The Impact of Health Literacy on the ERCP Process

Authors : Ufuk ARSLAN, Hacı ÇAYCI

Pages : 134-140

Doi:10.46310/tjim.957263

View : 18 | Download : 9

Publication Date : 2021-07-29

Article Type : Research Paper

Abstract :Background: Endoscopic retrograde cholangiopancreatography insert ignore into journalissuearticles values(ERCP); is an invasive method commonly used for the diagnosis and treatment of hepatopancreaticobiliary diseases. The aim of this study is to assess whether there is a relationship between Health Literacy insert ignore into journalissuearticles values(HL); levels and the ERCP process. Material and Methods: The study prospectively evaluated the HL data of 72 patients who had ERCP in our hospital between July-November 2020. The Turkish version of the 47-item European Health Literacy Survey Questionnaire insert ignore into journalissuearticles values(HLS-EU-Q47); was used to assess health literacy. The patients’ demographic characteristics, duration of referral to hospital, duration of the ERCP procedure, white blood cells insert ignore into journalissuearticles values(WBC);, alanine aminotransferase insert ignore into journalissuearticles values(ALT);, aspartate aminotransferase insert ignore into journalissuearticles values(AST);, alkaline phosphatase insert ignore into journalissuearticles values(ALP);, gamma glutamyl transferase insert ignore into journalissuearticles values(GGT);, and total-direct bilirubin levels and HLS-EU-Q47 results were recorded and evaluated. Results: In our study, 77.7% of the patients had insufficient HL levels. The median body mass index insert ignore into journalissuearticles values(BMI); was statistically higher in patients with an insufficient HL level insert ignore into journalissuearticles values(p= .046);. GGT, total and direct bilirubin levels were higher in patients with a low HL level insert ignore into journalissuearticles values(p= .009, p= .031, p= .008, respectively);. The assessment of the duration of referral for ERCP revealed that the median duration of referral was statistically significantly longer in patients with an insufficient HL level insert ignore into journalissuearticles values(p< .001);. The median duration of cannulation during ERCP was statistically higher in patients with an insufficient HL level insert ignore into journalissuearticles values(p= .002);. Conclusions: The level of Health Literacy affects the early diagnosis and the success of the procedure in hepatopancreaticobiliary diseases that require ERCP.
Keywords : Health literacy, Ercp, endoscopy, hepatopancreaticobiliary system, early diagnosis