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首页> 外文期刊>Journal of public health management and practice: JPHMP >Health Literacy, Self-management Activities, and Glycemic Control Among Adults With Type 2 Diabetes: A Path Analysis
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Health Literacy, Self-management Activities, and Glycemic Control Among Adults With Type 2 Diabetes: A Path Analysis

机译：患有2型糖尿病的成人的健康素养，自我管理活动和血糖控制：路径分析

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Purpose: This study evaluated a novel composite measure of health literacy and numeracy by assessing its predictive validity for diabetes self-care activities and glycemic control. Methods: Patients (N = 102) with type 2 diabetes were recruited from a family medicine clinic at an academic medical center. Combined health literacy was assessed by combining the results of the Health Literacy Scale and the Subjective Numeracy Scale. Self-management activities were assessed by the Summary of Diabetes Self-Care Activities scale. Hemoglobin A_(1c)(A_(1c)) values were extracted from patients' medical records to assess glycemic control. Path models were used to test the predicted pathways linking health literacy and numeracy, independently and together, to self-management activities and glycemic control. Results: The mean combined literacy score was 72.0 (range, 33-104); the mean health literacy score alone was 43.9 (range, 14-56); and the mean numeracy score alone was 28.1 (range, 8-48). The direct effects results showed that the combined health literacy score ( B = 0.107, P < .05) and the health literacy score alone ( B = 0.234, P < .05) were significantly associated with self-care activities. The health literacy score alone also had a significant direct effect on A_(1c)( B = ?0.081, P < .05). The indirect effects of the combined health literacy on glycemic control through self-care activities were not statistically significant. Conclusions: Findings from this study suggest that the combined health literacy has predictive validity for self-care activities whereas the health literacy alone has predictive validity for glycemic control. More research is needed to validate these findings. Higher patient health literacy skills were not consistently associated with higher perceived numeracy skills. Additional attention and efforts should be made to make sure patients understand medical instructions involving numerical calculations.
机译：目的：本研究通过评估其对糖尿病自我护理活动和血糖控制的预测有效性，评估了一种新的综合综合衡量卫生扫物和算术。方法：患者（n = 102），患有2型糖尿病的糖尿病在学术医疗中心的家庭医学诊所招募。通过结合健康识字量表和主观算术规模来评估综合健康素养。通过糖尿病自我护理活动规模的概述评估自我管理活动。血红蛋白A_（1C）（A_（1C））从患者的病历中提取值以评估血糖控制。路径模型用于测试与自主管理活动和血糖控制相连的预测途径与健康识字和素质联系起来，并在一起。结果：平均综合素养得分为72.0（范围，33-104）;单独的平均健康识字评分是43.9（范围，14-56）;单独的平均数量分数是28.1（范围，8-48）。直接效果结果表明，单独的健康识字评分（B = 0.107，P <.05）和健康识字评分（B = 0.234，P <.05）与自我保健活动有关。单独的健康识字评分也对A_（1C）有显着直接影响（B = 0.081，P <.05）。通过自我保健活动对血糖控制综合健康素养的间接影响在统计学上没有统计学意义。结论：本研究的结果表明，合并的健康素养对自我保健活动有预测有效性，而单独的健康识字率对血糖控制具有预测的有效性。需要更多的研究来验证这些调查结果。更高的患者健康识字技能与更高的认识性技能并不始终如一。应额外的关注和努力，以确保患者了解涉及数值计算的医疗指示。

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