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The Relationship between Health Literacy and Discharge Readiness among Caregivers of Stroke Patients
Stroke,Cerebral Vascular Accident,Caregiver,Health literacy,Discharge readiness,
|Publication Year :||2019|
研究方法：本研究為一橫斷性研究，以臺灣北部某醫學中心神經內外科病房與復健病房即將出院之中風病患照顧者為對象，採立意取樣，使用自擬之結構式問卷調查，研究工具包括腦中風相關健康識能評估量表與中風病患照顧者出院準備度量表， 所蒐集之量性資料以SPSS mac 25.0版統計軟體進行分析。
Background and Purpose: The independence of a stroke survivor is strongly affected by his/her physical and mental disability. As a result, the role of caregiver is significant in terms of assisting post-stroke recovery. Caregivers with low health literacy will have an impact on patients’ recovery and quality of life. There is no existing research regarding the relationship between health literacy and discharge readiness among caregivers of stroke patients. Therefore, the purpose of this study is to explore the correlation of health literacy and readiness for hospital discharge among caregivers of stroke patients.
Methods: This is a cross-sectional study. The participants were caregivers of stroke patients in neurosurgery, neurology and rehabilitation ward in a medical center in Taipei. Participants were asked to fill out two structural questionnaires which included Stroke-Related Health Literacy Scale and Readiness of Hospital Discharge Scale for Caregivers of Stroke Patients. The collected data were analyzed by SPSS mac version 25.0.
Results: From May 2018 to September 2018, one hundred caregivers of stroke patients were included in this study. It was found that: (1) The mean score of caregivers’ health literacy was 9.73. There were significant differences between different caregivers’ educational level (the group of university and above is higher than the group of junior high school and below), different job occupation (the group of medical related is higher than the group of non-medical related), and perceived different satisfaction of discharge planning (the group of scored 8-10 is higher than the group of scored ≤7). Higher mean score of caregivers’ health literacy were also observed in stroke patients with lower Charlson comorbidity index (the group of CCI=1is higher than the group of CCI ≥1). (2) The mean score of readiness for hospital discharge is 2.58. There were significant differences between different caregivers’ financial status (the group of without financial difficulties is higher than the group of financial difficulties) and different satisfaction of discharge planning (the group of scored 8-10 is higher than the group of scored ≤7). Higher mean scores of caregivers’ readiness for hospital discharge were also observed in stroke patients with lower Charlson comorbidity index (the group of CCI=1 is higher than the group of CCI ≥1). (3) There was a significant positive correlation between caregiver’s health literacy and their readiness for hospital discharge. (4) Regression analysis showed that caregivers’ health literacy and perceived satisfaction of hospital discharge planning affected their readiness for hospital discharge. The total variance was explained 37.2%.
Conclusions and Suggestions: The study identified that caregiver’s health literacy and their readiness for hospital discharge were significantly positively correlated. It is suggested to assess caregivers’ health literacy and readiness for hospitaldischarge in the future discharge planning. Furthermore, providing health education materials with proper readability for caregivers with low health literacy will improve their understandings to medical related information. Future discharge planning could focus on stroke patients with Charlson comorbidity index ≥1, to explore their problems, and provide suitable resources and supports in order to help them transfer smoothly from hospital to home.
|Appears in Collections:||護理學系所|
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