扁桃体加腺样体切除术患者健康素养对自我管理行为的影响:基本疾病感知和自我接纳的链式中介作用  

The impact of health literacy on self-management behavior in patients undergoing tonsillectomy and adenoidectomy:the chain mediating role of basic disease perception and self-acceptance

作　　者：黄园慧 冯玘[1] 田春辉 HUANG Yuanhui;FENG Qi;TIAN Chunhui(Department of Otolaryngology,Suzhou Municipal Hospital,Suzhou 234000,China)

机构地区：[1]宿州市立医院耳鼻咽喉口腔科,安徽宿州234000

出　　处：《东南大学学报(医学版)》2025年第2期321-327,共7页Journal of Southeast University(Medical Science Edition)

摘　　要：目的:了解扁桃体加腺样体切除术患者自我管理行为、健康素养、疾病感知与自我接纳现状,分析自我接纳与疾病感知在健康素养对自我管理行为间的链式中介作用。方法:采用慢性病自我管理行为量表、慢性病健康素养量表、简易疾病感知问卷、自我接纳问卷对221例扁桃体加腺样体切除术患者进行测评。采用Pearson法分析自我管理行为与健康素养、疾病感知、自我接纳之间的相关性,采用Amos软件构建结构方程模型(SEM)并进行中介效应检验。结果:221例扁桃体腺样体切除术患者自我管理行为评分为(29.65±4.72)分,健康素养评分为(63.74±7.54)分,疾病感知评分为(45.34±5.28)分,自我接纳评分为(48.57±3.69)分。自我管理行为与健康素养、自我接纳呈正相关,与疾病感知呈负相关(P<0.01);健康素养与疾病感知呈负相关,与自我接纳呈正相关(P<0.01);疾病感知与自我接纳呈负相关(P<0.01)。疾病感知、自我接纳以及疾病感知-自我接纳在健康素养与自我管理行为之间中介效应分别为13.67%、11.23%、2.45%。结论:疾病感知和自我接纳在健康素养与自我管理行为之间的链式中介效应成立,证实健康素养可以通过调节疾病感知和自我接纳,间接影响自我管理行为。Objective:To understand the current status of self-management behavior,health literacy,disease perception,and self-acceptance in patients undergoing tonsillectomy and adenoidectomy,and to analyze the chain mediating role of self-acceptance and disease perception in the relationship between health literacy and self-management behavior.Methods:The Chronic Disease Self-Management Behavior Scale,Chronic Disease Health Literacy Scale,Simplified Disease Perception Questionnaire,and Self-Acceptance Questionnaire were used to assess 221 patients undergoing tonsillectomy and adenoidectomy.Pearson analysis was applied to examine the correlations between self-management behavior,health literacy,disease perception,and self-acceptance.SEM was constructed using Amos software,and mediation effects were tested.Results:The self-management behavior score of 221 patients undergoing tonsillectomy and adenoidectomy was 29.65±4.72,the health literacy score was 63.74±7.54,the disease perception score was 45.34±5.28,and the self-acceptance score was 48.57±3.69.Self-management behavior was positively correlated with health literacy and self-acceptance,and negatively correlated with disease perception(P<0.01).Health literacy was negatively correlated with disease perception and positively correlated with self-acceptance(P<0.01).Disease perception was negatively correlated with self-acceptance(P<0.01).The mediation effects of disease perception,self-acceptance,and the disease perception-self-acceptance pathway on the relationship between health literacy and self-management behavior were 13.67%,11.23%,and 2.45%,respectively.Conclusion:The chain mediating effect of disease perception and self-acceptance between health literacy and self-management behavior was established,confirming that health literacy can indirectly influence self-management behavior by regulating disease perception and self-acceptance.

关 键 词：扁桃体加腺样体切除术 自我管理行为 疾病感知 自我接纳 健康素养 中介作用 

分 类 号：R473.76[医药卫生—护理学]