心血管疾病患者电子健康素养的范围综述  

E-health literacy for patients with cardiovascular disease:a scoping review

作　　者：王倩 张敬颖 欧敏行 赵晶晶 张秀杰[1] Wang Qian;Zhang Jingying;Ou Minxing;Zhao Jingjing;Zhang Xiujie(Department of Heart Failure and Hypertension,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,China;First Department of Thoracic Surgery,Ambulatory Surgery Center,the First Afiliated Hospital of Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学附属第一医院心力衰竭与高血压科,大连116011 [2]大连医科大学附属第一医院胸外一科、日间手术中心,大连116011

出　　处：《中华现代护理杂志》2025年第12期1657-1664,共8页Chinese Journal of Modern Nursing

基　　金：中国博士后科学基金面上资助项目(2023MD734243);辽宁省科学技术厅博士科研启动基金计划项目(2022-BS-255)。

摘　　要：目的对心血管疾病患者电子健康素养的研究进行范围审查,梳理电子健康素养的概念、评估工具、影响因素及干预措施4个方面,以期为今后研究与实践提供参考。方法基于Arksey和O'Malley的范围综述报告框架,系统检索PubMed、Web of Science、Embase、Cochrane Library、CINAHL、中国知网、维普网、万方数据库和中国生物医学文献数据库中与心血管疾病患者电子健康素养的相关文献,检索时限均为建库至2024年5月3日。对文献进行筛选、汇总和分析。结果最终纳入23篇文献。其中电子健康素养相关概念及理论框架各有侧重点,但尚未达成共识;评估心血管疾病患者电子健康素养最常用的工具是电子健康素养量表;其影响因素包括人口社会学和疾病相关因素、心理认知因素、电子健康素养相关知识和技能以及其他因素4个方面;提高心血管疾病患者电子健康素养的干预措施主要包括电子健康素养培训和使用门户网站相关数字工具箱。结论目前尚无适用于心血管疾病患者电子健康素养的特异性评估工具,未来需根据心血管疾病患者的人群特点和文化背景来修正和完善电子健康素养的评估工具。同时,心血管疾病患者电子健康素养处于中等偏下水平,并受多重因素影响,未来可通过大样本横断面研究或纵向研究等深入剖析其影响因素,进而在家庭或社区中借助多媒体、应用程序等构建形式多样的干预方案,以期提高心血管疾病患者电子健康素养水平。Objective To carry out a scoping review on eHealth literacy in patients with cardiovascular disease to sort out eHealth literacy from four aspects of concepts,assessment tools,influencing factors and interventions,with a view to informing future research and practice.Methods Based on Arksey and O Malley's framework for reporting scoping reviews,the literature on eHealth literacy in patients with cardiovascular disease was systematically searched in PubMed,Web of Science,Embase,Cochrane Library,CINAHL,China National Knowledge Infrastructure,VIP,Wanfang Data,and China Biomedical Database.The search period was from database establishment to May 3,2024.Literature was screened,summarized and analyzed.Results A total of 23 papers were included.The concepts and theoretical frameworks on eHealth literacy had their own focus,but no consensus was reached.The most commonly used tool to assess eHealth literacy in patients with cardiovascular disease was the eHealth Literacy Scale.The influencing factors included four aspects of demographic sociological and disease-related factors,psycho-cognitive factors,eHealth literacy knowledge and skills,and other factors.Interventions to improve eHealth literacy among patients with cardiovascular disease primarily included eHealth literacy training and use of portal-related digital toolkit.Conclusions Currently there is no specific assessment tool for eHealth literacy for cardiovascular disease patients.In the future,eHealth literacy assessment tools need to be revised and improved according to the population characteristics and cultural background of cardiovascular disease patients.E-health literacy among patients with cardiovascular disease is at a moderately low level and is influenced by multiple factors.The influencing factors can be analyzed in depth through large-sample cross-sectional studies or longitudinal studies,and then a variety of intervention programs can be constructed at home or in the community with the help of multimedia and apps,with a view to improving the e-health

关 键 词：综述 电子健康素养 心血管疾病 影响因素 

分 类 号：R473.5[医药卫生—护理学]