济南市某高校护生社会支持、自我效能与中医药健康文化素养的关系

摘要/Abstract

摘要： 目的了解护理专业本科生社会支持、自我效能与中医药健康文化素养的关系,分析自我效能在社会支持与中医药健康文化素养关系中的中介作用。方法 2023年2月,使用方便抽样选取济南市某高校的413名护理专业本科生,采用一般资料调查表、社会支持评定量表、一般自我效能感量表和中医药健康文化素养调查问卷进行调查,并对数据进行分析。结果 413名护理专业本科生中医药健康文化素养得分为（74.59±16.84）分,自我效能得分为（27.32±4.66）分,社会支持得分为（35.92±7.09）分。社会支持与中医药健康文化素养、自我效能呈正相关（r=0.337、0.369,均P<0.01）,自我效能与中医药健康文化素养呈正相关（r=0.387,P<0.01）。自我效能在社会支持与中医药健康文化素养的关系中存在中介效应,直接效应和间接效应分别为65.5%和34.5%。结论济南市某高校护理专业本科生社会支持、自我效能与中医药健康文化素养之间存在相关性,社会支持可以直接作用于中医药健康文化素养,也可以通过自我效能作用于中医药健康文化素养,自我效能在社会支持与中医药健康文化素养中起部分中介作用。护理教育者可通过提高护理专业本科生的社会支持和自我效能,进一步提升其中医药健康文化素养。

关键词: 护理专业本科生, 自我效能, 社会支持, 中医药健康文化素养, 中介作用

Abstract: Objective To understand the relationship between social support,self-efficacy and traditional Chinese medicine health（TCM） literacy among nursing undergraduates,explore the mediating role of self-efficacy in the relationship between social support and TCM health literacy. Methods In February 2023,413 nursing undergraduates from a university in Jinan City were selected by convenient sampling. The general information questionnaire,social support rate scale,general self-efficacy scale and TCM health culture literacy questionnaire were used for the investigation,and the data were analyzed. Results The scores of TCM health culture literacy,self-efficacy and social support of 413 nursing undergraduates were （74.59±16.84）,（27.32±4.66） and （35.92±7.09）points,respectively. The social support was positively correlated with TCM health culture literacy and self-efficacy（r=0.337, 0.369,both P<0.01）,and the self-efficacy was positively correlated with TCM health culture literacy（r=0.387,P<0.01）. The self-efficacy had a mediating effect on the relationship between social support and TCM health culture literacy,and the direct effect and indirect effect were 65.5% and 34.5%,respectively. Conclusions There is a correlation between social support,self-efficacy and TCM health culture literacy of nursing undergraduates in a university in Jinan City. The social support can directly affect the TCM health culture literacy,and can also affect TCM health culture literacy through self-efficacy. The self-efficacy plays a partial intermediary role between social support and TCM health culture literacy. The nursing educators can further improve the TCM literacy of nursing undergraduates by improving their social support and self-efficacy.

Key words: Nursing undergraduates, Self-efficacy, Social support, Traditional Chinese medicine health literacy, Mediating role

中图分类号:

R181.3

孔浩鑫, 侯佳忻, 李明霞, 王雪贝, 林树豪. 济南市某高校护生社会支持、自我效能与中医药健康文化素养的关系. [J]职业与健康, 2025, 41(5): 677-682.

KONG Haoxin, HOU Jiaxin, LI Mingxia, WANG Xuebei, LIN Shuhao. Relationship between social support,self-efficacy and traditional Chinese medicine health literacy among nursing undergraduates in a university in Jinan City. [J]OCCUPATION AND HEALTH, 2025, 41(5): 677-682.

参考文献

[1] 国务院. 国务院关于印发中医药发展战略规划纲要(2016—2030年)的通知(国发[2016]15号)[R].北京,2016.
[2] 国家中医药管理局办公室,国家卫生健康委员会宣传司,中国健康教育中心,等.2017年中国公民中医药健康文化素养调查报告[R].北京:国家中医药管理局办公室,2018.
[3] 谌一凡,罗尧岳,秦露露,等.湖南省内中医院护士中医药健康文化素养现状及影响因素分析[J].湖南中医杂志,2023,39(3):112-116,133.
[4] 高多多,张爱莲.医学院校学生的中医药健康文化素养水平及影响因素分析[J].中国医疗管理科学,2021,11(1):72-77.
[5] 尚成英,何霞霞.高职医学生中医药健康文化素养调查研究[J].卫生职业教育,2023,41(3):114-116.
[6] 余苒,张睿,甘丽英,等.我国军人社会支持特点及其与抑郁的关系分析[J].重庆医学,2017,46(32):4558-4560.
[7] YU H,ZHANG P,WANG X,et al.Effect of health education based on behavioral change theories on self-efficacy and self-management behaviors in patients with chronic heart failure[J].Iran J Public Health,2019,48(3):421-428.
[8] 刘艳,和靖,孙霞霞,等.社会支持和健康素养对农村高血压患者抑郁的影响[J].四川大学学报(医学版),2020,51(4):510-514.
[9] 马丹丹,任洁,乔够梅,等.膀胱癌尿流改道腹壁造口患者健康素养与社会支持及健康信念的相关性[J].护理学杂志,2021,36(17):33-35.
[10] 麦剑荣,林丽娜,周玲,等.自我效能感对中国居民健康素养的影响[J].中国健康教育,2022,38(7):579-582,588.
[11] QIAN Z,WANG G Y,HENNING M,et al.Understanding health literacy from a traditional Chinese medicine perspective[J].JIM,2023,21(3):215-220.
[12] 李峥,刘宇.护理学研究方法[M].北京:人民卫生出版社:2012:48-59.
[13] 郭颖. 中国公民中医药健康文化素养现况及影响因素研究[D].北京:北京中医药大学,2018.
[14] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994(2):98-100.
[15] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001(1):37-40.
[16] 丁岩,王艳红,李颖霞.老年慢性病患者心理压力与心理健康的关系:心理弹性的中介作用[J].中国健康心理学杂志,2021,29(1):37-40.
[17] 温忠麟,叶宝娟.中介效应分析:方法和模型发展[J].心理科学进展,2014,22(5):731-745.
[18] 魏颖,姜南,王金凤,等.2021年山东省居民中医药健康文化素养水平及影响因素分析[J].中国健康教育,2023,39(3):242-247.
[19] 王冰,王春成,张峰,等.南阳市居民中医药健康文化素养调查分析[J].中医药管理杂志,2023,31(24):20-22.
[20] 刘国华,段婧,熊光轶,等.2022年云南省居民中医药健康文化素养现状及影响因素分析[J].中国健康教育,2023,39(6):555-560.
[21] 张佳萌,朱瑶,王素珍.高校大学生中医药健康文化素养现状调查[J].中医药管理杂志,2021,29(14):29-31.
[22] 吕永莲,崔熙容,苏金垚,等.高校大学生中医养生保健素养现况调查[J].中国卫生产业,2019,16(21):186-187,189.
[23] 郭少波,刘红霞,林可可.医学院校护理学专业学生中医养生保健素养现状及影响因素分析[J].中医教育,2023,42(4):67-72.
[24] 何亚林,杜娟,周莉,等.本科实习护生的社会支持和成就动机在其自主学习准备度与问题解决能力间的中介作用[J].护理学报,2021, 28(8):50-55.
[25] 王亚南,王甜甜,秦姝,等.自我效能感在大学生健康素养与抑郁症状中的中介效应[J].中国健康教育,2023,39(7):596-600,627.
[26] 周鑫越,黄月霖.四川省426名本科实习护生学业拖延、学业倦怠及自我效能感的关系[J].职业与健康,2024,40(3):1-5.