目的 了解安徽省桐城市综合医院门诊患者健康素养的具备情况及其影响因素,为桐城市及同类地区制定卫生健康政策、优化患者管理、开展患者健康促进提供科学依据。方法 使用《中国患者健康素养量表》,于2022年7—8月随机抽取安徽省桐城市6家二级及以上医院的3 884例门诊患者进行调查。比较不同特征门诊患者健康素养水平,采用二元 logistic回归模型分析门诊患者健康素养水平的影响因素。结果 安徽省桐城市门诊患者健康素养平均得分为(35.54±6.13)分,总体具备率为29.97%。在医学科学观念、疾病自我管理技能、自我效能3个分量表(维度)平均得分分别为(8.29±3.86)、(16.15±3.05)、(11.10±3.86)分。logistic回归分析结果显示,男性、年龄≥35岁、文化程度为高中/中专及以上、家庭中有从事医疗卫生工作者、职业为公务员或事业单位人员/工矿企业工人/其他、家庭人均月收入为5 000~7 999元是门诊患者健康素养具备率的影响因素(P＜0.05)。结论 安徽省桐城市门诊患者健康素养具备率有待提升,应重点向门诊患者普及基本疾病防治知识,特别要加强对低文化程度者、青少年、工矿企业工人的疾病防治知识普及。
Abstract
Objective To understand the health literacy status and influencing factors of outpatient patients in Tongcheng general hospital,Anhui Province,so as to provide scientific basis for formulating health policies,optimizing patient management,and promoting patient health in Tongcheng City and similar areas. Methods The Chinese Patient Health Literacy Scale was used to randomly select 3 884 outpatients from 6 secondary and above hospitals in Tongcheng City,Anhui Province from July to August 2022.The health literacy level of outpatients with different characteristics was compared,and the influencing factors of health literacy level among outpatients were analyzed by binary logistic regression model. Results The average score of health literacy among outpatients in Tongcheng City,Anhui Province was (35.54±6.13),and the overall attainment rate was 29.97%.The average scores of the three subscales (dimensions) of medical science concept,disease self-management skills and self-efficacy were (8.29±3.86),(16.15±3.05) and (11.10±3.86),respectively.The results of logistic regression analysis showed that male,35 years old and above,education level of high school or technical secondary school and above,medical and health workers in the family,civil servants or public institution personnel or workers in industrial and mining enterprises or others,and family per capita monthly income of 5 000-7 999 yuan were the influencing factors for the health literacy attainment rate of outpatient patients(P＜0.05). Conclusion The possession rate of health literacy among outpatients in Tongcheng City,Anhui Province needs to be improved,and the knowledge of basic disease prevention and treatment should be popularized to outpatients,especially for people with low education level,adolescents,and workers in industrial and mining enterprises.
关键词
健康素养 /
影响因素 /
门诊患者
Key words
Health literacy /
Influencing factor /
Outpatients
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参考文献
[1] Nielsen-Bohlman L,Panzer AM,Kindig DA,et al.Health literacy:a prescription to end confusion[M].Washington,D.C.:National Academies Press,2004.
[2] Miller TA.Health literacy and adherence to medical treatment in chronic and acute illness:a meta-analysis[J].Patient Educ Couns,2016,99(7):1079-1086.
[3] Zibellini J,Muscat DM,Kizirian N,et al.Effect of health literacy interventions on pregnancy outcomes:a systematic review[J].Women Birth,2021,34(2):180-186.
[4] Bitzer EM,Sørensen K.Gesundheitskompetenz–health literacy[J].Gesundheitswesen,2018,80(8/9):754-766.
[5] Keller DL,Wright J,Pace HA.Impact of health literacy on health outcomes in ambulatory care patients:a systematic review[J].Ann Pharmacother,2008,42(9):1272-1281.
[6] 王萍,毛群安,陶茂萱,等.2008年中国居民健康素养现状调查[J].中国健康教育,2010,26(4):243-246.
[7] 雷黎,陆强,刘敏东,等.南宁市社区严重精神障碍患者心理健康素养知识因素调查[J].云南医药,2022,43(3):54-56.
[8] 余巧林,雷丽梅,万彬,等.结核病患者健康素养与结核病防治核心知识和社会支持的相关性[J].中国防痨杂志,2020,42(11):1227-1231.
[9] 葛爽,翟清华,李鑫静,等.郑州市某三甲医院结直肠癌患者健康素养与决策冲突的关系[J].医学与社会,2022,35(6):116-120+126.
[10] 陈颖,董建,田向阳,等.中国患者健康素养量表修订及改进[J].中国公共卫生,2022,38(8):1018-1023.
[11] 王晓妍,田向阳,董建,等.综合医院门诊患者健康素养现状及其影响因素研究[J].中国全科医学,2022,25(19):2342-2348.
[12] 董建,陈颖,田向阳.中国门诊患者健康素养具备情况及其影响因素分析[J].中国公共卫生,2022,38(2):213-217.
[13] 中国政府网.2021年我国卫生健康事业发展统计公报[EB/OL].(2022-07-12)[2022-10-23].http://www.gov.cn/xinwen/2022-07/12/content_5700670.htm.
[14] 桐城市人民政府.桐城获称“全国科普示范市(县)”[EB/OL].(2022-03-11)[2022-10-23].https://www.tongcheng.gov.cn/ztzlan/lwlbzt/hddt/2016614731.html.
[15] 安庆市卫生健康委.桐城市深化医药卫生体制综合改革试点暨推进县域医联体试点工作动员大会召开[EB/OL].(2015-04-20)[2022-10-23].http://aqxxgk.anqing.gov.cn/show.php?id=360120.
[16] 桐城市人民政府.关于印发桐城市区域卫生发展规划的通知[EB/OL].(2011-04-06) [2022-10-23].https://www.tongcheng.gov.cn/public/2000003131/2016156001.html.
[17] 李英华,毛群安,石琦,等.2012年中国居民健康素养监测结果[J].中国健康教育,2015,31(2):99-103.
[18] Sullivan GM,Jr Artino AR.Analyzing and interpreting data from likert-type scales[J].J Grad Med Educ,2013,5(4):541-542.
[19] Alexandre K,Campbell J,Bugnon M,et al.Factors influencing diabetes self-management in adults:an umbrella review of systematic reviews[J].JBI Evid Synth,2021,19(5):1003-1118.
[20] Wu JR,Holmes GM,DeWalt DA,et al.Low literacy is associated with increased risk of hospitalization and death among individuals with heart failure[J].J Gen Intern Med,2013,28(9):1174-1180.
[21] Macabasco-O'Connell A,DeWalt DA,Broucksou KA,et al.Relationship between literacy,knowledge,self-care behaviors,and heart failure-related quality of life among patients with heart failure[J].J Gen Intern Med,2011,26(9):979-986.
[22] 桐城市人民政府.桐城市2021年国民经济和社会发展统计公报 [EB/OL].(2022-05-31)[2022-10-23].https://www.tongcheng.gov.cn/public/2000002291/2016948441.html.
[23] 安庆市统计局.安庆市2021年统计年鉴 [EB/OL].(2021-12-29)[2022-10-23].https://tjj.anqing.gov.cn/tjsj/tjnj/2001305581.html.
[24] 国家统计局.居民收入水平较快增长 生活质量取得显著提高——党的十八大以来经济社会发展成就系列报告之十九 [EB/OL].(2022-10-11)[2022-10-23].http://www.stats.gov.cn/xxgk/jd/sjjd2020/202210/t20221011_1889192.html.
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