中西医结合护理 (May 2021)
Health literacy and related influencing factors among patients undergoing thrombolytic therapy for acute ischemic stroke (急性缺血性卒中溶栓患者健康素养及影响因素研究)
Abstract
Objective To investigate the health literacy and related influencing factors among patients undergoing thrombolytic therapy for acute ischemic stroke, and provide reference for establishment of effective health education strategy for stroke prevention. Methods A cross-sectional descriptive study was performed, and Short-form Health Literacy Questionnaire( HLS-SF12) was adopted to survey health literacy among 148 patients undergoing thrombolytic therapy for acute ischemic stroke. Results The average score of HLS-SF12 was (19. 64±8. 26), and score of patients with stroke recurrence and family history was (19. 56±7. 62) and (22. 04±8. 80)respectively. The highest score of dimension was (9. 08±2. 33) in medical care, followed by (8. 79±2. 68) in health promotion and (7. 80±2. 24) in disease prevention. The univariate analysis showed that there was a significant difference in HLS-SF12 score of patients with different gender, age, education level, occupation, marital status, residence status, monthly income, medical insurance payment method(P＜0. 05). Conclusion Findings of study indicated a relatively low level of health literacy among patients undergoing thrombolytic therapy for acute ischemic stroke. Influencing factors of health literacy include gender, age, education level, occupation, marital status, residence status, monthly income, medical insurance payment method. (目的 调查急性缺血性卒中溶栓患者健康素养现状并分析其影响因素, 为建立有效的卒中健康教育策略提供依据。方法 本研究为横断面描述性研究, 研究对象为某三级甲等综合性医院148例急性缺血性卒中溶栓患者。采用HLS-SF12健康素养调查问卷对患者进行问卷调查。结果 研究对象健康素养平均得分(19. 64±8. 26)分, 其中卒中复发及有家族史患者健康素养平均得分分别为(19. 56±7. 62)分和(22. 04±8. 80)分。健康素养各维度得分依次为医疗保健(9. 08±2. 33)分、健康促进(8. 79±2. 68)分、疾病预防(7. 80±2. 24)分。单因素分析结果显示不同性别、年龄、文化程度、职业、婚姻状况、居住状况、月收入水平、医疗付费方式的研究对象在健康素养得分上差异有统计学意义(P＜0. 05)。结论 急性缺血性卒中溶栓患者健康素养水平低下, 其中卒中复发及有家族史患者健康素养仍然不足。不同性别、年龄、文化程度、职业、婚姻状况、居住状况、月收入水平、医疗付费方式是急性缺血性卒中溶栓患者健康素养的主要影响因素。)
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