社会支持在广东农村老年糖尿病患者健康素养和用药依从性间的中介作用
Mediating Effect of Social Support on Health Literacy and Medication Compliance of Elderly Diabetic Patients in Rural Guangdong
孙振华 1付雪 1陈秋玲 1景晨1
作者信息
- 1. 广州南方学院护理与健康学院,广东 广州,510970
- 折叠
摘要
目的 探讨健康素养对广东农村老年糖尿病患者用药依从性的影响,并关注社会支持在其中的中介作用.方法 采用便利抽样法抽取1 495名广东农村老年糖尿病患者进行问卷调查,应用糖尿病健康素养量表、社会支持量表和用药依从性量表开展调查,以多元线性回归模型分析健康素养对用药依从性的影响,以Bootstrap法进行中介分析.结果 农村老年糖尿病健康素养得分为(80.79±9.87)分,社会支持得分为(26.69±3.72)分,用药依从性得分为(4.98±0.99)分,用药依从性中等及以上占比仅32.1％(467/1 495)分;用药依从性与社会支持(r=0.704,P＜0.001)、健康素养(r=0.811,P＜0.001)显著相关.社会支持在健康素养与用药依从性之间具有中介效应,中介值为0.031(95％Boot CI:0.140～0.292).对年龄分层后,仅在65～＜75岁的群体发现社会支持在健康素养和用药依从性之间存在中介效应(0.059,95％CI:0.035～0.073).结论 健康素养可以直接对用药依从性产生正向作用,也可以通过社会支持产生间接作用.农村老年糖尿病群体应增强健康素养水平,充分利用社会支持以提高用药依从性.
Abstract
Objective To analyze the mediating effect of social support on health literacy and medication comp-liance among elderly diabetic patients in rural Guangdong.Methods A questionnaire survey was conducted among 1 495 elderly people using the Diabetes Health Literacy Scale,the Social Support Rating Scale and the Medication Adherence Scale.Results The score of diabetes health literacy in rural elderly was(80.79±9.87),social support score was(26.69±3.72),medication adherence score was(4.98±0.99),and the rate of moderate or above medica-tion adherence was only 32.1％(467/1 495).Medication adherence and social support(r=0.704,P＜0.001)and health literacy(r=0.811,P＜0.001)were significantly correlated.Social support had a mediating effect of 0.031(95％boot CI:0.140-0.292)between health literacy and medication adherence.After age stratification,only 65-＜75 years old groups found a mediating effect between social support on health literacy and medication adherence[0.059(95％CI:0.035-0.073)].Conclusion Health literacy can directly have a positive effect on medication adherence,and can have an indirect effect through social support.Rural elderly diabetic groups should enhance their health lite-racy level and make full use of social support to improve medication compliance.
关键词
健康素养/社会支持/用药依从性/糖尿病/农村地区/老年人Key words
Health literacy/Social support/Medication compliance/Diabetes/Rural area/The elderly引用本文复制引用
基金项目
广东省普通高校青年创新人才类(自然科学)项目(2021KQNCX135)
广东省教育科学规划课题(高等教育专项)(2021GXJK485)
出版年
2024
NETL
NSTL
万方数据