Patient Health Literacy Scale – Chinese Version

Description

Patient health literacy refers to the ability of patients to acquire, understand, analyze, and apply medical information and services, effectively interact with healthcare professionals, and improve their treatment and rehabilitation outcomes. Key aspects of health literacy include having scientific medical concepts, understanding medical knowledge, mastering basic disease prevention and management skills, possessing self-efficacy, and being able to recognize basic medical information. The level of patient health literacy is an important factor that influences their utilization of health services, participation in medical decision-making, and the effectiveness of doctor-patient communication. Previous research has indicated that improving patient health literacy can enhance cure and recovery rates while reducing disease recurrence, disability, and mortality rates.

Authors and Contact Email

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Purpose

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Test Year

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Administration Method and Scoring

Patient Health Literacy Scale (PHLS) (Note: Reverse scoring items to be specified)
– 0: Strongly Disagree
– 1: Disagree
– 2: Neutral
– 3: Agree
– 4: Strongly Agree

Reliability and Validity

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Factors and Subscales

1. 医学科学观念 (Scientific Medical Concepts)
2. 医学常识 (Medical Knowledge)
3. 疾病自我管理技能 (Disease Self-Management Skills)
4. 自我效能 (Self-Efficacy)
5. 医学信息认知 (Cognition of Medical Information)

Keywords

Patient Health Literacy, Medical Information, Healthcare Interaction, Treatment Outcomes, Disease Prevention

Items in Chinese

1. 戒烟的关键是有人提醒和帮助。
2. 吃得多、喝得多、尿得多、体质量（体重）下降，说明身体好。
3. 得了高血压，不必持续服药，只要在感到不适时服药就可以了。
4. 糖尿病治疗的最终目的是控制血糖。
5. 持续性精神紧张、压力大是糖尿病的危险因素。
6. 控制血糖是糖尿病治疗的关键。
7. 积极规范治疗高血压可有效预防心脏病、肾脏病及脑血管病。
8. 突然出现一侧身体、躯干无法移动，说话不流利、意识障碍，说明可能患有脑卒中。
9. 体质指数是诊断肥胖的参考指标。
10. 肥胖、持续性精神紧张、压力大、缺乏身体活动的人更容易得高血压。
11. 心脏骤停，可施行胸外按压，进行急救。
12. 清楚自己所患疾病的病因、症状、治疗措施和注意事项。
13. 清楚自己所患疾病的病情或治疗方案。
14. 看病时，与医护人员之间的沟通情况。
15. 清楚目前患有的疾病。
16. 清楚自己所患疾病的确诊时间。
17. 平均每天使用互联网浏览、阅读信息的时间。

Items in English

1. The key to quitting smoking is having someone to remind and help you.
2. Eating a lot, drinking a lot, urinating a lot, and losing body weight indicates good health.
3. If you have high blood pressure, it’s not necessary to take medication continuously; you can take it only when you feel uncomfortable.
4. The ultimate goal of diabetes treatment is to control blood sugar.
5. Continuous mental stress and high pressure are risk factors for diabetes.
6. Controlling blood sugar is the key to diabetes treatment.
7. Actively managing high blood pressure can effectively prevent heart disease, kidney disease, and cerebrovascular disease.
8. A sudden inability to move one side of the body, slurred speech, and consciousness disturbance may indicate a stroke.
9. Body Mass Index (BMI) is a reference indicator for diagnosing obesity.
10. Those who are obese, experience continuous mental stress, and lack physical activity are more likely to develop high blood pressure.
11. In the case of cardiac arrest, chest compressions can be performed for first aid.
12. I clearly understand the cause, symptoms, treatment measures, and precautions of the disease I have.
13. I clearly understand the condition or treatment plan of my disease.
14. The communication situation between me and healthcare professionals when seeking medical attention.
15. I clearly know what disease I currently have.
16. I clearly know when my disease was diagnosed.
17. The average time I spend using the internet to browse and read information each day.

References

胡佳. 患者健康素养量表研制与评价[D].中国疾病预防控制中心,2019.
王晓妍,田向阳,董建,褚熙,韦国锋,吴宗辉,孙桐,张红.综合医院门诊患者健康素养现状及其影响因素研究[J].中国全科医学,2022,25(19):2342-2348.
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