Comprehension of the education handout and health literacy of pacemaker users

ABSTRACT Objective: To verify the comprehension of the education handout and the level of Functional Health Literacy of individuals with cardiac pacemaker (PM) and whether there is correlation between the comprehension and Functional Health Literacy (FHL). Method: Cross-sectional study with 63 individuals with PM who answered to comprehension tests of the handout, literacy assessment (SAHLPA-50) and cognition (MMSE). Measurements of dispersion, Pearson correlation and multiple linear regression were calculated. Results: Most women, study time ≤ 9 years, 66.21 (average age) presented no cognitive changes. An adequate literacy level was evidenced in 50.8% individuals with PM and satisfactory comprehension of the handout. No correlation was identified between FHL, handout comprehension, age, years of study and cognition. Conclusion: The handout comprehension assessed by individuals with appropriate FHL indicated that it can be a printed material suitable for use, aiming to improve care process and knowledge of individuals with PM.

摘要
目的：评估心脏起搏器（cardiac pacemaker, PM）植入者对健康教育手册的掌握程度及其功能健康素养（Functional Health Literacy, FHL）水平，并探讨二者之间的相关性。
方法：本研究为横断面研究，纳入63名心脏起搏器植入者，所有受试者均完成健康教育手册掌握程度测试、健康素养评估（SAHLPA-50）及认知功能评估（MMSE）。研究计算了离散趋势指标、Pearson相关系数及多元线性回归分析结果。
结果：受试者以女性居多，受教育年限≤9年，平均年龄66.21岁，无明显认知功能改变。50.8%的心脏起搏器植入者具备合格的健康素养水平，且对健康教育手册的掌握程度良好。未发现功能健康素养、手册掌握程度、年龄、受教育年限与认知功能之间存在相关性。
结论：具备合格功能健康素养的受试者对健康教育手册的掌握程度良好，提示该印刷材料可适用于临床，旨在优化心脏起搏器植入者的照护流程并提升其健康知识水平。