儿童肿瘤患者照顾者健康素养与互联网健康信息搜索的关系研究  

The Relationship between Health Literacy and Online Health Information Search among Caregivers of Pediatric Oncology Children

作　　者：苏军 王佳敏 孙晓杰 SU Jun;WANG Jiamin;SUN Xiaojie(Center for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China;NHC Key Laboratory of Health Economics and Policy Research(Shandong University),Jinan 250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东省济南市250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东省济南市250012

出　　处：《中国全科医学》2025年第10期1207-1212,共6页Chinese General Practice

摘　　要：背景肿瘤是儿童死亡的第二大原因。儿童肿瘤患者照顾者的健康素养水平不仅影响其互联网健康信息搜索的能力,还对患儿的健康结局有一定的影响,较少有研究探讨儿童肿瘤患者照顾者健康素养与互联网健康信息搜索的关系。目的探究儿童肿瘤患者照顾者健康素养与互联网健康信息搜索的关系,并分析影响照顾者互联网健康信息搜索的因素。方法于2021年5—8月在山东省三家医院采用目的抽样、2022年6—8月通过深圳市恒晖公益基金会在广东省采用整群抽样和滚雪球抽样法选取424名儿童肿瘤患者照顾者为研究对象。采用基本特征调查表、健康素养问卷进行调查,通过照顾者的主观回答确认是否进行互联网健康信息搜索。采用点二列相关分析检验儿童肿瘤患者照顾者健康素养与互联网健康信息搜索的相关性;采用二元Logistic回归(基于最大似然估计的向前逐步回归)分析儿童肿瘤患者照顾者互联网健康信息搜索的影响因素。结果儿童肿瘤患者照顾者健康素养在“感受到医务保健人员的理解和支持”“对健康信息的评估”“与医务保健人员积极互动的能力”“足够了解健康信息并知道该怎么去做”4个维度的得分分别为(2.60±0.30)(2.76±0.34)(3.91±0.32)(4.07±0.30)分;高健康素养比例分别为56.13%、63.21%、62.97%、35.61%;“感受到医务保健人员的理解和支持”维度得分与互联网健康信息搜索呈负相关(r=-0.161,P<0.01),“足够了解健康信息并知道该怎么去做”维度得分与互联网健康信息搜索呈正相关(P<0.05)。受教育程度为初中、高中/中专、大学/大专及以上,独生子女家庭,“对健康信息的评估”“与医务保健人员积极互动的能力”是照顾者进行互联网健康信息搜索的促进因素(P<0.05);“感受到医务保健人员的理解和支持”是照顾者进行互联网健康信息搜索的阻碍因素(P<0.Background Cancer is the second leading cause of death among children.The level of health literacy of caregivers of pediatric oncology patients not only affects their ability to search for health information on the Internet,but also has an impact on the health outcomes of patients.There is a lack of study exploring the relationship between health literacy and online health information search among caregivers of pediatric oncology patients.Objective To explore the relationship between health literacy and online health information search among caregivers of pediatric oncology patients and to analyze the factors that influence caregivers'online health information search.Methods A total of 424 caregivers of pediatric oncology patients were included in the study using purposive sampling in three hospitals in Shandong Province from May to August 2021,as well as whole cluster sampling and snowball sampling in Guangdong Province through Shenzhen HengHui Public Welfare Foundation from June to August 2022 as subjects.The survey was conducted using the basic characteristics questionnaire and the health literacy questionnaire,and subjective answers from caregivers were used to confirm whether online health information searches were done.Point two-column correlation analysis was used to test the correlation between health literacy and online health information search among caregivers of pediatric oncology patients;binary Logistic regression(forward stepwise regression based on maximum likelihood estimation)was used to analyze the influencing factors of online health information search among caregivers of pediatric oncology patients.Results The health literacy scores of caregivers of pediatric oncology patients were(2.60±0.30)(2.76±0.30)(2.76±0.30),and(2.76±0.30)for the four dimensions of"Perceived understanding and support from healthcare professionals""Evaluation of health information""Ability to interact with healthcare professionals",and"Know enough about health information to know what to do",respectively;the proporti

关 键 词：肿瘤 儿童 照顾者 健康素养 互联网健康信息搜索 相关性研究 

分 类 号：R739[医药卫生—肿瘤]