維持性血液透析患者健康促進(jìn)生活方式與電子健康素養(yǎng)的研究
摘要: 目的 了解維持性血液透析(maintenance hemodialysis,MHD)患者健康促進(jìn)生活方式的現(xiàn)狀及影響因素,并探討其與電子健康素養(yǎng)的相關(guān)性。 方法 選取2022年2月~2022年5月四川大學(xué)華西醫(yī)院血液透析中心行MHD的141例患者為研究對(duì)象。采用一般資料調(diào)查問(wèn)卷、電子健康素養(yǎng)量表(ehealth literacy scale,eHEALs)、健康促進(jìn)生活方式量表修訂版(health promoting lifestyle profile-Ⅱ revise,HPLP-ⅡR)對(duì)MHD患者進(jìn)行問(wèn)卷調(diào)查。 結(jié)果 MHD患者健康促進(jìn)生活方式得分為(104.00±15.01)分;電子健康素養(yǎng)得分為(25.26±8.91)分;多元線性回歸分析結(jié)果顯示:文化程度(高中:β=0.285,P=0.030;大學(xué)本科及以上:β=0.388,P=0.003)、電子健康素養(yǎng)(β=0.365,P<0.001)是健康促進(jìn)生活方式的主要影響因素; Spearnman相關(guān)分析顯示健康素養(yǎng)和健康促進(jìn)生活方式的各維度及總分呈正相關(guān)(r=0.474,P<0.001)。 結(jié)論 MHD患者的健康促進(jìn)生活方式水平良好,電子健康素養(yǎng)處于一般水平,且兩者呈正相關(guān)。應(yīng)采取針對(duì)性的措施提高維持性血液透析患者的電子健康素養(yǎng)及健康生活方式,有助于更好的提高生活質(zhì)量。
關(guān)鍵詞: 維持性血液透析, 健康促進(jìn)生活方式, 電子健康素養(yǎng), 慢性腎臟病
Abstract: Objective To investigate the status quo and influencing factors of health-promoting lifestyle in maintenance hemodialysis (MHD) patients, and to explore its correlation with e-health literacy. Methods A total of 141 patients with MHD in the Hemodialysis Center, West China Hospital of Sichuan University from February 2022 to May 2022 were selected as the research subjects. A general information questionnaire, eHealth Literacy Scale (eHEALs), and Revised Health Promoting Lifestyle Profile-Ⅱ (HPLP-ⅡR) were used to conduct a questionnaire survey for the MHD patients. Results The score of health promotion lifestyle was 104.00±15.01 points, and the score of e-health literacy was 25.26±8.91 in the MHD patients. Multivariate linear regression showed that educational level (high school diploma β=0.285, P=0.030; university degree or above β=0.388, P=0.003), and e-health literacy (β=0.365, P<0.001) were the main influencing factors for health promotion lifestyle. Spearman correlation analysis showed a positive correlation between health literacy and health promotion lifestyle (r=0.474, P<0.001). Conclusion The health promotion lifestyle was better, and e-health literacy was in a general level in the MHD patients. There was a positive correlation between health promotion lifestyle and e-health literacy. We should take targeted measures to improve the e-health literacy and healthy lifestyle to promote the quality of life in MHD patients.
Key words: Maintenance hemodialysis, Health promoting lifestyle, Electronic health literacy, Chronic kidney disease
中圖分類號(hào):
R473
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