Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Stockholm, Sweden.
Top Stroke Rehabil. 2023 Dec;30(8):865-871. doi: 10.1080/10749357.2023.2178133. Epub 2023 Feb 21.
Life after stroke may entail several lifestyle changes and new routines. Hence, it is imperative for people with stroke to understand and make use of health information, i.e. to have sufficient health literacy. This study aimed to explore health literacy and its associations with outcomes at 12-months post-discharge regarding depression symptoms, walking ability, perceived stroke recovery, and perceived participation in people with stroke.
This was a cross-sectional study of a Swedish cohort. Data were collected at 12 months post-discharge using European Health Literacy Survey Questionnaire, the Hospital Anxiety and Depression Scale, the 10-m walk test, and the Stroke Impact Scale 3.0. Each outcome was then dichotomized into favorable versus unfavorable outcome. Logistic regression was performed to assess the association between health literacy and favorable outcomes.
The participants, = 108, were on average 72 years old, 60% had mild disability, 48% had a university/college degree, and 64% were men. At 12 months post-discharge, 9% of the participants had inadequate health literacy, 29% problematic health literacy, and 62% sufficient health literacy. Higher levels of health literacy were significantly associated with favorable outcomes relating to depression symptoms, walking ability, perceived stroke recovery, and perceived participation in models adjusted for age, sex, and education level.
The association between health literacy and mental, physical, and social functioning 12-months post-discharge suggests that health literacy is an important factor to consider in post-stroke rehabilitation. Longitudinal studies of health literacy in people with stroke are warranted to explore the underlying reasons for these associations.
中风后可能需要进行多种生活方式的改变和新的日常活动。因此，中风患者必须了解并利用健康信息，即具备足够的健康素养。本研究旨在探讨健康素养及其与出院后 12 个月时抑郁症状、行走能力、感知中风康复和感知参与度的关系。
这是一项瑞典队列的横断面研究。在出院后 12 个月时，使用欧洲健康素养调查问卷、医院焦虑和抑郁量表、10 米步行测试和中风影响量表 3.0 收集数据。然后，将每个结果分为有利和不利结果。使用逻辑回归评估健康素养与有利结果之间的关联。
参与者共 108 人，平均年龄为 72 岁，60%为轻度残疾，48%具有大学/大专学历，64%为男性。出院后 12 个月时，9%的参与者健康素养不足，29%的参与者健康素养存在问题，62%的参与者健康素养充足。较高的健康素养水平与抑郁症状、行走能力、感知中风康复和感知参与度的有利结果显著相关，这些结果在调整年龄、性别和教育水平后仍然存在。
健康素养与心理、身体和社会功能在出院后 12 个月的关联表明，健康素养是中风后康复中需要考虑的一个重要因素。需要对中风患者的健康素养进行纵向研究，以探讨这些关联的潜在原因。
