2型糖尿病患者的健康素养:一项系统性审查
Ariel Cesar de Carvalho1, Matheus Tonholo Silva2, Isadora Lagreca Garrafa Treptow3
1Departament of Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil; Universidade Anhembi Morumbi, School of Medicine, São José dos Campos, SP, Brazil.
Clinics (Sao Paulo, Brazil)
|September 23, 2025
概括
糖尿病和低健康素养 (HL) 的人往往有较差的疾病控制和更高的并发症风险. 在2型糖尿病患者中改善HL可能会改善健康结果.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 卫生识字研究 研究 卫生识字研究
背景情况:
- 健康素养 (HL) 对于管理2型糖尿病 (T2DM) 等慢性疾病至关重要.
- 了解糖尿病人群中HL的全球格局对于有针对性的干预措施至关重要.
- 现有研究强调了HL和糖尿病管理结果之间的潜在联系.
研究的目的:
- 系统地绘制评估糖尿病患者健康素养的研究.
- 为这个人口群体提供健康素养水平的全球概述.
- 调查健康素养,血糖控制和T2DM中并发症率之间的关系.
主要方法:
- 在2021年8月之前,在Embase,LILACS,Cochrane图书馆和MEDLINE进行了系统的文献搜索.
- 包括了使用经过验证的工具 (TOFHLA,S-TOFHLA,NVS,REALM) 评估HL的T2DM成年人的研究.
- 审查了57个记录,分析了HL和糖尿病管理指标之间的关联.
主要成果:
- 医疗素养不足的患病率差异很大,从4.7%到71.7%.
- 十项研究发现HL和糖化血红蛋白之间的反向关联,表明HL较低的人糖尿病控制较差.
- 四项研究探讨了HL和糖尿病并发症之间的联系,研究结果表明存在相反的关系.
结论:
- 较高的健康素养水平与更好的糖尿病疾病控制之间似乎存在直接关系.
- 在健康素养和患上某些糖尿病并发症的风险之间观察到相反的关系.
- 建议对T2DM患者的HL进行例行评估,并采取有针对性的干预措施来提高识字能力.
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