首页|老年慢性病患者电子健康素养、健康促进行为与生命质量的关系

老年慢性病患者电子健康素养、健康促进行为与生命质量的关系

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目的:探讨老年慢性病患者电子健康素养、健康促进行为、生命质量现状及相互关系.方法:采用方便抽样法,随机选取2022 年8 月 1 日-2023 年2 月20 日,年龄≥60 周岁的慢性病患者325 例作为研究对象进行问卷调查,构建结构方程模型分析老年慢性病患者电子健康素养、健康促进行为、生命质量之间的关系.结果:老年慢性病患者电子健康素养总分为(18.73±10.64)分,健康促进行为总分为(124.02±19.63)分,欧洲五维健康量表(EQ-5D-5L)总效用值为(0.79±0.22),EQ-VAS得分为(72.35±16.21).患者电子健康素养总分与健康促进行为总分呈正相关(r =0.197,P＜0.001);电子健康素养总分与生命质量得分正相关(r =0.188,P＜0.001);健康促进行为总分与 EQ 量表视觉模拟标尺(EQ-VAS)得分亦呈正相关(r =0.289,P＜0.001).结构方程模型分析表明,老年慢性病患者电子健康素养可直接影响其生命质量,直接效应值为0.168(P＜0.05);电子健康素养也可通过影响患者健康促进行为,间接影响其生命质量,间接效应值为0.046(P＜0.05).结论:医疗机构应重视老年慢性病患者电子健康素养水平,有针对性地实施健康干预措施,有效提高电子健康素养水平,进而提升其健康促进行为和生命质量.
Associations of E-health literacy with health promotion behavior and quality of life among the elderly patients with chronic diseases
Objective:To explore the current status and relationship of electronic health literacy,health promotion behavior,and quality of life in elderly patients with chronic diseases.Methods:From August 1,2022 to February 20,2023,325 chronic disease patients≥60 years old were randomly selected using convenience sampling method.A struc-tural equation model was constructed to analyze the relationship between electronic health literacy,health promotion be-havior and health related quality of life in elderly patients with chronic diseases.Results:The total score of eHEALTH for patients was(18.73±10.64),the total score of health promotion behavior was(124.02±19.63),the total utility value of the European Five Dimensional Health Scale(EQ-5 D-5 L)was(0.79±0.22),and the EQ-VAS score was(72.35±16.21).The total score of patients'electronic health literacy is positively correlated with the total score of health promotion behavior(r=0.197,P＜0.001);The total score of electronic health literacy is positively correlated with the score of quality of life(r=0.188,P＜0.001),and the total score of health promotion behavior was also posi-tively correlated with EQ-VAS scores(r=0.289,P＜0.001).Structural equation model analysis showed that elec-tronic health literacy in elderly patients with chronic diseases can directly affect their quality of life,with a direct effect of 0.168(P＜0.05);Electronic health literacy can also indirectly affect patients'quality of life by influencing their health promoting behavior,with an indirect effect of 0.046(P＜0.05).Conclusion:Medical institutions should attach importance to the level of electronic health literacy of patients,implement targeted health intervention measures,effec-tively improve the level of electronic health literacy,and thereby enhance their health promotion behavior and quality of life.

Electronic health literacyHealth promotion behaviorQuality of life

李超、喻大军、卜吕婷

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蚌埠医学院卫生管理学院,安徽 蚌埠 233000

蚌埠医学院第一附属医院

电子健康素养 健康促进行为 生命质量

安徽省高等学校人文社会科学研究重点项目安徽省高等学校自然科学研究重点项目大学生创新创业训练计划

SK2021A0437KJ2021A0729S2O2210367059

2024

10.16833/j.cnki.jbmc.2024.05.013

包头医学院学报
内蒙古科技大学包头医学院

包头医学院学报

影响因子：0.543
ISSN：1006-740X
年,卷(期)：2024.40(5)
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