Construction and Application of the Health Literacy Assessment Scale for Day Surgery Patients and Its Influence on Early Postoperative Recovery Quality

Chuntao WU; Ke LIN

doi:10.12259/j.issn.2095-610X.S20220515

Volume 43 Issue 5

May 2022

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Chuntao WU, Ke LIN. Construction and Application of the Health Literacy Assessment Scale for Day Surgery Patients and Its Influence on Early Postoperative Recovery Quality[J]. Journal of Kunming Medical University, 2022, 43(5): 179-184. doi: 10.12259/j.issn.2095-610X.S20220515

Citation:

Chuntao WU, Ke LIN. Construction and Application of the Health Literacy Assessment Scale for Day Surgery Patients and Its Influence on Early Postoperative Recovery Quality[J]. Journal of Kunming Medical University, 2022, 43(5): 179-184. doi: 10.12259/j.issn.2095-610X.S20220515

Citation:

Chuntao WU, Ke LIN. Construction and Application of the Health Literacy Assessment Scale for Day Surgery Patients and Its Influence on Early Postoperative Recovery Quality[J]. Journal of Kunming Medical University, 2022, 43(5): 179-184. doi: 10.12259/j.issn.2095-610X.S20220515

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Construction and Application of the Health Literacy Assessment Scale for Day Surgery Patients and Its Influence on Early Postoperative Recovery Quality

doi: 10.12259/j.issn.2095-610X.S20220515

Chuntao WU,
Ke LIN^,

Dept. of Anesthesia Surgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2022-01-12
Publish Date: 2022-05-25

Abstract

Abstract

Objective To investigate the health literacy level of day surgery patients by developing and constructing a health literacy assessment tool, and to analyze the impact of health literacy level of day surgery patients on early postoperative rehabilitation. Methods Nutbeam’ s health literacy theory was used as the research framework and the initial item pool was constructed on the basis of literature review and referring to the existing evaluation scales. Through the 2 rounds of Delphi expert letter consultation, the initial scale was formed. Twenty patients with day surgery were randomly selected for a small sample pre-experiment, and the scale items were further revised to form the clinical test version of the scale. From April to September 2021, 264 patients were selected from the day operating rooms of 5 top hospitals in Kunming to investigate the health literacy and early postoperative rehabilitation quality and analyze the status and influencing factors of the two variables. Results The final version of "health literacy assessment tool of day surgery patients" developed in this study contained 3 dimensions and 24 items. The Cronbach’ s α coefficient, half-fold reliability and content validity of the total scale were 0.944, 0.902 and 0.920 respectively. The exploratory factor analysis showed that the cumulative variance contribution rate was 66.37%, indicating that the scale has the excellent structure validity. Multiple linear regression analysis indicated that age, functional health literacy, interactive health literacy and critical health factors could explain 60.4% variation （adjusted R2 = 0.583） in postoperative recovery quality of day surgery patients, and were important influencing factors in postoperative recovery quality of day surgery patients. Conclusion The health literacy scale for day surgery patients developed in this study has the good reliability and validity and is suitable for the evaluation of related population. At the same time, the level of health literacy of day surgery patients is an important factor influencing the quality of early postoperative recovery.
- Day surgery,
- Health literacy,
- Scale,
- Reliability,
- Validity,
- Recovery quality

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References(25)

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