维持性血液透析患者健康促进生活方式与电子健康素养的研究

Study on health-promoting lifestyle and e-health literacy in maintenance hemodialysis patients

目的了解维持性血液透析(maintenance hemodialysis,MHD)患者健康促进生活方式的现状及影响因素,并探讨其与电子健康素养的相关性。方法选取2022年2月~2022年5月四川大学华西医院血液透析中心行MHD的141例患者为研究对象。采用一般资料调查问卷、电子健康素养量表(ehealth literacy scale,eHEALs)、健康促进生活方式量表修订版(health promoting lifestyle profile-Ⅱrevise,HPLP-ⅡR)对MHD患者进行问卷调查。结果MHD患者健康促进生活方式得分为(104.00±15.01)分;电子健康素养得分为(25.26±8.91)分;多元线性回归分析结果显示:文化程度(高中:β=0.285,P=0.030;大学本科及以上:β=0.388,P=0.003)、电子健康素养(β=0.365,P<0.001)是健康促进生活方式的主要影响因素;Spearnman相关分析显示健康素养和健康促进生活方式的各维度及总分呈正相关(r=0.474,P<0.001)。结论MHD患者的健康促进生活方式水平良好,电子健康素养处于一般水平,且两者呈正相关。应采取针对性的措施提高维持性血液透析患者的电子健康素养及健康生活方式,有助于更好的提高生活质量。

Objective To investigate the status quo and influencing factors of health-promoting lifestyle in maintenance hemodialysis(MHD)patients,and to explore its correlation with e-health literacy.Methods A total of 141 patients with MHD in the Hemodialysis Center,West China Hospital of Sichuan University from February 2022 to May 2022 were selected as the research subjects.A general information questionnaire,eHealth Literacy Scale(eHEALs),and Revised Health Promoting Lifestyle Profile-Ⅱ(HPLP-ⅡR)were used to conduct a questionnaire survey for the MHD patients.Results The score of health promotion lifestyle was 104.00±15.01 points,and the score of e-health literacy was 25.26±8.91 in the MHD patients.Multivariate linear regression showed that educational level(high school diplomaβ=0.285,P=0.030;university degree or aboveβ=0.388,P=0.003),and e-health literacy(β=0.365,P<0.001)were the main influencing factors for health promotion lifestyle.Spearman correlation analysis showed a positive correlation between health literacy and health promotion lifestyle(r=0.474,P<0.001).Conclusion The health promotion lifestyle was better,and e-health literacy was in a general level in the MHD patients.There was a positive correlation between health promotion lifestyle and e-health literacy.We should take targeted measures to improve the e-health literacy and healthy lifestyle to promote the quality of life in MHD patients.