日间手术病房患者电子健康素养与自我健康管理能力和治疗参与度的相关性研究  

Relationship of e-Health literacy with self-health management ability and treatment participation of inpatients in day surgery ward

作　　者：高红梅[1] 侯善兵 李帮菊 刘欢 周志庆[4] 汪峰[5] GAO Hongmei;HOU Shanbing;LI Bangju;LIU Huan;ZHOU Zhiqing;WANG Feng(Day Surgery Ward,The First Affiliated Hospital of University of Science and Technology of China(Anhui Provincial Hospital),Hefei 233000,China;The First Affiliated Hospital of University of Science and Technology of China(South District of Anhui Provincial Hospital);Blood Purification Center,Yijishan Hospital,Wannan Medical College;Department of Nursing,Yijishan Hospital,Wannan Medical College;Party Committee Publicity Department,Wannan Medical College)

机构地区：[1]中国科学技术大学附属第一医院(安徽省立医院)日间手术病房,安徽合肥230000 [2]中国科学技术大学附属第一医院(安徽省立医院南区) [3]皖南医学院弋矶山医院血液净化中心 [4]皖南医学院弋矶山医院护理部 [5]皖南医学院党委宣传部

出　　处：《沈阳医学院学报》2022年第5期525-530,共6页Journal of Shenyang Medical College

基　　金：安徽省高等学校省级质量工程项目(No.2019szjy038);安徽省高等学校省级质量工程项目(No.2020jyxm2089)。

摘　　要：目的:了解日间手术病房住院患者电子健康素养与其自我健康管理能力和治疗参与度的相关性。方法:通过问卷星和发放纸质问卷调查的方式,对中国科学技术大学附属第一医院和皖南医学院弋矶山医院住院的500名日间手术病房患者进行问卷调查,回收有效问卷476份,有效回收率95.2%。采用多元线性回归方法分析影响日间手术病房住院患者电子健康素养的因素。Pearson相关分析用来分析电子健康素养与健康自我管理及治疗决策能力的相关性。结果:日间手术病房患者电子健康素养的平均得分为(27.72±8.51)分,电子健康素养合格率为23.74%。多元线性回归显示网络信息的态度、文化程度、自评住院前的心理状态、是否关注健康有关的公众号、是否有宗教信仰是日间手术病房患者的主要预测变量;Pearson相关分析显示,电子健康素养与健康自我管理及各维度均呈正相关(r=0.603~0.695,P<0.01);电子健康素养与治疗决策能力呈负相关(r=-0.406,P<0.01)。结论:日间手术病房患者电子健康素养得分及电子健康素养的合格率较低,日间手术病房患者的电子健康素养与自我健康管理能力呈正相关而与治疗决策能力呈负相关。Objective:To investigate the correlation between the e-Health literacy of inpatients in day surgery ward and their self-health management ability and treatment participation.Methods:Through questionnaire star and paper questionnaire survey,500 inpatients in day surgery ward from the First Affiliated Hospital of University of Science and Technology of China and Yijishan Hospital of Wannan Medical College were surveyed,and 476 valid questionnaires were collected,with an effective recovery rate of 95.2%.Multiple linear regression was used to analyze the factors affecting the e-Health literacy of inpatients in day surgery ward.Pearson correlation analysis was used to analyze the correlation of e-Health literacy with self-management and treatment decision-making ability.Results:The average score of e-Health literacy was 27.72±8.51.The qualified rate of e-Health literacy was 23.74%.Multiple linear regression showed that the attitude of network information,education,self-assessment of psychological state before hospitalization,whether to pay attention to health-related information,and whether to have religious belief were main predictors of e-Health literacy.Pearson correlation analysis showed that there was a strong positive correlation between e-Health literacy and self-health management(r=0.603-0.695,P<0.01)and a negative correlation between e-Health literacy and treatment decision-making ability(r=-0.406,P<0.01).Conclusion:The qualified rate and score of e-Health literacy of inpatients in day surgery ward are lower,and their e-Health literacy is positively correlated with self-health management ability and negatively correlated with treatment decision-making ability.

关 键 词：电子健康素养 住院患者 日间手术病房 健康管理能力 治疗参与度 

分 类 号：R473.5[医药卫生—护理学]