两种健康素养测量工具在外科患者中的应用比较

Comparison of two health literacy measurement tools in surgical patients

目的探讨中文版全面健康素养测量量表(C-AAHLS)与简短健康素养筛查(BHLS)评估外科患者健康素养水平的可操作性。方法同时使用C-AAHLS和BHLS对蚌埠医学院第一附属医院随机抽取的202例外科患者进行健康素养测量,并比较其测量结果的一致性。结果C-AAHLS和BHLS测量202例外科患者的健康素养总分分别为(23.16±2.94)分和(7.50±3.58)分,均处于中等水平,且在不同年龄、职业、文化程度的外科患者健康素养水平差异上有一致性,具有统计学意义;Bland-Altman图显示两工具测量结果最大相差1.68,<1.824(平均值),差值的平均值接近于0,结果具有较高一致性(P<0.001)。结论C-AAHLS和BHLS测量健康素养结果一致,推荐临床医护人员采用这两种测量工具进行健康素养测量。

Objective To explore the operability of the Chinese version of the All Aspects of Health Literacy Scale(C-AAHLS)and the Brief Health Literacy Screening(BHLS)for assessing the health literacy level of surgical patients.Methods A total of 202 surgical patients were recruited in an acute care hospital.C-AAHLS and BHLS were used simultaneously to measure the health literacy of patients,and the consistency of their measurement results was compared.Results The total health literacy scores of 202 surgical patients measured by C-AAHLS and BHLS were respectively(23.16±2.94)and(7.50±3.58),both were at a medium level,and they are consistent in differences in the health literacy levels of different ages,occupations,and educational levels,with statistical significance;the Bland-Altman graph shows that the maximum difference between the measurement results of the two tools is 1.68<1.824(average value),the average value of the difference is close to 0,and the results are highly consistent(P<0.0001).Conclusions The results of C-AAHLS and BHLS in measuring health literacy are consistent,and clinical medical staff can choose the suitable measurement tool according to the appropriate situation.