ST段抬高心肌梗死患者介入治疗后健康素养与自我效能的关系分析

Analysis of the relationship between health literacy and self-efficacy in patients with ST-segment elevation myocardial infarction after interventional therapy

目的分析ST段抬高心肌梗死(STEMI)患者介入治疗后健康素养与自我效能的关系。方法选取2019年1月至2021年1月上饶市广信区人民医院接受介入治疗的108例STEMI患者作为研究对象,采用一般自我效能感量表(GSES)评估患者自我效能评分的高低将其分为低自我效能组(GSES<24分,15例)、中等自我效能组(GSES 24~<32分,55例)、高自我效能组(GSES≥32分,38例),比较三组患者的健康素养管理量表(HeLMS)评分,并利用相关性分析方法分析健康素养与自我效能的相关性。结果高自我效能组的健康素养总评分高于中等自我效能组与低自我效能组,差异有统计学意义(P<0.05);中等自我效能组的健康素养总分高于低自我效能组,差异有统计学意义(P<0.05)。心肌梗死患者的健康素养各个维度与自我效能呈正相关(P<0.05)。结论STEMI患者介入治疗后的健康素养与自我效能呈正相关。

Objective To analyze the relationship between health literacy and self-efficacy in patients with ST segment elevation myocardial infarction(STEMI)after interventional therapy.Methods A total of 108 patients with STEMI who received interventional therapy in People's Hospital of Guangxin District of Shangrao from January 2019 to January 2021 were selected as the research objects.The self-efficacy scores of patients were evaluated by general self-efficacy scale(GSES)scale.They were divided into low self-efficacy group(GSES<24,15 cases),medium self-efficacy group(24≤GSES<32,55 cases)and high self-efficacy group(GSES≥32,38 cases).The health literacy management scale(HeLMS)scores of the three groups were compared,the correlation analysis method was used to analyze the correlation between health literacy and self-efficacy.Results The total score of health literacy in high self-efficacy group was higher than that in medium self-efficacy group and low self-efficacy group,and the differences were statistically significant(P<0.05).The total score of health literacy in the middle self-efficacy group was higher than that in the low self-efficacy group,and the difference was statistically significant(P<0.05).All dimensions of health literacy of patients with myocardial infarction were positively correlated with self-efficacy(P<0.05).Conclusion There is a positive relationship between health literacy and self-efficacy in patients with STEMI after interventional therapy.