Evaluation of health literacy level and personal factors in disease self-management of emergency department patients with chronic diseases

IF 1.8 4区医学 Q2 NURSING

International Emergency Nursing Pub Date : 2024-10-07 DOI:10.1016/j.ienj.2024.101523

Ali Kaplan , Emre Bülbül

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引用次数: 0

Abstract

Background

Effective disease management in individuals with chronic illnesses can improve their health outcomes and reduce repeated visits to emergency departments. In this study, it was aimed to investigate the factors affecting the health literacy levels and disease self-management skills of emergency department patients with chronic diseases.

Method

The data of the cross-sectional study was collected between July and December 2023. The study included 168 patients who applied to the emergency department of a university hospital. Data was collected using a Patient Description Form, Chronic Disease Self-Management Scale and Health Literacy Scale. Parametric and nonparametric tests, structural equation modelling and regression analysis were used to analyse the data.

Results

It was demonstrated that health literacy levels of the patients were an effectual factor on chronic disease self-management skills. Chronic Disease Self-Management levels of patients are affected by marital status, whom they are living with, chronic disease duration, educational status and health perception level. Personal factors affecting the Health Literacy levels of patients are age, chronic disease duration and educational status.

Conclusion

Consequently, essential strategies such as patient education should be planned and implemented to support patients’ health literacy and, indirectly, escalate their disease self-management skills.

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评估急诊科慢性病患者的健康知识水平和疾病自我管理中的个人因素。

背景：对慢性病患者进行有效的疾病管理可以改善他们的健康状况，减少反复到急诊科就诊的情况。本研究旨在探讨影响急诊科慢性病患者健康知识水平和疾病自我管理技能的因素：横断面研究数据收集于 2023 年 7 月至 12 月。研究对象包括 168 名到某大学附属医院急诊科就诊的患者。使用患者描述表、慢性病自我管理量表和健康素养量表收集数据。数据分析采用了参数和非参数检验、结构方程模型和回归分析：结果表明，患者的健康素养水平是影响慢性病自我管理技能的一个因素。患者的慢性病自我管理水平受婚姻状况、共同生活对象、慢性病病程、教育状况和健康认知水平的影响。影响患者健康知识水平的个人因素包括年龄、慢性病病程和教育状况：因此，应规划和实施患者教育等基本策略，以支持患者的健康素养，并间接提高他们的疾病自我管理技能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Emergency Nursing NURSING-

CiteScore

3.20

自引率

11.10%

发文量

期刊介绍： International Emergency Nursing is a peer-reviewed journal devoted to nurses and other professionals involved in emergency care. It aims to promote excellence through dissemination of high quality research findings, specialist knowledge and discussion of professional issues that reflect the diversity of this field. With an international readership and authorship, it provides a platform for practitioners worldwide to communicate and enhance the evidence-base of emergency care. The journal publishes a broad range of papers, from personal reflection to primary research findings, created by first-time through to reputable authors from a number of disciplines. It brings together research from practice, education, theory, and operational management, relevant to all levels of staff working in emergency care settings worldwide.