Health literacy and cancer communication
Health literacy and cancer communication
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DOI：
10.3322/canjclin.52.3.134
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发表时间：
2002-05-01
影响因子：
254.7
通讯作者：
Glass, J
中科院分区：
文献类型：
--
作者：
Davis, TC;Williams, MV;Glass, J
健康素养越来越被认为是影响整个癌症护理过程中沟通的关键因素。我们回顾了有关健康素养的研究，并考察了其对癌症结果和沟通的影响。根据被认为是我们社会中最准确的识字率描述的全国成人素养调查 (NALS)，大约五分之一的美国成年人可能缺乏在我们的社会中充分发挥作用所必需的识字技能。作为患者，这些人在获取、处理和理解做出适当医疗保健决策所需的癌症信息和服务的能力方面处于劣势。健康素养较差的患者在书面和口头交流方面存在一系列复杂的困难，这可能会限制他们对癌症筛查和癌症症状的理解，从而对他们的诊断阶段产生不利影响。此外，这些障碍损害了有关治疗方案风险和益处的沟通和讨论，以及患者对常规程序和临床试验知情同意的理解。需要更多的研究来确定对健康素养有限的患者进行教育和沟通的成功方法。根据我们自己的经验，我们提供实用的沟通辅助工具，帮助弥合癌症沟通差距。
Health literacy is increasingly recognized as a critical factor affecting communication across the continuum of cancer care. We reviewed research on health literacy and examined its impact on cancer outcomes and communication.According to the National Adult Literacy Survey (NALS), considered the most accurate portrait of literacy in our society, about one in five American adults may lack the necessary literacy skills to function adequately in our society. As patients, such individuals are at a disadvantage in their capacity to obtain, process, and understand cancer information and services needed to make appropriate health care decisions.Patients with poor health literacy have a complex array of difficulties with written and oral communication that may limit their understanding of cancer screening and of symptoms of cancer, adversely affecting their stage at diagnosis. In addition, these barriers impair communication and discussion about risks and benefits of treatment options, and patient understanding of informed consent for routine procedures and clinical trials. More research is needed to identify successful methods for educating and communicating with patients who have limited health literacy. Based on our own experience, we offer practical communication aids that can help bridge the cancer communication gap.