慢性萎缩性胃炎患者健康素养潜在剖面分类及影响因素分析  

Classification of potential profiles of health literacy in patients with chronic atrophic gastritis and analysis of influencing factors

作　　者：章秀 洪艳燕[2] 陈婉珍 刘嘉迪 林慧萍 闻艳[1] Zhang Xiu;Hong Yanyan;Chen Wanzhen;Liu Jiadi;Lin Huiping;Wen Yan(Endoscopy Center,Nanjing Hospital of Traditional Chinese Medicine,Nanjing 210012,China;Department of Nursing,Nanjing Hospital of Traditional Chinese Medicine,Nanjing 210012,China)

机构地区：[1]南京市中医院内镜中心,南京210012 [2]南京市中医院护理部,南京210012

出　　处：《中国实用护理杂志》2025年第13期970-977,共8页Chinese Journal of Practical Nursing

基　　金：国家自然科学基金(82205014)。

摘　　要：目的技探讨慢性萎缩性胃炎(CAG)患者健康素养的潜在剖面,并分析其影响因素方法来采用横断面研究方法,以便利抽样法选取2023年1月至2024年6月南京市中医院收治或于门诊就诊的CAG患者为研究对象,患者均于治疗2个月后参与研究。采用一般资料调查表、一般自我效能感量表(GSES)及全面健康素养测量量表(AAHLS)进行问卷调查。以AAHLS的3个维度作为外显指标进行潜在部面分析,比较不同潜在剖面患者一般资料及自我效能感的差异,通过多分类Logistic回归分析CAG患者健康素养不同潜在剖面的影响因素。结果有效问卷回收率为97.71%(256/262)。256例患者中,男164例,女92例,年龄18~44岁86例,45~59岁110例,≥60岁60例。CAG患者的健康素养分为3个潜在剖面,包括高健康素养-评价和应用能力组(14.84%,38/256)、中等健康素养-评价和应用能力组(32.81%,84/256)、低健康素养-评价和应用能力组(52.34%,134/256)。多分类Logistic回归分析显示,以低健康素养-评价和应用能力组为参照时,年龄18~44岁(OR=8.954,95%CI2.049~39.127)、自我效能感较差(0R=0.089,95%CI0.027~0.293)、病程<5年(0R=0.049,95%CI0.014~0.169)家庭人均月收入<3000元(0R=0.072,95%CI0.018~0.299)及文化程度小学及以下(0R=0.016,95%CI0.003~0.088)是高健康素养-评价和应用能力组的独立影响因素(均P<0.05);自我效能感较差(0R=0.458,95%CI0.251~0.834)及家庭人均月收入<3000元(0R=0.212,95%CI0.100~0.453)是中等健康素养-评价和应用能力组的独立影响因素(均P<0.05)。结论CAG患者健康素养具有明显的异质性,临床工作中医护人员应根据各类别的不同特征采取针对性的评估和干预,以改善CAG患者的健康素养。Objective To explore the potential profiles of health literacy in patients with chronic atrophic gastritis(CAG)and analyze their influencing factors.Methods A cross-sectional study was conducted to select CAG patients admitted to Nanjing Hospital of Traditional Chinese Medicine or attending outpatient clinics from January 2023 to June 2024 by convenience sampling method,and all patients participated in this study two months after treatment.The General Information Questionnaire,the General Self-Efficacy Scale,and the All-around Health Literacy Measurement Scale(AAHLS)were used to conduct the questionnaire survey.The three dimensions of AAHLS were used as exogenous indicators for potential profile analysis,to compare the differences in general information and self-efficacy of patients with different potential profiles,and to analyze the influencing factors of different potential profiles of health literacy in CAG patients by multi classification Logistic regression.Results The recovery rate of valid questionnaires was 97.71%(256/262).Among the 256 patients,there were 164 males and 92 females,with 86 patients aged 18-44 years old,110 patients aged 45-59 years old,and 60 patients aged≥60 years old.The health literacy of CAG patients was categorized into 3 potential profiles,including the high health literacy-appraisal and application competence group(14.84%,38/256),the medium health literacyappraisal and application competence group(32.81%,84/256),and the low health literacy-appraisal and application competence group(52.34%,134/256).The results of multi classification Logistic regression analysis showed that when the low health literacy-appraisal and application competence group was used as a reference,aged 18-44 years old(OR=8.954,95%CI 2.049-39.127),poor self-efficacy(OR=0.089,95%CI 0.027-0.293),duration of disease<5 years(OR=0.049,95%CI 0.014-0.169),per capita monthly household income<3000 yuan(0R=0.072,95%CI 0.018-0.299),and primary school education or below(0R=0.016,95%CI 0.003-0.088)were independent influence

关 键 词：胃炎 萎缩性 健康素养 自我效能 潜在剖面分类 影响因素 

分 类 号：R573.3[医药卫生—消化系统]