health education and healthcare encounter to improve health outcomes.
研究健康素养通过自我护理管理技能和血糖控制水平（糖化血红蛋白 [HbA1c]）影响糖尿病患者生活质量（QoL）的途径，其中自我护理管理技能和血糖控制水平作为中介变量。
这是一项在 2019 年 4 月至 9 月间进行的横断面研究。在沙特阿拉伯艾卜哈的 3 家初级保健中心，采用便利抽样法招募了 256 名 2 型糖尿病患者作为研究对象。使用结构式访谈收集数据，并从病历中收集糖化血红蛋白（HbA1c）水平。同时还使用结构方程模型进行分析。
在 256 名参与者中，27.3%的人具有边缘水平的健康素养，35.5%的人具有不足水平的健康素养。健康素养直接和间接正向影响自我护理管理、血糖控制（HbA1c）和生活质量。自我护理管理部分中介了这种关系。
医疗保健提供者需要评估健康素养并制定干预措施来提高糖尿病患者的健康素养，因为健康素养会影响自我护理管理技能、血糖控制以及患者的生活质量。健康素养应被视为健康教育和医疗保健接触的关键，以改善健康结果。
