医学生健康自我管理能力和电子健康素养现状及关系分析

摘要/Abstract

摘要： 目的了解山东省青岛市某大学515名医科本科生的健康自我管理能力及电子健康素养的现状，分析两者之间的关系，为提高大学生健康自我管理能力提供依据。方法采用方便抽样方法，于2021年7—9月选取山东省某高校515名在校医学本科生进行调查，并对数据进行分析。结果青岛市某大学515名医学本科生自我健康管理能力总分得分为（150.66±23.71）分，电子健康素养得分为（62.97±13.78）分，同伴影响抵抗得分为（27.56±3.71）分。自我健康管理能力与电子健康素养及同伴影响抵抗呈显著正相关（均P<0.05）。不同专业、性别、年级、民族、生源地、母亲受教育水平、学习成绩、健康状况、体育锻炼次数、上课学时、否担任学生干部、学习人体健康课程及参加学校社团健康活动医学生的总体自我健康管理能力比较，差异均有统计学意义（均P<0.05）。性别、学习成绩、是否担任学生干部、过去1年健康状况、每周体育锻炼次数、电子健康素养及同伴影响抵抗是医学生总体自我健康管理能力的独立影响因素，共可解释变异的25.0%。结论青岛市某大学医学生健康自我管理能力处于中等水平，受到多种因素的影响，相关部门应开展针对性课程，重视电子健康素养对健康自我管理中的正性影响，发挥互联网及同伴的积极作用，以综合提升医学生的健康自我管理水平。

关键词: 医学生, 健康自我管理, 电子健康素养, 同伴影响

Abstract: Objective To understand the current situation of health self-management ability and e-health literacy among 515 medical undergraduates in a university at Qingdao City in Shandong Province，analyze their relationship，and provide a basis for improving the health self-management ability of college students. Methods Using the convenience sampling method，515 medical undergraduates enrolled in a university in Shandong Province were selected for a survey from July to September 2021，and the data were analyzed. Results The total score of health self-management ability among medical undergraduates in a university of Qingdao City was （150.66±23.71）points，the score of e-health literacy was （62.97±13.78）points，and the score of peer influence resistance was （27.56±3.71）points. The health self-management ability was significantly and positively correlated with e-health literacy and peer influence resistance（all P<0.05）. There were statistically significant differences in the overall health self-management ability among medical students in different major，gender，grade，nationality，place of origin，mother's education level，academic performance，health status，times of physical exercise，class hours，whether to be a student cadre，studying human health courses and participation in school community health activities（all P<0.05）. The gender，academic performance，being student cadre，health status in the past year，number of physical exercise per week，e-health literacy and peer influence resistance were the independent influencing factors of medical students' overall health self-management ability，which together explained 25.0% of the variance. Conclusion The health self-management ability among medical students in a university of Qingdao City is at an intermediate level and is influenced by multiple factors，so relevant departments should offer related courses，pay attention to the positive influence of e-health literacy in health self-management，and take advantage of the internet and peers in order to improve medical students' health self-management.

Key words: Medical students, Health self-management, E-health literacy, Peer influence

中图分类号:

R181.3⁺7

郝帅佳, 凃小敏, 梁顺华, 刘婷. 医学生健康自我管理能力和电子健康素养现状及关系分析. [J]职业与健康, 2023, 39(3): 389-394.

HAO Shuai-jia, TU Xiao-min, LIANG Shun-hua, LIU Ting. Analysis on status of health self-management ability and e-health literacy and their correlation among medical students. [J]OCCUPATION AND HEALTH, 2023, 39(3): 389-394.

参考文献

[1] DISLER R T,GALLAGHER R D,DAVIDSON P M.Factors influencing self-management in chronic obstructive pulmonary disease:An integrative review[J].Int J Nurs Stud,2012,49(2):230-242.
[2] 曲鹏达.大学生健康状况和影响因素调查分析[D].云南:云南中医药大学,2019.
[3] 万华军,熊巨洋,彭莹莹,等.健康中国视角下我国大学生健康问题及管理策略[J].医学与社会,2020,33(3):55-58.
[4] 岳雨珊,俞君,朱黎婷,等.南京大学生亚健康状况及影响因素研究[J].中国卫生统计,2013,30(1):46-48.
[5] NORMAN C D,SKINNER H A.eHEALS:The ehealth literacy scale[J].J Med Internet Res,2006,8(4):27.
[6] 唐增,王帆,傅华.高校学生电子媒介健康素养量表的编制及评价[J].中国健康教育,2014,30(1):35-38.
[7] 赵秋利,黄菲菲.成年人健康自我管理能力测评量表的编制及信度和效度检验[J].中华现代护理杂志,2011,17(8):869-872.
[8] STEINBERG L,MONAHAN K.Age differences in resistance to peer influence[J].Dev Psychol,2007,43(6):1531-1543.
[9] 安静.青少年同伴影响抵抗、风险决策和健康危害行为的关系研究[D].安合肥:安徽医科大学,2012.
[10] 冯芳,冯丽娜,陈长香,等.河北省老年人健康自我管理能力及相关影响因素分析[J].现代预防医学,2015,42(5):852-854.
[11] 程靖,刘淑聪,郭梦娜,等.杭州市大学生健康自我管理能力及影响因素[J].中国学校卫生,2018,39(9):1310-1313.
[12] 国美娥,辛海霞.578名本科护生电子健康素养与健康自我管理能力的相关性分析[J].护理学报,2019,26(23):65-68.
[13] 崔光辉,李少杰,尹永田,等.医学生健康自我管理能力现状及影响因素[J].职业与健康,2020,36(1):102-105.
[14] 张祥荣.某高校大一新生健康素养,健康自我管理和健康行为的现状及关系分析[D].唐山:华北理工大学,2019.
[15] 刘啸莳.母亲受教育水平和青少年学业自尊的关系:母亲教养方式的中介作用和性别的调节作用[J].心理与行为研究,2021,19(1):59-65.
[16] 黄菲菲,赵秋利,郭美宜,等.成年人健康自我管理能力现状及影响因素的调查[J].中华护理杂志,2011,46(7):701-703.
[17] SIMPSON A C,ROCKErR G M.Avanced chronic obstructive pulmonary disease:Impact on informal caregivers[J].J Palliat Care,2008,24(1):49-54.
[18] 韩文华,苏煜.体育锻炼与大学生健康生活方式现状分析[J].中国健康教育,2014,30(8):687-690.
[19] LIU T,YANG X L,GUO K,et al.Evaluation of health behaviors and self-rated health among chinese healthcare students[J].J Community Health,2020,45:1006-1016.
[20] HEIJMANS M,WAVERIJN G,RADEMAKERS J,et al.Functional,communicative and critical health literacy of chronic disease patients and their importance for self-management[J].Patient Educ Couns,2015,98(1):41-48.
[21] ASLAN G K,KARTAL A,TURAN T,et al.Association of electronic health literacy with health-promoting behaviours in adolescents[J].Int J Nurs Pract,2021,27:12921.
[22] ROBB M,SHELLENBARGER T.Influential factors and perceptions of eHealth literacy among undergraduate college students[J].Online J Nurs Inform,2014,18(3):1.
[23] 崔光辉,李少杰,尹永田,等.医学生电子健康素养现状及影响因素研究[J].现代预防医学,2020,47(6):1148-1152.
[24] 厉锦巧,冯国和,张伟,等.电子健康素养理论及干预的研究进展[J].中华护理教育,2019,16(4):279-283.
[25] MITSUHASHI T.Effects of two-week e-learning on eHealth literacy:A randomized controlled trial of Japanese Internet users[J].Peer J,2018,6(7):5251.