Intervention Effectiveness Evaluation Of Teach-back For The Senior Citizens Health Literacy In Urumqi Nursing Home

Objective: On the basis of knowing the senior citizens comprehensive health literacy and the three most common chronic diseases related health literacy in Urumqi nursing homes, we use and evaluate the intervention effectiveness of Teach-back, and explore a new way for enhancing the senior citizens comprehensive health literacy and the three most common chronic diseases related health literacy level. Methods: According to the different scale, the twenty-seven registered nursing homes were divided into big(> 100 person), medium(60~100 person) and small(< 60 person) three types by stratified and cluster sampling method. Then ten out of the twenty-seven registered nursing homes were randomly selected from each type, and the 10 seleted nursing homes were randomly divided into intervention group and control group, each group 5 nursing homes included. Strict accordance with the inclusion criteria and exclusion criteria, 126 patients in the intervention group and 134 patients in the control group of each nursing home were selected. The intervention group took Teach-back method, and the control group took the traditional education method. On June-July 2014, the baseline survey of the senior citizens comprehensive health literacy and the three most common chronic diseases related health literacy in Urumqi nursing homes was maken using the Chinese citizens health literacy questionnaire and the chronic diseases related health literacy questionnaire, and the intervention was made using teach-bake from September 2014 to Feberary 2015. After the intervention, the repeate survey was made again using the original tools and the intervention before and after score of the comprehensive health literacy and the three most common chronic diseases related health literacy was compared for the intervention group and the control group. Results:(1) Baseline Survey Results: The differences of two groups’ demographic characteristics data, chronic disease state data, health services utilization, comprehensive health literacy scores, hypertension-related health literacy scores, diabetes-related health literacy scores and coronary heart disease related health literacy scores were not statistically significant(P> 0.05). The 260 patients’ scores of the comprehensive health literacy and the three most common chronic diseases related health literacy were all below.(2) Comparison results of the two groups of patients before and after intervention: for the intervention group, before and after the intervention, the comprehensive health literacy total score(49.24±18.06;110.10±17.68) and each dimension scores, the hypertension-related health literacy total score(16.88±6.74;33.09±1.28) and each dimension scores, the diabetes-related health literacy total score(15.71±3.68,31.14±3.51) and each dimension scores, the coronary heart disease related health literacy total score(14.16±2.59,29.15±6.77)and each dimension scores were statistically significant(P <0.05); for the control group, before and after the intervention, the comprehensive health literacy total score(51.84±13.88;74.96±27.16), the coronary heart disease related health literacy total score(14.36±2.79;19.88±8.54) and each dimension scores were statistically significant(P <0.05), and the hypertension knowledge literacy score, the faith quality score were statistically significant(P <0.05), and the others were not statistically significant(P >0.05); The diabetes behavior literacy score was not statistically significant(P >0.05), and the others were statistically significant(P <0.05).(3) Comparison results between the two groups patients after the intervention : after the intervention, the comprehensive health literacy total score and each dimension scores, the hypertension-related health literacy total score and each dimension scores, the diabetes-related health literacy total score and each dimension scores, the coronary heart disease related health literacy total score and each dimension scores of the intervention group were better than the corresponding scores of the control group, showing statistically significant(P <0.05). Conclusion: The level of the senior citizens comprehensive health literacy and the three most common chronic diseases related health literacy in Urumqi nursing homes were very low. The senior citizens were lack of the health knowledge and their consciousness of disease prevention and health care are very poor.(2)The two health education methods both increased the level of the senior citizens comprehensive health literacy and the three most common chronic diseases related health literacy.(3)The effect of teach-back education group was significantly better than the traditional patient health education group. And this indicates that the teach-back education method is effective for the senior citizens. By strengthening the education for the senior citizens comprehensive health literacy and the three most common chronic diseases related health literacy, reducing and delaying the emergence of chronic diseases and complications, the elderly healthy aging would be realized.