延边地区脑卒中高危人群不同健康素养水平对健康产出的影响

Effects of different health literacy levels on the difference of health outcomes among high risk population of stroke in Yanbian area

[目的]分析延边地区脑卒中高危人群不同健康素养水平对健康产出的影响.[方法]利用整群便利抽样法选取延边地区330例脑卒中高危人群进行健康素养、自我效能及生活质量3个方面的问卷调查,同时测量血压、身高、体质量、空腹血糖及血脂等健康产出指标水平进行分析.[结果]延边地区330名脑卒中高危人群中健康素养缺乏者占17.6%,临界健康素养者占28.5%,健康素养充足者占53.9%.健康产出项目中的自我效能得分较低,为26.12±7.28,生活质量平均得分为83.40±11.54,临床相关指标中体质量指数平均值为24.65±3.39,属于超体质量状态,血糖平均值为(6.12±1.50)mmol/L,偏高.不同健康素养水平脑卒中高危人群的自我效能和血糖值间差异有统计学意义(P<0.05,P<0.01).脑卒中高危人群健康素养与自我效能和生活质量得分均呈正相关(r=0.185,P<0.01;r=0.130,P<0.05),而与血糖值呈负相关(r=-0.144,P<0.01).[结论]脑卒中高危人群健康素养水平对健康产出有影响,随着健康素养水平增高,自我效能得分随之增高,生活质量和血糖水平控制亦越好.

OBJECTIVE To analyze the effects of different health literacy levels on the difference of health outcomes among high risk population of stroke in Yanbian area.METHODS A cluster of convenient sampling method was used to select 330 patients with high risk of stroke in Yanbian area,and a questionnaire survey was conducted on health literacy,self-efficacy and quality of life.The blood pressure,height,body mass,fasting blood glucose and lipid were measured and analyzed.RESULTS Among the 330 patients with high risk of stroke in Yanbian area,17.6%patients had inadequate health literacy,28.5%patients had margin health literacy,and 53.9%patients had adequate health literacy.In the health outcomes,the self-efficacy score was lower,it was 26.12±7.28;the average score of quality of life was 83.40±11.54.In the clinical relevant indicators,the average of BMI was 24.65±3.39,it was on the overweight state;the mean of blood glucose was 6.12±1.50 mmol/L,it was slightly higher.There was a significant difference between self-efficacy and blood glucose levels in high risk population of stroke with different levels of health literacy,（P〈0.05,P〈0.01）.Health literacy and self-efficacy scores in high risk population of stroke were positively correlated with the scores of quality of life（r=0.185,P〈0.01;r=0.130,P〈0.05）,while they were negatively correlated with the blood glucose levels（r =-0.144,P〈0.01）.CONCLUSION The health literacy in high risk population of stroke had an impact on health outcomes.As the level of health literacy increased,the self-efficacy scores increased,and the quality of life and blood glucose levels were better controlled.