关键词: 老年患者, 乳腺癌, 健康素养, 自我忽视, 社会支持

Abstract: Objective: To explore the current status of health literacy in elderly breast cancer patients and analyze the relationship between health literacy, self-neglect, and social support. Methods: Using a convenient sampling method, general information questionnaire, chronic disease health literacy scale, elderly self-neglect assessment scale, and perceived social support scale were used to conduct the investigation. A total of 175 elderly breast cancer patients in a grade A tertiary hospital in Tianjin were included. Results: The total score of health literacy in elderly breast cancer patients was 100.13±21.30, and 28% of elderly breast cancer patients lacked health literacy. Pearson correlation analysis showed that health literacy was negatively correlated with self-neglect and its various dimensions (r=-0.538~-0.390, P<0.001), and positively correlated with social support and its various dimensions (r=0.177~0.682, P<0.05). Multiple step-wise regression analysis showed that age, occupation, monthly per capita income, the dimension of living environment and hygiene in self-neglect, and the dimension of family support in social support were the main influencing factors of health literacy in elderly breast cancer patients. Conclusion: Although the health literacy level of elderly breast cancer patients is adequate, there are some patients who lack health literacy. Clinical workers should analyze the influencing factors of patients′ health literacy, take corresponding intervention measures, and improve the health literacy level of patients by reducing the self-neglect level and increasing the social support level.

Key words: Elderly, Breast cancer, Health literacy, Self-neglect, Social support