Health Literacy and Acute Exacerbation Among Patients with Chronic Obstructive Pulmonary Disease, Hospitals of Honghe City, The People’s Republic of China
Keywords:
Chronic Obstructive Pulmonary Disease, health literacy, acute exacerbationAbstract
Patients with Chronic Obstructive Pulmonary Disease (COPD) require long-term care and treatment. They frequently experience deficient health literacy, which could increase the times of acute exacerbation of COPD. The purpose of this descriptive correlational study was to identify the health literacy, the acute exacerbation of COPD and the relationship between health literacy and acute exacerbation among patients with COPD in hospitals in Honghe City, the People’s Republic of China. A purposive sampling method was used to select 145 stage I and stage II COPD patients from three tertiary hospitals. The research instruments included: a demographic data form developed by the researcher; the Chinese version of the Functional, Communicative and Critical Health Literacy Scale (FCCHL) developed by Ishikawa et al. (2008) and translated into Chinese by Zhang (2018); and a data recording form for the number of acute exacerbation events. The test-retest coefficient of the Chinese version of the FCCHL was 0.94. Data were analyzed using descriptive statistics and Spearman’s rank-order correlation coefficient.
The results showed that there was a strongly negative relationship between health literacy and acute exacerbation (r = -0.73, p < 0.01). There was also a strongly negative relationship between acute exacerbation and functional health literacy (r = -0.58, p < 0.01), communicative heath literacy (r = -0.56, p < 0.01) and critical health literacy (r = -0.57, p < 0.01).
The results of this study can help clinical nurses to develop effective educational interventions to lower acute exacerbation in patients with COPD by improving patients’ health literacy.
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