Alfabetización Funcional en Salud y Factores Asociados en Pacientes con Cáncer de un Hospital Universitario
DOI:
https://doi.org/10.32635/2176-9745.RBC.2024v70n1.4497Palabras clave:
Alfabetización en Salud/estadística & datos numéricos, Educación en Salud, Factores Sociales, Neoplasias/enfermeríaResumen
Introducción: La alfabetización funcional en salud (AFS) es la capacidad de un individuo para comprender información de salud, lo que influye en su participación en las prácticas preventivas, la detección temprana y el manejo de enfermedades crónicas, así como en el acceso a servicios de salud. Objetivo: Identificar los niveles de AFS y variables asociadas en pacientes sometidos a tratamiento ambulatorio antineoplásico intravenoso. Método: Entre julio de 2020 y marzo de 2021, 116 pacientes en terapia antineoplásica intravenosa respondieron a un cuestionario sociodemográfico y de salud, y a un instrumento de evaluación de AFS. Resultados: Alrededor del 54%
mostró un AFS inadecuado o límite. El análisis reveló que la probabilidad de tener un AFS limitado era mayor en pacientes de mayor edad (OR 1,05), en aquellos recibiendo quimioterapia por primera vez (OR 4,57) y entre personas con educación hasta la escuela primaria (OR 23,42). Conclusión: El estudio destaca grupos prioritarios que requieren atención especializada y orientación detallada para mejorar el cuidado, especialmente en pacientes que inician tratamiento contra el cáncer.
Descargas
Citas
Simonds SK. Health education as social policy. health education monographs. 1974;2(suppl 1):1-10. [acesso 2023 mar 28]. Disponível em: https://journals.sagepub.com/doi/10.1177/10901981740020S102 DOI: https://doi.org/10.1177/10901981740020S102
Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. doi: https://doi.org/10.1186/1471-2458-12-80 DOI: https://doi.org/10.1186/1471-2458-12-80
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 [Tese]. Ceará: Universidade Estadual do Ceará; 2012.
Robinson C. Aspects of literacy assessment: topics and issues. Paris: United Nations Educational Scientific and Cultural Organization; 2003. [acesso 2023 mar 28]. Disponível em: https://unesdoc.unesco.org/ark:/48223/pf0000140125
Kickbusch I, Pelikan JM, Tsouros FAAD. Health literacy: the solid facts. Copenhagen: WHO; 2013. [acesso 2023 mar 28]. Disponível em: https://iris.who.int/bitstream/handle/10665/326432/9789289000154-eng.pdf?sequence=1
Kutner M, Greenberg E, Jin Y, et al. The health literacy of america’s adults: results from the 2003 national assessment of adult literacy (NCES 2006–483). Washington, DC: National Center for Education Statistics; 2006. [acesso 2023 mar 28]. Disponível em: https://nces.ed.gov/pubs2006/2006483.pdf
Lindquist LA, Go L, Fleisher J, et al. Relationship of health literacy to intentional and unintentional nonadherence of hospital discharge medications. J Gen Intern Med. 2012;7(2):173-8. doi: https://doi.org/10.1007/s11606-011-1886-3 DOI: https://doi.org/10.1007/s11606-011-1886-3
Maragno CAD. Associação entre letramento em saúde e adesão ao tratamento medicamentos [dissertação na Internet]. 2009. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2009. [acesso 2023 mar 28]. Disponível em: https://lume.ufrgs.br/handle/10183/18582
Palumbo R. Examining the impacts of health literacy on healthcare costs. An evidence synthesis. Health Serv Manage Res. 2017;30(4):197-212. doi: https://doi.org/10.1177/0951484817733366 DOI: https://doi.org/10.1177/0951484817733366
McCarthy DM, Waite KR, Curtis LM, et al. What did the doctor say? health literacy and recall of medical instructions. Med Care. 2012;50(4):277-82. doi: https://doi.org/10.1097/mlr.0b013e318241e8e1 DOI: https://doi.org/10.1097/MLR.0b013e318241e8e1
Fabbri M, Murad MH, Wennberg AM, et al. Health literacy and outcomes among patients with heart failure: a systematic review and meta-analysis. JACC Heart Fail. 2020;8(6):451-60. doi: https://doi.org/10.1016/j.jchf.2019.11.007 DOI: https://doi.org/10.1016/j.jchf.2019.11.007
Marques SRL, Lemos SMA. Letramento em saúde e fatores associados em adultos usuários da atenção primária. Trab educ Saúde. 2018;16(2):535-59. doi: https://doi.org/10.1590/1981-7746-sol00109 DOI: https://doi.org/10.1590/1981-7746-sol00109
Chehuen Neto JÁ, Bignoto TC, Costa LC, et al. Uso de pictogramas na prescrição médica e letramento funcional em saúde. Braz J Surg
Clinic Res. 2018;23(2):51-7. [acesso 2023 set 22]. Disponível em: https://www.mastereditora.com.br/periodico/20180704_094037.pdf
Tobias-Machado M, Carvalhal GF, Freitas CH Jr, et al. Association between literacy, compliance with prostate cancer screening, and cancer aggressiveness: results from a brazilian screening study. Int Braz J Urol. 2013;39(3):328-34. Doi: https://doi.org/10.1590/S1677-5538.IBJU.2013.03.05 DOI: https://doi.org/10.1590/S1677-5538.IBJU.2013.03.05
Santos MO, Lima FCS, Martins LFL, et al. Estimativa de incidência de câncer no Brasil, 2023-2025. Rev Bras Cancerol. 2023;69(1):e-213700. doi: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700 DOI: https://doi.org/10.32635/2176-9745.RBC.2023v69n1.3700
Baker DW, Williams MV, Parker RM, et al. Development of a brief test to measure functional health literacy. Patient Educ Couns. 1999;38(1):33-42. doi: https://doi.org/10.1016/s0738-3991(98)00116-5 DOI: https://doi.org/10.1016/S0738-3991(98)00116-5
Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, et al. Performance of a Brazilian population on the test of functional health literacy in adults. Rev Saude Publica. 2009;43(4):631-8. doi: https://doi.org/10.1590/S0034-89102009005000031 DOI: https://doi.org/10.1590/S0034-89102009005000031
Paes NF. Uso de medicamentos e letramento funcional em saúde de pacientes com câncer de um hospital universitário [dissertação]. Niterói: Universidade Federal Fluminense; 2021.
Conselho Nacional de Saúde (BR). Resolução n° 466, de 12 de dezembro de 2012. Aprova as diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Diário Oficial da União, Brasília, DF. 2013 jun 13; Seção I:59.
Dumenci L, Matsuyama R, Riddle DL, et al. Measurement of cancer health literacy and identification of patients with limited cancer health literacy. J Health Commun. 2014;19(Suppl 2):205-24. doi: https://doi.org/10.1080/10810730.2014.943377 DOI: https://doi.org/10.1080/10810730.2014.943377
Vervloet M, van Dijk L, Rademakers JJDJM, et al. Recognizing and addressing limited pharmaceutical literacy: development of the RALPH interview guide. Res Social Adm Pharm. 2018;14(9):805-11. doi: https://doi.org/10.1016/j.sapharm.2018.04.031 DOI: https://doi.org/10.1016/j.sapharm.2018.04.031
Lima JP, Abreu DPG, Bandeira EO, et al. Functional health literacy in older adults with hypertension in the Family Health Strategy. Rev Bras Enferm. 2020;73(Suppl3):e20190848. doi: https://doi.org/10.1590/0034-7167-2019-0848 DOI: https://doi.org/10.1590/0034-7167-2019-0848
Rodrigues BC, Sales AEC, Rodrigues BC, et al. Avaliação do letramento em saúde em pacientes com câncer hematológico submetidos ao transplante de células-tronco hematopoiéticas. Rev Bras Cancerologia. 2022;68(1):e-251657. https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1657 DOI: https://doi.org/10.32635/2176-9745.RBC.2022v68n1.1657
Kobayashi LC, Wardle J, Wolf MS, et al. Aging and functional health literacy: a systematic review and meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2016;71(3):445-57. doi: https://doi.org/10.1093/geronb/gbu161 DOI: https://doi.org/10.1093/geronb/gbu161
Ibrahim EY, Domenicano I, Nyhan K, et al. Cognitive effects and depression associated with taxane-based chemotherapy in breast cancer survivors: a meta-analysis. Front Oncol. 2021;29;11:642382. doi: https://doi.org/10.3389/fonc.2021.642382 DOI: https://doi.org/10.3389/fonc.2021.642382
Instituto Paulo Montenegro. Indicador de analfabetismo funcional: INAF Brasil 2018 resultados preliminares. São Paulo: Inaf; 2018. [acesso 2023 mar 28]. Disponível em: http://acaoeducativa.org.br/wpcontent/uploads/2018/08/Inaf2018_Relat%C3%B3rio-Resultados-Preliminares_v08Ago2018.pdf
Busch EL, Martin C, DeWalt DA, et al. Functional health literacy, chemotherapy decisions, and outcomes among a colorectal cancer cohort. Cancer Control. 2015;22(1):95-101. doi: https://doi.org/10.1177/107327481502200112 DOI: https://doi.org/10.1177/107327481502200112
Halbach SM, Enders A, Kowalski C, et al. Health literacy and fear of cancer progression in elderly women newly diagnosed with breast cancer-A longitudinal analysis. Patient Educ Couns. 2016;99(5):855-62. doi: https://doi.org/10.1016/j.pec.2015.12.012 DOI: https://doi.org/10.1016/j.pec.2015.12.012
Morris NS, Field TS, Wagner JL, et al. The association between health literacy and cancer-related attitudes, behaviors, and knowledge. J Health Commun. 2013;18(Suppl 1):223-41. doi: https://doi.org/10.1080/10810730.2013.825667 DOI: https://doi.org/10.1080/10810730.2013.825667
Avery M, Williams F. The importance of pharmacist providing patient education in oncology. J Pharm Pract. 2015;28(1):26-30. doi: https://doi.org/10.1177/0897190014562382 DOI: https://doi.org/10.1177/0897190014562382
Publicado
Cómo citar
Número
Sección
Licencia
Os direitos morais e intelectuais dos artigos pertencem aos respectivos autores, que concedem à RBC o direito de publicação.
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.