职业与健康 ›› 2025, Vol. 41 ›› Issue (19): 2668-2672.

• 论著 • 上一篇    下一篇

海口市慢性病住院患者健康信息素养现状及影响因素研究

王晓闪1,2, 叶丽香1,2, 陈莉1, 李敏香2, 蔡小霞1   

  1. 1.海南医科大学,海南 海口 571199;
    2.海南医科大学第二附属医院,海南 海口 570216
  • 收稿日期:2025-01-05 修回日期:2025-01-24 出版日期:2025-10-01 发布日期:2025-12-13
  • 通信作者: 蔡小霞,教授,E-mail:896318445@qq.com
  • 作者简介:王晓闪,女,在读硕士研究生,研究方向为内科护理。
  • 基金资助:
    海南省哲学社会科学课题[HNSK(ZC)22-193]

Study on the status quo and influencing factors of health information literacy of hospitalized patients with chronic diseases in Haikou City

WANG Xiaoshan1,2, YE Lixiang1,2, CHEN Li1, LI Minxiang2, CAI Xiaoxia1   

  1. 1. Hainan Medical University,Haikou,Hainan 571199,China;
    2. The Second Affiliated Hospital of Hainan Medical University,Haikou,Hainan 570216,China
  • Received:2025-01-05 Revised:2025-01-24 Online:2025-10-01 Published:2025-12-13
  • Contact: CAI Xiaoxia,Professor,E-mail:896318445@qq.com

摘要: 目的 了解海口市慢性病住院患者健康信息素养现状,并分析其影响因素,以更好地提高患者健康信息素养水平。方法 采用便利抽样法抽取2022年11月—2023年4月海口市某三级甲等医院内科病房住院患者291例进行问卷调查,并对数据进行分析。结果 海口市慢性病住院患者的健康信息素养总分为(87.35±13.95)分,其中健康信息认知(14.21±2.05)分,健康信息获取(34.05±9.80)分,健康信息评价(13.40±2.12)分,健康信息应用(12.43±2.55)分,健康信息道德(13.35±2.15)分。5个维度得分条目均分从高到低依次为健康信息意识、健康信息道德、健康信息应用、健康信息获取,得分最低的是健康信息评价,将所有单因素纳入到线性回归方程分析结果显示,性别、家庭居住地、教育程度、医疗付费方式及接受医护人员健康教育的次数均是慢性病患者健康信息素养的主要影响因素(均P<0.05)。结论 海口市慢性病住院患者的健康信息素养水平有待提高且存在“知-评”分离的现象,医护人员要重点关注男性、居住在农村地区、教育程度低以及没有职工医保的患者,并且结合患者的特点,开展形式多样有针对性的健康教育及健康服务项目,帮助慢性病住院患者树立正确的健康观,建立有益的生活方式,提高健康信息的识别、应用和评价能力,促进其知评合一。

关键词: 慢性病, 健康信息素养, 影响因素, 调查研究

Abstract: Objective To understand the status quo and influencing factors of health information literacy of hospitalized patients with chronic diseases in Haikou City,and to analyze its influencing factors in order to better improve the level of health information literacy among patients. Methods A convenience sampling method was used to survey 291 inpatients in the internal medicine ward of a grade-A tertiary hospital in Haikou from November 2022 to April 2023,and the data were analyzed. Results The total score of health information literacy of hospitalized patients with chronic diseases in Haikou was (87.35±13.95)points,including health information cognition(14.21±2.05)points,health information acquisition(34.05±9.80)points,health information evaluation(13.40±2.12)points,health information application(12.43±2.55)points,and health information ethics(13.35±2.15)points. The scores of the five dimensions from high to low were health information awareness,health information ethics,health information application,and health information acquisition,and the lowest score was health information evaluation. All single factors were included in the linear regression equation analysis,and the results showed that gender,family residence,education level,medical payment method and the number of health education received by medical staff were the main influencing factors of health information literacy of patients with chronic diseases(all P<0.05). Conclusion The health information literacy of hospitalized patients with chronic diseases in Haikou City has the phenomenon of "separation of knowledge and evaluation",and the level of health information literacy needs to be improved. Medical staff should focus on male,living in rural areas,patients with low education level and no employee medical insurance,and carry out various forms of targeted health education and health service projects according to the characteristics of patients,so as to help inpatients with chronic diseases establish a correct health concept,establish a beneficial lifestyle,and improve the ability to identify,apply and evaluate health information,and promote the unity of knowledge and action.

Key words: Chronic diseases, Health information literacy, Influencing factors, Investigation research

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