乳腺癌患者健康信息素养对网络知识获取能力的影响

Effects of health information literacy on ability of network knowledge acquisition among breast cancer patients

目的 调查乳腺癌患者的健康信息素养水平,并探讨其对网络知识获取的影响.方法 采用患者一般资料调查表、健康信息素养自评量表和网络知识获取调查表对郑州市4家三级甲等综合医院的1130例乳腺癌患者进行横断面调查.结果 乳腺癌患者具备健康信息素养水平者占32.9%（372/1130）,其中健康信息应用是素养水平最低的维度,仅为8.6%（97/1130）;居住地在城市、文化程度在大学及以上、病程≥5年患者的健康信息素养具备比例较高（P〈0.05）.具备健康信息素养乳腺癌患者主要搜索专业医学网站,内容主要为治疗方案、用药方案和症状、并发症等内容,其中62.6%的患者对网络信息采取怀疑需再次验证的态度;不具备健康信息素养患者主要搜索营利性商业网站,内容为饮食指导、运动锻炼和就诊医院,54.4%的患者对网络信息采取确信地态度;两组患者对待网络知识的信任态度差异具有统计学意义（P〈0.05）.结论 乳腺癌患者的健康信息素养水平较低,临床医护人员应根据乳腺癌患者的健康信息素养情况实施个性化的培训和指引,以提升患者的网络知识获取能力,提升患者在医疗决策中的执行力.

Objective To investigate the health information literacy level of breast cancer patients,and discuss its influence on the network knowledge acquisition.Methods A total of 1130 breast cancer patients from four tertiary comprehensive hospitals in Zhengzhou were studied by using the general data questionnaire, the health information literacy self-rating depression scale and the network knowledge acquisition questionnaire. The cross-sectional study was used in the research.Results Breast cancer patients who had certain health information literacy level accounted for 32.9% （372/1130）. The health information application was the dimension with the lowest literacy level 8.6% （97/1130）. The health information literacy of patients living in cities,having a higher education level and having a disease course longer than five years,was relatively high （P〈0.05）. The breast cancer patients mainly searched the professional medical websites,and the contents were mainly about therapeutic schedule,pharmacy scheme,symptoms,complications and other contents. 62.6% of such patients were suspicious of the network information and would re-verify it. Patients having no health information literacy mainly searched the profitable commercial charging websites,and the contents were mainly about diet guide, exercise training and hospitals. 54.4% of such patients were convinced of the network information. Trust attitudes of the patients in two groups towards the network knowledge were obviously different （P〈0.05）.Conclusions The health information literacy level of breast cancer patients is relatively low. The clinic medical workers should conduct personalized training and guidance based on the condition of health information literacy of breast cancer patients,in order to improve the patients′ ability to acquire network knowledge and increase patients′ execution force in medical decisions.