血液透析患者健康素养现状及其影响因素分析  

The current status and influencing factors of Health Literacy among hemodialysis patients

作　　者：田青[1] 姜亚芳[1] 向晶[2] 夏京华[3] TIAN Qing;JIANG Yafang;XIANG Jing;XIA Jinghua(School of Nursing, Chinese Academy of Medical Sciences ＆ Peking Union Medical College, Beijing, 100144, China)

机构地区：[1]北京协和医学院护理学院,北京市100144 [2]解放军总医院肾科 [3]北京协和医院血液净化中心

出　　处：《中国护理管理》2018年第4期492-496,共5页Chinese Nursing Management

摘　　要：目的:调查血液透析患者健康素养现状并分析其影响因素。方法:采用血液透析健康素养问卷、慢性病自我效能量表、社会支持评定量表,便利抽取在北京市4家三级综合医院血液净化中心进行血液透析的患者253例进行调查。结果:血液透析患者健康素养得分为(20.48±3.25)分,其中75例患者(29.6%)的健康素养水平有限;自我效能(7.17±1.75)分,社会支持(35.32±7.82)分;多元回归分析显示年龄、自我效能、婚姻状况、文化程度、透析龄是血液透析患者健康素养的影响因素。结论:血液透析患者的健康素养较为满意,但批判性健康素养仍有待进一步提高,应根据不同的影响因素采取更有针对性的措施去提高患者的健康素养。Objective： To explore the current status and influencing factors of Health Literacy among hemodialysis （HD） patients. Methods： A convenience sample of 253 lid patients was recruited from the blood purification centers of four tertiary general hospital in Beijing, and investigated with Hemodialysis Health Literacy Questionnaire, Chronic Self-efficacy Scale, and Social Support Rating Scale. Results： The mean score of Health Literacy was （20.48±3.25） while about 75（29.6%） patients had limited Health Literacy. The mean scores of self-efficacy and social support were （7.17±1.75） and （35.32±7.82）, respectively. Multiple linear regression indicated that age, self-efficacy, marriage, education, and dialysis duration were the main influencing factors of Health Literacy. Conclusion： The Health Literacy among hemodialysis patients is satisfactory, but we still need to improve their critical Health Literacy. More targeted measures should be taken to enhence the Health Literacy of the patients according to the different influencing factors.

关 键 词：血液透析 健康素养 自我效能 社会支持 

分 类 号：R47[医药卫生—护理学]