健康信息素养对经皮冠状动脉介入术后患者护理知识获取行为的影响分析  

Analysis of influence of health information literacy on nursing knowledge acquisition behavior of patients after percutaneous coronary intervention operation Liang

作　　者：梁青龙[1] 冯琳[1] 赵昌莉[1] 刘然[1] 穆庆海 王咏梅[1] 

机构地区：[1]贵州省人民医院心内科导管室,贵阳550001

出　　处：《中国实用护理杂志》2017年第34期2665-2669,共5页Chinese Journal of Practical Nursing

摘　　要：目的 调查经皮冠状动脉介入治疗（PCI）术后患者的健康信息素养（HIL）情况并探讨其对患者护理知识获取行为的影响.方法 选择心内科治疗的230例PCI术后患者,采用一般资料调查表、2012年全国居民健康素养监测调查问卷-HIL部分及护理知识获取行为调查表进行问卷调查.结果 本次调查共计回收230份问卷,其中有效问卷216份,PCI术后患者的HIL具备水平为24.1％（52/216）,不同年龄、居住地区及文化程度的HIL具备水平差异有统计学意义（χ2=10.577、12.657、37.693,P〈0.05）;具备HIL患者在护理知识需求维度中PCI术后锻炼方法、PCI治疗机制的得分,在医务人员、书籍、网络及讲座的护理知识来源得分依次为（3.40±0.85）、（3.35±0.71）、（3.37±0.82）、（3.75±0.74）、（3.54±0.75）、（3.71±0.82）分,明显高于非具备HIL患者的（2.38±0.71）、（2.40±0.76）、（2.34±0.71）、（2.48±0.75）、（2.45±0.72）、（2.43±0.78）分,差异有统计学意义（t=-5.657～9.000,P〈0.05）;具备HIL患者在冠心病症状、PCI术后并发症和冠心病发病原因的护理知识需求得分,在报纸、电视、广播、亲属的护理知识来源得分,以及在文化水平低、不理解专业术语、互联网知识缺乏的护理知识获取障碍得分依次为（2.37±0.82）、（2.63±0.89）、（2.42±0.82）、（2.37±0.79）、（2.50±0.67）、（2.48±0.67）、（2.46±0.64）、（2.46±0.85）、（2.54±0.87）、（2.63±0.69）分,明显低于非具备HIL患者的（3.43±0.78）、（3.38±0.76）、（3.45±0.74）、（3.49±0.77）、（3.32±0.81）、（3.41±0.77）、（3.34±0.83）、（3.46±0.70）、（3.43±0.74）、（3.41±0.75）分,差异有统计学意义（t=-5.657～4.690,P〈0.05）.结论 PCI术后患者的HIL具备水平相对较低,不同HIL水平的护理知识获取行为有所差异.Objective To investigate the health information literacy （HIL） conditions of patients after percutaneous coronary intervention （PCI） operation and to discuss the influence of HIL on the nursing knowledge acquisition behavior of the patients. Methods A total of 230 postoperative PCI patients who accepted treatment in Cardiology Department of our hospital were selected. General information questionnaire, 2012 National Residents Health Literacy Supervision Investigation Questionnaire-HIL part and nursing knowledge acquisition behavior questionnaire were adopted. Results In this investigation, 230 questionnaires were recovered and 216 of them were effective. HIL level of PCI postoperative patients was 24.1% （52/216）. Differences in HIL levels of patients of different ages, residential areas and educational degrees were of statistical significance （χ2=10.577, 12.657, 37.693, P〈0.05）. The scores of PCI postoperative exercise method and item analysis of PCI therapy institution and nursing knowledge obtained from medical care personnel, books, Internet and speeches in patients with HIL were 3.40±0.85, 3.35 ± 0.71, 3.37 ± 0.82, 3.75 ± 0.74, 3.54 ± 0.75 and 3.71 ± 0.82. They were significantly higher than the scores of 2.38±0.71, 2.40±0.76, 2.34±0.71, 2.48±0.75, 2.45±0.72 and 2.43±0.78 in the non HIL patients （t=6.657-9.000, P〈0.05）. The scores of nursing knowledge in coronary heart disease symptoms, PCI postoperative complications and aetiological agent of coronary heart disease,nursing knowledge sources of newspapers, TV and radio, relatives, and nursing knowledge acquisition barriers due to low educational level, incomprehension of terminology and lack of Internet knowledge of the patients with HIL were 2.37± 0.82, 2.63 ± 0.89, 2.42 ± 0.82, 2.37 ± 0.79, 2.50 ± 0.67, 2.48 ± 0.67, 2.46 ± 0.64, 2.46 ± 0.85, 2.54 ± 0.87 and 2.63±0.69. They were significantly lower than the scores of 3.43±0.78, 3.38±0.76, 3.45±0.74, 3.49±0.77, 3.32 ± 0.81, 3.41 ± 0.77 and 3.34 ± 0.83, 3.4

关 键 词：经皮冠状动脉介入治疗 健康信息素养 护理知识 获取行为 

分 类 号：R473.5[医药卫生—护理学]