糖尿病患者健康素养水平对健康结局的影响:牙买加西部一个健康中心的调查

The effect of health literacy level on health outcomes in patients with diabetes at a type v health centre in Western Jamaica

目的确定健康素养水平对西部牙买加某V型健康中心糖尿病患者健康结局的影响。方法采用相关性调查设计。采用一个包含18个条目的问卷和"新生命体征问卷"(the Newest Vital Sign tool,NVS),对随机抽样选取的88例知情同意的成年糖尿病患者进行调查。查阅患者病历卷宗,评估他们的健康结局。采用SPPS18.0软件包进行数据分析。结果本组患者多为女性(占77.3%),年龄51~71岁,已婚44%,在职46%,42%诊断为糖尿病的时间>10年。只有13.6%的患者具有适当的健康素养。不同性别健康素养得分差异无统计学意义(P=0.84)。不同年龄和文化程度健康素养得分差异具有统计学意义(P<0.01)。Pearson相关分析显示健康素养得分和健康结局的相关性没有统计学意义(r=0.185,P=0.084)。结论本组患者中大部分健康素养非常有限,可能对本研究结果有影响。年龄和文化程度与健康素养的相关性有统计学意义,但本研究未发现糖尿病患者健康素养水平与健康结局有相关性。

Objective:To identify the effects of health literacy levels on health outcomes in patients with diabetes in a type V health center in Western Jamaica.Method:A correlational survey design with a random sampling technique was used.An 18-item questionnaire and the Newest Vital Sign tool were administered to 88 consenting adults with diabetes to assess their health literacy levels.Their health outcomes were evaluated with docket review.Data were analyzed using SPSS version 18.Results:The participants were predominantly female(77.3%),aged 51-70 years,married(44%),employed(46%),and diagnosed with diabetes>10 years(42%).Only 13.6%of the study population was adequately health literate.The health literacy scores for gender were not significant(P=0.84).The health literacy scores of the patients with different ages and educational levels were significant(P<0.001).Pearson's correlations revealed no linear relationship between health literacy scores and health outcome(r=0.185,P=0.084).Conclusion:Limited health literacy and high likelihood of limited health literacy are predominant in the study population.Age and educational level are significantly associated with health literacy levels.However,these findings suggest no association between health literacy level and diabetic health outcomes.