青少年镰状细胞病患者就诊行为对健康素养的影响

IF 1.9 3区 医学 Q2 NURSING
Journal of Pediatric Oncology Nursing Pub Date : 2021-09-01 Epub Date: 2021-05-07 DOI:10.1177/10434542211011045
Elizabeth P Caldwell, Libby E Rosonet
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引用次数: 2

摘要

背景:健康素养可能影响镰状细胞病(SCD)青少年从儿科护理到成人护理的转变。认为青少年SCD健康素养的影响因素之一是健康求助行为。本研究的目的有两方面:(1)探讨青少年慢性阻塞性肺疾病的就医行为;(2)以青少年慢性阻塞性肺疾病的就医行为为基础,确定青少年健康素养水平是否存在显著差异。方法:这是一项横断面描述性研究,评估110名患有SCD的黑人和非西班牙裔青少年的求医行为和健康素养。采用方便抽样进行招募。纳入标准为诊断为SCD的四种主要基因型之一,年龄为10-19岁。采用最新生命体征(NVS)评价健康素养。计算所有变量的频率和百分比。采用独立样本t检验来评估基于不同求医行为的健康素养得分的差异。结果:参与者平均年龄为14.8岁(SD = 2.2)。NVS平均评分为2.7 (SD = 1.6)。在“你首先会去哪里获取健康信息?”这一问题上,最常见的两个回答是互联网(29.6%;N = 40)和卫生保健提供者(27.4%;n = 37)。使用互联网的青少年与卫生保健提供者作为其健康信息的第一来源之间的NVS得分无统计学差异(t[75] = - 0.12;p = .22)。讨论:了解SCD青少年的求医行为和健康素养,有助于深入了解未来干预措施的设计和评估,以改善该人群的健康和健康素养。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Influence of Health-Seeking Behaviors on the Health Literacy of Adolescents With Sickle Cell Disease.

Background: Health literacy may influence the transition from pediatric care to adult care in adolescents with sickle cell disease (SCD). It is postulated that one influencing factor of health literacy in adolescents with SCD is health-seeking behavior. The purpose of this study was twofold: (1) to explore health-seeking behaviors of adolescents with SCD and (2) to determine if there are significant differences in health literacy levels of adolescents with SCD based upon health-seeking behaviors. Methods: This was a cross-sectional, descriptive study evaluating health-seeking behaviors and health literacy in 110 Black and non-Hispanic adolescents with SCD. Convenience sampling was utilized for recruitment. The inclusion criteria were a diagnosis of one of the four primary genotypes of SCD and age of 10-19 years. Health literacy was evaluated using the Newest Vital Sign (NVS). Frequencies and percentages were calculated for all variables. Independent Samples t-tests were conducted to evaluate differences in health literacy scores based upon differing health-seeking behaviors. Results: The mean age of participants was 14.8 years (SD = 2.2). The mean NVS score was 2.7 (SD = 1.6). The two most common responses to "where do you go FIRST for health information?" were the Internet (29.6%; n = 40) and health care providers (27.4%; n = 37). There was no statistical difference in NVS scores between adolescents using the Internet versus health care providers as their first source of health information (t[75] = - .12; p = .22). Discussion: Knowledge of health-seeking behaviors and health literacy in adolescents with SCD gives insight into the design and evaluation of future interventions to improve health and health literacy in this population.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
0
审稿时长
>12 weeks
期刊介绍: SPECIAL PATIENTS NEED SPECIAL NURSES Caring for children with cancer is one of the most technically and emotionally difficult areas in nursing. Not only are you dealing with children and adolescents who hurt, you must reassure and educate families, balance a multitude of other health care professionals, and keep up with ever-changing nursing practice and care. To help special nurses stay aware of the newest effective nursing practices, innovative therapeutic approaches, significant information trends, and most practical research in hematology and pediatric oncology nursing, you need the Journal of Pediatric Oncology Nursing. The journal offers pediatric hematology, oncology, and immunology nurses in clinical practice and research, pediatric social workers, epidemiologists, clinical psychologists, child life specialists and nursing educators the latest peer-reviewed original research and definitive reviews on the whole spectrum of nursing care of childhood cancers, including leukemias, solid tumors and lymphomas, and hematologic disorders. JOPON covers the entire disease process--diagnosis, treatment, recovery, and survival, as well as end-of-life care. Six times a year, the Journal of Pediatric Oncology Nursing introduces new and useful nursing care practice and research from around the world that saves you time and effort. Just some of the spirited topics covered include: Cancer survivorship including later-life effects of childhood cancer, including fertility, cardiac insufficiency, and pulmonary fibrosis Combination therapies Hematologic and immunologic topics Holistic, family-centered supportive care Improvement of quality of life for children and adolescents with cancer Management of side effects from surgery, chemotherapy, and radiation Management of specific symptoms/diseases/co-infections Medication tolerance differences in children and adolescents Pain control Palliative and end of life care issues Pharmacologic agents for pediatrics/clinical trial results Psychological support for the patient, siblings, and families The dynamic articles cover a wide range of specific nursing concerns, including: Advanced practice issues Clinical issues Clinical proficiency Conducting qualitative and quantitative research Developing a core curriculum for pediatric hematology/oncology nursing Encouraging active patient participation Ethical issues Evaluating outcomes Professional development Stress management and handling your own emotions Other important features include Guest Editorials from experts in the discipline, Point/Counterpoint debates, Roadmaps (personal insights into the nursing experience), and Proceedings and Abstracts from the annual Association for Pediatric Hematology/Oncology Nurses (APHON) conference. Your special patients need special nurses--stay special by subscribing to the Journal of Pediatric Oncology Nursing today! This journal is a member of the Committee on Publication Ethics (COPE).
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