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《Chinese Journal of Nursing》 2012-01
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Impact of disease-related health literacy on the control of blood glucose in community patients with diabetes mellitus

LI Chun-yu,ZHAO Xiao-shuang,Miyong Kim,QUAN Jin-yu,LI Chun-ying,LI Cai-fu  
Objective To investigate the current status of health literacy in community patients with type 2 diabetes,and to analyze the relationship between health literacy and HbA1c.Methods Totally 160 community patients with type 2 diabetes in Yanji were recruited and investigated with Test of Functional Health Literacy in Adults(TOFHLA).In addition,the biochemical and physical examination were completed by general practitioners.Results The level of health literacy was low in 40 percent of the patients.There were significant differences in the race,age,educational level,level of health literacy and duration of disease among patients with different HbA1c level.Moreover,HbA1c level was positively correlated with the level of triglyceride(TC) and fasting blood glucose(FBG),while negatively correlated with the level of high density lipoprotein(HDL-C).Hierarchical regression analysis indicated that health literacy had significant influence on HbA1c level after controlling for the demographic and disease variables.Conclusions Low health literacy is common in community patients with type 2 diabetes.Blood glucose control is not satisfactory,which is affected by multiple factors.Nurses should focus on improving patient's health literacy to promote effective blood glucose control.
【Fund】: 延边地区灾害急救及慢性病管理研究(编号:HAP-31728-001)
【CateGory Index】: R587.1
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