炎症性肠病患者自我管理能力对疾病活动度的影响:健康素养的中介作用

Effect of Self-management Ability on Disease Activity in Patients with Inflammatory Bowel Disease:Mediating Role of Health Literacy

目的 探讨健康素养在炎症性肠病(IBD)患者自我管理能力与疾病活动度间的中介作用。方法 选取2022年9月至2023年2月郑州大学第一附属医院收治的286例IBD患者进行问卷调查,采用Pearson相关分析、AMOS结构方程模型分析数据与假设验证。结果 IBD患者疾病活动度评分为(8.76±1.57)分,自我管理能力评分为(51.08±6.52)分,健康素养评分为(55.08±5.34)分;相关性分析显示疾病活动度与健康素养、自我管理能力呈负相关(r=-0.521、-0.412,P<0.05),健康素养与自我管理能力呈正相关(r=0.433,P<0.05);构建中介模型显示结构方程模型有意义,总效应显著。结论 健康素养在IBD患者自我管理能力与疾病活动度间存在中介效应,可通过提高健康素养强化其自我管理能力,减轻疾病活动度。

Objective To explore the mediating effect of health literacy on self-management ability and disease activity in patients with inflammatory bowel disease(IBD).Methods A total of 286 patients with IBD in the First Affiliated Hospital of Zhengzhou University from September 2022 to February 2023 were selected for questionnaire survey,and Pearson correlation analysis and AMOS structural equation modelling were used to analyse the data and hypothesis testing.Results IBD patients had a disease activity score of(8.76±1.57),a self-management ability score of(51.08±6.52)and a health literacy score of(55.08±5.34).Correlation analysis showed that disease activity was negatively correlated with health literacy and self-management ability(r=-0.521,-0.412,P<0.05),and health literacy was positively correlated with self-management ability(r=0.433,P<0.05).Mediation model was constructed and showed a significant structural equation model with a significant total effect.Conclusion Health literacy has mediating effect between self-management ability and disease activity in IBD patients.Improving health literacy can strengthen self-management ability and reduce disease activity.