An analysis on the relationship between health literacy level and prognosis in elderly patients with diabetes mellitus complicated with pulmonary tuberculosis / 预防医学

ABSTRACT

Objective To investigate the relationship between health literacy and prognosis in patients with diabetes combined tuberculosis,and in order to provide the reference for improving treatment compliance in patients with diabetes combined tuberculosis. Methods Totally 214 cases of patients with diabetes combined tuberculosis were selected as the objectives and their literacy level,compliance scale with the health literacy scale and compliance questionnaires were evaluated. We analyzed the relationship among health literacy and treatment compliance and prognosis combining the patientˊs condition of lesions,blood sugar control in patients with diabetes combined tuberculosis. Results The efficacy of pulmonary tuberculosis control and blood sugar control were 83. 65% and 92. 30% respectively in high health literacy group,which were higher than in health literacy group(60. 00% and 67. 27% ,P ﹤ 0. 05). Logistical regression analysis showed that the higher health literacy level(OR = 0. 570,95% CI0. 380 - 0. 886)and higher treatment compliance(OR =0. 215,95% CI0. 052 - 0. 884)were the protective factors for prognosis;while female(OR = 1. 806,95% CI1. 175 -2. 776),cavity pulmonary tuberculosis( OR = 3. 005,95% CI1. 369 - 6. 598),combined other diseases( OR = 1. 582, 95% CI1. 039 - 2. 408),poor control of blood glucose(OR = 2. 241,95% CI1. 328 - 3. 386),nutritional risk score≥3 (OR = 2. 371,95% CI1. 387 - 4. 052)and general family assessment score ﹤ 3(OR = 1. 624,95% CI1. 092 -2. 461)were the risk factors for prognosis. The compliance behaviors such as smoking,drinking,diet,rehabilitation exercise and medication in high health literacy group were better than in low health literacy group( P ﹤ 0. 05 ). Conclusion The higher the level of health literacy in elderly patients with diabetes combined tuberculosis and the compliance ,the better the prognosis.