ความรอบรู้ด้านสุขภาพและพฤติกรรมการดูแลตนเองในผู้สูงอายุโรคสะเก็ดเงิน

Pakkawat  Booncharoenthanapong; Decha Tamdee; Nattaya  Suwankruhasn

Authors

Pakkawat Booncharoenthanapong Faculty of Nursing, Chiangmai University
Decha Tamdee Faculty of Nursing, Chiangmai University
Nattaya Suwankruhasn Faculty of Nursing, Chiangmai University

Keywords:

health literacy, self-care behaviors, older persons with psoriasis

Abstract

Introduction: Older persons with psoriasis vulgaris who have good health literacy and self-care behaviors can reduce disturbances or serious complications.

Research objectives: This correlational descriptive study aimed to examine health literacy, self-care behaviors, and the relationship between health literacy and self-care behaviors.

Research methodology: Participants included 88 older persons who were: (a) 60 years and over; and (b) diagnosed with psoriasis vulgaris. Data were collected using a set of questionnaires, including a health literacy questionnaire for older persons with psoriasis vulgaris, and a self-care behavior questionnaire. Data were analyzed using descriptive statistics, and Spearman's rank correlation. The questionnaires were validated using 6 experts. Content validity index (CVI) values were 0.97, and 0.81; and the reliabilities were 0.87, and 0.85, respectively.

Result: The results revealed that 56.82% of participants had health literacy at a moderate level and 57.95% of them reported self-care behaviors at a moderate level. Furthermore, there was a moderate positive and statistically significant relationship between health literacy and self-care behavior (r = .610, p < .001).

Conclusion: The participants had health literacy and self-care behaviors at a moderate level and health literacy positively associated with self-care behaviors at a moderate level.

Implications: Results of this study provide empirical data for healthcare providers to promote the health literacy and help older persons with psoriasis to appropriately modify their self-care behavior.

Downloads

Download data is not yet available.

References

World health rrganization. Global report on PSORIASIS [Internet]. 2016 [cited 2021 Jan 10]. Avaliable from: https://apps.who.int/iris/handle/10665/204417

Griffiths CEM, Van der Walt JM, Ashcroft DM, Flohr C, Naldi L, Nijsten T, et al. The global state of psoriasis disease epidermiology: a workshop report. Br J Dermatol 2017; 117(1), 4-7.

Data and statistics center, medical policy and strategy development, institute of ermatology. Outpatient statistics (new diseases) top 10 most common skin diseases. Institute of dermatology, Bangkok, 2020. (in Thai).

Strategy and planning deviosion, ministry of plublic health. Public health statistics A.D. 2019, strategy and planning deviosion, ministry of plublic health, Nonthaburi, 2019. (in Thai).

National clinical guideline centre [UK]. Psoriasis: assessment and management of psoriasis. London: Royal college of physicians (UK); 2012.

Orem ED. Nursing concepts of practice. 6th ed. St. Louis, Missouri: Mosby Company: 2001.

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International 2000;15(3):259-267.

Intichan S. Effectiveness of health education program affecting self-care behavior of psoriasis patients who received treatment at institute od dermatology. Journal of department of medical services 2013;38(6):391-397. (in Thai).

Larsen MH, Strumse YAS, Borge CR, Osborne R, Andesen MH, Wahl AK. Health literacy – a new piece of the puzzle in psoriasis care?. British journal of dermatology 2018; 180(6), 1506-1516.

Department of medical service, ministry of plublic health. Guideline for geriatric assessment. The printing office agency to assist veterans, Nonthaburi, 2014. (in Thai).

Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of American Geriatrics Society 1975;23(10): 433-441.

Intarasombat P. Geriatric assessment. Rama nurs J 1996;2(3):44-57. (in Thai).

Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. Baltimore: Lippincott Williams & Wilkins; 2008.

Noppakraw J, Chintanawat R, Khampolsiri T. Health literacy and self-management in older persons with type 2 diabetes mellitus. Nursing journal 2020;47(2):251-256. (in Thai).

Jirojkul P. Nursing research: concept principle and operation. 2nd ed. Nonthaburi: Praboromrajchanok Institute. 2005. (in Thai).

Ishikawa H, Takeuchi T, & Yano E. Measuring functional, communicative, and critical health literacy among diabetic patients. Diabetes Care 2008;31(5):874-879.

Kespichayawattana J, Wivatvanit S, Wanwacha C. Health literacy of older persons participating in senior clubs ans learning centers in the bangkok metropolitan region. Journal of dermography 2020;36(2):40-57. (in Thai).

Pumwiset P. Self health care behaviors among elderly in nonthaburi province. Thailand journal of health promotion and environmental health 2015;38(2):25-34. (in Thai).

Larsen MH, Strumse YAS, Borge CR, Osborne R, Andesen MH, Wahl AK. Health literacy a new piece of the puzzle in psoriasis care?. British journal of dermatology 2018; 180(6),1506-1516.

Sawangsri B, Tangngam S. Self-healthcare of the elderly in samchuk district, suphanburi province. RMUTSB Acad. J 2013;1(2):128-137. (in Thai).

Boonsatean W, Reantippayasakul O. Health Literacy: situation and impacts on health status of the older adults. APHEIT journal of nursing and health 2020;2(1):1-19. (in Thai)

Suphunnakul P, Sirinual S, Noin J, Chayadom V, Singhadej O. Factors predicting self-care behaviors among the elderly with type 2 diabetes in Sukhothai province. EAU heritage journal science and technology 2017;11(1):211-223. (in Thai).

Taengmuang J, Muktabhant B. Association between health literacy and self-care of type 2 diabetic patients. Journal of health education 2018;41(1):103-113. (in Thai).

Chollou KM, Gaffari-fam S, Babazadeh T, Daemi A, Bahadori A, Heidari S. The association of health literacy level with self-care behaviors and glycemic control in a low education population with type 2 diabetes mellitus: A cross-sectional study in Iran. Dove press journal 2020;13:1685-1693.