糖尿病患者电子健康素养和心理性胰岛素抵抗的相关性  

Correlation analysis of electronic health literacy and psychological insulin resistance in diabetic patients

作　　者：郑彩霞 王静[2] 杨杰 代哲 ZHENG Caixia;WANG Jing;YANG Jie;DAI Zhe(School of Nursing,Anhui University of Traditional Chinese Medicine,Hefei 2300122,China;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230601,China)

机构地区：[1]安徽中医药大学护理学院,合肥230012 [2]安徽中医药大学第一附属医院,合肥230601

出　　处：《济宁医学院学报》2022年第6期400-404,409,共6页Journal of Jining Medical University

基　　金：安徽省高等学校省级课程思政建设研究项目(2020kcszyjxm146)。

摘　　要：目的了解糖尿病患者电子健康素养及心理性胰岛素抵抗现状,并分析二者的相关性。方法2021年10月-12月,采用一般资料调查表、电子健康素养量表(eHEALS)和胰岛素治疗评估量表(ITAS)对安徽省某三甲医院内分泌科的130例糖尿病住院患者进行调查分析。结果130例糖尿病患者的电子健康素养平均得分(19.92±7.17)分,心理性胰岛素抵抗平均得分(52.12±12.63)分。性别、人均月收入、文化程度、工作状况、用药方式、是否使用网络查找疾病相关信息是心理性胰岛素抵抗的主要影响因素(均P<0.05)。Pearson相关分析结果表明,电子健康素养与心理性胰岛素抵抗呈负相关(r=-0.224,P<0.05)。多元线性回归分析结果显示,人均月收入、用药方式和网络健康信息与服务的应用能力能够预测心理性胰岛素抵抗总变异的30.8%(F=20.116,P<0.01)。结论电子健康素养与心理性胰岛素抵抗呈负相关,医护人员应加强对高质量健康网站的宣传和糖尿病健康知识的共享,以此来提高糖尿病患者的电子健康素养水平,降低患者的心理性胰岛素抵抗。Objective To investigate the current status of electronic health literacy and psychological insulin resistance in diabetic patients,and to analyze their correlation and influencing factors.Methods From Oct.to Dec.2021,130 diabetic inpatients in the endocrinology department of a tertiary hospital in Anhui Province were investigated and analyzed by using the general information questionnaire,electronic health literacy scale(eHEALS)and insulin treatment assessment scale(ITAS).Results The mean score of electronic health literacy of 130 diabetic patients was 19.92±7.17,and the mean score of psychological insulin resistance was 52.12±12.63.Gender,per capita monthly income,educational level,work status,drug use,and whether to use the Internet to find disease-related information were the main influencing factors of psychological insulin resistance(all P<0.05).The results of Pearson correlation analysis showed that electronic health literacy was significantly negatively correlated with psychological insulin resistance(r=-0.224,P<0.05).The results of multiple linear regression analysis showed that per capita monthly income,medication mode and application ability of online health information and services could predict 30.8%of the total variance of psychological insulin resistance(F=20.116,P<0.01).Conclusion Electronic health literacy is negatively correlated with psychological insulin resistance.Medical staff should strengthen the publicity of high-quality health websites and the sharing of diabetes health knowledge,so as to improve the electronic health literacy level of diabetic patients and reduce the psychological insulin resistance of patients.

关 键 词：糖尿病 电子健康素养 心理性胰岛素抵抗 相关性分析 

分 类 号：R473.5[医药卫生—护理学]