摘要
目的:了解慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者健康信息素养现状并分析其影响因素.方法:采用便利抽样法,选取2021年12月至2022年8月在某市3所三级甲等医院门诊就诊的270例COPD患者为研究对象,采用自行设计一般资料问卷和健康信息素养量表进行调查.采用多元线性回归分析影响COPD患者健康信息素养的因素.结果:COPD患者健康信息素养总得分为(15.58±2.37)分,各维度条目均分由高到低排序为健康信息认知(0.65±0.12)分、健康信息道德(0.61±0.11)分、健康信息利用(0.59±0.14)分、健康信息评价(0.57±0.10)分、健康信息获取(0.43±0.11)分.具备合格健康信息素养水平(≥60分)占19.6%.不同年龄、个人月收入、职业、居住地、文化程度、病程、健康状况自身评价、是否主动参与健康管理、对COPD疾病知识了解程度的患者健康信息素养得分不同(P＜0.05).多元线性回归分析显示,年龄、文化程度、健康状况自身评价、是否主动参与健康管理、对COPD疾病知识了解程度是COPD患者健康信息素养的影响因素(P＜0.05),上述变量共同解释健康信息素养总变异程度的27.3%.结论:某市COPD患者健康信息素养水平需进一步提高.受多种因素影响,医务人员应根据不同特征的患者制定个性化干预措施以提高其健康信息素养水平.
Abstract
Objective:To explore the current status of health information literacy in patients with chronic obstructive pulmonary disease(COPD)and analyze its influencing factors.Methods:A total of 270 patients with COPD were conveniently selected as the research objects from Dec 2021 to Aug 2022 in 3 third-grade grade A hospitals in Zhuzhou City by using convenience sampling.The self-designed general data questionnaire and Health Information Literacy Self-Assessment Questionnaire were used for investigation.Multiple linear regression was used to analyze the factors influencing the health information literacy of COPD patients.Results:The total score of health information literacy of COPD patients was(15.58±2.37),and the average score of each dimension was ranked from high to low as:health information cognition(0.65±0.12),health information morality(0.61±0.11),health information utilization(0.59±0.14),health information evaluation(0.57±0.10),health information acquisition(0.43±0.11).And patients with qualified health information proficiency(≥60 points)accounted for 19.6%.Patients with different ages,personal monthly incomes,occupations,places of residence,education levels,course of disease,self-evaluation of health status,active participation in health management,and knowledge of COPD disease had different health information literacy scores(P＜0.05).Multiple linear regression showed that age,education level,self-evaluation of health status,active participation in health management and knowledge level of COPD disease were influencing factors of health information literacy of COPD patients(P＜0.05),and the above variables together accounted for 27.3%of the total variation degree of health information literacy.Conclusions:The level of health information literacy of COPD patients in a city needs to be further improved,which is influenced by several factors.Medical staff should develop individualized interventions to improve the health information literacy of patients with different characteristics.
基金项目
2022湖南省中医药科研计划项目(E2022019)
国家科技期刊平台
NSTL
万方数据