电子健康素养与中青年脑卒中患者健康行为的相关性分析  

Correlation between Electronic Health Literacy and Health Behaviors in Young and Middle-aged Stroke Patients

作　　者：戴春花 王雪[1] 曾杏梅[1] 徐鹏翔[2] 冯基高[2] DAI Chunhua;WANG Xue;ZENG Xingmei;XU Pengxiang;FENG Jigao(Department of Emergency Medicine,Hainan General Hospital,Haikou 570311,China;Department of Neurosurgery,the Second Affiliated Hospital of Hainan Medical University,Haikou 570216,China)

机构地区：[1]海南省人民医院急诊内科,海南省海口市570311 [2]海南医学院第二附属医院神经外科,海南省海口市570216

出　　处：《实用心脑肺血管病杂志》2020年第6期57-61,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：海南省自然科学基金面上项目(817332)。

摘　　要：背景近年来电子健康素养在慢性病患者的管理中受到广泛关注,但目前关于电子健康素养与中青年脑卒中患者健康行为关系的研究报道较少见。目的探讨电子健康素养与中青年脑卒中患者健康行为的相关性。方法选取2019年1—6月海南省人民医院、海南医学院第二附属医院收治的中青年脑卒中患者,分别采用一般情况调查表、健康促进生活方式量表Ⅱ(HPLPⅡ)、Barthel指数(BI)、电子健康素养量表(eHEALS)评价患者一般情况、健康行为、日常生活能力及电子健康素养,比较不同临床特征中青年脑卒中患者HPLPⅡ评分;电子健康素养与中青年脑卒中患者健康行为的相关性采用Pearson相关分析及多元线性回归分析。结果共发放166份问卷,回收有效问卷154份,有效回收率为92.8%。不同年龄、文化程度、月收入的中青年脑卒中患者HPLPⅡ评分比较,差异有统计学意义(P<0.05);不同性别、婚姻状况、付费方式、吸烟情况、饮酒情况、病变性质及是否首次脑卒中患者HPLPⅡ评分比较,差异无统计学意义(P>0.05)。Pearson相关分析结果显示,HPLPⅡ评分与中青年脑卒中患者BI评分(r=0.498)、eHEALS评分总分(r=0.518)及其应用(r=0.524)、评判(r=0.509)、决策(r=0.497)维度评分呈正相关(P<0.05)。多元线性回归分析结果显示,年龄、文化程度、月收入、BI评分及eHEALS评分与中青年脑卒中患者HPLPⅡ评分独立相关(P<0.05)。结论中青年脑卒中患者电子健康素养较差,健康行为水平为中等,且电子健康素养与中青年脑卒中患者健康行为独立相关。Background Electronic health(eHealth literacy)literacy has attracted extensive attention in the management for patients with chronic diseases in recent years,however there are few studies about relationship between eHealth literacy and health behaviors in young and middle-aged stroke patients.Objective To investigate the correlation between eHealth literacy and health behaviors in young and middle-aged stroke patients.Methods From January to June 2019,young and middle-aged stroke patients were selected in Hainan General Hospital and the Second Affiliated Hospital of Hainan Medical University,General Situation Questionnaire,Health Promotion Lifestyle Questionnaire Ⅱ(HPLPⅡ),Barthel Index(BI)and Electronic Health Literacy Scale(eHEALS)was used to evaluate the general situation,healthy behaviors,daily living ability and eHealth literacy,respectively,HPLP Ⅱ score was compared in patients with different clinical features;Pearson correlation analysis and multiple linear regression analysis were used to analyze the correlation between eHealth literacy and health behaviors in young and middle-aged stroke patients.Results A total of 166 questionnairs were given out,154 questionnairs were collected with a response rate of 92.8%.There was statistically significant difference in HPLP Ⅱ score in patients with different age,educational level and monthly income,respectively(P<0.05),while there was no significant difference in HPLPⅡscores in patients with different gender,marital status,payment methods,smoking status,drinking status or nature of lesions,with first attack of stroke or not(P>0.05).Pearson correlation analysis results showed that,HPLPⅡscore was positively correlated with BI score(r=0.498),total eHEALS score(r=0.518)and its each dimension including application score(r=0.524),evaluation score(r=0.509),decision-making score(r=0.497),respectively(P<0.05).Multiple linear regression analysis results showed that,age,education level,monthly income,BI score and eHEALS score were independently related to HPLP Ⅱ

关 键 词：卒中 中青年 电子健康素养 健康行为 

分 类 号：R743[医药卫生—神经病学与精神病学]