Current situation and correlation between health literacy and uncertainty in illness among patients after hemopoietic stem cell transplantation
10.3760/cma.j.issn.1674-2907.2017.35.006
- VernacularTitle:造血干细胞移植术后患者疾病不确定感与健康素养的现状及相关分析
- Author:
Ying FU
1
;
Shizhe LIU
Author Information
1. 河南省人民医院造血干细胞移植病区
- Keywords:
Hematopoietic stem cell transplantation;
Health literacy;
Uncertainty in illness
- From:
Chinese Journal of Modern Nursing
2017;23(35):4455-4459
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical status of health literacy and uncertainty in illness among patients after hemopoietic stem cell transplantation and to analyze the influence of health literacy on uncertainty in illness. Methods Inpatients after hemopoietic stem cell transplantation in Hematology Department of He'nan Provincial People's Hospital were selected as subjects by convenience sampling from January 2015 to March 2017. The cross-sectional study was conducted with the health literacy scale and Mishel uncertainty in illness scale (MUIS). Simple correlation, correlation analysis and hierarchical regression analysis were used to explore the influence of health literacy on uncertainty in illness. Results The score of MUIS of patients after hemopoietic stem cell transplantation was (76.69±27.65) along with more than 80% of patients with a medium or a high level of uncertainty in illness. The score of health literacy was (92.33±14.58) with more than 90% of patients with a low or medium level of health literacy. There were significant differences in the score of uncertainty in illness among patients with different education levels and average monthly earnings (F=4.243, 5.746;P<0.05). The total score of health literacy as well as the score of basic health care literacy, disease control and prevention literacy and first aid literacy had negative correlations with the total score and scores of dimensions of uncertainty in illness (r=-0.298--0.363; P<0.05). Hierarchical regression analysis showed that dimensions of health literacy had a single predictive power on uncertainty in illness along with explaining 42.8% of the variance separately. Conclusions The uncertainty in illness among patients after hemopoietic stem cell transplantation is in a high level and the health literacy is in a bad level. Beyond education levels and average monthly earnings, health literacy has influence on uncertainty in illness separately.
