蚌埠医学院学报2024，Vol.49Issue(8) ：1071-1075.DOI:10.13898/j.cnki.issn.1000-2200.2024.08.019

社会支持对慢性病病人健康相关行为的影响:电子健康素养、自我效能的链式多重中介效应

Effects of social support on health-related behaviors in patients with chronic diseases:the cascading multi-mediating effects of e-health literacy and self-efficacy

彭妍 闫兵霞 刘蕾 颜妍 刘晴晴 邵瑜娇 王胜男 张泽宇 杨秀木
蚌埠医学院学报2024，Vol.49Issue(8) ：1071-1075.DOI:10.13898/j.cnki.issn.1000-2200.2024.08.019
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社会支持对慢性病病人健康相关行为的影响:电子健康素养、自我效能的链式多重中介效应

Effects of social support on health-related behaviors in patients with chronic diseases:the cascading multi-mediating effects of e-health literacy and self-efficacy

彭妍 1闫兵霞 1刘蕾 2颜妍 1刘晴晴 1邵瑜娇 1王胜男 3张泽宇 1杨秀木4
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作者信息

  • 1. 蚌埠医科大学护理学院,安徽 蚌埠233030
  • 2. 蚌埠医科大学临床医学院,安徽 蚌埠233030
  • 3. 亳州学院 护理学院,安徽 亳州236800
  • 4. 蚌埠医科大学全科医学教育发展研究中心,安徽 蚌埠233030
  • 折叠

摘要

目的:探讨慢性病病人的社会支持与健康相关行为的关系,以及电子健康素养与自我效能的链式中介作用.方法:采用一般情况调查表、领悟社会支持量表、电子健康素养量表、一般自我效能量表、健康促进生活方式量表对蚌埠市城市和农村地区40岁以上患有慢性非传染性疾病的病人进行调查.结果:慢性病病人社会支持和健康相关行为评分均处于较高水平,电子健康素养和自我效能均处于中等水平.社会支持与电子健康素养(r=0.30,P<0.01)、自我效能(r=0.46,P<0.01)、健康相关行为(r=0.63,P<0.01)之间均呈正相关关系.社会支持与健康相关行为总效应值为0.0690,电子健康素养在社会支持与健康相关行为之间中介效应值为0.0464.电子健康素养和自我效能在社会支持与健康相关行为之间中介效应值为0.0118.结论:电子健康素养在社会支持和健康相关行为之间存在明显中介作用,社会支持也在电子健康素养-自我效能链式中介作用中影响慢性病病人健康相关行为.

Abstract

Objective:To explore the relationship between social support and health-related behaviors in chronic disease patients,and the chain mediating effect of e-health literacy and self-efficacy.Methods:The general situation questionnaire,perceptive social support scale,e-health literacy scale,general self-efficacy scale and health promotion lifestyle scale were used to investigate the patients over 40 years old with chronic non-communicable diseases in urban and rural areas of Bengbu city.Results:The scores of social support and health-related behaviors of patients with chronic diseases were at a high level,and the scores of ehealth literacy and self-efficacy were at a medium level.Social support was positively correlated with ehealth literacy (r=0.30,P<0.01),self-efficacy (r=0.46,P<0.01),and health-related behaviors (r=0.63,P<0.01).The total effect value of social support and health-related behaviors was 0.0690,and the mediating effect value of e-health literacy between social support and health-related behaviors was 0.0464.The mediating effect value of e-health literacy and self-efficacy between social support and health-related behaviors was 0.0118.Conclusions:E-health literacy has a significant mediating effect between social support and health-related behaviors,and social support also affects the health-related behaviors of patients with chronic diseases in the chain mediating effect of e-health literacy and self-efficacy.

关键词

社会支持/健康相关行为/电子健康素养/自我效能/慢性病

Key words

social support/health-related behaviors/e-health literacy/self efficacy/chronic disease

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基金项目

国家级大学生创新创业项目(202310367004)

中华医学会医学教育分会和全国医学教育发展中心立项课题(2023B014)

安徽省教育厅质量工程项目(2021xqhzsjjd051)

安徽省教育厅质量工程项目(2021xsxxkc)

安徽省教育厅质量工程项目(2022msgzs034)

蚌埠医学院科研课题(2023byfy142sk)

蚌埠医学院科研课题(2023byzd166sk)

出版年

2024
蚌埠医学院学报
蚌埠医学院

蚌埠医学院学报

CSTPCD
影响因子：0.917
ISSN：1000-2200
参考文献量14
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