社区脑卒中高危人群健康素养的潜在剖面分析及其影响因素研究  

Latent Profile Analysis and Influencing Factors of Health Literacy Among Community-Dwelling High-Risk Groups for Stroke

作　　者：谢艳 何春渝[1] 张坤 陈文博[1] 郑思婷 周均 Xie Yan;He Chunyu;Zhang Kun;Chen Wenbo;Zheng Siting;Zhou Jun(School of Nursing,Chengdu Medical College,Chengdu 610500,China;Department of Infectious Diseases,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;Department of Nursing,The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China;Anesthesia Surgery Center,Sichuan Provincial Maternity and Child Health Care Hospital,Chengdu 610031,China;Department of General Medicine,The People's Hospital of Leshan,Leshan 614000,China)

机构地区：[1]成都医学院护理学院,成都610500 [2]成都医学院第一附属医院感染科,成都610500 [3]成都医学院第一附属医院护理部,成都610500 [4]四川省妇幼保健院麻醉手术中心,成都610031 [5]四川省乐山市人民医院全科医疗科,乐山614000

出　　处：《成都医学院学报》2025年第1期154-157,共4页Journal of Chengdu Medical College

基　　金：四川省基层卫生事业发展研究中心科研项目(No:SWFZ21-Z-04)。

摘　　要：目的分析社区脑卒中高危人群健康素养的潜在类别,并探索不同类别的影响因素。方法采用便利抽样法,选取2023年3-10月于成都市4个社区卫生服务中心招募的356例脑卒中高危居民为研究对象,收集居民一般资料并通过脑卒中防治知识问卷、慢性病患者健康素养调查量表进行调查,采用Mplus 8.0软件对社区脑卒中高危人群健康素养进行潜在剖面分析,并通过单因素分析和Logistic回归分析相关影响因素。结果社区脑卒中高危人群健康素养分为3个类别:低素养-低意愿(5.70%)、中等素养(66.61%)和高素养-高互动(27.69%)。Logistic回归分析结果显示,脑卒中知识、年龄、超重、运动缺乏、吸烟是社区脑卒中高危人群健康素养潜在剖面的影响因素(P<0.05)。结论脑卒中高危人群健康素养存在异质性,且受脑卒中知识、年龄、运动缺乏等因素影响。Objective To analyze the latent categories of health literacy among community-dwelling high-risk groups for stroke,and to explore the influencing factors of different categories.Methods A total of 356 residents at high-risk for stroke in four community health service centers in Chengdu were from March to October 2023 selected as the research subjects by convenience sampling method.The general data of the residents were collected.The relevant status was investigated using the questionnaire on stroke prevention and treatment knowledge and the Health Literacy Management Scale(HeLMS)for patients with chronic diseases.Latent profile analysis of health literacy among community-dwelling high-risk groups for stroke was conducted using Mplus 8.0 software.Univariate analysis and Logistic regression analysis were utilized to identify the relevant influencing factors of each category.Results The health literacy among the community-dwelling population at high risk for stroke was classified into 3 categories:low literacy-low willingness group(5.70%),medium literacy group(66.61%),and high literacy-high interaction group(27.69%).The results of multivariate Logistic regression analysis showed that stroke knowledge,age,overweight,lack of exercise and smoking were the factors influencing the latent profiles of health literacy among community-dwelling population at high risk for stroke(P<0.05).Conclusion The health literacy among community-dwelling high-risk groups for stroke presents a heterogeneous diversity,which is influenced by factors such as stroke knowledge,age,and lack of exercise.

关 键 词：社区 脑卒中 高危人群 健康素养 潜在剖面分析 影响因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]