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基于社会生态模型的乙肝患者社会资源利用现状调查

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目的 调查乙肝患者社会资源利用现状并分析其影响因素。方法 于2019年1月-2023年6月采用社会生态模型对江苏省人民医院和江苏省中医院收治的765例乙肝患者进行问卷调查。内容包括基本情况问卷、慢性病患者健康素养调查量表、社会支持评定量表、睡眠障碍评定量表、医院焦虑抑郁量表、自我感受负担量表和慢性病资源问卷。基于社会生态模型选择分层线性回归分析乙肝患者社会资源利用的影响因素。结果 乙肝患者社会资源利用得分为(71。22±21。85)分。基于社会生态模型分层线性回归分析结果显示,优秀健康素养(β=0。327)、重度自我感受负担(β=-0。319)、与家庭成员关系好(β=0。473)、高水平社会支持(β=0。383)、居住的社区有关于乙肝宣传栏(β=0。571)和所在社区组织过乙肝知识宣传(β=0。558)是乙肝患者社会资源利用的影响因素(P<0。05)。结论 乙肝患者的社会资源利用有待提高,应加强对乙肝患者健康教育,引导家属给予其更多关心,积极向公众宣传乙肝知识,提高社会和民众对乙肝的认知,使其杜绝歧视和区别对待乙肝患者,帮助乙肝患者所在社区积极为其提供外部支持,提高乙肝患者社会资源利用水平。
Research on the Level of Hepatitis B Patients'Social Resources Utilization based on Social Ecological Model
Objective Based on the social ecological model to explore the level and influencing factors of social re-source utilization of hepatitis B patients.Methods 765 hepatitis B patients in Jiangsu Provincial People's Hospital and Jiangsu Province Hospital of TCM were investigated with a social ecological model,including the general infor-mation questionnaire,the health literacy scale for patients with chronic disease,the social support rating scale,the sleep dysfunction rating scale,the hospital anxiety depression scale,the self-perceived burden scale,and the chronic illness resources survey from January 2019 to July 2023.The influencing factors of social resource utilization of hepa-titis B patients were analyzed by stratified linear regression based on social ecological model.Results The score of social resource utilization scale of hepatitis B patients was(71.22±21.85).The result of layered linear regression analysis based on the social ecological model showed that brilliant health literacy(β=0.327),heavy self-perceived burden(β=-0.319),good relationship with family members(β=0.473),high level social support(P=0.383),having bulletin board about hepatitis B in the community(β=0.571)and organizing knowledge propaganda about hepatitis B in community(β=0.558)were significant influencing factors for the hepatitis B patients'social resources utilization(P<0.05).Conclusion The level of hepatitis B patients'social resources utilization needs to be improved.Health edu-cation for hepatitis B patients should be strengthened,family members should be guided to pay more attention to hepatitis B patients,and hepatitis B knowledge should be actively publicized to the public for improving awareness of society and people for eliminating discrimination and different treatment to hepatitis B patients,community where hepatitis B patients live actively should be helped to provide external support for hepatitis B patients,finally all were for improve the utilization level of hepatitis B patients'social resources utilization.

Social ecological modelHepatitis B patientsSocial resources utilizationInfluencing factor

刘艳、刁玲玲、龚静、陈海燕、袁巧

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南京医科大学第一附属医院感染科一病区,江苏南京,210029

南京中医药大学附属医院耳鼻喉科,江苏 南京,210023

社会生态模型 乙肝患者 社会资源利用 影响因素

2024

中国社会医学杂志
华中科技大学同济医学院

中国社会医学杂志

CSTPCD
影响因子:1.193
ISSN:1673-5625
年,卷(期):2024.41(6)