Relationship among health literacy and rehabilitation compliance and prognosis in patients with diabetes combined tuberculosis

Abstract

Objective To investigate the relationship among health literacy and treatment compliance and prognosis in patients with diabetes combined tuberculosis. Methods One hundred and eighty-one cases patients with diabetes combined tuberculosis were selected as the objectives and evaluated literacy level, compliance scale by the health literacy scale and compliance questionnaires.The control of tuberculosis, blood glucose control, treatment compliance and prognosis were analyzed in the patients with different health literacy level. Results Of 181 patients, there were 89 cases patients'(basic health literacy group) the total scores of health literacy and compliance were>80 points, the efficacy of pulmonary tuberculosis control and blood sugar control were respectively 84.2%(75/89) and 93.2% (83/89); 92 cases patients' the total scores of health literacy and compliance were ≤80 points, the efficacy of pulmonary tuberculosis control and blood sugar control were respectively 59.7%(55/92) and 67.4%(62/92), the differences were significant(χ2=12.78, 18.11; P<0.05). Pearson correlation analysis showed that the total scores of health literacy were positive correlated with the scores of treatment compliance(r=0.688, P<0.001). Logistic regression analysis showed that three dimension of health literacy(health knowledge and concept, healthy lifestyle and behavior, health skills) that can combined predict the variance of rehabilitation compliance(P<0.01). Conclusion The health literacy level of diabetes combined tuberculosis patients can effectively predict the rehabilitation compliance.Measures should be taken to improve the patient's level of health literacy, so as improve the compliance of rehabilitation and prognosis. Key words: Diabetes; Tuberculosis; Health literacy; Compliance