无喉患者照护者电子健康素养水平现状及影响因素分析  

Current status of electronic health literacy of caregivers of total laryngectomy patients and its influencing factors

作　　者：徐菲 张才云 黄佳露 李珊 Xu Fei;Zhang Caiyun;Huang Jialu;Li Shan(Department of Otorhinolaryngology,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院耳鼻咽喉科,上海200433

出　　处：《海军医学杂志》2025年第4期352-356,共5页Journal of Navy Medicine

基　　金：国家自然科学基金项目(81972537)。

摘　　要：目的了解无喉患者照护者电子健康素养水平现状,进一步探讨分析无喉患者照护者电子健康素养水平的影响因素。方法运用方便抽样法选取海军军医大学第一附属医院2018年8月至2023年8月145例全喉切除术患者照护者为研究对象,采用一般人口资料调查表、电子健康素养量表(e⁃HLS)、一般自我效能量表(SES)对无喉患者照护者进行问卷调查分析。结果145例无喉患者照护者e⁃HLS总得分为(25.09±5.31)分。单因素方差分析显示,不同年龄、文化程度、自我效能、网络健康信息搜寻频率、患者病程的无喉患者照护者e⁃HLS得分比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、文化程度、自我效能、网络健康信息搜寻频率、患者病程是影响无喉患者照护者电子健康素养的主要因素(P<0.05)。结论无喉患者照护者电子健康素养水平处于较低水平,受多种因素影响。后期可对较低电子健康素养水平的无喉患者照护者进行适当的干预指导,以提高照护者的电子健康素养水平,从而改善无喉患者护理质量。Objective To explore the current status and its influencing factors of electronic health literacy of caregivers of total laryngectomy patients and its influencing factors.Methods A total of 145 caregivers of total laryngectomy patients who were admitted to The First Affiliated Hospital of Naval Medical University from August 2018 to August 2023 were selected by convenience sampling.A questionnaire survey was conducted on these caregivers by demographic data questionnaire,electronic health literacy scale(e⁃HLS),and general self⁃efficacy scale.Results The average total score of electronic health literacy among the caregivers was 25.09±5.31.One⁃way analysis of variance showed that there were significant differences in the scores of e⁃HLS among caregivers with different age,education level,self⁃efficacy,frequency of online health information search,and disease course(P<0.05).Multivariate logistic regression analysis showed that age,education level,self⁃efficacy,frequency of online health information search,and disease course were the main factors affecting the electronic health literacy of caregivers of total laryngectomy patients.Conclusion Electronic literacy of caregivers of total laryngectomy patients is at a low level,and it was affected by many factors.Appropriate guidance can be provided to caregivers with low electronic health literacy,so as to improve the electronic health literacy of caregivers and the quality of care for total laryngectomy patients.

关 键 词：无喉患者 照护者 电子健康素养 水平现状 影响因素 

分 类 号：R473.76[医药卫生—护理学]