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脑卒中患者健康信息获取行为影响因素及路径分析

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目的 探讨脑卒中患者健康信息获取行为现状、影响因素及作用路径。方法 2022 年 6 月至 12 月采用便利抽样法选取南京市某医院 239 例脑卒中患者为研究对象。采用一般资料调查表、健康信息获取行为量表、数字健康素养量表、信息自我效能量表进行调查。结果 239例患者健康信息获取行为总分为(133。86±15。30)分,患者健康信息获取行为与数字健康素养、信息自我效能分别呈显著正相关(r1=0。638,r2=0。672;均P<0。01);数字健康素养可直接正向预测信息自我效能和健康信息获取行为(β1=0。910,β2=0。549;均P<0。01);数字健康素养还可以信息自我效能为中介变量,间接预测健康信息获取行为(β=0。449,P<0。01)。结论 脑卒中患者健康信息获取行为现状不佳,信息自我效能在患者数字健康素养和健康信息获取行为间发挥中介作用,医护人员可采取相应措施加强脑卒中患者数字健康教育,提升获取健康信息的积极信念,以促使其形成良好的健康信息获取行为,提高患者的健康水平。
Analysis of factors and paths influencing the health information-seeking behavior of stroke patients
Objective To explore the current status,influencing factors,and action path of health information-seeking behavior in stroke patients.Methods From June to December 2022,239 stroke patients in a hospital in Nanjing were selected by convenience sampling method.General information questionnaire,Health Information-Seeking Behavior Scale,eHealth Literacy Scale and Information Self-Efficacy Scale were used to investigate.Results The total score of the 239 patients'health information-seeking behavior was(133.86±15.30),and the patients'health information-seeking behavior was significantly positively correlated with digital health literacy and information self-efficacy(r1=0.638,r2=0.672,all P<0.01).Digital health literacy can directly and positively predict information self-efficacy and health information-seeking behav-ior(β1=0.910,β2=0.549,all P<0.01).Digital health literacy could also indirectly predict health information-seeking behavior by using in-formation self-efficacy as a mediating variable(β=0.449,P<0.01).Conclusion The current situation of health information-seeking behav-ior of stroke patients is poor,and information self-efficacy plays a mediating role between patients'electronic health literacy and health infor-mation-seeking behavior.Medical staff can take corresponding measures to strengthen stroke patients'digital health education and improve their positive belief in obtaining health information,so as to encourage them to form a good health information-seeking behavior and improve the health level of patients.

strokedigital health literacyinformation self-efficacyhealth information-seeking behavior

胡宇帆、何磊、邓悦、季翠玲、袁萍、陈璐

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210023,南京市,南京中医药大学鼓楼临床医学院

210008,南京市,南京大学医学院附属鼓楼医院神经外科

215006,苏州市,苏州大学附属第一医院心内科

脑卒中 数字健康素养 信息自我效能 健康信息获取行为

2020年高层次卫生人才"六个一工程"拔尖人才项目2023年江苏省研究生实践创新计划南京鼓楼医院专项课题

LGY2020012SJCX23_08252021-LCYJ-MS-05

2024

护理管理杂志
中国人民解放军北京军区总医院

护理管理杂志

CSTPCD
影响因子:2.38
ISSN:1671-315X
年,卷(期):2024.24(3)