입원환자의 건강정보문해력에 관한 연구

다국어 초록 (Multilingual Abstract)

The purpose of this study was to examine correlations between hospitalized patients' health literacy and their demographic characteristics.
This researcher surveyed 157 hospitalized patients aged 40 or over of a general hospital located in a particular region from April 1st to April 15th, 2011. The tools for this study were KHLAT to measure the linguistic health literacy and KFHLT to measure the functional health literacy.
Data from the survey were analyzed through descriptive statistics, X2-test, ANOVA, ANCOVA, Scheffe test and the stepwise multiple regression analysis and in terms of Pearson's coefficient in accordance with PASW Statistics 18.
Findings of the study can be summarized as follows.
1. Those subjects consisted of 62 men (39.5%) and 95 women (60.5%). Among them, 70 (44.6%) were aged 40 to 64 and 87 (55.4%), 65 or over. Concerning educational background, 48 of all the subjects (30.6%) were illiteracy, 49 (31.2%) were elementary school graduates and 24 (15.3%), middle school graduates. And 36 (22.9%) graduated from high school or a higher educational institution.
2. Men were higher in the linguistic health literacy than women, but there's no statistical significance. Among the subjects, those who were younger, higher-educated, had a spouse, spending 0.1 million Won or over as a monthly allowance, unemployed or thinking of their health state as average or below were higher in the linguistic health literacy. Thus, it was proved that educational background and age have significant effects on that literacy. The subjects' score for the linguistic health literacy was 36.03 points in average out of 66 of full marks of 66 points (percentage of correct answers 54.58%). 15.3% of the subjects were like 3rd-grade elementary school students or lower in that health literacy, 51%, 4th to 6th-grade elementary school students and 31.2%, like 1st to 2nd-grade middle school students. Thus, 97.5% of the subjects were like 1st to 2nd-grade middle school students or lower in the linguistic health literacy. Among the 66 words, those which were 90% or over in the percentage of correct answers, that is, those which 90% or over of the subjects were able to accurately understand included pregnancy period, constipation, hemorrhoids, alcohol addition, after meal, nausea and occupation. While, those which were lower than 50% in the percentage of correct answers were 32 in number, out of which words like herpes, smearing, nerve fiber, potassium and impetigo were even lower in that percentage.
3. Among the subjects, men were higher in the functional health literacy than women, but there's no statistical significance. Among the subjects, those who were younger, higher-educated, had a spouse, spending 0.1 million Won or over as a monthly allowance, unemployed or thinking of their health state as good or average were higher in the functional health literacy. Thus, it was made clear that educational background and age significantly affect that literacy. The subjects' score for the functional health literacy was 9.62 points out of 0 to 17 of full marks (percentage of correct answers 56.57%). Specifically, those subjects were 4.54 points in average score for mathematical calculation our of 8 of full marks (percentage of correct answers 56.77%) and 5.08 points for reading and comprehension out of 9 of full marks (56.47%). Among the subjects, 30 to 40% could accurately understand how to take 4 dosages a day. 42.7% could calculate the passage of days if required to take dosage every 3 days. 20 to 50% could accurately understand medical consultation hours specified in a medicine packet, what patients should inform in advance to CT officials before taking CT and causes of the adverse effects of the test, all found in a written consent of CT, and the medication of COLYTE specified in the manual of colonic endoscopy after seeing or listening to all those information.
4. There were statistically significant correlations between the linguistic health literacy and functional health literacy (r=.746).
In conclusion, the surveyed hospitalized patients' health literacy was relatively low and it was significantly different in accordance with their age, educational background, having a spouse or not, monthly allowance, employment or unemployment and self-assessment of their health state. Educational background and age were factors significantly affecting the health literacy. But further studies are needed to identify any other factors that may having significant effects on that health literacy. It is needed to choose educational media that can well communicate health literacy in accordance with the different demographic characteristics of individual hospitalized patients. A supplementary education is also needed after the extent to which hospitalized patients have understood health information is determined. And then, the effect of the intervention should be examined through subsequent researches.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 4
• 3. 용어 정의 5
• Ⅱ. 문헌고찰 6
• 1. 건강정보문해력 6
• 2. 건강정보문해력의 관련 요인 9
• Ⅲ. 연구방법 13
• 1. 연구 설계 13
• 2. 연구 대상자 13
• 3. 연구 도구 13
• 4. 자료수집방법 및 윤리적 고려 15
• 5. 자료 분석 방법 16
• Ⅳ. 연구결과 17
• 1. 일반적 특성 17
• 2. 언어적 건강정보문해력 18
• 3. 기능적 건강정보문해력 21
• 4. 일반적 특성에 따른 언어적 건강정보문해력 24
• 5. 일반적 특성에 따른 기능적 건강정보문해력 26
• 6. 언어적 건강정보문해력에 영향을 미치는 일반적 특성 26
• 7. 기능적 건강정보문해력에 영향을 미치는 일반적 특성 27
• 8. 언어적 건강정보문해력 도구와 기능적 건강정보문해력 도구의 상관관계 28
• Ⅴ. 논의 29
• Ⅵ. 결론 및 제언 35
• 참고문헌 38
• 부록 43