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首页> 外文期刊>Seizure: the journal of the British Epilepsy Association >The association between health literacy and outcomes of care among epilepsy patients.
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The association between health literacy and outcomes of care among epilepsy patients.

机译：癫痫患者的健康素养与治疗结果之间的关联。

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PURPOSE: To determine the association between health literacy and outcomes of care (seizure control and quality of life) in individuals with epilepsy followed at a level four epilepsy center. METHODS: We conducted a face-to-face interview of patients seen at the Comprehensive Epilepsy Program of the University of Florida HSC/Jacksonville. We obtained demographic and clinical data, administered the Quality of Life in Epilepsy-10 inventory, and performed the Liverpool Seizure Severity Scale. We asked three screening questions taken from the Short Test of Functional Literacy in Adults. Using each health literacy question as the target variable we determined the predictor variables that were associated with responses to these questions and performed multiple linear regression to determine those that retained their significance. RESULTS: One hundred and forty adult patients with epilepsy comprised the study population. On univariate analysis, patients who did poorly on questions for health literacy that included difficulty reading hospital materials forms" had lower scores on the QOLIE-10 and lower annual household incomes. This significance was maintained on multivariate analysis. Those who had problems learning about their medical condition due to difficulties understanding written information had poorer scores on the QOLIE-10, increased seizure frequency, and lower educational levels on univariate analysis. However, on multivariate analysis, only poorer scores on quality of life were independently significant. CONCLUSION: Patients with epilepsy who have limited health literacy do not necessarily have poorer seizure control but have lower quality of life scores.
机译：目的：确定癫痫患者的健康素养与护理结果（癫痫发作控制和生活质量）之间的关联，该患者在四级癫痫中心接受治疗。方法：我们对佛罗里达大学HSC /杰克逊维尔分校的综合性癫痫病发作患者进行了面对面的访谈。我们获得了人口统计学和临床​​数据，管理了癫痫10量表的生活质量，并进行了利物浦癫痫发​​作严重程度量表。我们从成年人功能素养短期测试中提出了三个筛选问题。使用每个健康素养问题作为目标变量，我们确定与对这些问题的回答相关的预测变量，并进行多元线性回归以确定保留其重要性的变量。结果：一百四十名癫痫成年患者组成了研究人群。在单变量分析中，对健康素养问题（包括难以阅读医院材料表格）做得较差的患者在QOLIE-10上得分较低，而家庭年收入较低。在多变量分析中保持了这一意义。结论：由于难以理解书面信息而导致的医疗状况在QOLIE-10上得分较差，癫痫发作频率增加，单因素分析的教育水平较低，但在多变量分析中，只有生活质量较差的得分具有独立意义。健康素养有限的癫痫病不一定控制得较差，但生活质量得分较低。

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