Health literacy levels of hypertensive patients, their views on the quality of health care and related factors in a province

Yıl 2020, Cilt: 18 Sayı: 1, 10 - 25, 30.04.2020

Emine Öncü , Sümbüle Köksoy Vayısoğlu , Yasemin Güven , Gamze Aktaş Halil Ceyhan , Esra Karakuş

https://doi.org/10.20518/tjph.555354

Öz

Objective: Health literacy and the quality of health services
are important factors affecting health results in patients with chronic
diseases. This study aimed to determine the level of health literacy of a group
of chronically-ill patients and evaluate their opinions about the quality of
health services and related factors. Method: This
cross-sectional study was carried out between November 2017 and April 2018 with
300 hypertensive patients in four central disricts at Mersin. Data was obtained
using the Health Literacy Scale (HLS), Patient Assessment of Chronic Illness
Care (PACIC) and blood pressure measurements were taken. Data was analyzed by a
computer program using T-test, Mann-Whitney U, ANOVA, Kruskal-Wallis,
Chi-square and correlation analysis. Results: The
participants’ age was 48.92±15.01, 54.5% were woman, 61.2% had high blood
pressure. HLS avarage was 29.1 (21.8-36.3), the lowest
scores belonged to “health promotion”’ and “health service”. Males and
employees had higher scores than the others. The patients’ income was related
to the their HLS. As the HLS decreased, applications to
physicians were increased. Low HL was associated with high blood
pressure (p<0.05). PACIC subdimensions score mean was 2.84±0.96
(min-max=1-5). PACIC
total score was negatively correlated with age, duration of illness, number of
physician visits and positively associated with income and Health Literacy.
According to the presence of hypertension, there were no differences in PACIC scores (p>0.05).   Conclusion: Patients with inadequate/ limited health literacy
have become more difficult to blood pressure control. Their satisfaction is
limited despite their more frequent use of health services. There is a need to
develop monitoring of hypertensive patients with low / limited health literacy.

Anahtar Kelimeler

Hypertension, health literacy, use of health service, blood pressure control.

Bir il örneğinde hipertansiyon hastalarının sağlık okuryazarlık düzeyi, sağlık hizmetlerinin niteliğine ilişkin değerlendirmeleri ve ilişkili faktörler

Öz

Amaç: Sağlık
okuryazarlığı ve sağlık hizmetleri kullanımı kronik hastalıklarda sağlık
sonuçlarını etkileyen faktörlerdendir. Yapılan çalışmada bir il
merkezinde HT hastalarının sağlık okuryazarlık düzeyi ve sağlık hizmetlerinin niteliğine
ilişkin değerlendirmeleri ile ilişkili özelliklerin belirlemesi amaçlanmıştır. Yöntem: Mersin’de 23.11.17-23.04.18’de
sahada yürütülen kesitsel çalışmaya 300 hipertansiyon hastası katılmıştır.
Veriler Sağlık Okuryazarlığı Ölçeği, Kronik Hastalık Bakım Değerlendirme Ölçeği
ve tansiyon ölçümleriyle elde edilmiş; bir bilgisayar programı ile tanıtıcı
istatistikler, T-testi, Mann-Whitney U, ANOVA, Kruskal-Wallis, Ki-kare ve
korelasyon analizleri kullanılarak değerlendirilmiştir. Bulgular: Katılımcıların yaş ortalaması 48.92±15.01
yıl, %54.5’i kadın, %61.2’sinin tansiyonu yüksektir. Sağlık okuryazarlığı puan
ortancası (%25-%75) 29.1’dir (21.8-36.3). En düşük
puanlar “sağlığın geliştirilmesi” ve “sağlık hizmeti” alt boyutlarındadır.
Erkeklerin, çalışanların ölçek puanları daha yüksektir (p<0.01).
Gelir ile sağlık okuryazarlığı ilişkilidir. Sağlık okuryazarlık düzeyi düştükçe
hekime başvuru sayısı artmaktadır. Düşük/ sınırlı sağlık okuryazarlığı, yüksek
kan basıncıyla ilişkilidir (p<0.05). Kronik Hastalık Bakım Değerlendirme Ölçeğinin
alt boyutlarına ait madde puan ortalaması 2.84±0.96’dır
(min-maks=1-5).

Anahtar Kelimeler

Hipertansiyon, sağlık okuryazarlığı, sağlık hizmetleri kullanımı, tansiyon kontrolü.

Kaynakça

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