Assessment of Health Literacy in Hematologic Cancer Patients Undergoing Hematopoietic Stem Cell Transplantation
DOI:
https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1657Keywords:
health literacy, hematopoietic stem cell transplantation, hematology, leukemia, nutritional statusAbstract
Introduction: Patients with hematologic cancer candidates for hematopoietic stem cell transplantation (HSCT) require extensive selfcare, with complex treatments and appropriate health behaviors that are considered a key factor. The importance of health literacy emerges because of these complexities. Objective: To describe the level of literacy and assess the interrelationships between health literacy, nutritional status, clinical and sociodemographic conditions in patients with hematologic cancer and candidates for HSCT in a tertiary university hospital in Fortaleza-CE. Method: Cross-sectional study conducted with 69 HSCT candidates, treated at a university hospital, who responded to the validated and translated version of the Newest Vital Sign (NVS-Br). Clinical and sociodemographic data were collected through the analysis of medical records. Nutritional status was assessed using body mass index (BMI), waist circumference (WC) and WC associated with hip circumference (WH). Results: Inadequate literacy was found in 78.3% of patients. Factors were associated with age (p=0.024), low income (p=0.005) and less years of education (p=0.047). Conclusion: The results indicated the necessity to improve the level of health literacy of patients for better treatment results, especially in older adults with low income and poor education level.
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Sampaio HAC, Carioca AAF, Sabry MOD, et al. Letramento em saúde de diabéticos tipo 2: fatores associados e controle glicêmico. Ciênc Saúde Coletiva. 2015;20(3):865-74. doi: https://doi.org/10.1590/1413-81232015203.12392014
Cohen MZ, Jenkins D, Holston EC, et al. Understanding health literacy in patients receiving hematopoietic stem cell transplantation. Oncol Nurs Forum. 2013;40(5):508-15. doi: https://doi.org/10.1188/13.ONF.508-515
Santos LTM, Mansur HN, Paiva TFPS, et al. Letramento em saúde: importância da avaliação em nefrologia. J Bras Nefrol. 2012;34(3):293-302. doi: https://doi.org/10.5935/0101-2800.20120014
World Health Organization. Health promotion glossary [Internet]. Geneva: WHO; 1998 [cited 2018 July 22]. Available from: http://www.who.int/healthpromotion/about/HPRGlossary1998.pdf
Rocha PC, Lemos MAS. Aspectos conceituais e fatores associados ao letramento funcional em saúde: revisão de literatura. Rev CEFAC. 2016;18(1):214-25. doi: https://doi.org/10.1590/1982-021620161819615
Amalraj S, Starkweathe C, Nguyen C, et al. Health literacy, communication, and treatment decision-making in older cancer patients. Oncology (Williston Park). 2009;23(4):369-75.
Koay K, Schofield P, Jefford M. Importance of health literacy in oncology. Asia Pac J Clin Oncol. 2012;8(1):14-23. doi: https://doi.org/10.1111/j.1743-7563.2012.01522.x
Easton P, Entwistle VA, Williams B. How the stigma of low literacy can impair patient-professional spoken interactions and affect health: insights from a qualitative investigation. BMC Health Serv Res. 2013;13:319. doi: https://doi.org/10.1186/1472-6963-13-319
Sørensen K, Van den Broucke S, Pelikan JM, et al. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health. 2013;13:948. doi: https://doi.org/10.1186/1471-2458-13-948
Marques SRL, Lemos SMA. Letramento em saúde e fatores associados em adultos usuários da atenção primária. Trab Educ e Saúde. 2018;16(2):535-59. doi: https://doi.org/10.1590/1981-7746-sol00109
Weiss BD, Mays MZ, Martz W, et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005;3(6):514-22. doi: https://doi.org/10.1370/afm.405
Rodrigues R, Andrade SM, González AD, et al. Crosscultural adaptation and validation of the Newest Vital Sign (NVS) health literacy instrument in general population and highly educated samples of Brazilian adults. Public Health Nutr. 2017;20(11):1907-13. doi: https://doi.org/10.1017/S1368980017000787
Song L, Mishel M, Bensen JT, et al. How does health literacy affect quality of life among men with newly diagnosed clinically localized prostate cancer? Findings from the North Carolina-Louisiana Prostate Cancer Project (PCaP). Cancer. 2012;118(15):3842-51. doi: https://doi.org/10.1002/cncr.26713
Schmidt A, Kowalski C, Pfaff H, et al. The influence of health literacy on information needs among women newly diagnosed with breast cancer, with special reference to employment status. J Health Commun. 2015;20(10):1177-84. doi: https://doi.org/10.1080/10810730.2015.1018626
Shah LC, West P, Bremmeyr K, et al. Health literacy instrument in family medicine: the “newest vital sign” ease of use and correlates. J Am Board Fam Med. 2010;23(2):195-203. doi: https://doi.org/10.3122/jabfm.2010.02.070278
Ozdemir H, Alper Z, Uncu Y, et al. Health literacy among adults: a study from Turkey. Health Educ Res. 2010;25(3):464-77. doi: https://doi.org/10.1093/her/cyp068
Stewart A, Marfell-Jones M, Olds T, et al. International standards for anthropometric assessment. 3rd ed. Lower Hutt, New Zealand: International Society for the Advancement of Kinanthropometry; [2011].
Lipschitz DA. Screening for nutritional status in the elderly. Prim Care. 1994;21(1):55-67. doi: https://doi.org/10.1016/S0095-4543(21)00452-8
Coutinho W. Consenso latino-americano de obesidade. Arq Bras Endocrinol Metabol. 1999;43(1):21-67. doi: https://doi.org/10.1590/S0004-27301999000100003
Conselho Nacional de Saúde (BR). Resolução nº 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União. 2013 jun 13; Seção 1:59.
Santos MIPO, Portella MR. Condições do letramento funcional em saúde de um grupo de idosos diabético. Rev Bras Enferm. 2016;69(1):156-64. doi: http://doi.org/10.1590/0034-7167.2016690121i
Kickbusch I, Pelikan JM, Apfe F, et al., editors. Health literacy: the solid facts [Internet]. Copenhagen: World Health Organization; 2013 [cited 2018 Nov 30]. Available from: https://apps.who.int/iris/bitstream/handle/10665/326432/9789289000154-eng.pdf?sequence=1&isAllowed=y
Baker KS, Chow E, Steinberger J. Metabolic syndrome and cardiovascular risk in survivors after hematopoietic cell transplantation. Bone Marrow Transplant. 2012;47(5):619-25. doi: http://doi.org/10.1038/bmt.2011.118
Silveira SL, Ledoux TA, Robinson-Whelen S, et al. Methods for classifying obesity in spinal cord injury: a review. Spinal Cord. 2017;55(9):812-7. doi: http://doi.org/10.1038/sc.2017.79
Wildes TM, Stirewalt DL, Medeiros B, et al. Hematopoietic stem cell transplantation for hematologic malignancies in older adults: geriatric principles in the transplant clinic. J Natl Compr Canc Netw. 2014;12(1):128-36. doi: http://doi.org/10.6004/jnccn.2014.0010
Hamerschlak N, Bouzas LFS, Seber A, et al., editores. Diretrizes da Sociedade Brasileira de Transplante de Medula Óssea 2012. In: II Reunião de Diretrizes da Sociedade Brasileira de Transplante de Medula Óssea; 2012 maio 4-6; Angra dos Reis (RJ). Pinheiros (SP): Palavra Impressa; 2012. 320p. [acesso 2018 dez 7]. Disponível em: https://sbtmo.org.br/wp-content/uploads/2021/07/Diretrizes_da_Sociedade_Brasileira_de_Transplante_de_Medula_Ossea_2012_ISBN_978-85-88902-17-6.pdf
Passamai MPB. Letramento funcional em saúde de adultos no contexto do Sistema Único de Saúde: um caminho para a promoção da saúde e prevenção de doenças crônicas não transmissíveis [trabalho de conclusão de curso]. Fortaleza (CE): Universidade Estadual do Ceará; 2012.
Instituto Brasileiro de Geografia e Estatística. Pesquisa nacional de saúde: 2013: acesso e utilização dos serviços de saúde, acidentes e violências: Brasil, grandes regiões e unidades da federação [Internet]. Rio de Janeiro: IBGE; 2015 [acesso 2018 dez 7]. Disponível em: https://biblioteca.ibge.gov.br/visualizacao/livros/liv94074.pdf
Rocha V, Proença SFFS, Marques ACB, et al. Comprometimento social de pacientes submetidos ao transplante de células-tronco hematopoéticas. Rev Bras Enferm. 2016;69(3):484-91. doi: http://doi.org/10.1590/0034-7167.2016690310i
Instituto Paulo Montenegro. Indicador de alfabetismo funcional: Inaf 2018: resultados preliminares [Internet]. São Paulo: Instituto Paulo Montenegro; 2018 [acesso 2018 nov 29]. Disponível em: http://acaoeducativa.org.br/wp-content/uploads/2018/08/Inaf2018_Relatório-Resultados-Preliminares_v08Ago2018.pdf
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