住院冠心病患者健康信息素养现状及影响因素研究

摘要
图/表
参考文献(23)
相关文章 (15)

全文:PDF(1911 KB)HTML(1 KB)
输出:BibTeX|EndNote(RIS)

摘要目的：了解住院冠心病患者的健康信息素养现状及影响因素。方法：随机抽样选取2022年10月―11月在岳阳市和长沙市某2所三甲医院符合纳排标准的401例住院冠心病患者为调查对象,采用一般资料调查问卷、简明健康测量量表和冠心病患者健康信息素养问卷进行现场调查。结果：住院冠心病病人健康信息素养总分为（65.11±10.13）分,其中,健康信息素养意识维度得分率最高,健康信息评价能力维度得分率最低;相关分析显示,冠心病患者健康信息素养总分与生活质量呈显著正相关;有序Logistic回归分析显示,心理健康、PCI术次数、文化程度、是否接受冠心病相关健康教育是患者健康信息素养水平的主要影响因素。结论：护理人员应重点关注文化程度低、首次行PCI术、未接受过冠心病相关教育的患者,为患者制定个性化的护理计划,有针对性地进行健康教育和心理指导,帮助患者克服障碍,提高其健康信息素养水平,改善住院冠心病患者的健康管理和康复。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	郑明香
	刘芳
	李喜红
	刘俊
	戴玲
	周建伟

关键词：冠心病,健康信息素养,生活质量,影响因素,相关性研究

Abstract：ObjectiveTo understand the status and influencing factors of health information literacy in hospitalized patients with coronary heart disease.MethodsFrom October to November 2022, 401 in-patients with coronary heart disease (CHD) who met the admission criteria in 2 top-three hospitals in Yueyang City and Changsha City were selected as the investigation objects by convenient sampling. General data questionnaire, concise health Measurement Scale and CHD health information literacy questionnaire were used for field investigation.ResultsThe total score of health information literacy of inpatients with CHD was (65.11±10.13), among which the score rate of health information literacy was the highest and the score rate of health information evaluation ability was the lowest. Correlation analysis showed that the total score of health information literacy in CHD patients was significantly positively correlated with quality of life. Ordered logistic regression analysis showed that mental health, PCI times, education level, whether to receive CHD related health education were the main influencing factors of health information literacy level of patients.ConclusionNursing staff should focus on patients with low education level, first-time PCI, and no CHD education, develop personalized nursing plans for patients, provide targeted health education and psychological guidance, help patients overcome obstacles, improve their health information literacy, and improve the health management and rehabilitation of hospitalized CHD patients.

Key words：coronary heart disease health information literacy quality of life influencing factors correlation study

收稿日期:2023-07-21

中图分类号:

R541.4

基金资助:湖南省卫生健康委科研基金（D202314018843）

通讯作者:周建伟,E-mail：zhoujw74@163.com

引用本文:

郑明香, 刘芳, 李喜红, 刘俊, 戴玲, 周建伟. 住院冠心病患者健康信息素养现状及影响因素研究[J]. 金宝搏官方188学报(医学版), 2023, 20(5): 154-160. ZHENG Mingxiang, LIU Fang, LI Xihong, LIU Jun, DAI Ling, ZHOU Jianwei. Status and influencing factors of health information literacy in hospitalized patients with coronary heart disease. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(5): 154-160.

链接本文:

http://yxb.hunnu.edu.cn/CN/或http://yxb.hunnu.edu.cn/CN/Y2023/V20/I5/154

[1] Roth GA, Mensah GA, Johnson CO, et al.Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study[J]. J Am Coll Cardiol, 2020, 76(25): 2982-3021.
[2] Francula-Zaninovic S, Nola IA.Management of Measurable Variable Cardiovascular Disease' Risk Factors[J]. Curr Cardiol Rev, 2018, 14(3): 153-163.
[3] Virani SS, Alonso A, Aparicio HJ, et al.Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association[J]. Circulation, 2021, 143(8): e254-e743.
[4] 中国心血管健康与疾病报告2020概要[J]. 中国循环杂志, 2021, 36(6): 521-545.
[5] 张京. 综合护理对老年冠心病患者心律失常生活质量的影响评价[J]. 中国药物与临床, 2021, 21(3): 520-522.
[6] 窦峥峥. 基于微信平台的二级预防措施对预防冠心病PCI术后不良事件的效果[J]. 当代护士 (上旬刊), 2021, 28(01): 57-59.
[7] Gulati R, Gersh BJ.Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Patients With Left Ventricular Dysfunction: Do We Have the Evidence?[J]. Circulation, 2016, 133(22): 2125-2127.
[8] 陈纪言, 陈韵岱, 韩雅玲, 等. 经皮冠状动脉介入治疗术后运动康复专家共识[J]. 中国介入心脏病学杂志, 2016, 24(7): 361-369.
[9] 张茜, 王子安, 吴佳芸, 等. 冠心病患者自我管理体验质性研究的Meta整合[J]. 中华现代护理杂志, 2022, 28(9): 1149-1157.
[10] Shipman JP, Kurtz-Rossi S, Funk CJ.The health information literacy research project[J]. J Med Libr Assoc, 2009, 97(4): 293-301.
[11] 王晓春, 王小燕, 朱艳霞. 中青年冠心病患者的健康信息素养及其对网络健康知识搜索行为的影响[J]. 临床与病理杂志, 2018, 38(02): 355-362.
[12] 国家卫生健康委员会. 中国卫生健康统计年鉴-2019[M]. 北京: 中国协和医科大学出版社, 2019.
[13] Tabolli S, Spagnoli A, di Pietro C, et al. Assessment of the health status of 2, 499 dermatological outpatients using the 12-item Medical Outcomes Study Short Form (SF-12) questionnaire[J]. Br J Dermatol, 2011, 165(6): 1190-1196.
[14] 王海棠, 寿涓, 任利民, 等. SF-12量表评价上海市社区老年人生命质量的信效度研究[J]. 中国全科医学, 2019, 22(9): 1057-1061.
[15] 刘芳, 周建伟. 冠心病患者健康信息素养问卷编制及信效度检验[J]. 金宝搏官方188学报 (医学版), 2023, 20(2): 170-176.
[16] 郑芝燕. 农村老年人健康信息素养现状与影响因素研究[D]. 武汉: 华中科技大学, 2021.
[17] Eriksson-Backa K, Ek S, Niemela R, et al.Health information literacy in everyday life: a study of Finns aged 65-79 years[J]. Health Informatics J, 2012, 18(2): 83-94.
[18] 马雪婷. 老年人健康信息素养现状及提升对策研究[D]. 太原: 山西大学, 2021.
[19] 周敏, 吴建军, 史路平. “互联网+”背景下老年人健康信息素养研究进展及启示[J]. 中国老年学杂志, 2020, 40(15): 3357-3359.
[20] Ek S, Heinstrom J.Monitoring or avoiding health information--the relation to inner inclination and health status[J]. Health Info Libr J, 2011, 28(3): 200-209.
[21] 张艺. 基于移动终端的中青年PCI术后患者健康信息素养干预效果研究[D]. 南昌: 南昌大学, 2022.
[22] 黄艳玲, 顾则娟, 孙国珍, 等. 慢性心力衰竭患者健康信息素养与自我管理行为及生活质量的相关性[J]. 实用临床医药杂志, 2022, 26(10): 105-110.
[23] 孟雅, 孙敏, 王娅, 等. 基于量化评估策略下的延续性护理对老年慢性病患者的用药安全、生活质量及自我管理能力的影响[J]. 现代中西医结合杂志, 2022, 31(19): 2738-2741.