Gebelerde sağlık okuryazarlığı ile yaşam kalitesi arasındaki ilişkinin incelenmesi

Yıl 2021, Cilt: 7 Sayı: 3, 213 - 222, 31.12.2021

Didem Şimşek Küçükkelepçe , Zehra Gölbaşı , Nukhet Bayer , Hande Ağırbaş

https://doi.org/10.30569/adiyamansaglik.983204

Cited By: 2

Öz

Amaç: Araştırma gebelerde sağlık okuryazarlığı ile yaşam kalitesi arasındaki ilişkiyi belirmek amacı ile gerçekleştirildi.
Gereç ve Yöntem: Analitik kesitsel nitelikteki bu araştırma, Ankara’da özel bir hastanede 219 gebe ile yürütüldü. Veriler, Türkiye sağlık okuryazarlık ölçeği-32, WHOQOL-BREF yaşam kalitesi ölçeği ve Katılımcı bilgi formu ile toplandı. İstatistiksel değerlendirmede; sayı, yüzde, ortalama, standart sapma, Pearson korelasyon ve doğrusal regresyon analizi kullanıldı.
Bulgular: Araştırmada gebelerin (n=15) yetersiz sağlık okuryazarlığına, (n=41) sorunlu-sınırlı sağlık okuryazarlığı, (n=87) yeterli sağlık okuryazarlığı ve (n=76) mükemmel sağlık okuryazarlığına sahip olduğu saptandı. Araştırmada sağlık okuryazarlığı ile yaşam kalitesi arasında doğrusal pozitif ilişki olduğu saptandı (r:0,226, p<0,05). Aynı zamanda sağlık okuryazarlık ölçeğinde meydana gelen bir birimlik artışın yaşam kalitesi ölçeğinin tüm alt boyutlarında artışa neden olduğu ve bu artışın istatiksel olarak da anlamlı olduğu saptandı (p<0,05).
Sonuç: Araştırmadan elde edilen veriler sonucunda gebelerin sağlık okuryazarlık düzeyi ile yaşam kalitesi arasında pozitif yönde zayıf düzeyde ilişki olduğu saptandı.

Anahtar Kelimeler

Gebelik, Hemşirelik, Sağlık okuryazarlığı, Yaşam Kalitesi

An investigation of the relationship between health literacy and quality of life in pregnant women

Öz

Aim: The research was carried out to determine the relationship between health literacy and quality of life in pregnant women.
Materials and Methods: This analytical cross-sectional study was conducted with 219 pregnant women in a private hospital in Ankara. Data were collected through the Turkish Health Literacy Scale-32, the WHOQOL-BREF Quality of Life Scale, and the Socio-demographic Form. Statistical analyses included numbers, percentages, means, standard deviations, Pearson correlation, and linear regression analysis.
Results: In the study, it was determined that the pregnant women had insufficient health literacy (n=15), problematic-limited health literacy (n=41), adequate health (n=87), and excellent health literacy (n=76). This study found a linear and positive relationship between health literacy and quality of life (p<0.05). In addition, a one-unit increase in the Health Literacy Scale was found to cause an increase in all sub-scales of the Quality-of-Life Scale, and this increase was found to be statistically significant (p<0.05).
Conclusion: As a result of the data obtained from the study, it was determined that there was a positive, and weak relationship between the health literacy level of pregnant women and their quality of life.

Anahtar Kelimeler

Health literacy, Nursing, Pregnancy, Quality of life

Kaynakça

• Zibellini, J., Muscat, D. M., Kizirian, N., & Gordon, A. Effect of health literacy interventions on pregnancy outcomes: A systematic review. Women and Birth. 2021;34(2):180-186 doi:10.1016/j.wombi.2020.01.010
• Dadipoor, S., Ramezankhani, A., Alavi, A., Aghamolaei, T., & Safari-Moradabadi, A. Pregnant women’s health literacy in the south of Iran. Journal of family & reproductive health, 2017; 11(4), 211.
• Fleary, S. A., Joseph, P., & Pappagianopoulos, J. E. Adolescent health literacy and health behaviors: A systematic review. Journal of Adolescence, 2018;62, 116-127.
• Hepburn M. The variables associated with health promotion behaviors among urban black women. J Nurs Scholarsh. 2018;50:353-66.
• Yokokawa H, Fukuda H, Yuasa M, Sanada H, Hisaoka T, Naito T. Association between health literacy and metabolic syndrome or healthy lifestyle characteristics among community-welling Japanese people. Diabetol Metab Syndr. 2016;30:1-9.
• Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. Low Health Literacy and Health Outcomes: An Updated Systematic Review. Annals of Internal Medicine, 2011; 155(2), 97. doi:10.7326/0003-4819-155-2-201107190-00005
• Sorensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 2012; 12(1). doi:10.1186/1471-2458-12-80
• Shieh, C., & Halstead, J. A. Understanding the Impact of Health Literacy on Women’s Health. Journal of Obstetric, Gynecologic & Neonatal Nursing, 2009; 38(5), 601–612. doi:10.1111/j.1552-6909.2009.01059.x
• United Nations Educational, Scientific and Cultural Organization, 2013
• Tezcan, G. S. (2017). Temel Epidemoloji, Hipokrat Kitapevi. 1. Baskı
• Yılmaz, E., & Karahan, N. Gebelikte Sağlıklı Yaşam Davranışları Ölçeği’nin geliştirilmesi ve geçerlik güvenirliği. Cukurova Medical Journal, 2019; 44, 498-512.
• Morin, M., Vayssiere, C., Claris, O., Irague, F., Mallah, S., Molinier, L., & Matillon, Y. Evaluation of the quality of life of pregnant women from 2005 to 2015. European Journal of Obstetrics & Gynecology and Reproductive Biology, 2017; 214, 115–130. doi:10.1016/j.ejogrb.2017.04.045
• Zahra Karimi, F., Dadgar, S., Abdollahi, M., Yousefi, S., Tolyat, M., & Khosravi Anbaran, Z. The relationship between minor ailments of pregnancy and quality of life in pregnant women. The Iranian Journal of Obstetrics, Gynecology and Infertility, 2017; 20(6), 8-21.
• Ramírez-Vélez, R. Pregnancy and health-related quality of life: A cross-sectional study. Colombia Médica, 2011;42(4), 476-481.
• Can, R., Yılmaz, S. D., Çankaya, S., & Kodaz, S. Gebelikte Yaşanan Sorunlar ve Yaşam Kalitesi İle İlişkisi. Sağlık ve Toplum, 2019; 29(2), 59-64.
• Giuse, N. B., Koonce, T. Y., Kusnoor, S. V., Prather, A. A., Gottlieb, L. M., Huang, L.-C., … Stead, W. WInstitute of Medicine Measures of Social and Behavioral Determinants of Health: A Feasibility Study. American Journal of Preventive Medicine, 2017;52(2), 199–206. doi:10.1016/j.amepre.2016.07.033
• Ohnishi, M., Nakamura, K., & Takano, T. Improvement in maternal health literacy among pregnant women who did not complete compulsory education: policy implications for community care services. Health Policy, 2005;72(2), 157–164. doi:10.1016/j.healthpol.2004.11.007
• Eser E, Fidaner H, Fidaner C, Eser SY, Elbi H, Göker E. WHOQOL‐100 ve WHOQOL‐BREF'in psikometrik özellikleri. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergis. 1999;7(2):23‐40.
• Fransen, M.P., Hopman, M.E., Murugesu, L. et al. Preconception counseling for low health literate women: an exploration of determinants in the Netherlands. Reprod Health 2018;15, 192 https://doi.org/10.1186/s12978-018-0617-1.
• Akça, E., Gökyıldız Sürücü, Ş., Akbaş, M. Gebelerde Sağlık Algısı, Sağlık Okuryazarlığı ve İlişkili Faktörler. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksekokulu Dergisi, 2020;8(3), 630-642.
• Taş, T. A., & Akış, N. Sağlık okuryazarlığı. STED/Sürekli Tıp Eğitimi Dergisi, 2016;25(3), 119-124.
• Xuewei Chen, Jennifer L. Hay, Erika A. Waters, Marc T. Kiviniemi, Caitlin Biddle, Elizabeth Schofield, Yuelin Li, Kimberly Kaphingst & Heather Orom Health Literacy and Use and Trust in Health Information, Journal of Health Communication, 2018;23:8, 724-734, DOI: 10.1080/10810730.2018.1511658
• Mazúchová, L., Kelčíková, S., & Dubovická, Z. Measuring women's quality of life during pregnancy. Kontakt, 2018; 20(1), 31-36.
• Daglar G, Bilgic D, Ozkan S A. Determinants of quality of life among pregnant women in the city centre of the Central Anatolia region of Turkey. Niger J Clin Pract 2020;23:416-24.
• Schwarz, E. B., Smith, R., Steinauer, J., Reeves, M. F., & Caughey, A. B. Measuring the effects of unintended pregnancy on women's quality of life. Contraception, 2008;78(3), 204-210.
• Balçık, P. Y., Taşkaya, S., & Şahin, B. Sağlık okur-yazarlığı. TAF Preventive Medicine Bulletin, 2014;13(4), 321-326.
• Khaleghi, M., Amin Shokravi, F., & Peyman, N. The relationship between health literacy and health-related quality of life in students. Iranian Journal of Health Education and Health Promotion, 2019; 7(1), 66-73.
• Jenabi, E., Gholamaliee, B., & Khazaei, S. Correlation between Health Literacy and Quality of Life in Iranian Menopausal Women. Journal of menopausal medicine, 2020;26(1), 34.
• Kugbey, N., Meyer-Weitz, A., & Asante, K. O. Access to health information, health literacy and health-related quality of life among women living with breast cancer: Depression and anxiety as mediators. Patient education and counseling, 2019;102(7), 1357-1363.
• Wang, C., Kane, R. L., Xu, D., & Meng, Q. Health literacy as a moderator of health-related quality of life responses to chronic disease among Chinese rural women. BMC women's health, 2015; 15(1), 1-8.
• Okyay, P., Abacigil, F., Harlak, H., Evci Kiraz, E. D., Karakaya, K., Tuzun, H., ... & Beser, EA new Health Literacy Scale: Turkish Health Literacy Scale and its psychometric properties: Pinar Okyay. The European Journal of Public Health, 2015: 25(suppl_3), ckv175-220