Citation: | HUANG Yanling, GU Zejuan, SUN Guozhen, LIU Changhong, GAO Chunhong, HU Xiaolin. Correlations of health information literacy with self- management behavior and quality of life in patients with chronic heart failure[J]. Journal of Clinical Medicine in Practice, 2022, 36(10): 105-110, 119. DOI: 10.7619/jcmp.20220636 |
To explore impact of health information literacy on self-management behaviors and quality of life in patients with chronic heart failure (CHF).
A total of 223 patients with CHF were selected as study objects by convenient sampling method. The patients were investigated by general information questionnaire, European Five Dimensional Health Scale (EQ-5D), Chinese Resident HIL Self-assessment Scale and Heart Failure Self-care Index (SCHFI). The correlations of the total HIL score and its dimensional scores with the total self-management behavior score and quality of life score were analyzed, and the influencing factors of self-management behavior and quality of life were analyzed.
The total score of CHF patients' health information literacy (HIL) was 16.83(12.92, 21.92), self-managementbehavior was (136.38±46.65), and quality of life was 0.937 (0.856, 0.973). Correlation analysis showed that the total HIL score and its dimensional scores were positively correlated with the total self-management score and quality of life score (P < 0.001). The results of multivariate analysis showed that educational level, smoking history, exercise habits or not, health information ethics and health information cognition were independent influencing factors of self-management behavior (P < 0.05), and cardiac function grade and health information cognition were independent influencing factors of quality of life (P < 0.05).
The level of HIL, self-management behaviors and quality of life of CHF patients need to be improved and the level of HIL of CHF patients can affect self-management behaviors and quality of life. Therefore, it is necessary for medical staff to strengthen HIL training for patients with CHF so as to promote the implementation of self-management behaviors and improve the quality of life.
[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(6): 521-545. doi: 10.3969/j.issn.1000-3614.2021.06.001
|
[2] |
ZIAEIAN B, FONAROW G C. Epidemiology and aetiology of heart failure[J]. Nat Rev Cardiol, 2016, 13(6): 368-378. doi: 10.1038/nrcardio.2016.25
|
[3] |
JAARSMA T, HILL L, BAYES-GENIS A, et al. Self-care of heart failure patients: practical management recommendations from the Heart Failure Association of the European Society of Cardiology[J]. Eur J Heart Fail, 2021, 23(1): 157-174. doi: 10.1002/ejhf.2008
|
[4] |
SHIPMAN J P, KURTZ-ROSSI S, FUNK C J. The health information literacy research project[J]. J Med Libr Assoc, 2009, 97(4): 293-301. doi: 10.3163/1536-5050.97.4.014
|
[5] |
王辅之, 罗爱静, 谢文照. 我国居民健康信息素养内涵及培养策略[J]. 中华医学图书情报杂志, 2013, 22(8): 13-17. doi: 10.3969/j.issn.1671-3982.2013.08.003
|
[6] |
中华医学会心血管病学分会心力衰竭学组, 中国医师协会心力衰竭专业委员会, 中华心血管病杂志编辑委员会. 中国心力衰竭诊断和治疗指南2018[J]. 中华心血管病杂志, 2018, 46(10): 760-789. doi: 10.3760/cma.j.issn.0253-3758.2018.10.004
|
[7] |
赵志强, 许世强, 王贤良, 等. 欧洲五维健康量表应用于慢性心力衰竭患者的科学性考评[J]. 中华中医药杂志, 2019, 34(4): 1715-1718. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201904112.htm
|
[8] |
ZHUO L, XU L, YE J T, et al. Time trade-off value set for EQ-5D-3L based on a nationally representative Chinese population survey[J]. Value Health, 2018, 21(11): 1330-1337. doi: 10.1016/j.jval.2018.04.1370
|
[9] |
王辅之, 罗爱静, 谢文照, 等. 健康信息素养自评量表的编制及其信效度检验[J]. 中国现代医学杂志, 2013, 23(30): 89-93. doi: 10.3969/j.issn.1005-8982.2013.30.022
|
[10] |
罗爱静, 王辅之, 谢文照, 等. 长沙市社区老年慢病患者健康信息素养状况及影响因素[J]. 中国老年学杂志, 2016, 36(14): 3554-3556. doi: 10.3969/j.issn.1005-9202.2016.14.095
|
[11] |
周敏, 吴建军, 史路平. "互联网+"背景下老年人健康信息素养研究进展及启示[J]. 中国老年学杂志, 2020, 40(15): 3357-3359. doi: 10.3969/j.issn.1005-9202.2020.15.068
|
[12] |
郭金玉, 李峥, 康晓凤. 心力衰竭自我护理指数量表的汉化及信效度检测[J]. 中华护理杂志, 2012, 47(7): 653-655. doi: 10.3761/j.issn.0254-1769.2012.07.028
|
[13] |
谢葵芳, 汪雨晴, 臧小英. 健康素养对高血压患者自我管理行为的影响研究[J]. 中国全科医学, 2020, 23(3): 327-332. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202003016.htm
|
[14] |
王蕾, 汪秋伊, 李星, 等. 网络健康信息可读性评估研究现状及展望[J]. 医学信息学杂志, 2020, 41(12): 20-25, 40. doi: 10.3969/j.issn.1673-6036.2020.12.005
|
[15] |
王子迎, 米冬花, 王水莲, 等. 老年慢性心力衰竭患者的自我管理现状及其影响因素研究[J]. 中华护理杂志, 2017, 52(4): 431-435. doi: 10.3761/j.issn.0254-1769.2017.04.010
|
[16] |
史云霞, 张杨, 田竟. 自我效能感和应对方式对慢性心力衰竭患者自我护理行为的影响路径[J]. 解放军护理杂志, 2017, 34(23): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-JFHL201723002.htm
|
[17] |
SANTESMASES-MASANA R, GONZÁLEZ-DE PAZ L, HERNÁNDEZ-MARTÍNEZ-ESPARZA E, et al. Self-care practices of primary health care patients diagnosed with chronic heart failure: a cross-sectional survey[J]. Int J Environ Res Public Health, 2019, 16(9): 1625. doi: 10.3390/ijerph16091625
|
[18] |
SUN J, ZHANG Z W, MA Y X, et al. Application of self-care based on full-course individualized health education in patients with chronic heart failure and its influencing factors[J]. World J Clin Cases, 2019, 7(16): 2165-2175. doi: 10.12998/wjcc.v7.i16.2165
|
[19] |
蔡燕, 张红. 居家慢性心力衰竭患者的护理运动康复效果观察[J]. 心血管康复医学杂志, 2017, 26(1): 112-115. https://www.cnki.com.cn/Article/CJFDTOTAL-XXGK201701030.htm
|
[20] |
DU H Y, NEWTON P J, BUDHATHOKI C, et al. The Home-Heart-Walk study, a self-administered walk test on perceived physical functioning, and self-care behaviour in people with stable chronic heart failure: a randomized controlled trial[J]. Eur J Cardiovasc Nurs, 2018, 17(3): 235-245. doi: 10.1177/1474515117729779
|
[21] |
PAZ L, MEDEIROS C A, MARTINS S M, et al. Quality of life related to health for heart failure patients[J]. Rev Bras Enferm, 2019, 72(suppl 2): 140-146.
|
1. |
郭红歌. 人工上油应用于轴节类手术器械的效果分析. 辽宁医学杂志. 2019(02): 101-103 .
![]() | |
2. |
李秀英, 路珊珊. 一起灭菌后手术器械表面液体珠现象的调查. 中国感染控制杂志. 2019(07): 684-686 .
![]() |