基于安德森模型的维持性血液透析患者电子健康素养研究

Current status and influencing factors of electronic health literacy in maintenance hemodialysis patients based on the Anderson model

便利抽样选取2022年9—11月在扬州市不同级别医疗机构治疗的428例维持性血液透析患者作为研究对象。基于安德森模型,采用SPSS 26.0进行描述性分析、卡方检验和多元线性分层回归,探索维持性血液透析患者电子健康素养现状及影响因素。结果显示,该类患者的电子健康素养总分处于低水平,有待进一步提高;年龄(β=-0.239)、网络健康信息搜寻频率(β=0.177)、自我效能(β=0.441)、透析持续时间(β=-0.124)、Davies-Stoke评分(β=-0.091)为影响维持性血液透析患者电子健康素养的主要因素(P<0.05)。应对年龄大、透析持续时间长、合并症负担重、自我效能低的患者,给予针对性干预和指导,同时增加患者网络健康信息搜寻频率,提高患者的电子健康素养水平。

This study selected 428 maintenance hemodialysis patients treated at different levels of medical institutions in Yangzhou from September to November 2022 using convenience sampling.Based on the Anderson model,this study adopts SPSS26.0 descriptive analysis,Chi-square test and multiple linear hierarchical regression to explore the status and influencing factors of e-health literacy among maintenance hemodialysis patients.The results showed that these patients’total score of e-health literacy was at a low level and required further improvement.Age(β=-0.239),frequency of searching Internet health information(β=0.177),self-efficacy(β=0.441),dialysis duration(β=-0.124)and Davies-Stoke score(β=-0.091)were the main contributing factors to thee-health literacy of maintenance hemodialysis patients(P<0.05).Targeted intervention and guidance should be given to patients with older age,long duration of dialysis,higher comorbidity burden,and low self-efficacy.Meanwhile,increasing patients’frequency of online health information search is essential to improve their e-health literacy.