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聴覚障害を持つ青年のヘルスリテラシー、彼らが遭遇する障壁と誤解、そして彼らの期待
Health literacy of hearing-impaired adolescents, barriers and misunderstandings they encounter, and their expectations.
PMID: 32360030 DOI: 10.1016/j.dhjo.2020.100929.
抄録
背景:
聴覚障害者(D/HoH)の成人は、聴覚障害者に比べてヘルスリテラシーのレベルが低い。しかし、この不平等が思春期に現れるかどうかは不明である。
BACKGROUND: Adults who are deaf or hard of hearing (D/HoH) have lower levels of health literacy compared to their counterparts who can hear. It is unclear, however, whether or not this inequality manifests in adolescence.
目的または仮説:
この研究の目的は、D/HoHの若者のヘルスリテラシーのレベルを明らかにし、彼らが遭遇する障壁や誤解、医療サービスを申請する際に期待することを明らかにすることである。
OBJECTIVE OR HYPOTHESIS: This study aims to determine levels of health literacy among D/HoH adolescents and to identify barriers and misunderstandings they encounter as well as their expectations when applying for healthcare services.
方法:
この記述的研究は、15歳以上のD/HoHの青年88人を対象に実施された。保健科学部はこの研究の承認を得た。
METHODS: This descriptive study was conducted with 88 D/HoH adolescents over the age of 15. The Health Sciences Faculty granted approval for the study.
結果:
思春期の青少年のうち、ヘルスリテラシーが不十分な人は70.5%、限定的な人は19.3%、適切な人は2.3%、優秀な人は8%であった。医師とのコミュニケーションが困難な人(25%)、処方された薬を誤飲した人(13.6%)、助けがないと薬が使えない人(43.2%)では、THLSのスコアが低かった(<0.05)。看護師の言葉(43.2%)や健康教育資料(56.8%)を理解していないと答えた人は、THLSスコアが有意に低かった(<0.05)。これらの青年のうち、55.7%が処方箋やケアの手順が書面で渡されることを期待しており、87.5%が手話で説明されることを期待していた。聴覚障害とヘルスリテラシーの間には有意な関係が観察された(R=0.659、R2=0.434)(p<0.01)。
RESULTS: Of the adolescents, 70.5% had inadequate, 19.3% had limited, 2.3% had adequate and 8% had excellent health literacy levels. Those who had difficulty in communicating with the doctor (25%), those who misused the prescribed medication (13.6%) and those who could not use the medication without help (43.2%) had low THLS scores (<0.05). Those who stated that they did not understand what the nurses said (43.2%) or the health education materials (56.8%) and had significantly low THLS scores (<0.05). Of these adolescents, 55.7% expected their prescriptions or care procedures to be given to them in writing, and 87.5% expected that these would be explained to them in sign language. A significant relationship was observed between hearing disability and health literacy (R = 0.659, R2 = 0.434) (p < 0.01).
結論:
ほとんどの D/HoH の青年はヘルスリテラシーのレベルが著しく低く、これは服薬指示に関するコミュニケーション不足や誤解と関連している可能性が高い。
CONCLUSION: Most D/HoH adolescents have a significantly lower level of health literacy, which is more likely linked with poor communication and misunderstandings concerning medication instructions.
Copyright © 2020 Elsevier Inc. All rights reserved.