1型糖尿病患儿照顾者电子健康素养现状及其影响因素研究  

Research on the status and influencing factors of e-health literacy of caregivers of children with type 1 diabetes

作　　者：于健 王玉冰[2] 王洪[1] 周美景 徐晶晶[1] 林征[1,3] YU Jian;WANG Yubing;WANG Hong;ZHOU Meijing;XU Jingjing;LIN Zheng(The First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,Jiangsu,China;Children's Hospital of Nanjing Medical University,Nanjing 210008,Jiangsu,China;School of Nursing,Nanjing Medical University,Nanjing 211103,Jiangsu,China)

机构地区：[1]南京医科大学第一附属医院,江苏南京210029 [2]南京医科大学附属儿童医院,江苏南京210008 [3]南京医科大学护理学院,江苏南京211103

出　　处：《护士进修杂志》2024年第5期524-528,共5页Journal of Nurses Training

基　　金：江苏省科教能力提升工程(编号:ZDXK202202);南京医科大学内涵建设专项护理学优势学科资助;江苏省人民医院临床能力提升工程(编号:JSPH-NC-2021-27)。

摘　　要：目的了解1型糖尿病(T1DM)患儿照顾者电子健康资源使用偏好,调查照顾者电子健康素养水平并分析其影响因素,以期为临床制定针对性互联网+干预方案提供指导。方法采用便利抽样法,纳入2022年1-9月在南京某三甲综合医院及三甲儿童医院内分泌科就诊的181名T1DM患儿照顾者,采用自制问卷及中文版电子健康素养量表对照顾者日常网络健康资源使用行为偏好及其电子健康素养进行调查,并分析其影响因素。结果仅66名(36.46%)照顾者电子健康素养量表得分合格,量表总均分为(29.47±4.88)分。其中,决策能力维度得分最低,为(3.54±0.76分)。179名(98.90%)照顾者表示自己常用的电子健康信息查阅工具为智能手机,倾向于在疾病相关官方网站寻求健康信息者较少(16.6%),仅有68名(37.6%)照顾者表示常用在线医疗咨询/远程指导类电子健康资源服务类型。多元线性回归分析结果显示:照顾者年龄(95%CI:-3.672~-0.75,P=0.003)、常用的电子健康信息查阅工具种类(95%CI:0.056~2.304,P=0.040)、常用的电子健康信息查阅渠道种类(95%CI:0.147~1.639,P=0.019)是其电子健康素养的影响因素。结论T1DM患儿主要照顾者电子健康素养水平有待进一步提升,在明确照顾者电子健康使用偏好基础上,进一步基于电子健康素养水平的分级干预方案或可充分发挥互联网+慢病管理干预措施在患儿疾病管理中的作用。Objective To understand the health information-seeking preferences of caregivers of children with type 1 diabetes mellitus(T1DM),investigate the level of their e-health literacy,and analyze the influencing factors,so as to guide the clinical development of targeted internet+intervention programs.Methods A total of 181 caregivers of children with T1DM who visited the department of endocrinology in a Class 3 Grade A general hospital and a Class 3 Grade A children's hospital in Nanjing from January to September 2022 were included by convenience sampling method.The self-designed questionnaire and the Chinese version of the e-Health Literacy Scale(eHEALS)were used to investigate the caregivers'daily online health information-seeking behavior preference and e-health literacy,and the influencing factors were analyzed.Results Only 66(36.46%)caregivers qualified for the eHEALS,and the total score of eHEALS was(29.47±4.88)points,among which the dimension of the decision-making ability scored the lowest,which was(3.54±0.76)points.A total of 179(98.90%)caregivers indicated that their common e-health information consulting tool was the smartphones,fewer(16.6%)caregivers tended to seek health information on disease-related official websites,and only 68 caregivers(37.6%)reported using online medical consultation or remote guidance services.The results of multiple linear regression analysis showed that the age of caregivers(95%CI was from-3.672 to-0.75,P=0.003),the types of commonly used tools for seeking e-health information(95%CI was from 0.056 to 2.304,P=0.040),and the types of commonly used channels for seeking e-health information(95%CI was was from 0.147 to 1.639,P=0.019)were the influencing factors of e-health literacy.Conclusion The e-health literacy level of primary caregivers of children with T1DM needs to be further improved.Based on clarifying the caregivers'preferences for e-health use,further hierarchical intervention schemes on the basis of the e-health literacy level may give full play to the role of internet+c

关 键 词：1型糖尿病 照顾者 电子健康素养 互联网+ 疾病管理 

分 类 号：R473.58[医药卫生—护理学] R725.8[医药卫生—临床医学]