Status and influencing factors of medication literacy among Chinese caregivers of discharged children with Kawasaki disease

Abstract

BackgroundThe information on medication literacy among Chinese caregivers of discharged children with Kawasaki disease (KD) is unknown. We aimed to investigate the status of medication literacy among caregivers of discharged children with KD and evaluate the influencing factors of medication literacy.MethodsFrom March 2020 to February 2021, 106 caregivers with a KD child were recruited for the present study. We collected the sociodemographic characteristics of the KD caregivers using structured interviews. The medication literacy of the KD caregivers was assessed by the Chinese version of Medication Literacy Assessment. KD patients' demographic and clinical data were obtained from the medical records. The multiple logistic regression was performed to identify factors associated with medication literacy.Results(1) The average medication literacy score was 4.91 ± 1.51. (2) Most of the Chinese KD caregivers had insufficient medication literacy (≤ 5 scores), and only 39.2% of the caregivers had adequate medication literacy (>5 scores). (3) The multiple logistic regression shows that education level, monthly income, and duration of hospitalization are the independent influencing factors on the medication literacy of KD caregivers.ConclusionThere is preliminary evidence that medication literacy among KD caregivers is low and needs improvement. A higher level of education, higher income, and longer duration of hospitalization were influencing factors of adequate medication literacy.

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“…Major classical features of KD include fever, conjunctivitis, erythema of the lips, oral mucosa, changes in extremities, rash, and cervical lymphadenopathy. KD has been reported in more than 60 countries worldwide since first described in Japan in 1974 [ 2 ]. The incidence of KD is increasing, and the highest relative risk is in Asian children, especially in eastern Asia [ 3 ].…”