空巢老年慢性阻塞性肺气肿病人健康素养与健康服务利用的关系  

Relationship between health literacy and health service utilization of empty nester elderly with chronic obstructive emphysema

作　　者：芦洋洋[1] 李慧[1] 赵楠[1] 

机构地区：[1]哈尔滨医科大学附属第一医院

出　　处：《护理研究（上旬版）》2016年第10期3511-3514,共4页Chinese Nursing Researsh

基　　金：国家临床重点专科建设项目;编号:2012-649

摘　　要：[目的]研究空巢老年慢性阻塞性肺气肿病人健康素养与健康服务利用的关系。[方法]选择2014年3月—2015年12月在我院收治的空巢老年慢性阻塞性肺气肿病人,发放健康素养量表和一般状况调查表331份,回收有效问卷317份。采用单因素分析法对空巢老年慢性阻塞性肺气肿病人的健康素养与社会人口学特征和健康服务利用的关系,采用多元线性回归分析健康素养的影响因素。[结果]不同年龄、性别、族别、教育水平、曾经从事职业、婚姻状况、家庭人口数、家庭人均月收入在空巢老年慢性阻塞性肺气肿病人健康素养得分上差异均有统计学意义(P<0.05);在健康服务利用中,距离上次体检时间、健康教育在空巢老年慢性阻塞性肺气肿病人健康素养得分上差异有统计学意义(P<0.05);民族、曾经/现在从事职业、文化程度、健康教育、距离上次体检时间是健康素养的独立影响因素。[结论]健康素养对空巢老年慢性阻塞性肺气肿病人的健康服务利用有一定影响,应通过健康教育提高病人的健康素养水平。Objective To study the relationship between health literacy and health service utilization of empty nester elderly with chronic obstructive emphysema. Methods： A total of 331 empty nester elderly with chronic obstructive emphysema were selected in our hospital from March 2014 to December 2015 by Health Literacy Scale and General Condition Questionnaire. Single factor analysis was used to investigate the relationship between patients＇ health literacy, social demographic characteristics and utilization of health services ; Multiple linear regression was used to analyze the influencing factors of health literacy. Results： Sociodemographic characteristics of single factor analysis showed that the health literacy scores of different age,genders,race, level of education, engaged occupation, marital status, family number, and the average monthly household income in empty nester with chronic obstructive emphysema had statistically significant differences（P〈0. 05） ; in the utilization of health services,the health literacy scores of the time since the last examination and health education had statistical significant differences（P〈0. 05） ; ethnic, once/now engaged in occupation, education level, health education, and the time since the last examination were the independent risk factors for health literacy. Conclusion： Health literacy had a certain influence on health service utilization of empty nester elderly with chronic obstructive emphysema. Health literacy level of patients could be improved by strengthening health education for them.

关 键 词：健康素养 空巢老年人 慢性阻塞性肺气肿 健康服务 利用 

分 类 号：R473.5[医药卫生—护理学]