脑卒中患者健康素养的潜在剖面分析及与健康行为差异比较

Latent Profile Analysis of Health Literacy and Comparison of Health Behavior Differences in Patients with Stroke

目的了解脑卒中患者健康素养的潜在类别及其与健康行为的关系。方法选取在浙江省某三级甲等医院住院的脑卒中患者,采用一般资料调查表、慢性病患者健康素养量表、脑卒中患者健康行为量表对其进行调查。采用Mplus 8.3进行潜在剖面分析,SPSS 25.0软件比较不同类别健康素养在健康行为上的得分情况。结果共纳入231例脑卒中患者,健康素养可分为3个潜在类别,分别为:低素养-低应对能力组(28.2%)、中等健康素养组(38.5%)、高素养-高改善意愿组(33.3%)。3个潜在类别健康行为比较,差异有统计学意义(F=839.731,P<0.001)。结论脑卒中患者健康素养可分为3个类别,不同健康素养类别的脑卒中患者健康行为水平存在差异,建议基于脑卒中患者健康素养同质群体,有针对性地进行干预,以期改善其健康行为水平。

Objective To explore the latent classes of health literacy in patients with stroke and its relationship with health behaviors.Methods Patients with stroke hospitalized in the Department of Neurology of a tertiary A hospital in Zhejiang province were selected with the convenience sampling method and investigated with the general demographic information questionnaire,chronic disease health literacy management scale and health behavior scale.Mplus 8.3 was used to analyze the latent profile,and SPSS 25.0 software was used to compare the scores of different types of health literacy in health behavior.Results A total of 231 patients with stroke were enrolled.Health literacy could be divided into three latent classes,namely low literacy and low coping ability group(28.2%),medium health literacy group(39.5%),and high literacy and high willingness for improvement group(33.3%).There were significant differences in health behaviors among the three latent classes(F=839.731,P<0.001).Conclusions The health literacy of patients with stroke can be divided into three levels,and there are differences in health behavior levels of these patients of different levels.It is suggested that targeted intervention should be carried out based on the health literacy group for better improvement.