背景:糖尿病患者容易发生微血管和大血管并发症,预防需要患者的积极作用。所以,健康素养应该在糖尿病患者的健康中发挥重要作用,但这种联系尚未完全理解。本研究的目的是了解健康素养与2型糖尿病(DM2)人群并发症患病率之间的关系。
方法:这是一项多中心横向观察探索性研究。用两种健康素养工具进行了一项调查,医学术语识别测试(METER)和最新生命体征(NVS),由在葡萄牙三个主要地区的初级保健中心接受咨询的DM2患者填写。结果:在该样本中(n=141),50.6%为男性,41到88岁,56%的人比最低工资高。使用METER工具,发现57.4%的糖尿病患者具有功能素养。使用NVS工具发现有24.1%的识字率。同样使用NVS工具,发现36.2%的样本受试者的识字能力有限的可能性很高。利用METER工具,在有糖尿病并发症的个体中观察到健康素养的统计学显著下降(p=0.001).糖尿病并发症的存在与当前血压值之间没有显着关系,低密度脂蛋白,和社会经济指数。
结论:在这项研究中,我们发现较低的健康素养与诊断出的DM2并发症之间存在显著关系(p=0.001).
BACKGROUND: A person with diabetes is subject to developing micro and macrovascular complications and prevention requires an active role from the person. So, health literacy should have a preponderant role in the health of people with diabetes but this link is yet not fully understood. The objective of this study is to understand the relationship between health literacy and the prevalence of complications in people with diabetes mellitus type 2 (DM2).
METHODS: This is a multicentric transversal observational exploratory study. A survey was conducted with two health literacy instruments, the Medical Term Recognition Test (METER) and Newest Vital Sign (NVS), filled out by people with DM2 coming to consultation in primary health centers in three main regions of Portugal. Results: In this sample (n=141), 50.6% were male, 41 to 88 years old, and 56% earned more than the minimum wage. Using the METER tool, it was found that 57.4% of the diabetic patients had functional literacy. Adequate literacy was found in 24.1% with the NVS tool. Also with the NVS tool it was found that 36.2% of the sample subjects had s high probability of limited literacy. Utilizing the METER tool, a statistically significant decrease in health literacy was observed in individuals with diabetic complications (p=0.001). There was no significant relation between the presence of diabetic complications and present blood pressure values, low-density lipoprotein, and socioeconomic index.
CONCLUSIONS: In this study, we found a significant relation between lower health literacy and the presence of diagnosed DM2 complications (p=0.001).