老年慢性病患者电子健康素养、健康促进行为与生命质量的关系

Associations of E-health literacy with health promotion behavior and quality of life among the elderly patients with chronic diseases

目的:探讨老年慢性病患者电子健康素养、健康促进行为、生命质量现状及相互关系。方法:采用方便抽样法,随机选取2022年8月1日-2023年2月20日,年龄≥60周岁的慢性病患者325例作为研究对象进行问卷调查,构建结构方程模型分析老年慢性病患者电子健康素养、健康促进行为、生命质量之间的关系。结果:老年慢性病患者电子健康素养总分为(18.73±10.64)分,健康促进行为总分为(124.02±19.63)分,欧洲五维健康量表(EQ-5D-5L)总效用值为(0.79±0.22),EQ-VAS得分为(72.35±16.21)。患者电子健康素养总分与健康促进行为总分呈正相关(r=0.197,P<0.001);电子健康素养总分与生命质量得分正相关(r=0.188,P<0.001);健康促进行为总分与EQ量表视觉模拟标尺(EQ-VAS)得分亦呈正相关(r=0.289,P<0.001)。结构方程模型分析表明,老年慢性病患者电子健康素养可直接影响其生命质量,直接效应值为0.168(P<0.05);电子健康素养也可通过影响患者健康促进行为,间接影响其生命质量,间接效应值为0.046(P<0.05)。结论:医疗机构应重视老年慢性病患者电子健康素养水平,有针对性地实施健康干预措施,有效提高电子健康素养水平,进而提升其健康促进行为和生命质量。

Objective:To explore the current status and relationship of electronic health literacy,health promotion behavior,and quality of life in elderly patients with chronic diseases.Methods:From August 1,2022 to February 20,2023,325 chronic disease patients≥60 years old were randomly selected using convenience sampling method.A structural equation model was constructed to analyze the relationship between electronic health literacy,health promotion behavior and health related quality of life in elderly patients with chronic diseases.Results:The total score of eHEALTH for patients was(18.73±10.64),the total score of health promotion behavior was(124.02±19.63),the total utility value of the European Five Dimensional Health Scale(EQ-5D-5L)was(0.79±0.22),and the EQ-VAS score was(72.35±16.21).The total score of patients'electronic health literacy is positively correlated with the total score of health promotion behavior(r=0.197,P<0.001);The total score of electronic health literacy is positively correlated with the score of quality of life(r=0.188,P<0.001),and the total score of health promotion behavior was also positively correlated with EQ-VAS scores(r=0.289,P<0.001).Structural equation model analysis showed that electronic health literacy in elderly patients with chronic diseases can directly affect their quality of life,with a direct effect of 0.168(P<0.05);Electronic health literacy can also indirectly affect patients'quality of life by influencing their health promoting behavior,with an indirect effect of 0.046(P<0.05).Conclusion:Medical institutions should attach importance to the level of electronic health literacy of patients,implement targeted health intervention measures,effectively improve the level of electronic health literacy,and thereby enhance their health promotion behavior and quality of life.