脑力劳动人群冠心病患者健康素养与疾病不确定感的关系分析

Analysis of the relationship between health literacy and disease uncertainty in mental workers with coronary heart disease

目的调查脑力劳动人群中冠心病(CHD)患者的健康素养、疾病不确定感现状及两者的关系。方法收集从事脑力劳动CHD患者74例,采用一般人口学资料调查表、慢性病健康素养量表(HelMS)和Mishel疾病不确定感量表(MUIS)进行调查,分析HelMS与MUIS各维度之间的相关性。结果74例CHD患者的健康素养评分为(97.79±12.21)分,单项平均分为(4.07±0.69)分,处于中等偏上水平;以信息获取能力维度最高,而改善健康意愿维度最低;MUIS总分为(89.99±10.23)分,项目平均分为(2.73±0.58)分,处于中等水平;以不明确性最高,复杂性最低。Spearman相关性分析显示,HelMS与MUIS量表评分呈明显负相关(r=-0.372,P<0.01)。Logistic回归分析显示,年龄、月收入、HelMS评分为疾病不确定感的独立影响因素(P<0.05)。结论脑力劳动人群CHD患者的健康素养水平尚可,但疾病不确定感水平较高,且两者之间相互影响、相互作用。积极干预降低患者的疾病不确定感并提高健康素养水平有重要意义。

Objective To investigate the health literacy,the status quo of disease uncertainty and their relationship with coronary heart disease(CHD)patients among mental workers.Methods 74 cases of CHD patients engaged in mental Labour were collected,and the general demographic information questionnaire,chronic health literacy scale(HelMS)and Mishel sense of uncertainty in illness scale(MUIS)were used to investigate and analyze the correlation between HelMS and MUIS of each dimension.Results The health literacy score of 74 CHD patients was(97.79±12.21),and the average score of each item was(4.07±0.69),which was above the medium level.The dimension of obtaining information ability was the highest,while the health improvement intention dimension was the lowest.The total score of MUIS was(89.99±10.23),and the average score of the project was(2.73±0.58),which was in the middle level,with the highest ambiguity and the lowest complexity.Spearman correlation analysis showed that HelMS was negatively correlated with MUIS scale score(r=-0.372,P<0.01).Logistic regression analysis showed that age,monthly income and HelMS score were independent influencing factors of disease uncertainty(P<0.05).Conclusions The health literacy level of CHD patients in mental workers is fair,but the level of disease uncertainty is high,and the two affect and interact with each other.Active intervention to reduce patients’ sense of disease uncertainty and improve health literacy level is of great significance.