Correlation analysis on eHealth literacy and self-management behavior among CHD patients in Changsha
TENG Zhiyu1, TAO Meiyi2, GUO Chenxi1, LI Ling1, HE Caiyun1
1. Department of Nursing,School of Medicine , Hunan Normal University, Changsha 410013, China; 2. The Nursing Teaching and Research Office of Hunan Provincial People's Hospital/the First Affiliated Hospital of Hunan Normal University, Changsha 410005, China
Abstract：Objective To investigate the status quo of e-health literacy and self-health management behavior in patients with coronary heart disease, and to explore the correlation between e-health literacy and self-health management behavior in patients with coronary heart disease. Methods From June 2022 to September 2022, 287 inpatients with CHD in the Department of Cardiology of a Grade-A hospital in Hunan Province were selected by convenient sampling method. General situation questionnaire, electronic health literacy Scale and self-management behavior scale were used to conduct questionnaire survey, and Pearson correlation analysis was used to explore the correlation between electronic health literacy and self-health management behavior in patients with coronary heart disease. Results The scores of e-health literacy and self-management behavior were (21.37±6.29) and (49.73±11.77) respectively. The score of e-health literacy was positively correlated with the total score of self-management ability and scores of all dimensions (P<0.05). The results of stepwise regression analysis showed that the two dimensions of e-health literacy, application ability and evaluation ability, had statistical significance on self-health management ability (P<0.05). Conclusion The self-health management behavior and e-health literacy of patients with coronary heart disease are low, and clinical medical staff should pay attention to the positive effect of e-health literacy of patients with coronary heart disease on their self-health management behavior, and formulate personalized intervention strategies in order to improve patients'e-health literacy, so as to improve the status quo of patients＇ self-health management.
滕智裕, 陶美伊, 郭晨曦, 李玲, 何彩云. 长沙地区冠心病患者电子健康素养与自我健康管理行为的相关性分析[J]. 湖南师范大学学报(医学版), 2023, 20(3): 164-168.
TENG Zhiyu, TAO Meiyi, GUO Chenxi, LI Ling, HE Caiyun. Correlation analysis on eHealth literacy and self-management behavior among CHD patients in Changsha. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(3): 164-168.
[1] 中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2020概要[J]. 中国循环杂志, 2021, 36(06): 521-545. [2] Mares M, Salamonson Y, Maneze D, et al.Development and validation of a scale to measure self-efficacy and self-management in People with coronary heart disease[J]. J Cardiovasc Nurs, 2020. doi: 10.1097/JCN. 0000000000000777. [3] Stellefson M, Chaney B, Barry AE, et al.Web 2.0 chronic disease self-management for older adults: a systematic Review[J]. J Med Int Res, 2013, 15(2): e35. [4] 李林. “新媒体”综合健康干预模式对PCI术后患者自我管理能力的影响[D]. 南京: 南京医科大学, 2018. [5] Norman C D, Skinner H A. eHEAIS: the ehealth literacy scale[J]. J Med Internet Res, 2006, 8(4): e27. [6] 郭帅军, 余小鸣, 孙玉颖, 等. eHEALS健康素养量表的汉化及适用性探索[J]. 中国健康教育, 2013, 29(2): 106-108+123. [7] Richtering SS, Hyun K, Neubeck L, et al.eHealth literacy: predictors in a population with moderate-to-high cardiovascular risk[J]. JMIR Hum Factors, 2017, 4(1): e4. [8] 任洪艳. 心病自我管理量表开发及健康教育研究[D]. 重庆: 重庆医科大学, 2009. [9] 李晓莲, 谢建飞, 丁四清. 移动医疗在冠心病患者运动康复中的应用进展[J]. 中华护理杂志, 2019, 54(11): 1735-1739. [10] 厉锦巧, 冯国和, 张伟, 等. 对冠心病患者电子健康素养操作情况的研究[J]. 中华现代护理杂志, 2020, 26(03): 366-372. [11] 云天奇. 冠心病患者健康促进行为影响因素的相关性分析[D]. 长春: 吉林大学, 2021. [12] 厉锦巧. 冠心病患者电子健康素养现状及其与生活质量的相关性研究[D]. 杭州: 杭州师范大学, 2019. [13] Manafo E, Wong S.Promoting eHealth literacy in older adults: key informant perspectives[J]. Can J Diet Pract Res, 2013, 74(1): 37-41. [14] Wong D K, Cheung M K.Online health information seeking and eHealth literacy among patients attending a primary care clinic in Hong Kong: a cross-sectional survey[J]. J Med Internet Res, 2019, 21(3): e10831. [15] Barlow J, Wright C, Sheasby J, et al.Self-management approaches for people with chronic conditions: a review[J]. Patient Educ Couns, 2002, 48(2): 177-187. [16] 杜亚男, 耿丽华, 陈长香. 冠心病患者健康自我管理水平及其影响因素[J]. 现代预防医学, 2017, 44(05): 835-838+893. [17] 余瑜, 徐超. 知信行护理模式对老年冠心病患者治疗依从性及生活质量的影响[J]. 中华现代护理杂志, 2020, 26(16): 2216-2219. [18] 黄艳玲, 顾则娟, 孙国珍, 等. 慢性心力衰竭患者健康信息素养与自我管理行为及生活质量的相关性[J]. 实用临床医药杂志, 2022, 26(10): 105-110+119. [19] Landry KE.Using eHealth to improve health literacy among the patient population[J]. Creat Nurs, 2015, 21(1): 53-57. [20] 徐晓华, 刘睿艳, 林颖. 电子健康素养对慢性心力衰竭患者症状负担的作用路径研究[J]. 解放军护理杂志, 2020, 37(12): 14-17. [21] Zhang H, Zhang R, Lu X, et al.Impact of Personal Trust Tendency on Patient Compliance Based on Internet Health Information Seeking[J]. Telemed J E Health, 2020, 26(3): 294-303.
2023, Vol. 20 
