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首页> 外文期刊>Journal of diabetes research. >Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support
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Optimising Health Literacy and Access of Service Provision to Community Dwelling Older People with Diabetes Receiving Home Nursing Support

机译：优化健康识字和服务拨入的社区住宅老年人，接受家庭护理支持的糖尿病

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Background. Health literacy is the ability to access, understand, and use information and services for good health. Among people with chronic conditions, health literacy requirements for effective self-management are high. The Optimising Health Literacy and Access (Ophelia) study engaged diverse organisations in the codesign of interventions involving the Health Literacy Questionnaire (HLQ) needs assessment, followed by development and evaluation of interventions addressing identified needs. This study reports the process and outcomes of one of the nine organisations, the Royal District Nursing Service (RDNS). Methods. Participants were home nursing clients with diabetes. The intervention included tailored diabetes self-management education according to preferred learning style, a standardised diabetes education tool, resources, and teach-back method. Results. Needs analysis of 113 quota-sampled clients showed difficulties managing health and finding and appraising health information. The service-wide diabetes education intervention was applied to 24 clients. The intervention was well received by clients and nurses. Positive impacts on clients’ diabetes knowledge and behaviour were seen and nurses reported clear benefits to their practice. Conclusion. A structured method that supports healthcare services to codesign interventions that respond to the health literacy needs of their clients can lead to evidence-informed, sustainable practice changes that support clients to better understand effective diabetes self-management.
机译：背景。健康识字是能够获得健康的信息和服务的能力。在患有慢性病的人中，有效自我管理的健康识字要求很高。优化健康识字和访问（OPHELIA）研究参与涉及健康扫盲问卷（HLQ）需求评估的干预措施的多样化组织，其次开发和评估了解决所确定的需求的干预措施。本研究报告了九组织，皇家区域护理服务（RDNS）中的一个过程和结果。方法。参与者是患有糖尿病的家庭护理客户。该干预包括根据首选学习风格，标准化糖尿病教育工具，资源和教学方法进行了量身定制的糖尿病自我管理教育。结果。需求分析113个配额采样的客户，难以管理健康和寻找和评估健康信息的困难。服务范围的糖尿病教育干预适用于24名客户。客户和护士深入了解干预。看到了对客户糖尿病知识和行为的积极影响，护士报告了对其实践的明显益处。结论。一种支持医疗保健服务的结构化方法，以应对客户的健康素养需求，可以导致证据信息，可持续的可持续实践变化，支持客户更好地了解有效的糖尿病自我管理。

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