目的：了解住院冠心病患者的健康信息素养现状及影响因素。方法：随机抽样选取2022年10月―11月在岳阳市和长沙市某2所三甲医院符合纳排标准的401例住院冠心病患者为调查对象,采用一般资料调查问卷、简明健康测量量表和冠心病患者健康信息素养问卷进行现场调查。结果：住院冠心病病人健康信息素养总分为（65.11±10.13）分,其中,健康信息素养意识维度得分率最高,健康信息评价能力维度得分率最低;相关分析显示,冠心病患者健康信息素养总分与生活质量呈显著正相关;有序Logistic回归分析显示,心理健康、PCI术次数、文化程度、是否接受冠心病相关健康教育是患者健康信息素养水平的主要影响因素。结论：护理人员应重点关注文化程度低、首次行PCI术、未接受过冠心病相关教育的患者,为患者制定个性化的护理计划,有针对性地进行健康教育和心理指导,帮助患者克服障碍,提高其健康信息素养水平,改善住院冠心病患者的健康管理和康复。
Abstract
Objective To understand the status and influencing factors of health information literacy in hospitalized patients with coronary heart disease. Methods From October to November 2022, 401 in-patients with coronary heart disease (CHD) who met the admission criteria in 2 top-three hospitals in Yueyang City and Changsha City were selected as the investigation objects by convenient sampling. General data questionnaire, concise health Measurement Scale and CHD health information literacy questionnaire were used for field investigation. Results The total score of health information literacy of inpatients with CHD was (65.11±10.13), among which the score rate of health information literacy was the highest and the score rate of health information evaluation ability was the lowest. Correlation analysis showed that the total score of health information literacy in CHD patients was significantly positively correlated with quality of life. Ordered logistic regression analysis showed that mental health, PCI times, education level, whether to receive CHD related health education were the main influencing factors of health information literacy level of patients. Conclusion Nursing staff should focus on patients with low education level, first-time PCI, and no CHD education, develop personalized nursing plans for patients, provide targeted health education and psychological guidance, help patients overcome obstacles, improve their health information literacy, and improve the health management and rehabilitation of hospitalized CHD patients.
关键词
冠心病 /
健康信息素养 /
生活质量 /
影响因素 /
相关性研究
Key words
coronary heart disease /
health information literacy /
quality of life /
influencing factors /
correlation study
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参考文献
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基金
湖南省卫生健康委科研基金（D202314018843）
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