中枢性性早熟患儿家长健康素养与医疗决策冲突的关系

IF 2.3 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-09-02 DOI:10.1016/j.pedn.2025.08.017

Ming-Yi Shen , Chiao-Fan Chiu , Mei-Yen Chen , Lan-Yan Yang , Chizimuzo T.C. Okoli , Ying-Mei Liu

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引用次数: 0

摘要

目的新诊断为中枢性性早熟儿童的家长经常面临情绪压力和时间敏感的治疗决策，强调以家庭为中心的护理的重要性。本横断面研究检视父母健康素养与医疗决策冲突的关系。方法对65例新诊断为中枢性性早熟儿童的家长进行调查。参与者完成了测量健康素养和医疗决策冲突的问卷调查。预测因子采用多元线性回归进行检验。结果超过一半的参与者健康素养有限。在简单线性回归分析中，父母健康素养显著预测医疗决策冲突（β = - 0.45, T = - 4.03, p < .001），表明整体健康素养越高，决策冲突越低。具体而言，卫生知识素养总分每增加1分，冲突就会减少0.68分。此外，相关分析显示，父母在沟通和互动领域的素养与较低水平的决策冲突特别相关，这表明这些领域可能在支持有效的父母决策方面发挥关键作用。结论新诊断为中枢性性早熟儿童的家庭普遍存在父母健康素养有限的问题。值得注意的是，沟通和互动技能的不足与医疗决策冲突的增加有关。临床意义研究结果强调医护人员需要积极评估和支持家长的沟通和人际健康素养技能。为临床医生提供工具，以识别与扫盲有关的障碍并相应地调整信息，可以促进共同决策，并促进父母自信、知情地参与护理决策。

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The relationship between health literacy and medical decision conflict among parents of children newly diagnosed with central precocious puberty

Purpose

Parents of children newly diagnosed with central precocious puberty often face emotional stress and time-sensitive treatment decisions, highlighting the importance of family-centered care. This cross-sectional study examined the relationship between parental health literacy and medical decision conflict.

Methods

A total of 65 parents of children newly diagnosed with central precocious puberty were recruited. Participants completed questionnaires measuring health literacy and medical decision conflict. Predictors were examined using multiple linear regression.

Results

More than half of the participants had limited health literacy. Parental health literacy significantly predicted medical decision conflict in the simple linear regression analysis (β = −0.45, T = −4.03, p < .001), indicating that higher overall health literacy was associated with lower decisional conflict. Specifically, a one-point increase in total health literacy score corresponded to a 0.68-point reduction in conflict. Furthermore, correlation analyses revealed that parental literacy in the communication and interaction domains was particularly associated with lower levels of decision conflict, suggesting that these domains may play a critical role in supporting effective parental decision-making.

Conclusions

Limited parental health literacy is common among families with children newly diagnosed with central precocious puberty. Notably, deficiencies in communication and interaction skills are associated with increased medical decision conflict.

Clinical implications

The results emphasise the need for healthcare professionals to actively assess and support parents' communicative and interpersonal health literacy skills. Equipping clinicians with tools for identifying literacy-related barriers and tailoring information accordingly can facilitate shared decision-making and promote confident, informed parental participation in care decisions.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.