类风湿关节炎患者数字健康素养现状及影响因素  

The status quo and influencing factors of digital health literacy in patients with rheumatoid arthritis

作　　者：唐玉萍[1] 张洁玉[1] 周苗苗 冯淑芬[1] 高飞[1] 石磊[1] TANG Yuping;ZHANG Jieyu;ZHOU Miaomiao;FENG Shufen;GAO Fei;SHI Lei(Department of Rheumatology and Immunology,Second Hospital of Shanxi Medical University,Shanxi,Taiyuan 030001,China)

机构地区：[1]山西医科大学第二医院风湿免疫科,山西太原030001

出　　处：《中国医药科学》2023年第6期16-19,29,共5页China Medicine And Pharmacy

基　　金：山西省自然科学研究面上项目(20210302123281);山西医科大学第二医院科研项目护理基金(202004-3);山西医科大学第二医院科研项目博士基金(202001-4);山西医科大学第二医院科研项目教学基金(202203-4)。

摘　　要：目的调查类风湿关节炎(RA)患者数字健康素养现状,并分析其影响因素。方法采用便利抽样法,选取2021年3月至2022年3月在山西医科大学第二医院风湿免疫科就诊的362例RA患者为研究对象,采用一般资料调查表及数字健康素养量表进行问卷调查。结果RA患者数字健康素养平均得分为(21.78±8.08)分,其中,网络健康信息与服务的评判能力均分最低,为(2.71±1.07)分。单因素方差分析显示,不同年龄、婚姻状况、文化程度、居住地、月收入、经济状况、职业、使用网络获取信息频率、每天上网时间,是否参加体育锻炼、是否合并其他慢性病、是否会使用手机/电脑等设备上网的RA患者数字健康素养得分比较差异有统计学意义(P<0.05)。多元线性回归结果显示,文化程度高、每天上网时间3~4 h、经常使用网络获取疾病信息频率是RA患者数字健康素养水平的保护因素。结论RA患者数字健康素养水平偏低,应重点针对文化程度较低、每天上网时间较长、使用网络获取信息频率低的患者进行该病相关健康教育及促进工作,从而全面提升RA患者健康素养水平。Objective To investigate the status quo of digital health literacy of patients with rheumatoid arthritis(RA)and analyze the influencing factors.Methods The convenient sampling method was used to select 362 RA patients who visited the Department of Rheumatology and Immunology of the Second Hospital of Shanxi Medical University from March 2021 to March 2022 as the research objects.The general information questionnaire and the digital health literacy scale were used to conduct the questionnaire survey.Results The score of RA patients’digital health literacy was(21.78±8.08)points,and the average score of online health information and service judgement ability was the lowest,(2.71±1.07)points.Univariate analysis of variance shows that different age,marital status,educational level,residence,monthly income,economic status,occupation,Internet access frequency,online time per day,There were statistically significant differences in digital health literacy scores among RA patients who participated in physical exercise,had other chronic diseases,and used mobile phones/computers and other devices to surf the Internet(P<0.05).The results of multiple linear regression showed that high education level,3~4 hours of online time every day and frequent use of the Internet to obtain disease information were the protective factors of digital health literacy level of RA patients.Conclusion The level of digital health literacy of RA patients is low,and health education and promotion related to this disease should be focused on patients with low education level or those who spend long time surfing the Internet every day and infrequently surf the Internet to obtain information,so as to comprehensively improve the level of health literacy of RA pati ents.

关 键 词：类风湿关节炎 数字健康素养 影响因素 健康管理 

分 类 号：R473.5[医药卫生—护理学]