Department of Neurology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, PR China.
School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, PR China.
PLoS One. 2024 Jul 29;19(7):e0307928. doi: 10.1371/journal.pone.0307928. eCollection 2024.
The purpose of this study was to investigate the health literacy level and influencing factors of patients with ischemic stroke.
A cross-sectional study was conducted.
We used convenient sampling to recruit potential participants. Patients with ischemic stroke who were hospitalized in the Department of Neurology, West China Hospital, Sichuan University in China from January 2022 to May 2023 were selected as subjects to complete the questionnaire survey. We used the National Institute of Health Stroke Scale to assess the neurological impairment of patients and the Health Literacy Scale for Chronic Patients to assess the health literacy level of patients.
The overall health literacy level of ischemic stroke patients was high (99.13 ± 10.15). Age, education level, per capita monthly family income, living situations and National Institutes of Health Stroke Scale score were independent risk factors affecting the health literacy level of patients with ischemic stroke. Patients with a higher education level (β = 0.151, P = 0.006) and higher per capita monthly family income (β = 0.179, P = 0.001) had higher levels of health literacy. Patients who lived with their spouses (β = -0.117, P = 0.012) had higher health literacy. Patients at an older age (β = -0.151, P = 0.001) and patients with higher NIHSS scores (β = -0.450, P = 0.001) had lower health literacy levels.
Age, education level, family per capita monthly income, living situations and National Institute of Health Stroke Scale score were related to the health literacy level of patients with ischemic stroke. According to these associated factors, targeted health education should be developed to improve the health literacy of patients and health outcomes.
本研究旨在调查缺血性脑卒中患者的健康素养水平及其影响因素。
本研究采用横断面研究方法。
我们采用便利抽样的方法招募潜在的参与者。选取 2022 年 1 月至 2023 年 5 月在四川大学华西医院神经内科住院的缺血性脑卒中患者作为研究对象，完成问卷调查。采用美国国立卫生研究院卒中量表评估患者的神经功能缺损情况，采用慢性病患者健康素养量表评估患者的健康素养水平。
缺血性脑卒中患者的总体健康素养水平较高（99.13±10.15）。年龄、文化程度、人均月家庭收入、居住情况和美国国立卫生研究院卒中量表评分是影响缺血性脑卒中患者健康素养水平的独立危险因素。文化程度较高的患者（β=0.151，P=0.006）和人均月家庭收入较高的患者（β=0.179，P=0.001）健康素养水平较高。与配偶同住的患者（β=-0.117，P=0.012）健康素养水平较高。年龄较大的患者（β=-0.151，P=0.001）和美国国立卫生研究院卒中量表评分较高的患者（β=-0.450，P=0.001）健康素养水平较低。
年龄、文化程度、家庭人均月收入、居住情况和美国国立卫生研究院卒中量表评分与缺血性脑卒中患者的健康素养水平相关。根据这些相关因素，应制定有针对性的健康教育，以提高患者的健康素养水平和健康结局。
