住院患者健康信息素养与医学健康教育需求现状分析  

Analysis of the current status of health information literacy of inpatients and its medical health education needs

作　　者：齐琼 潘莺燕 曾立云[2] 邱海玲[1] 杨超[1] 苏晚英 张斯齐 QI Qiong;PAN Yingyan;ZENG Liyun;QIU Hailing;YANG Chao;SU Wanying;ZHANG Siqi(Department of Orthopaedics Medical Center,People's Hospital of Hunan Provincial(The First Affiliated Hospital of Hunan Normal University),Changsha,410000,China)

机构地区：[1]湖南省人民医院(湖南师范大学附属第一医院)骨科医学中心,长沙市410000 [2]中南大学湘雅二医院护理教研室

出　　处：《中国护理管理》2024年第4期512-518,共7页Chinese Nursing Management

基　　金：湖南省卫生健康委科研计划项目(2022040072615)。

摘　　要：目的:调查住院患者健康信息素养现状及影响因素,并分析其对医学健康教育的需求,为制定适应社会信息化进程的健康教育策略提供参考。方法:采用便利抽样法,于2023年2月—3月使用一般资料调查表、健康信息素养量表、医学健康教育需求调查表对447名住院患者进行横断面调查。采用多元线性回归分析健康信息素养的影响因素,采用多重响应卡方拟合优度检验及交叉表卡方检验分析不同健康信息素养水平住院患者对医学健康教育需求的差异。结果:住院患者的健康信息素养总分为(103.58±18.06)分,健康信息认知维度得分率最高,健康信息获取维度得分率最低,文化程度、病程是其影响因素(P<0.05);住院患者对医学健康教育的需求度高,不同健康信息素养水平的患者对健康知识载体、健康教育讲座、健康知识推送方式、健康教育服务模式、健康教育时长的需求不同(P<0.05)。结论:住院患者健康信息素养处于中等水平,以信息化的医学健康教育需求为主,医务人员应关注文化程度低、病程长的住院患者,根据住院患者不同健康信息素养水平制定个性化方案,以开展精准的健康教育。Objective:To investigate the status of health information literacy of inpatients and its influencing factors,and analyze its medical health education needs.Methods:A cross-sectional survey was conducted among 447 inpatients with general data questionnaire,Health Information Literacy Self-Rating Scale and Medical Health Education Demand Questionnaire from February to March 2023 by convenience sampling method.Multiple linear regression was used to analyze the influencing factors of health information literacy,and multiple response chi-square goodness-of-fit test and cross-tabular chi-square test were used to analyze the differences in medical health education needs.Results:The total score of health information literacy of inpatients was 103.58±18.06,with the highest scoring rate of health cognition dimension and the lowest scoring rate of health information acquisition dimension.The education level and duration of disease were the main influencing factors of health information literacy(P<0.05).Inpatients had a high demand for medical health education.Inpatients with different levels of health information literacy had different demands for medical health knowledge carriers,medical health education lectures,health knowledge push modes,health education service modes,and health education duration(P<0.05).Conclusion:Inpatients'health information literacy is at a medium level,and the demand for information-based medical health education is the main one.Medical staff need to pay attention to inpatients with low education level and long course of disease,and formulate personalized scheme according to different health information literacy levels of inpatients to carry out accurate health education.

关 键 词：互联网 健康信息素养 住院患者 健康教育 

分 类 号：R47[医药卫生—护理学] R193.3[医药卫生—临床医学]