Assessing health literacy in renal failure and kidney transplant patients
Assessing health literacy in renal failure and kidney transplant patients
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DOI：
10.7182/pit2013473
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发表时间：
2013-03-01
影响因子：
0.8
通讯作者：
Weismuller, Penny
中科院分区：
文献类型：
--
作者：
Escobedo, Wendy;Weismuller, Penny
背景——医学研究所2004年发布的一份报告估计，多达9000万美国人不具备管理复杂治疗方案或成功驾驭当前卫生保健系统所需的必要技能。目的利用最新生命体征评估工具评估郊区移植中心就诊患者的健康素养水平。设计与设置：本描述性研究采用调查方法。方便样本包括44名成年患者，他们都说英语和西班牙语，他们在郊区的移植中心进行了常规的诊所访问。方法：在常规门诊就诊时使用最新的生命体征工具。收集的人口统计信息包括年龄、性别、最高教育程度，以及参与者是否接受过透析或肾移植。对工具上的每个答案进行描述性统计。卡方分析确定人口因素或透析的存在是否影响该样本的健康素养。采用单因素方差分析比较初级语言和教育水平对得分的影响。结果：在44名参与者中，18名（41%）的得分表明可能或高度可能存在有限的健康素养。29%说英语的参与者和89%说西班牙语的参与者得分在这个范围内。调查还发现，在调查中的表现与教育水平之间存在关联。然而，单纯的教育水平评估并不能预测健康素养；8名参与者（18%）接受过高中或大学教育，但被评为健康素养有限。(C) 2013 NATCO，器官移植专业人员组织
Context-A report released in 2004 by the Institute of Medicine estimated that as many as 90 million Americans do not have the necessary skills required to manage complex treatment regimens or navigate through current health care systems successfully.Objectives-To identify the level of health literacy in patients seen at a suburban transplant center by using the Newest Vital Sign tool to assess health literacy.Design and Setting-This descriptive study used survey methods. The convenience sample included 44 adult patients, both English and Spanish speaking, who attended a routine clinic visit at a suburban transplant center.Methods-The Newest Vital Sign tool was administered during routine outpatient medical visits. Demographic information collected included age, sex, highest level of education, and whether or not the participant was on dialysis or received a kidney transplant. Descriptive statistics were completed for each answer on the tool. Chi-square analyses were done to determine whether demographic factors or the presence of dialysis affected health literacy in this sample. A 1-way analysis of variance between-subjects test was run to compare the effect of primary language and educational level on scores.Results-Of the 44 participants, 18 (41%) had scores indicating a possible likelihood to a high likelihood of limited health literacy. Twenty-nine percent of the English-speaking participants and 89% of the Spanish-speaking participants scored in this range. An association was also found between performance on the survey and level of education. However, assessment of educational level alone is not predictive of health literacy; 8 participants (18%) had a high school or college education yet scored as having limited health literacy. (C) 2013 NATCO, The Organization for Transplant Professionals