2021 年，在埃塞俄比亚东南伯勒地区的公立医院接受随访的糖尿病患者的糖尿病健康素养及其相关因素。
Diabetic health literacy and associated factors among diabetes mellitus patients on follow up at public hospitals, Bale Zone, South East Ethiopia, 2021.
机构信息
Department of Nursing, School of Health Science, Goba Referral Hospital, Madda Walabu University, Goba, Ethiopia.
Department of Nursing, School of Health Science, Wollo University, Dessie, Ethiopia.
出版信息
PLoS One. 2022 Jul 7;17(7):e0270161. doi: 10.1371/journal.pone.0270161. eCollection 2022.
OBJECTIVE
This study was aimed to assess diabetic health literacy and associated factors among adult diabetic patients in public hospitals, Bale Zone, Southeast Ethiopia.
METHODS
A hospital-based cross-sectional study was conducted among 402 diabetic patients in three public hospitals and the samples were selected using simple random sampling technique. The comprehensive functional, communicative, and critical health literacy questionnaire was used to measure diabetic health literacy. Descriptive statistics and Ordinary logistic regression analyses were conducted, and a P-value of < 0.05 was considered to declare a result as statistically significant.
RESULT
A total of 402 diabetic patients were involved in the study. Of all respondents, 41.8%, 27.9%, and 30.3% had low, moderate, and high diabetic health literacy respectively. Educational status; can't read and write (AOR = 0.085;95% CI: 0.03,0.26), can read and write (AOR = 0.10; 95% CI: 0.04,0.30), primary school (AOR = 0.25; 95% CI: 0.09,0.67), secondary school (AOR = 0.37; 95% CI: 0.14,0.99), duration of onset ≤5 years (AOR = 2.05; 95% CI:1.09,4.19), being not member of DM association (AOR = 0.43; 95% CI: 0.26,0.73), having ≤ 3 diabetes mellitus information sources (AOR = 0.15; 95% CI: 0.03,0.77), social support; poor (AOR = 0.40;95% CI: 0.21,0.79), and moderate (AOR = 0.50; 95% CI: 0.28,0.92) were significantly associated with diabetic health literacy.
CONCLUSION
A substantial number of diabetic patients had low diabetic health literacy. Educational status, Sources of diabetic information, Member of DM association, and social support were significantly and positively associated with diabetic health literacy. But, duration of diabetes onset was negatively associated with diabetic health literacy of respondents. So, we recommend providing readable and picturized printed materials, and diabetic patient education to be considered.
目的
本研究旨在评估埃塞俄比亚东南伯勒地区公立医院成年糖尿病患者的糖尿病健康素养及其相关因素。
方法
在三家公立医院进行了一项基于医院的横断面研究，共纳入 402 名糖尿病患者，采用简单随机抽样技术抽取样本。使用综合功能性、交际性和批判性健康素养问卷来衡量糖尿病健康素养。进行描述性统计和普通逻辑回归分析，P 值<0.05 被认为具有统计学意义。
结果
共有 402 名糖尿病患者参与了这项研究。在所有受访者中，分别有 41.8%、27.9%和 30.3%的人具有低、中、高糖尿病健康素养。教育程度；不能读写（AOR=0.085；95%CI：0.03，0.26）、能读写（AOR=0.10；95%CI：0.04，0.30）、小学（AOR=0.25；95%CI：0.09，0.67）、中学（AOR=0.37；95%CI：0.14，0.99）、发病时间≤5 年（AOR=2.05；95%CI：1.09，4.19）、非糖尿病协会成员（AOR=0.43；95%CI：0.26，0.73）、糖尿病信息来源≤3 个（AOR=0.15；95%CI：0.03，0.77）、社会支持；差（AOR=0.40；95%CI：0.21，0.79）和中等（AOR=0.50；95%CI：0.28，0.92）与糖尿病健康素养显著相关。
结论
相当数量的糖尿病患者具有较低的糖尿病健康素养。教育程度、糖尿病信息来源、糖尿病协会成员和社会支持与糖尿病健康素养呈显著正相关。然而，糖尿病发病时间与受访者的糖尿病健康素养呈负相关。因此，我们建议考虑提供易读和图像化的印刷材料以及糖尿病患者教育。
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