目的：了解冠心病患者电子健康素养和自我健康管理行为的现状,探讨冠心病患者电子健康素养与自我健康管理行为的相关性。方法：2022年6月―2022年9月,采用方便抽样的方法选取湖南省某三甲医院心内科的287名冠心病住院患者为调查对象。使用一般资料调查表、电子健康素养量表和自我管理行为测评量表开展问卷调查,用 Pearson相关分析探讨冠心病患者电子健康素养与自我健康管理行为间的相关性。结果：冠心病患者的电子健康素养得分为（21.37±6.29）分,自我管理行为的标准化得分为（49.73±11.77）分;电子健康素养得分与自我管理能力总分及各个维度得分均呈正相关。逐步回归分析结果显示,电子健康素养中的应用能力及评判能力2个维度对自我健康管理能力的影响具有统计学意义。结论：冠心病患者的自我健康管理行为和电子健康素养均较低,临床医护人员应重视冠心病患者电子健康素养对其自我健康管理行为的积极作用,制定个性化的干预策略,以提高患者的电子健康素养,从而改善患者的自我健康管理现状。
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.
关键词
冠心病 /
电子健康素养 /
自我健康管理行为
Key words
coronary heart disease /
e-health literacy /
self-health management behaviors
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