The Impact of Health Literacy on Surgical Outcomes Following Radical Cystectomy

The Impact of Health Literacy on Surgical Outcomes Following Radical Cystectomy
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DOI:
10.1080/10810730.2016.1193916
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发表时间:
2016-01-01
影响因子:
4.4
通讯作者:
Moses, Kelvin A.
Moses, Kelvin A.
中科院分区:
医学3区
文献类型:
--
作者:
Scarpato, Kristen R.;Kappa, Stephen F.;Moses, Kelvin A.

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健康素养是获取、理解和处理医疗信息的能力,是慢性健康状况患者健康结果的独立预测因素。然而,很少有关于健康素养和手术结果的潜在关联的报道。我们假设根治性膀胱切除术后患者的并发症与健康素养有关。在368例患者的样本中,我们发现较高的健康素养评分(由简明健康素养筛查确定)与发生轻微并发症的几率降低相关(比值比= 0.90,95%置信区间[0.83,0.97])。在护理接受根治性膀胱切除术的患者时,应考虑健康素养,并应将其作为需要额外资源以改善术后结局的潜在指标。
Health literacy is the ability to obtain, comprehend, and act on medical information and is an independent predictor of health outcomes in patients with chronic health conditions. However, little has been reported regarding the potential association of health literacy and surgical outcomes. We hypothesized that patient complications after radical cystectomy would be associated with health literacy. In a sample of 368 patients, we found that higher health literacy scores (as determined by the Brief Health Literacy Screen) were associated with decreased odds of developing minor complications (odds ratio = 0.90, 95% confidence interval [0.83, 0.97]). Health literacy should be considered when caring for patients undergoing radical cystectomy and should serve as a potential indicator of the need for additional resources to improve postoperative outcomes.