主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2019, Vol. 19 ›› Issue (1): 23-29.doi: 10.3969/j.issn.1672-1756.2019.01.008

• 论 著 • 上一篇    下一篇

慢性心力衰竭患者健康素养现状及其影响因素分析

郑战战 杨贝贝 宋婷 李贤华   

  1. 上海交通大学护理学院,200025(郑战战,杨贝贝,宋婷);上海交通大学医学院附属瑞金医院门诊部(李贤华)
  • 出版日期:2019-01-15 发布日期:2019-01-15
  • 通讯作者: 李贤华,硕士,副主任护师,门诊部主任,E-mail:elina2005@126.com
  • 作者简介:郑战战,硕士在读
  • 基金资助:
    上海市教委护理高原学科项目(Hlgy17002yjs)

The current status of health literacy and its influencing factors among patients with Chronic Heart Failure patients

ZHENG Zhanzhan, YANG Beibei, SONG Ting, LI Xianhua   

  1. School of Nursing, Shanghai JiaoTong University, Shanghai, 200025, China
  • Online:2019-01-15 Published:2019-01-15
  • Contact: LI Xianhua,E-mail:elina2005@126.com

摘要: 目的:调查慢性心力衰竭患者健康素养现状并分析其影响因素。方法:采取便利抽样的方法选取 2017年 10月至 2018 年 9月上海市 3 家综合性三级甲等医院 180 例门诊慢性心力衰竭患者为研究对象。采用一般资料调查表、社会支持评定量表及中文版心力衰竭特异性健康素养量表进行问卷调查。结果:慢性心力衰竭患者健康素养得分为(28.72±9.36) 分,批判性健康素养维度条目均分最低为(2.08±0.85) 分;分层回归分析显示:年龄、居住地、学历、心功能分级以及社会支持是慢性心力衰竭患者健康素养及各维度的影响因素。结论:慢性心力衰竭患者健康素养尤其是批判性健康素养有待提高;加强社会支持可提高慢性心力衰竭患者的健康素养水平;对年龄较大、农村、学历较低以及心功能较差的患者应重点关注。

关键词: 慢性心力衰竭; 健康素养; 社会支持

Abstract: Objective: To investigate the current status of health literacy and its influencing factors among patients with Chronic Heart Failure (CHF). Methods: totally 180 CHF patients were recruited by convenience sampling method from outpatient department in 3 tertiary general hospitals in Shanghai from October, 2017 to September, 2018. Self-designed demographic and health status questionnaire, Social Support Rating Scale and the Chinese version of Heart Failure Specific Health literacy scale were applied. Results: The mean score of health literacy was 28.72±9.36. The mean score of critical health literacy was 2.08±0.85. Multiple hierarchical regression analysis suggested that age, place of residence, education, NYHA class and social support were the main influencing factors of health literacy in CHF patients. Conclusion: Health literacy especially critical health literacy in CHF patients is relatively poor. Enhancing social support may improve CHF patients' health literacy. Health workers should pay more attention to CHF patients who are older, living in rural areas, less educated, and have poorer NYHA class.

Key words: Chronic Heart Failure; health literacy; social support

中图分类号: 

  • R47