KRONİK KAS-İSKELET SİSTEMİ HASTALIĞI OLAN HASTALARDA YETERSİZ SAĞLIK OKURYAZARLIĞININ YAYGINLIĞI VE İLİŞKİLİ FAKTÖRLER

Yıl 2017, Cilt: 28 Sayı: 2, 54 - 59, 23.08.2017

Aydan Aytar Emine Handan Tüzün Levet Eker

https://doi.org/10.21653/tfrd.336346

Öz

Amaç: Yetersiz sağlık okuryazarlığının boyutlarının bilinmemesi, sadece sağlık çalışanları için değil tüm toplum için önemli bir halk sağlığı sorunudur. Bu yüzden politikacıların bunu bir yatırım olarak görmesini sağlamak ve etkin kaynaklara hizmeti teşvik etmek gerekmektedir. Yeni ve farklı stratejiler geliştirmek için yetersiz sağlık okuryazarlığınının farkında olmak önemlidir. Bu çalışmanın amacı, yetersiz sağlık okuryazarlığı yaygınlığını belirlemek ve sağlık okuryazarlığının kronik kas-iskelet hastalıkları olan hastalarda sosyodemografik özellikler ile ilişkisini incelemekti.
Yöntem: Çalışmaya çeşitli kronik kas-iskelet sistemi hastalıkları olan 423 hasta alındı. Sağlık okuryazarlığı düzeyi Tıpta Yetişkin Okuryazarlığı Hızlı Tahmini ve En Yeni Yaşamsal Bulgu anketleri kullanılarak ölçüldü. Katılımcıların bilişsel düzeyi Mini Mental Durum Değerlendirme Testi ile belirlendi.
Sonuçlar: Tıpta Yetişkin Okuryazarlığı Hızlı Tahmini ile değerlendirilen hastaların yaklaşık % 17,3’ünde yetersiz sağlık okur yazarlığı olduğu belirlendi. En Yeni Yaşamsal Bulgu anketi kullanılarak değerlendirilen hastaların % 27,2’den fazlasında yetersiz sağlık okuryazarlığı ve düşük aritmetik beceriler olduğu bulundu.
Tartışma: Kronik kas-iskelet sistemi hastalıkları olan kişilerde yetersiz sağlık okuryazarlığı ve aritmetik beceriler yaygındır. Bu durum ileri yaş, düşük eğitim düzeyi ve düşük bilişsel düzeyi ile ilişkilidir. Sağlık hizmetlerinde çeşitli stratejiler ile sağlık okuryazarlığı geliştirilerek tedavide daha başarılı sonuçlar elde edilebilir.

Anahtar Kelimeler

Sağlık Okuryazarlığı, Sağlık Hizmetleri

PREVALENCE AND RELATED FACTORS OF LIMITED HEALTH LITERACY IN PATIENTS WITH CHRONIC MUSCULOSKELETAL DISEASES

Öz

Purpose: Not knowing the dimensions of inadequate health literacy is an important public health issue not just for healthcare professionals but all population. It is, therefore, necessary to ensure that politicians see this as an investment and to encourage service to productive resources. It is important to be aware of limited health literacy to develop new and different strategies. The aim of this study was to determine the prevalence of limited health literacy and to examine the relationship between health readiness and socio-demographic characteristics in patients with chronic musculoskeletal disorders.
Methods: A total of 423 patients who have different chronic musculoskeletal disorders were recruited into the study. The level of health literacy was measured using Rapid Estimate of Adult Literacy in Medicine and Newest Vital Sign instruments. The cognitive level of participants was estimated using Mini-Mental Status Examination Test.
Results: Approximately 17.3 percent of participants assessed using Rapid Estimate of Adult Literacy in Medicine had limited health literacy. More than 27.2 percent of participants evaluated using the Newest Vital Sign had limited literacy and lower numeracy skills.
Conclusion: Limited health literacy and numeracy skills are common in patients who have different chronic musculoskeletal disorders. It is associated with older age, lower level of education, and lower cognitive level. Healthcare literacy can be improved with various strategies in health services, and more successful outcomes can be obtained in treatment.

Anahtar Kelimeler

Health Care, Health Literacy

Kaynakça

• 1. Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259-67.
• 2. White S, Chen J, Atchison R. Relationship of preventive health practices and health literacy: a national study. Am J Health Behav. 2008;32(3):227-42.
• 3. Gordon MM, Hampson R, Capell HA, Madhok R. Illiteracy in rheumatoid arthritis patients as determined by the Rapid Estimate of Adult Literacy in Medicine (REALM) score. Rheumatology.2002;41(7):750-4.
• 4. Baker DW, Gazmararian JA, Williams MV, Scott T, Parker RM, Green D, et al. Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. Am J Public Health. 2002;92(8):1278-83.
• 5. Wolf MS, Gazmararian JA, Baker DW. Health literacy and functional health status among older adults. Arch Intern Med. 2005;165(17):1946-52.
• 6. Howard DH, Gazmararian JA, Parker RM. The impact of low health literacy on the medical costs of Medicare managed care enrollees. Am J Med. 2005;118(4):371-7.
• 7. Baker DW, Wolf MS, Feinglass J, Thompson JA, Gazmararian JA, Huang J. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14):1503-9.
• 8. Sentell TL, Halpin HA. Importance of adult literacy in understanding health disparities. J Gen Intern Med. 2006;21(8):862-6.
• 9. Pincus T, Sokka T, Swearingen C, Swearingen T, Daltroy L, Davis T. Analysis of a rapid estimate of adult literacy in medicine (REALM) and education level in patients with rheumatic diseases. Arthritis Rheum. 2000;43(suppl):s109.
• 10. Buchbinder R, Hall S, Youd JM. Functional health literacy of patients with rheumatoid arthritis attending a community-based rheumatology practice. J Rheumatol. 2006;33(5):879-86.
• 11. Kim SH. Health literacy and functional health status in Korean older adults. J Clin Nurs. 2009;18(16):2337-43.
• 12. Rudd RE, Blanch DC, Gall V, Chibnik LB, Wright EA, Reichmann W, et al. A randomized controlled trial of an intervention to reduce low literacy barriers in inflammatory arthritis management. Patient Educ Couns. 2009;75(3):334-9.
• 13. Swearingen CJ, McCollum L, Daltroy LH, Pincus T, Dewalt DA, Davis TC. Screening for low literacy in a rheumatology setting: more than 10% of patients cannot read ‘‘cartilage,’’ ‘‘diagnosis,’’ ‘‘rheumatologist,’’ or ‘‘symptom’’. J Clin Rheumatol.2010;16(8):359-64.
• 14. Hirsh JM, Boyle DJ, Collier DH, Oxenfeld AJ, Nash A, Quinzanos I, et al. Limited health literacy is a common finding in a public health hospital’s rheumatology clinic and is predictive of disease severity. J Clin Rheumatol. 2011;17(5):236-41.
• 15. Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: A new instrument for measuring patients’ literacy skills. J Gen Intern Med. 1995;10(10):537-41.
• 16. Güngen C, Ertan T, Eker E, Yasar R, Engin F. Reliability and validity of the standardized mini mental state examination in the diagnosis of mild dementia in Turkish population. Turk Psikiyatri Dergisi. 2002;13(4):273-81.
• 17. Ozdemir H, Alper Z, Uncu Y, Bilgel N. Health literacy among adults: a study from Turkey. Health Educ Res. 2010;25(3):464-77.
• 18. Davis TC, Long SW, Jackson RH, Mayeaux EJ, George RB, Murphy PW, et al. Rapid estimate of adult literacy in medicine: a shortened screening instrument. Fam Med. 1993;25(6):391-5.
• 19. Weiss BD, Maysm MZ, Martz W, Castro KM, DeWalt DA, Pignone MP, et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005;3(6):514-22.
• 20. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet.1986;1(8476):307-10.
• 21. Richman J, Makrides L, Prince B. Research methodology and applied statistics, Part 3: measurement procedures in research.Physiother Can. 1980;32(4):253-7.
• 22. Sahm LJ, Wolf MS, Curtis LM, McCarthy S. Prevalence of limited health literacy among Irish adults. J Health Commun. 2012;17(Suppl 3):s100-8.
• 23. Barber MN, Staples M, Osborne RH, Clerehan R, Elder C, Buchbinder R. Up to a quarter of the Australian population may have suboptimal health literacy depending upon the measurement tool: Results from a population-based survey. Health Promot Int. 2009;24(3):252-61.
• 24. Bhat AA. Literacy in arthritis: Dissertation Abstracts International: Section B. The Sciences and Engineering. 2008;69:2262.
• 25. Paasche-Orlow MK, Wolf MS. The causal pathways linking health literacy to health outcomes. Am J Health Behav. 2007;31(Suppl 1):s19-26.
• 26. Fite G. Reading and math. What is the connection? A short review of the literature. Kansas Science Teacher. 2002;14:7-11.
• 27. Levinthal BR, Morrow DG, Tu W, Wu J, Murray MD. Cognition and health literacy in patients with hypertension. J Gen Intern Med. 2008;23(8):1172-6.
• 28. Downey LV, Zun LS. Assessing adult health literacy in urban health care settings. J Natl Med Assoc. 2008;100(11):1204-8.
• 29. Federman AD, Sano M, Wolf MS, Siu AL, Halm EA. Health literacy and cognitive performance in older adults. J Am Geriatr Soc. 2009;57(8):1475-80.
• 30. Baker DW, Gazmararian JA, Sudano J, Patterson M. The association between age and health literacy among elderly persons. J Gerontol B Psychol Sci Soc Sci. 2000;55(6):368-74.