护理专业女生电子健康素养社会支持与抑郁症状的关联  

Association of e-health literacy and social support with depressive symptoms among female nursing students

作　　者：解超英 李少杰 胡江英 XIE Chaoying;LI Shaojie;HU Jiangying(Department of Nursing,Changsha First Hospital,Changsha(410005),China;不详)

机构地区：[1]湖南省长沙市第一医院护理部,长沙410005 [2]中南大学湘雅公共卫生学院 [3]长沙市第一医院神经内科

出　　处：《中国学校卫生》2020年第5期716-719,共4页Chinese Journal of School Health

摘　　要：目的探讨护理专业女生电子健康素养和社会支持与抑郁症状的关联,为提高护理专业女生心理健康水平提供参考。方法 2019年11月,采用电子健康素养量表、领悟社会支持量表、流调中心抑郁量表、社会人口学信息调查表,对多阶段整群抽取的长沙市4所医学院校大一至大三年级1 115名护理专业女生进行调查。结果护理专业女生抑郁症状的检出率为20.1%(224/1 115),电子健康素养合格率为29.2%(326/1 115)。生源地为城镇、父/母受教育程度为高中及以上、家庭经济状况较差的护理专业女生抑郁症状检出率较高(χ2值分别为9.46,20.02,7.16,12.40,P值均<0.05)。多因素Logistic回归分析显示,电子健康素养不合格和低社会支持均与护理专业女生抑郁症状呈正关联(OR值分别为3.16,3.65,P值均<0.05)。电子健康素养和社会支持的交互作用与抑郁症状之间的相关有统计学意义,相同社会支持情况下,电子健康素养不合格,护理专业女生抑郁症状发生风险大(P值均<0.05)。结论电子健康素养和社会支持是护理专业女生抑郁症状的影响因素。提高电子健康素养水平和社会支持有助于降低抑郁症状的发生。Objective To explore the relationship between e Health literacy and social support and depressive symptoms in female nursing students, and to provide a reference for improving the mental health of female nursing students. Methods In November 2019, 1 115 female nursing students from freshmen to junior years in four medical colleges in Changsha were investigated e Health Literacy Scale, Perceived Social Support Scale, Center for Epidemiological Studies Depression Scales and demographic information questionnaire. Results The detection rate of depressive symptoms in female nursing students was 20.1%( 224/1 115),and the qualification rate of e Health literacy was 29.2%( 326/1 115). The incidence of depressive symptoms were higher in female nursing students with urban household registration and their parents with high school education and above and poor family economic status( χ2= 9.46, 20.02, 7.16, 12.40, P<0.05). Multivariate Logistic regression analysis showed that poor e Health literacy and low social support were positively correlated with depressive symptoms in female nursing students( OR = 3.16, 3.65, P < 0.05). There was a correlation between the interaction of e Health literacy and social support with depressive symptoms. In the same type of social support, the lower e Health literacy level, the greater the risk of depressive symptoms was for female nursing students( P < 0. 05).Conclusion Health literacy and social support are the influencing factors of depressive symptoms in female nursing students. The occurrence of depressive symptoms can be reduced by improving the level of electronic health literacy and social support.

关 键 词：因特网 健康教育 社会支持 抑郁 精神卫生 回归分析 学生 

分 类 号：R193[医药卫生—卫生事业管理] G444[医药卫生—公共卫生与预防医学]