Huang Lizhen, Jin Yanjun, Chien Ching-Wen, Xu Qinyi, Chuang Yen-Ching, Tung Tao-Hsin
School of Economics and Management, Fuzhou University, Fuzhou, Fujian, 350108, People's Republic of China.
Department of Urology, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, 317000 People's Republic of China.
Risk Manag Healthc Policy. 2024 Sep 2;17:2099-2109. doi: 10.2147/RMHP.S465702. eCollection 2024.
Improving overall and individual health literacy is a major focus of national initiatives in China and similar initiatives globally. However, few studies have examined the identification and improvement of individual health literacy levels, especially among patients.
To develop an interpretable method with decision rules to assess the health literacy levels of male patients and identify key factors influencing health literacy levels.
Using a convenience sampling method, we conducted on-site surveys with 212 male patients of a hospital in China from July 2020 to September 2020. The questionnaire was developed by the Ministry of Health of the People's Republic of China. A total of 206 of the completed surveys were ultimately included for analyses in this study. The rough set theory was used to identify conditional attributes (ie, key factors) and decision attributes (ie, levels of health literacy) and to establish decision rules between them. These rules specifically describe how different combinations of conditional attributes can affect health literacy levels among men.
Basic knowledge, concepts, and health skills are important in identifying whether male patients have health literacy. Health skills, scientific health concepts, healthy lifestyles and behaviors, infectious disease prevention and control literacy, basic medical literacy, and health information literacy can be identified as cognitive behaviors with varying degrees of health literacy among patients.
This model can effectively identify the key factors and decision rules for male patients' health literacy. Simultaneously, it can be applied to clinical nursing practice, making it easier for hospitals to guide male patients to improve their health literacy.
提高全民健康素养和个体健康素养是中国国家倡议以及全球类似倡议的主要重点。然而，很少有研究探讨个体健康素养水平的识别与提高，尤其是在患者中。
开发一种具有决策规则的可解释方法，以评估男性患者的健康素养水平，并确定影响健康素养水平的关键因素。
采用便利抽样法，于2020年7月至2020年9月对中国一家医院的212名男性患者进行现场调查。问卷由中华人民共和国卫生部编制。本研究最终纳入了206份完成的调查问卷进行分析。运用粗糙集理论识别条件属性（即关键因素）和决策属性（即健康素养水平），并建立它们之间的决策规则。这些规则具体描述了条件属性的不同组合如何影响男性的健康素养水平。
基础知识、概念和健康技能对于识别男性患者是否具备健康素养很重要。健康技能、科学健康概念、健康生活方式和行为、传染病防控素养、基本医疗素养和健康信息素养可被确定为患者中具有不同程度健康素养的认知行为。
该模型能够有效识别男性患者健康素养的关键因素和决策规则。同时，它可应用于临床护理实践，使医院更易于指导男性患者提高其健康素养。
