PATIENTS UNDERSTANDING OF HEALTH INFORMATION - A MULTIHOSPITAL COMPARISON

PATIENTS UNDERSTANDING OF HEALTH INFORMATION - A MULTIHOSPITAL COMPARISON
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DOI:
10.1016/0738-3991(94)90027-2
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发表时间:
1994-08-01
影响因子:
3.5
通讯作者:
KEEHN, L
KEEHN, L
中科院分区:
医学2区
文献类型:
--
作者:
ESTEY, A;MUSSEAU, A;KEEHN, L

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病人教育是大多数医院病人接受的护理的一个组成部分。印刷健康材料的使用由于其感知的益处和方便而被广泛使用。遗憾的是,为患者选择的许多材料的阅读水平与预期读者群体的阅读能力之间存在差异。尽管研究表明需要简化文本,但阅读的容易性只是可读性的一个组成部分;另一个是理解。本文介绍了一项于1990年完成并于次年在两家医院重复的研究结果。研究人员使用完形填空技术,测试了病人理解五年级和九年级健康信息的能力。分数显示,77%的受试者能够独立理解五年级水平的材料,8%需要一些帮助,14%无法理解材料。当对九级水平准备的材料进行理解测试时,只有30%的受试者能够理解,31%的受试者需要一些帮助,39%的受试者无法理解。这些结果表明,简化健康材料的重要性不超过五级水平,以便对大多数医院患者进行全面的了解。
Patient education is an integral component of the care most hospital patients receive. The use of printed health material is widespread due to its perceived benefit and convenience. Unfortunately, there is a discrepancy between reading level of many materials selected for patients and the reading ability of the intended reader group. Although research suggests the need for simplified text, ease of reading is only one component of readability; the other is comprehension. This article presents results from a study completed in 1990 and replicated in two hospitals the following year. Using a Cloze technique, researchers tested patient's ability to understand health information prepared at grade levels five and nine. Scores revealed that 77% of subjects were able to comprehend material prepared at the grade five level independently, 8% required some assistance, and 14% were not able to comprehend the material. When comprehension of the material prepared at the grade nine level was tested only 30% of subjects were able to comprehend it, 31% required some help, and 39% were unable to comprehend it. These results suggest the importance of simplifying health material to no higher than a grade five level so it is comprehensive to the majority of hospital patients.